ClinicalTrials.gg
CompletedNCT00673309Updated Jul 3, 2023Results posted

Assessment of Mechanisms of Improved Wound Healing

A Phase 2/3 interventional study of Stable Isotope Infusion study and Insulin High Dose in Burns, sponsored by The University of Texas Medical Branch, Galveston. Completed at 1 site in United States. Open to participants aged Up to 90 Years. Per ClinicalTrials.gov, last updated 2023-07-03.

Sponsored by The University of Texas Medical Branch, Galveston · Phase 2/3, Interventional, and Treatment

Phase
Phase 2/3
Study type
Interventional
Enrollment
644
Allocation
Randomized
Ages
Up to 90 Years
Sex
All
01

Study summary

The purpose of this study is to find ways to improve wound healing and decrease the negative effects of trauma from burn injury.

Read the detailed description

This study involves research and the investigators hope to learn the following: how or what effect one or more anabolic ("tissue building") agents have on muscle metabolism, wound healing, and immune function after severe burn. The agents include the following: growth hormone, insulin-like growth factor-1 in combination with its binding proteins, insulin, Beta-adrenergic blockers, Alpha Adrenergic Agonist, anabolic steroids such as testosterone, Oxandrolone and nandrolone, ketoconazole and its derivatives, dehydroepiandrosterone, fenofibrate, diet or the application of skin substitute.

02

Conditions studied

  • Burns

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Keywords

  • burns
03

In context

Burns

730 studies on the registry are indexed under Burns; 146 are open to participants now.

This study's enrollment of 644 is above the median of 40 across 534 interventional studies indexed under Burns.

Browse Burns studies →

Lead sponsor

The University of Texas Medical Branch, Galveston is the lead sponsor of 256 studies on the registry; 39 are open to participants now.

Of its 32 completed or terminated interventional studies of FDA-regulated products, 26 (81%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
Up to 90 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Patient is between 0 and 90 years of age
  • Patient 18 years and older consents to participate in study protocol. If patient is not able to consent, consent will be obtained from closest family member or legal guardian. Parental permission will be obtained for patients less than 18 years of age. Assent will be obtained from children 7-17 years of age if child is physically/mentally able to do so.
  • greater than 30% TBSA burn requiring at least 1 operation with donor sites for skin grafting

Exclusion criteria

Exclusion Criteria:

  • Known history of AIDS, AIDS-related complex, Human Immunodeficiency Virus
  • History of cancer within 5 years
  • Tuberculosis, arthritis, cirrhosis, hyperlipidemia, bone or endocrine diseases, autoimmune diseases
  • Chronic glucocorticoid or non-steroidal anti-inflammatory drug therapy
05

Study design

Phase
Phase 2 / Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
644 participants (actual)

Study arms

  • Experimental
    Growth Hormone

    Growth Hormone administered daily until 95% wound healing. Stable Isotope Infusion Study with collection of blood and tissue

    Procedure: Stable Isotope Infusion study · Drug: Growth Hormone

  • Experimental
    Insulin High Dose

    Insulin IV administered continuously to 95% healing. Stable Isotope Infusion Study with collection of blood and tissue

    Procedure: Stable Isotope Infusion study · Drug: Insulin High Dose

  • Experimental
    Oxandrolone

    Oxandrolone administered daily until 95% wound healing Stable Isotope Infusion Study with collection of blood and tissue

    Procedure: Stable Isotope Infusion study · Drug: oxandrolone

  • Experimental
    Propranolol

    Propranolol administered daily until 95% wound healing Stable Isotope Infusion Study with collection of blood and tissue

    Procedure: Stable Isotope Infusion study · Drug: Propranolol

  • Experimental
    IGF-1/IGFBP-3

    IGF-1/IGFBP-3 will be administered until 95% wound healing

    Procedure: Stable Isotope Infusion study · Drug: IGF-1/IGFBP-3

  • Experimental
    Insulin Low Dose

    Insulin Low Dose will be administered until 95% wound healing.

    Procedure: Stable Isotope Infusion study · Drug: Insulin Low Dose

  • Experimental
    Itraconazole

    Itraconazole will be administered until 95% wound healing.

    Procedure: Stable Isotope Infusion study · Drug: Itraconazole

  • Experimental
    Growth Hormone and Propranolol

    Growth Hormone and Propranolol will be administered until 95% wound healing.

    Procedure: Stable Isotope Infusion study · Drug: Growth Hormone and Propranolol

  • Experimental
    Oxandrolone and Propranolol

    Oxandrolone and Propranolol will be administered until 95% wound healing

    Procedure: Stable Isotope Infusion study · Drug: Oxandrolone and Propranolol

  • Placebo comparator
    Control/Placebo

    Placebo or Control will be administered until 95% wound healing

    Procedure: Stable Isotope Infusion study · Drug: Placebo or Control

Interventions

  • ProcedureStable Isotope Infusion study

    Stable isotope infusion study to be done following each surgery. Tagged isotopes to assess uptake into blood and tissues. Includes collection of blood and tissues (muscle)

  • Insulin IV administered continuously throughout hospitalization until wounds are 95% healed.

    Also known as: Regular Insulin

  • Oxandrolone given daily throughout hospitalization until 95% wound healing.

    Also known as: nandrolone

  • Propranolol to be given daily throughout hospitalization until 95% wound healing.

  • Recombinant Human Growth hormone to be administered daily until 95% wound healing.

    Also known as: GH, rhGH, recombinant human Growth Hormone

  • Insulin administered IV until 95% wound healing

    Also known as: Insulin

  • DrugIGF-1/IGFBP-3

    Drug page: Mecasermin

    Insulin Like Growth Factor-1/Insulin like Growth Factor Binding Protein 3 administered until 95% wound healing

    Also known as: Insulin Like Growth Factor

  • Itraconazole administered until 95% wound healing

  • DrugGrowth Hormone and Propranolol

    Drug pages: Growth Hormone · Propranolol

    Growth Hormone and Propranolol given until 95% wound healing

    Also known as: GH and Propranolol

  • DrugOxandrolone and Propranolol

    Drug pages: Oxandrolone · Propranolol

    Oxandrolone and Propranolol

  • DrugPlacebo or Control

    Administration of Placebo or Control until 95% wound healing

06

What researchers measure

Primary outcomes

  1. Decrease Hypermetabolism as Measured by Stable Isotope Infusion Study

    At the request of the study site, this study has been closed. Access to study-related data is unavailable, and the PI is no longer at the institution. Hence, we are unable to submit the results data. Although peer-reviewed articles have been located that reference NCT00673309, it is not clear and verifiable (without access to the actual study-related data) what the results for the study outcomes are.

    Time frame: Admission to burn unit to 95% wound healing

Secondary outcomes

  1. Improved Rate of Wound Healing

    At the request of the study site, this study has been closed. Access to study-related data is unavailable, and the PI is no longer at the institution. Hence, we are unable to submit the results data. Although peer-reviewed articles have been located that reference NCT00673309, it is not clear and verifiable (without access to the actual study-related data) what the results for the study outcomes are.

    Time frame: Admission to burn unit to 95% wound healing

  2. Incidence of Morbidity and Mortality

    At the request of the study site, this study has been closed. Access to study-related data is unavailable, and the PI is no longer at the institution. Hence, we are unable to submit the results data. Although peer-reviewed articles have been located that reference NCT00673309, it is not clear and verifiable (without access to the actual study-related data) what the results for the study outcomes are.

    Time frame: Admission to burn unit to discharge

  3. Incidence of Sepsis

    At the request of the study site, this study has been closed. Access to study-related data is unavailable, and the PI is no longer at the institution. Hence, we are unable to submit the results data. Although peer-reviewed articles have been located that reference NCT00673309, it is not clear and verifiable (without access to the actual study-related data) what the results for the study outcomes are.

    Time frame: Admission to burn unit to 95% wound healing

07

Results

Posted Dec 16, 2019
Limitations and caveats
At the request of the study site, this study has been closed. Access to study-related data is unavailable, and the PI is no longer at the institution. Hence, we are unable to submit the results data. Although peer-reviewed articles have been located that reference NCT00673309, it is not clear and verifiable (without access to the actual study-related data) what the results for the study outcomes are.

Participant flow

Patients admitted to burn unit with \>40% burn or greater

Participant flow — Overall Study
MilestoneGrowth Hormone AdministrationInsulin High Dose AdministrationOxandrolone AdministrationPropranolol AdministrationItraconazole AdministrationIGF-1/IGFBP-3 ComparatorInsulin Low Dose AdministrationGrowth Hormone and Propranolol AdministrationOxandrolone and PropranololControl or Placebo
Started64141425183514131730
Completed64141425183514131730
Not completed0000000000

Outcome measures

PrimaryDecrease Hypermetabolism as Measured by Stable Isotope Infusion Study

At the request of the study site, this study has been closed. Access to study-related data is unavailable, and the PI is no longer at the institution. Hence, we are unable to submit the results data. Although peer-reviewed articles have been located that reference NCT00673309, it is not clear and verifiable (without access to the actual study-related data) what the results for the study outcomes are.

Time frame:
Admission to burn unit to 95% wound healing

No measurements were reported for this outcome.

SecondaryImproved Rate of Wound Healing

At the request of the study site, this study has been closed. Access to study-related data is unavailable, and the PI is no longer at the institution. Hence, we are unable to submit the results data. Although peer-reviewed articles have been located that reference NCT00673309, it is not clear and verifiable (without access to the actual study-related data) what the results for the study outcomes are.

Time frame:
Admission to burn unit to 95% wound healing

No measurements were reported for this outcome.

SecondaryIncidence of Morbidity and Mortality

At the request of the study site, this study has been closed. Access to study-related data is unavailable, and the PI is no longer at the institution. Hence, we are unable to submit the results data. Although peer-reviewed articles have been located that reference NCT00673309, it is not clear and verifiable (without access to the actual study-related data) what the results for the study outcomes are.

Time frame:
Admission to burn unit to discharge

No measurements were reported for this outcome.

SecondaryIncidence of Sepsis

At the request of the study site, this study has been closed. Access to study-related data is unavailable, and the PI is no longer at the institution. Hence, we are unable to submit the results data. Although peer-reviewed articles have been located that reference NCT00673309, it is not clear and verifiable (without access to the actual study-related data) what the results for the study outcomes are.

Time frame:
Admission to burn unit to 95% wound healing

No measurements were reported for this outcome.

Adverse events

Collected over At the request of the study site, this study has been closed. Access to study-related data is unavailable, and the PI is no longer at the institution. Hence, we are unable to submit the results data. Although peer-reviewed articles have been located that reference NCT00673309, it is not clear and verifiable (without access to the actual study-related data) what the results for the study outcomes are.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Group———

Baseline characteristics

At the request of the study site, this study has been closed. Access to study-related data is unavailable, and the PI is no longer at the institution. Hence, we are unable to submit the results data. Although peer-reviewed articles have been located that reference NCT00673309, it is not clear and verifiable (without access to the actual study-related data) what the results for the study outcomes are.

Age, Continuous
Age, ContinuousGrowth Hormone AdministrationInsulin High Dose AdministrationOxandrolone AdministrationPropranolol AdministrationItraconazole AdministrationIGF-1/IGFBP-3 ComparatorInsulin Low Dose AdministrationGrowth Hormone and Propranolol AdministrationOxandrolone and PropranololControl or PlaceboTotal
Sex: Female, Male
Sex: Female, MaleGrowth Hormone AdministrationInsulin High Dose AdministrationOxandrolone AdministrationPropranolol AdministrationItraconazole AdministrationIGF-1/IGFBP-3 ComparatorInsulin Low Dose AdministrationGrowth Hormone and Propranolol AdministrationOxandrolone and PropranololControl or PlaceboTotal
Female———————————
Male———————————
Protein Net Balance
Protein Net BalanceGrowth Hormone AdministrationInsulin High Dose AdministrationOxandrolone AdministrationPropranolol AdministrationItraconazole AdministrationIGF-1/IGFBP-3 ComparatorInsulin Low Dose AdministrationGrowth Hormone and Propranolol AdministrationOxandrolone and PropranololControl or PlaceboTotal
08

Study locations

1 site
  • University of Texas Medical Branch
    Galveston, Texas 77550, United States
09

References and documents

Publications

  • Zinter MS, Markovic D, Asaro LA, Nadkarni VM, McQuillen PS, Sinha P, Matthay MA, Jeschke MG, Agus MSD, Sapru A; CAF-PINT Investigators of the PALISI Network. Tight Glycemic Control, Inflammation, and the ICU: Evidence for Heterogeneous Treatment Effects in Two Randomized Controlled Trials. Am J Respir Crit Care Med. 2023 Apr 1;207(7):945-949. doi: 10.1164/rccm.202210-1988LE. No abstract available. PubMed 36656551 ↗
  • Kraft R, Herndon DN, Finnerty CC, Shahrokhi S, Jeschke MG. Occurrence of multiorgan dysfunction in pediatric burn patients: incidence and clinical outcome. Ann Surg. 2014 Feb;259(2):381-7. doi: 10.1097/SLA.0b013e31828c4d04. PubMed 23511841 ↗
  • Jeschke MG, Williams FN, Finnerty CC, Rodriguez NA, Kulp GA, Ferrando A, Norbury WB, Suman OE, Kraft R, Branski LK, Al-mousawi AM, Herndon DN. The effect of ketoconazole on post-burn inflammation, hypermetabolism and clinical outcomes. PLoS One. 2012;7(5):e35465. doi: 10.1371/journal.pone.0035465. Epub 2012 May 11. PubMed 22606232 ↗
  • Jeschke MG, Gauglitz GG, Kulp GA, Finnerty CC, Williams FN, Kraft R, Suman OE, Mlcak RP, Herndon DN. Long-term persistance of the pathophysiologic response to severe burn injury. PLoS One. 2011;6(7):e21245. doi: 10.1371/journal.pone.0021245. Epub 2011 Jul 18. PubMed 21789167 ↗
  • Jeschke MG, Kraft R, Emdad F, Kulp GA, Williams FN, Herndon DN. Glucose control in severely thermally injured pediatric patients: what glucose range should be the target? Ann Surg. 2010 Sep;252(3):521-7; discussion 527-8. doi: 10.1097/SLA.0b013e3181f2774c. PubMed 20739853 ↗
  • Mecott GA, Herndon DN, Kulp GA, Brooks NC, Al-Mousawi AM, Kraft R, Rivero HG, Williams FN, Branski LK, Jeschke MG. The use of exenatide in severely burned pediatric patients. Crit Care. 2010;14(4):R153. doi: 10.1186/cc9222. Epub 2010 Aug 11. PubMed 20701787 ↗
  • Jeschke MG, Kulp GA, Kraft R, Finnerty CC, Mlcak R, Lee JO, Herndon DN. Intensive insulin therapy in severely burned pediatric patients: a prospective randomized trial. Am J Respir Crit Care Med. 2010 Aug 1;182(3):351-9. doi: 10.1164/rccm.201002-0190OC. Epub 2010 Apr 15. PubMed 20395554 ↗
  • Gauglitz GG, Herndon DN, Kulp GA, Meyer WJ 3rd, Jeschke MG. Abnormal insulin sensitivity persists up to three years in pediatric patients post-burn. J Clin Endocrinol Metab. 2009 May;94(5):1656-64. doi: 10.1210/jc.2008-1947. Epub 2009 Feb 24. PubMed 19240154 ↗
  • Jeschke MG, Chinkes DL, Finnerty CC, Kulp G, Suman OE, Norbury WB, Branski LK, Gauglitz GG, Mlcak RP, Herndon DN. Pathophysiologic response to severe burn injury. Ann Surg. 2008 Sep;248(3):387-401. doi: 10.1097/SLA.0b013e3181856241. PubMed 18791359 ↗
10

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Jul 2000, a primary completion of Apr 2011 and a completion of Apr 2013. It does not say whether these dates are actual or estimated.

Results were first posted in Dec 2019, 8 years 8 months after primary completion.

How these figures are worked out, and which studies are left out of them.

Registered
Dec 26, 2007
First posted
May 7, 2008
Start
Jul 2000
Primary completionActual
Apr 2011
CompletionActual
Apr 2013
Results first posted
Dec 16, 2019
Last update
Jul 3, 2023
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jul 3, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT00673309
Responsible party
Sponsor
First posted
May 7, 2008
Start date
Jul 2000
Primary completion
Apr 2011
Completion
Apr 2013
Results posted
Dec 16, 2019
Last update
Jul 3, 2023

Study contacts

David N. Herndon, MD
principal investigator · University of Texas

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jun 2023. You cannot join it, but the record below documents what was studied.

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Studies of the drugs tested here: Insulin · Oxandrolone · Propranolol · Growth Hormone · Mecasermin · Itraconazole

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