CClinicalTrials.gg
CompletedNCT01770860Updated Aug 4, 2014Results posted

A Test of Different Kinds of Bandages on Healing of Wounds

An interventional study of 6660 and 4314 in Wound Healing, sponsored by Johnson & Johnson Consumer Products Company Division of Johnson & Johnson Consumer Companies, Inc.. Completed at 1 site in United States. Open to participants aged 30 Years to 55 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2014-08-04.

Sponsored by Johnson & Johnson Consumer Products Company Division of Johnson & Johnson Consumer Companies, Inc. · Not applicable and Interventional

Phase
Not applicable
Study type
Interventional
Enrollment
46
Allocation
Randomized
Ages
30 Years to 55 Years
Sex
All
01

Study summary

This two-week study will compare the healing of minor wounds when no bandage is applied against four different types of bandages.

The study investigators will make five small wounds similar to scrapes (about a half-inch square) on the back of subjects who qualify to participate in the trial and have given informed consent. Four of the wounds will be covered by different bandages and one will be left uncovered. Participants will visit the clinic every day for 2 weeks or until all the wounds are healed (whichever comes first). At the clinic, the bandages will be removed, the doctor will score the wounds, a picture will be taken of the wounds and new bandages will be applied.

It is expected that some pain and itching will be experienced, because they are part of the normal wound healing process. Subjects will be asked about adverse events at each visit and will have the opportunity to discuss issues or concerns with the investigator or the doctor during the course of the trial. It is expected that the wounds will be completely healed within 14 days, but if not, the participant will need to return to the clinic for follow-up treatment until the wounds are completely healed.

We will see if the different bandages help with the healing of the wounds during the study.

Read the detailed description

This study is evaluating the performance of various bandages on facilitating the healing of induced dermabrasion wounds. To qualify for this study, subjects must meet the inclusion/exclusion criteria within the protocol-specified parameters at both the screening and baseline visits. Once a subject is qualified, five dermabrasion wounds will be created on each subject's back by a licensed physician. Four of the wounds will be covered with four different commercially-available bandages and one wound will be left open to the air to serve as a no treatment control. Treatments and control will be randomized to application site. During this 14-day clinical study, subjects will return to the site for daily evaluations; study bandages will also be replaced daily by study personnel. Adverse events will be observed and collected by querying each subject at each visit, and during any follow-up period.

02

Conditions studied

  • Wound Healing

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Keywords

  • Adhesive Bandages
  • Dermabrasion Wounds
03

Who can participate

Ages eligible
30 Years to 55 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Subjects must be able to read and understand English enough to understand the nature, risk and relevance of the study, read and sign the informed consent document, and follow study instructions
  • After being completely informed about the study and being given a chance to have all questions answered, the subject has signed an informed consent document agreeing to:
  • comply with lifestyle instructions, including: limiting bandage exposure to water or sunlight, the use of lotions, creams, cosmetics or sunscreens during the study, to allow at least 2 hours between showers and scheduled visits, and the use of contraception
  • return to the clinical site for follow-up visits if the wounds are not healed by Day 14
  • Subject is determined to be an appropriate participant according to protocol-defined conditions, including among other things, Body Weight and Fitzpatrick Skin Type between I (Always burns easily, never tans) and III (Burns moderately, tans gradually)
  • In the opinion of the Investigator, participation in the trial will not compromise the subject's safety or the interpretation of study results

Exclusion criteria

Exclusion Criteria:

  • Medical condition or history, or use of drugs or treatments that could possibly compromise the safety of the research subject or the interpretation of results, per protocol or in the opinion of the investigator
  • Known allergies or hypersensitivity to LATEX, anesthetics, adhesive bandages, wound treatment products or any component present in the test bandages
  • Current participation in any other clinical trial or past participation in other clinical trials described in the protocol
  • Body mass index (BMI) above 35, and/or Fitzpatrick Skin Type above III
  • Pregnant, nursing or planning a pregnancy
04

Study design

Phase
Not applicable
Allocation
Randomized
Intervention model
Single group
Masking
Single (Outcomes assessor)
Enrollment
46 participants (actual)

Study arms

  • Active comparator
    6660

    Five dermabrasion wounds will be created on each subject's back by a licensed physician. Four of the wounds will be covered with four different commercially-available bandages (6660, 4314, 8336 and 4840), and one wound will be left open to the air to serve as a no treatment control (0000). Treatments and control will be randomized to application site.

    Device: 6660

  • Active comparator
    4314

    Five dermabrasion wounds will be created on each subject's back by a licensed physician. Four of the wounds will be covered with four different commercially-available bandages (6660, 4314, 8336 and 4840), and one wound will be left open to the air to serve as a no treatment control (0000). Treatments and control will be randomized to application site.

    Device: 4314

  • Active comparator
    8336

    Five dermabrasion wounds will be created on each subject's back by a licensed physician. Four of the wounds will be covered with four different commercially-available bandages (6660, 4314, 8336 and 4840), and one wound will be left open to the air to serve as a no treatment control (0000). Treatments and control will be randomized to application site.

    Device: 8336

  • Placebo comparator
    4840

    Five dermabrasion wounds will be created on each subject's back by a licensed physician. Four of the wounds will be covered with four different commercially-available bandages (6660, 4314, 8336 and 4840), and one wound will be left open to the air to serve as a no treatment control (0000). Treatments and control will be randomized to application site.

    Device: 4840

  • No intervention
    0000

    Device: 0000 At each daily visit, designated study personnel will cut out the center pad of the bandage and apply only the adhesive tabs around the assigned wound site. Other Names: * Sheer Strips * BAND-AID® with QuiltVent™ Pad Technology Five dermabrasion wounds will be created on each subject's back by a licensed physician. Four of the wounds will be covered with four different commercially-available bandages (6660, 4314, 8336 and 4840), and one wound will be left open to the air to serve as a no treatment control (0000). Treatments and control will be randomized to application site.

Interventions

  • Device6660

    At each daily visit, designated study personnel will replace the specific test product on the assigned wound site.

    Also known as: Sheer Strips, BAND-AID® with QuiltVent™ Pad Technology

  • Device4314

    At each daily visit, designated study personnel will replace the specific test product on the assigned wound site.

    Also known as: Flexible Fabric, BAND-AID® with QuiltVent™ Pad Technology

  • Device8336

    At each daily visit, designated study personnel will replace the specific test product on the assigned wound site.

    Also known as: Tough Strips® Waterproof, BAND-AID® with QuiltVent™ Pad Technology

  • Device4840

    At each daily visit, designated study personnel will replace the specific test product on the assigned wound site.

    Also known as: Flat Pad, BAND-AID® Dora the Explorer™

05

What researchers measure

Primary outcomes

  1. Time to Healing (Days)

    Wound epithelialization will be recorded daily for each wound (until healed) by the doctor on a scale of 0-5, where 0= No presence of epithelialization (no sign of healing), a bandage is necessary and 5=Wound is 100% epithelialized (healed), no bandage necessary. The median time to healing will be estimated from the survival curves using the Kaplan-Meier method for each test product. Time to healing is defined as the time from wounding to 12:00 pm of the day the wound is 100% epithelialized (receives a score of 5). If the wound is not 100% epithelialized on Day 14 or on the last day of visit, Time to healing will be considered as censored.

    Time frame: within 14 days

Secondary outcomes

  1. Forced Rank Score

    The wound evaluator will rank the overall appearance of all five wounds in relation to each other on a daily basis until all five are healed on a scale of 1 to 5, where 1= Worst and 5=Best. The forced Rank was evaluated at each visit. The mean score derived as total score divided by visit number 13 was analyzed using a mixed model.

    Time frame: within 14 days

  2. Erythema

    Until healed, erythema (redness) of each wound bed and surrounding skin will be scored daily on a scale of 0-10, where 0=None and 10=Most severe. Erythema was evaluated at each visit. The mean score derived as total score divided by visit number 13 was analyzed here using a mixed model.

    Time frame: within 14 days

  3. Edema

    Until healed, edema (swelling) of each wound bed and surrounding skin will be scored daily on a scale of 0-10, where 0=None and 10=Most severe. Mean Edema was evaluated at each visit. The mean score derived as total score divided by visit number 13 was analyzed using a mixed model.

    Time frame: within 14 days

  4. Maceration

    Until healed, maceration (a slight whitening of the skin around the wound compared to the surrounding unbandaged area) will be scored as P=Present or A=Absent. Percentage of maceration was derived as the maceration presence times over study period divided by visit number 13.

    Time frame: within 14 days

  5. Subjective Assessment of Pain

    Until healed, pain assessments by the participant will be recorded daily for each wound site as either Present (P) or Absent (A). Percentage of pain was derived as the pain presence times over study period divided by visit number 13.

    Time frame: within 14 days

  6. Subjective Assessment of Itch

    Until healed, itch assessments by the participant will be recorded daily for each wound site as either Present (P) or Absent (A). Percentage of itch was derived as the itch presence times over study period divided by visit number 13.

    Time frame: within 14 days

  7. Subjective Assessment of Wound Healing

    Until healed, subjects will be shown photographs of each wound they have not previously classified as healed at each daily visit, and asked to determine if the wound is healed. Yes or No responses will be recorded, along with text entries of the reasons for the response. This outcome measure reports the number of subjects who report that the wound has healed.

    Time frame: within 14 days

06

Results

Posted Aug 4, 2014

Participant flow

One additional subject was enrolled but withdrew before randomization.

Participant flow — Overall Study
Milestone4 Commercially-available Bandage and 1 Control
Started46
Randomization45
Completed40
Not completed6
Withdrew: Withdrawal by subject4
Withdrew: Lost to follow-up1
Withdrew: Administrative decision made by the pi1

Outcome measures

PrimaryTime to Healing (Days)

Wound epithelialization will be recorded daily for each wound (until healed) by the doctor on a scale of 0-5, where 0= No presence of epithelialization (no sign of healing), a bandage is necessary and 5=Wound is 100% epithelialized (healed), no bandage necessary. The median time to healing will be estimated from the survival curves using the Kaplan-Meier method for each test product. Time to healing is defined as the time from wounding to 12:00 pm of the day the wound is 100% epithelialized (receives a score of 5). If the wound is not 100% epithelialized on Day 14 or on the last day of visit, Time to healing will be considered as censored.

Time frame:
within 14 days
Reported as:
Median · days
Time to Healing (Days)
daysBandage QuiltVent™ Sheer Strips (With Pad Removed)Bandage QuiltVent™ Sheer StripsBandage QuiltVent™ Flexible FabricBandage QuiltVent™ Tough Strips WaterproofBandage Dora the Explorer™
Time to Healing (Days)13.1 (12.95 to 13.14)NA (NA to NA)13.1 (13.05 to 13.15)NA (10.90 to NA)NA (NA to NA)
SecondaryForced Rank Score

The wound evaluator will rank the overall appearance of all five wounds in relation to each other on a daily basis until all five are healed on a scale of 1 to 5, where 1= Worst and 5=Best. The forced Rank was evaluated at each visit. The mean score derived as total score divided by visit number 13 was analyzed using a mixed model.

Time frame:
within 14 days
Reported as:
Mean · scores on a scale
Forced Rank Score
scores on a scaleBandage QuiltVent™ Sheer Strips (With Pad Removed)Bandage QuiltVent™ Sheer StripsBandage QuiltVent™ Flexible FabricBandage QuiltVent™ Tough Strips WaterproofBandage Dora the Explorer™
Forced Rank Score1.48 ± 0.583.04 ± 0.902.44 ± 0.953.77 ± 1.013.29 ± 0.95
Statistical analysis
  • Bandage QuiltVent™ Sheer Strips (With Pad Removed) vs Bandage QuiltVent™ Sheer Strips vs Bandage QuiltVent™ Flexible Fabric vs Bandage QuiltVent™ Tough Strips Waterproof vs Bandage Dora the Explorer™ · Mixed Models Analysis · p = <0.0001 (The p-values presented were for each of the bandage groups compared to no treatment group.)P-value is from mixed model with Treatment (trt) as fix effect, and subject as random effect.
SecondaryErythema

Until healed, erythema (redness) of each wound bed and surrounding skin will be scored daily on a scale of 0-10, where 0=None and 10=Most severe. Erythema was evaluated at each visit. The mean score derived as total score divided by visit number 13 was analyzed here using a mixed model.

Time frame:
within 14 days
Reported as:
Mean · scores on a scale
Erythema
scores on a scaleBandage QuiltVent™ Sheer Strips (With Pad Removed)Bandage QuiltVent™ Sheer StripsBandage QuiltVent™ Flexible FabricBandage QuiltVent™ Tough Strips WaterproofBandage Dora the Explorer™
Erythema1.74 ± 0.640.90 ± 0.420.90 ± 0.490.97 ± 0.480.88 ± 0.43
Statistical analysis
  • Bandage QuiltVent™ Sheer Strips (With Pad Removed) vs Bandage QuiltVent™ Sheer Strips vs Bandage QuiltVent™ Flexible Fabric vs Bandage QuiltVent™ Tough Strips Waterproof vs Bandage Dora the Explorer™ · Mixed Models Analysis · p = <0.0001 (The p-values presented were for each of the bandage groups compared to no treatment group.)P-value is from mixed model with treatment (trt) as fix effect, and subject as random effect.
SecondaryEdema

Until healed, edema (swelling) of each wound bed and surrounding skin will be scored daily on a scale of 0-10, where 0=None and 10=Most severe. Mean Edema was evaluated at each visit. The mean score derived as total score divided by visit number 13 was analyzed using a mixed model.

Time frame:
within 14 days
Reported as:
Mean · scores on a scale
Edema
scores on a scaleBandage QuiltVent™ Sheer Strips (With Pad Removed)Bandage QuiltVent™ Sheer StripsBandage QuiltVent™ Flexible FabricBandage QuiltVent™ Tough Strips WaterproofBandage Dora the Explorer™
Edema1.44 ± 0.520.57 ± 0.380.69 ± 0.430.56 ± 0.420.64 ± 0.39
Statistical analysis
  • Bandage QuiltVent™ Sheer Strips (With Pad Removed) vs Bandage QuiltVent™ Sheer Strips vs Bandage QuiltVent™ Flexible Fabric vs Bandage QuiltVent™ Tough Strips Waterproof vs Bandage Dora the Explorer™ · Mixed Models Analysis · p = <0.0001 (The p-values presented were for each of the bandage groups compared to no treatment group.)P-value is from mixed model with treatment (trt) as fix effect, and subject as random effect.
SecondaryMaceration

Until healed, maceration (a slight whitening of the skin around the wound compared to the surrounding unbandaged area) will be scored as P=Present or A=Absent. Percentage of maceration was derived as the maceration presence times over study period divided by visit number 13.

Time frame:
within 14 days
Reported as:
Mean · percentage of maceration
Maceration
percentage of macerationBandage QuiltVent™ Sheer Strips (With Pad Removed)Bandage QuiltVent™ Sheer StripsBandage QuiltVent™ Flexible FabricBandage QuiltVent™ Tough Strips WaterproofBandage Dora the Explorer™
Maceration4.37 ± 9.1570.98 ± 22.1265.21 ± 23.4339.34 ± 31.8863.99 ± 26.64
Statistical analysis
  • Bandage QuiltVent™ Sheer Strips (With Pad Removed) vs Bandage QuiltVent™ Sheer Strips vs Bandage QuiltVent™ Flexible Fabric vs Bandage QuiltVent™ Tough Strips Waterproof vs Bandage Dora the Explorer™ · Mixed Models Analysis · p = <0.0001 (The p-values presented were for each of the bandage groups compared to no treatment group.)P-value is from mixed model with treatment (trt) as fix effect, and subject as random effect.
SecondarySubjective Assessment of Pain

Until healed, pain assessments by the participant will be recorded daily for each wound site as either Present (P) or Absent (A). Percentage of pain was derived as the pain presence times over study period divided by visit number 13.

Time frame:
within 14 days
Reported as:
Mean · percentage of pain
Subjective Assessment of Pain
percentage of painBandage QuiltVent™ Sheer Strips (With Pad Removed)Bandage QuiltVent™ Sheer StripsBandage QuiltVent™ Flexible FabricBandage QuiltVent™ Tough Strips WaterproofBandage Dora the Explorer™
Subjective Assessment of Pain5.24 ± 12.394.55 ± 10.132.45 ± 6.383.85 ± 7.872.45 ± 5.69
Statistical analysis
  • Bandage QuiltVent™ Sheer Strips (With Pad Removed) vs Bandage QuiltVent™ Sheer Strips vs Bandage QuiltVent™ Flexible Fabric vs Bandage QuiltVent™ Tough Strips Waterproof vs Bandage Dora the Explorer™ · Mixed Models Analysis · p = 0.0476P-value is from mixed model with treatment (trt) as fix effect, and subject as random effect
SecondarySubjective Assessment of Itch

Until healed, itch assessments by the participant will be recorded daily for each wound site as either Present (P) or Absent (A). Percentage of itch was derived as the itch presence times over study period divided by visit number 13.

Time frame:
within 14 days
Reported as:
Mean · percentage of itching
Subjective Assessment of Itch
percentage of itchingBandage QuiltVent™ Sheer Strips (With Pad Removed)Bandage QuiltVent™ Sheer StripsBandage QuiltVent™ Flexible FabricBandage QuiltVent™ Tough Strips WaterproofBandage Dora the Explorer™
Subjective Assessment of Itch21.33 ± 28.2426.22 ± 29.4616.43 ± 21.7325.87 ± 26.2420.10 ± 22.15
SecondarySubjective Assessment of Wound Healing

Until healed, subjects will be shown photographs of each wound they have not previously classified as healed at each daily visit, and asked to determine if the wound is healed. Yes or No responses will be recorded, along with text entries of the reasons for the response. This outcome measure reports the number of subjects who report that the wound has healed.

Time frame:
within 14 days
Reported as:
Number · Participants
Subjective Assessment of Wound Healing
ParticipantsBandage QuiltVent™ Sheer Strips (With Pad Removed)Bandage QuiltVent™ Sheer StripsBandage QuiltVent™ Flexible FabricBandage QuiltVent™ Tough Strips WaterproofBandage Dora the Explorer™
Subjective Assessment of Wound Healing2220143026

Adverse events

Collected over 30 days and beyond for serious adverse events if assessed as possibly treatment related. Visits 2-15 and beyond if needed for adverse events.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
4 Commercially-available Bandage and 1 Control—1/46 (2.2%)11/46 (23.9%)
Most frequent serious events
Most frequent serious events
Event4 Commercially-available Bandage and 1 Control
BronchopneumoniaInfections and infestations1/46
Most frequent other events
Most frequent other events
Event4 Commercially-available Bandage and 1 Control
HeadacheNervous system disorders6/46
ExcoriationInjury, poisoning and procedural complications1/46
LacerationInjury, poisoning and procedural complications1/46
Ligament SprainInjury, poisoning and procedural complications1/46
DysphoniaRespiratory, thoracic and mediastinal disorders1/46
Respiratory Tract CongestionRespiratory, thoracic and mediastinal disorders1/46
Upper Respiratory Tract CongestionRespiratory, thoracic and mediastinal disorders1/46
Tooth AbscessInfections and infestations1/46
Influenza Like IllnessGeneral disorders1/46

Baseline characteristics

Age, Continuous
Age, Continuous(years)4 Commercially-available Bandage and 1 Control
Mean44.4 ± 7.47
Sex: Female, Male
Sex: Female, Male(Participants)4 Commercially-available Bandage and 1 Control
Female24
Male21
Race (NIH/OMB)
Race (NIH/OMB)(Participants)4 Commercially-available Bandage and 1 Control
American Indian or Alaska Native0
Asian0
Native Hawaiian or Other Pacific Islander0
Black or African American0
White45
More than one race0
Unknown or Not Reported0
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)4 Commercially-available Bandage and 1 Control
Hispanic or Latino4
Not Hispanic or Latino41
Unknown or Not Reported0
Region of Enrollment
Region of Enrollment(participants)4 Commercially-available Bandage and 1 Control
United States45
Fitzpatrick Skin Classification
Fitzpatrick Skin Classification(participants)4 Commercially-available Bandage and 1 Control
Fitzpatrick Skin Classification - II11
Fitzpatrick Skin Classification - III34
07

Study locations

1 site
  • Hill Top Research
    St. Petersburg, Florida 33710, United States
08

Registry details

Key details

Study ID
NCT01770860
Lead sponsor
Johnson & Johnson Consumer Products Company Division of Johnson & Johnson Consumer Companies, Inc.
Responsible party
Sponsor
First posted
Jan 18, 2013
Start date
Jan 2013
Primary completion
Feb 2013
Completion
Feb 2013
Results posted
Aug 4, 2014
Last update
Aug 4, 2014

Study contacts

Clare Kendall
study director · Johnson & Johnson Consumer Products Company Division of Johnson & Johnson Consumer Companies, Inc.

Oversight

Data monitoring committee
No
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