Healthy
Conditions
Keywords
Foam dressing, healthy volunteers, intact skin, wear-time
Brief summary
The purpose of this study is to evaluate a new prototype multilayer foam dressing on healthy, intact skin. The study will find out how well the new prototype dressing stays in place as well as other dressing performance and safety factors when compared to two corresponding, marketed dressings with a similar intended use profile and shape. The study will compare: 1. Prototype dressing vs Marketed dressing 1 on thighs and shins. 2. Prototype dressing vs Marketed dressing 2 on thighs and shins. The main aim of the study is to show that the new prototype dressing is not worse than the established marketed comparison dressings in terms of staying in place on human participants at 7 days. Dressings will have successfully stayed in place if the dressing edges have not lifted to reach the pad, and the pad is not exposed in any way. Additional data will be collected to further support product performance up to 7 days, including safety information and potential device issues.
Detailed description
This is a single-center prospective, open-label, comparative, interventional study with intra-individual comparison. Each participant will receive four dressings (two prototype dressings and one of each comparator Marketed dressings). The dressings will be randomized to either the left or right thigh/shin in a 1:1 ratio. Primary analyses will be performed on the following comparison pairs: 1. Prototype dressing vs Marketed dressing 1 on thighs and shins 2. Prototype dressing vs Marketed dressing 2 on thighs and shins 120 participants will be recruited into this study at a single, Germany-based site. The sample size accounts for the required 105 evaluable participants and approximately 10% lost to follow-up rate. Participants will be in good general health and have intact skin. Duration of the study will be 7-14 days, with participants attending 5 site visits. Screening can be completed on Day 0 or at a separate visit up to 7 days prior to Day 0. Dressings will be worn by participants for up to 7 days. A screening visit will be completed Day -7 to Day 0 to assess participant eligibility and to perform informed consent. Objective and subjective assessments during visits will evaluate dressing performance and conformability properties. On Day 0, dressings will be applied after appropriate skin assessments. On Day 1, 3 and 7, assessments will include acceptable dressing presence, retention, pad integrity, pad lift, border lift, and dressing comfort. On Day 7 or at dressing removal, additional assessments will include adhesive offset on skin, ease of removal and pain on removal. At each visit, photographs of the dressings will be taken. Furthermore, at each visit the skin at the application site will be assessed for any Adverse Events (AE) and the dressings assessed for Device Deficiencies.
Interventions
DEVICEPrototype dressing
Five-layer foam dressing. Size: 10cm x 10 cm. Topical application. Single use.
DEVICEMarketed dressing 1
Five-layer foam dressing. Size: 12.9cm × 12.9cm. Topical application. Single use.
DEVICEMarketed dressing 2
Five-layer foam dressing. Size: 10cm x 10 cm. Topical application. Single use.
Sponsors
Smith & Nephew, Inc.
Study design
Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 70 Years
Healthy volunteers
Yes
Inclusion criteria
1. Participant is capable of providing informed consent 2. Participant is willing and able to make all required study visits 3. Aged 18-70 years at the time of signing the informed consent\* 4. Participant must be in good health, as determined by the Investigator, based on medical evaluation, including medical history and skin application site assessment (healthy intact skin at or near any of the dressing application sites) 5. Participant is willing not to use cosmetic or medicinal lotions, creams, ointments and anything else which may interfere with dressing adhesion at dressing application sites for the duration of the study from 24 hours before dressing application on Day 0. 6. Participant is willing to have excess hair removed from the dressing application sites 7. Participant is willing to avoid immersing the dressings in water (no swimming or bathing) for the duration of the study \[\*at least 10% of participants are aged \>55 years\]
Exclusion criteria
1. Female participant who is pregnant, or lactating. 2. Participant has a known sensitivity to any of the study products, materials or ancillary product or components. 3. Known skin sensitivity or allergies to adhesives, skin wipes, soap, surgical first-aid dressings, natural rubber or rubber latex, etc. 4. Participants with a current active skin disease (e.g., eczema, psoriasis, or severe dermatoporosis), sunburn or skin peeling at the dressing application sites. 5. Participants with a medical condition which may interfere with their perception of pain (such as diabetes, small-fibre neuropathy, allodynia, hyperalgesia etc.). 6. Heavy smokers (e.g. \>20 cigarettes (\~1 pack) a day over the last 10 years) whose pain perception may have been affected through smoking. 7. Participants with any skin features near any of the dressing application sites that could be identifiable/may interfere with skin assessments (e.g. tattoos/distinctive markings or scars/keloids). 8. Participants diagnosed with hyperhidrosis or who self-report their normal sweating level to be severe as determined by the Sweating Severity Self-Assessment (SSSA) at screening (e.g. mild, moderate, severe). 9. Participants not willing to refrain from the use of pain relief medication on assessment days (1, 3 and 7) and in the case of certain medications, 24 hours before assessments. 10. Participants unwilling to refrain from activities which may directly affect the dressing, dressing application sites or assessments (such as undergoing planned scanning procedures, e.g., X-ray, magnetic resonance imaging (MRI) and computed tomography (CT) scanning; exposure to airport scanners or devices emitting radio waves; exposure to atypical conditions of pressure, humidity and temperature; immersing the dressing in water e.g. bathing / swimming / cleaning the dressing application sites; using a sauna; undertaking strenuous physical activity like aerobics, running, cycling, heavy labor etc.; using lotions/creams/ointments etc. at the dressing application sites; excessively exposing the dressing application sites to the sun (e.g. sunbathing for \>1 hour); wearing tightly fitting clothes which could affect the dressings. 11. Individuals who have participated in a clinical study in the last 7 days, using the same dressing application sites. 12. Participants with poor compliance and / or poor willingness to co-operate. 13. Individuals who should not participate in the clinical investigation for any other reason (including the taking of certain medications) as judged by the Investigator. 14. Individuals who are inmates in psychiatric wards, prison or state institutions, or any individuals otherwise regarded as vulnerable (as per ISO 14155 Section 3.55). 15. Employees of the investigation sites directly involved in this clinical investigation or employees of the sponsor's company.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Acceptable Dressing Presence at Day 7 | Day 7 | Count of dressings with acceptable dressing presence was determined by a yes/no assessment at Day 7, with a 'yes' response defined as the dressing is in place with no border lift reaching the pad and no pad exposure. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Acceptable Dressing Presence at Day 1 and Day 3 | Day 1 and Day 3 | Count of dressings with acceptable dressing presence determined by a yes/no assessment at Day 1 and 3, with a 'yes' response defined as the dressing is in place with no border lift reaching the pad and no pad exposure. |
| Presence of Dressing | Day 1, Day 3 and Day 7 | Dressing presence was measured by the count of dressings at day 1, 3 and 7 based on responses to the question "Is the dressing in place?" (yes/no). |
| Pad Integrity | Day 1, Day 3 and Day 7 | Changes to the integrity of the dressing pad (e.g., bunching, folding, ridges) assessed at Day 1, 3 and 7 by count of dressings categorized as one of the following percentage categories: 1. 0% (no change) 2. 1-25% 3. 26%-50% 4. 51%-75% 5. 76-100% 6. Dressing missing |
| Pad Lift | Day 1, Day 3 and Day 7 | Lift of the dressing pad assessed at Day 1, 3 and 7 to determine the extent of pad area lifted and no longer adhered to the participant's skin by one of the following pad lift percentage categories: 1. 0% (no lift) 2. 1-25% 3. 26%-50% 4. 51%-75% 5. 76-100% 6. Dressing missing |
| Border Lift | Day 1, Day 3 and Day 7 | Lift of the dressing border assessed at Day 1, 3 and 7 to determine the extent of the border area lifted and no longer adhered to the participant's skin by one of the following border lift percentage categories: 1. 0% (no lift) 2. 1-25% 3. 26%-50% 4. 51%-75% 5. 76-100% 6. Dressing missing |
| Dressing Comfort | Day 1, Day 3 and Day 7 | Dressing comfort assessed at Day 1, 3 and 7 by the participant's answer to the question "was the dressing comfortable during wear?" from one of the following responses: 1. Yes 2. No 3. Dressing missing |
Countries
Germany
Contacts
PRINCIPAL_INVESTIGATORKirstin Deuble-Bente
SGS proderm
Participant flow
Recruitment details
The enrollment period started on 20 January 2025 and ended on 05 March 2025. It required approximately 6 weeks to recruit all participants.
Pre-assignment details
Prior to application of 4 dressings composed of the 3 different dressing types (1 prototype dressing applied twice and 2 marketed dressings), a physical skin assessment occurred to ensure skin was healthy, intact & hair free. Upon eligibility confirmation, the investigator would apply the appropriate dressing to the randomized left or right thigh/shin so that a total of 4 dressings were applied.
Baseline characteristics
| Characteristic | — |
|---|---|
| Age, Continuous | 51.97 years STANDARD_DEVIATION 13.47 |
| Height | 169.69 centimeters (cm) STANDARD_DEVIATION 8.72 |
| Sex: Female, Male Female | 94 Participants |
| Sex: Female, Male Male | 26 Participants |
| Weight | 79.35 kilograms (kg) STANDARD_DEVIATION 16.98 |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk | EG003 affected / at risk |
|---|---|---|---|---|
| deaths Total, all-cause mortality | 0 / 120 | 0 / 120 | 0 / 120 | 0 / 120 |
| other Total, other adverse events | 3 / 120 | 15 / 120 | 8 / 120 | 9 / 120 |
| serious Total, serious adverse events | 0 / 120 | 0 / 120 | 0 / 120 | 0 / 120 |
Outcome results
None listed