Wounds and Injuries
Conditions
Keywords
Platelet-Rich Plasma-Fibrin Glue, Repairing Gel, Chronic Wounds, Malodorous, Recalcitrant
Brief summary
The aim of this study is to eliminate the malodorous of chronic wound and increase the chance of the healing of recalcitrant wounds by using the repairing gel (supraz gel) which has the approved components in wound healing and platelet-rich plasma-fibrin glue.
Detailed description
The current study assesses the effects of platelet-rich plasma-fibrin glue (PRP-FG) along with the use of the repairing gel which has the approved components on wound healing in patients with chronic wounds and to eliminate the malodorous of chronic wound. This randomized controlled trial is performed on patients with chronic wounds. Patients will be treated with repairing gel (supraz gel) plus PRP-FG dressing (intervention group) or only Supraz gel (intervention group) or only PRP-FG dressing (intervention group) every 48 hours for 8 weeks versus standard of care of treatment (control group: irrigation of wound by normal saline 0.9%).
Interventions
DRUGPlatelet-Rich Plasma-Fibrin Glue
The first intervention group includes 10 patients with chronic wounds who, despite common treatment, will be undergone PRP-FG intervention for 8 weeks.
DRUGRepairing Gel
The second intervention group includes 10 patients with chronic wounds who, despite common treatment, will be undergone the repairing gel with approved wound healing components in the form of gel for 8 weeks.
DRUGRepairing Gel and Platelet-Rich Plasma-Fibrin Glue
The third intervention group includes 10 patients with chronic wounds who, despite common treatment, will be undergone the repairing gel with approved wound healing components in the form of gel and PRP-FG for 8 weeks.
OTHERClassical wound irrigation (control)
For 10 patients with chronic wounds, only the classical wound irrigation by normal saline will be continued for 8 weeks.
Sponsors
Mashhad University of Medical Sciences
Study design
Allocation
RANDOMIZED
Intervention model
FACTORIAL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* Having a single wound on the body that has been at least 3 months old and has not been repaired by wound irrigation with normal saline and changing the dressing * Having a body mass index of 18-35 * Sign the informed consent by the patient
Exclusion criteria
* Having concurrent diseases that may cause problems in wound healing, such as cancers, vasculitis, kidney and liver failure, and heart failure * Taking certain drugs that may interfere with wound healing, such as corticosteroids, immunosuppressive agents, and cytotoxic agents
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of participants with infection | At the beginning of the study (0 day) and at the end of the eighth week of the intervention (8 weeks) | A swab culture: Identify a small area (1 cm) of clean viable tissue and rotate the swab on it for 5 seconds while applying enough pressure to produce exudate and culture it to detect bacteria. |
| Results of the SF36 questionnaire at Month 2 | Month 2 | The SF-36 questionnaire is a quality-of-life questionnaire that includes 36 questions divided into 8 different categories (physical functioning, limitations due to physical condition, physical pain, perceived health, vitality, social functioning or well-being, limitations due to mental condition, mental health). These 8 dimensions are used to calculate two scores on the quality of life of individuals: the physical composite score and the mental composite score. The higher the score, the greater the capacity. It is self-administered and takes less than 10 minutes. Higher scores indicate better quality of life. The French version has been validated and has satisfactory psychometric properties. Score from 0 to 100. |
| Results of the SF36 questionnaire at inclusion | Day 0 | The SF-36 questionnaire is a quality-of-life questionnaire that includes 36 questions divided into 8 different categories (physical functioning, limitations due to physical condition, physical pain, perceived health, vitality, social functioning or well-being, limitations due to mental condition, mental health). These 8 dimensions are used to calculate two scores on the quality of life of individuals: the physical composite score and the mental composite score. The higher the score, the greater the capacity. It is self-administered and takes less than 10 minutes. Higher scores indicate better quality of life. The French version has been validated and has satisfactory psychometric properties. Score from 0 to 100. |
| Wound Odor Change | At the beginning of the study (0 day) and at the end of the eighth week of the intervention (8 weeks) | Change from Baseline Wound Odor intensity at 2 months will be assessed by the nurse using a Visual Analog Scale (VAS) from 0 to 100 (perceived odor). |
| Wound Size Change | At the beginning of the study (0 day) and at the end of the eighth week of the intervention (8 weeks) | Change from Baseline Wound Size (length and width) at 2 months will be assessed in digital images taken of the wound. |
| Visual Analog Scale changes for pain assessment | Every 48 hours for 8 weeks | Pain will be evaluated by the visual analog scale system (VAS) which assesses changes in pain via a continuous measurement instrument. The score is determined by measuring the distance (mm) between the no-pain anchor to the point that the patient marks, providing a range of scores from 0 - 10. A higher score indicates greater pain intensity. |
| Duration of recovery | 8 weeks | The duration of recovery, which is the number of days it will be taken for the wound to heal. |
| Change in the systemic inflammatory marker C-reactive protein (CRP) | At the beginning of the study (0 day) and at the end of the eighth week of the intervention (8 weeks) | C-reactive protein (CRP) |
| Change in systemic inflammatory marker erythrocyte sedimentation rate (ESR) | At the beginning of the study (0 day) and at the end of the eighth week of the intervention (8 weeks) | erythrocyte sedimentation rate (ESR) |
| Change in systemic inflammatory marker Interleukin 6 (IL-6) | At the beginning of the study (0 day) and at the end of the eighth week of the intervention (8 weeks) | Interleukin 6 (IL-6) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Percentage rate of re-epithelialization | Participants will be followed for the duration of 8 weeks | Pictures taken of the wound site every other day will be analyzed using imaging software for the size of the wound. The percentage rate will be calculated from this. |
Countries
Iran
Contacts
PRINCIPAL_INVESTIGATORDaryoush Hamidi Alamdari, Ph.D
Surgical Oncology Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
PRINCIPAL_INVESTIGATORDaryoush Hamidi Alamdari
Surgical Oncology Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Outcome results
None listed