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CompletedNCT02417779Updated Feb 24, 2023

Cutaneous Microcirculation After Extracorporeal Shock Wave Therapy

An interventional study of Extracorporeal Shock Wave Therapy (Device Name: PiezoWave) and Repetitive Extracorporeal Shock Wave Therapy (Device Name: PiezoWave) in Burn Injury, Acute Wound and Chronic Wound, sponsored by University Hospital Schleswig-Holstein. Completed at 1 site in Germany. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-02-24.

Sponsored by University Hospital Schleswig-Holstein · Not applicable, Interventional, and Basic science

Phase
Not applicable
Study type
Interventional
Enrollment
240
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

In plastic and reconstructive surgery, treatment strategies of second-degree burns, superficial wounds, hypertrophic burn scars, flaps and chronic wounds aim at reducing infection and improving microcirculation. Although previous studies indicate that extracorporeal shock wave therapy (ESWT) can accelerate wound healing, only a few studies focused on the elucidation of its mechanisms of action. Therefore, the aim of this study is to evaluate the microcirculatory effects of extracorporeal shock wave therapy on second-degree burns, superficial wounds, hypertrophic burn scars, flaps and chronic wounds in a human in-vivo setting for the first time.

02

Conditions studied

  • Burn Injury
  • Acute Wound
  • Chronic Wound
  • Burn Scar
  • Flap Disorder
03

In context

Wounds and Injuries

5,056 studies on the registry are indexed under Wounds and Injuries; 861 are open to participants now.

This study's enrollment of 240 is above the median of 52 across 3,239 interventional studies indexed under Wounds and Injuries.

Browse Wounds and Injuries studies →

Lead sponsor

University Hospital Schleswig-Holstein is the lead sponsor of 157 studies on the registry; 25 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Inclusion Criteria:

  • Group A (n=20): Consent-capable male and female patients ≥18 years of age who have sustained a second-degree burn on ≥1% and ≤30% of the surface of the body.
  • Group B (n=20): Consent-capable male and female patients ≥18 years of age who require a skin excision for the purpose of a skin graft. The minimal size of the skin-graft donor site must not be less than 1% of TBSA.
  • Group C (n=20): Consent-capable male and female patients ≥18 years of age suffering from a wound that has not yet healed ≥3 weeks. The minimal size of the wound site must not be less than 1% of TBSA.
  • Group D (n=20): Consent-capable healthy male and female probands ≥18 years of age serving as sham group. None of the the criteria of groups A-C must be evident. No soft tissue injury must be evident.
  • Group E (n=20): Consent-capable male and female patients ≥18 years of age who have sustained a second-degree burn on ≥1% and ≤30% of the surface of the body.
  • Group F (n=20): Consent-capable male and female patients ≥18 years of age who require a skin excision for the purpose of a skin graft. The minimal size of the skin-graft donor site must not be less than 1% of TBSA.
  • Group G (n=20): Consent-capable male and female patients ≥18 years of age suffering from a wound that has not yet healed ≥3 weeks. The minimal size of the wound site must not be less than 1% of TBSA.
  • Group H (n=20): Consent-capable healthy male and female probands ≥18 years of age serving as sham group. None of the the criteria of groups E-G must be evident. No soft tissue injury must be evident.
  • Group I (n=20): Consent-capable male and female patients ≥18 years of age suffering from a hypertrophic burn scar.
  • Group J (n=20): Consent-capable male and female patients ≥18 years of age suffering from a hypertrophic burn scar.
  • Group K (n=20): Consent-capable male and female patients ≥18 years of age who received a flap.
  • Group L (n=20): Consent-capable male and female patients ≥18 years of age who received a flap..

Exclusion Criteria:

General exclusion criteria

  • below 18 years of age
  • wounds requiring artificial respiration, since consent for the study participation is unobtainable

Exclusion Criteria Groups A, B, D, E, F, H:

  • peripheral arterial occlusive disease
  • vasculitis
  • diabetes mellitus
  • chronic kidney or liver disease
  • cardiac dysfunction
  • arterial hypo- or hypertension

Anamnestic exclusion criteria

  • ongoing immunosuppressive or chemotherapy treatment
  • drug abuse
  • systemic skin diseases
  • systemic and local cortisone therapy
05

Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
240 participants (actual)

Study arms

  • Experimental
    Second-Degree Burn

    Group A (n=20): Consent-capable male and female patients ≥18 years of age who have sustained a second-degree burn on ≥1% and ≤30% of the surface of the body. Intervention: Extracorporeal Shock Wave Therapy (Device Name: PiezoWave)

    Device: Extracorporeal Shock Wave Therapy (Device Name: PiezoWave)

  • Experimental
    Skin Excision (for Skin Graft)

    Group B (n=20): Consent-capable male and female patients ≥18 years of age who require a skin excision for the purpose of a skin graft. The minimal size must not be less than 1% of TBSA. Intervention: Extracorporeal Shock Wave Therapy (Device Name: PiezoWave)

    Device: Extracorporeal Shock Wave Therapy (Device Name: PiezoWave)

  • Experimental
    Chronic Wound

    Group C (n=20): Consent-capable male and female patients ≥18 years of age suffering from a wound that has not yet healed ≥3 weeks. The minimal size of the wound site must not be less than 1% of TBSA. Intervention: Extracorporeal Shock Wave Therapy (Device Name: PiezoWave)

    Device: Extracorporeal Shock Wave Therapy (Device Name: PiezoWave)

  • Active comparator
    Intact Skin

    Group D (n=20): Consent-capable healthy male and female probands ≥18 years of age serving as sham group. None of the the criteria of groups A-C must be evident. Intervention: Extracorporeal Shock Wave Therapy (Device Name: PiezoWave)

    Device: Extracorporeal Shock Wave Therapy (Device Name: PiezoWave)

  • Experimental
    Second-Degree Burn (repetitive)

    Group E (n=20): Consent-capable male and female patients ≥18 years of age who have sustained a second-degree burn on ≥1% and ≤30% of the surface of the body. Intervention: Repetitive Extracorporeal Shock Wave Therapy (Device Name: PiezoWave)

    Device: Repetitive Extracorporeal Shock Wave Therapy (Device Name: PiezoWave)

  • Experimental
    Skin Excision (for Skin Graft) (repetitive)

    Group F (n=20): Consent-capable male and female patients ≥18 years of age who require a skin excision for the purpose of a skin graft. The minimal size must not be less than 1% of TBSA. Intervention: Repetitive Extracorporeal Shock Wave Therapy (Device Name: PiezoWave)

    Device: Repetitive Extracorporeal Shock Wave Therapy (Device Name: PiezoWave)

  • Experimental
    Chronic Wound (repetitive)

    Group G (n=20): Consent-capable male and female patients ≥18 years of age suffering from a wound that has not yet healed ≥3 weeks. The minimal size of the wound site must not be less than 1% of TBSA. Intervention: Repetitive Extracorporeal Shock Wave Therapy (Device Name: PiezoWave)

    Device: Repetitive Extracorporeal Shock Wave Therapy (Device Name: PiezoWave)

  • Active comparator
    Intact Skin (repetitive)

    Group H (n=20): Consent-capable healthy male and female probands ≥18 years of age serving as sham group. None of the the criteria of groups A-C must be evident. Intervention: Repetitive Extracorporeal Shock Wave Therapy (Device Name: PiezoWave)

    Device: Repetitive Extracorporeal Shock Wave Therapy (Device Name: PiezoWave)

  • Experimental
    Hypertrophic burn scar

    Group I (n=20): Consent-capable male and female patients ≥18 years of age suffering from a hypertrophic burn scar. Intervention: Extracorporeal Shock Wave Therapy (Device Name: PiezoWave)

    Device: Extracorporeal Shock Wave Therapy (Device Name: PiezoWave)

  • Experimental
    Hypertrophic burn scar (repetitive)

    Group J (n=20): Consent-capable male and female patients ≥18 years of age suffering from a hypertrophic burn scar. Intervention: Repetitive Extracorporeal Shock Wave Therapy (Device Name: PiezoWave)

    Device: Repetitive Extracorporeal Shock Wave Therapy (Device Name: PiezoWave)

  • Experimental
    Flap

    Group K (n=20): Consent-capable male and female patients ≥18 years of age who received a flap. Intervention: Extracorporeal Shock Wave Therapy (Device Name: PiezoWave)

    Device: Extracorporeal Shock Wave Therapy (Device Name: PiezoWave)

  • Experimental
    Flap (repetitive)

    Group L (n=20): Consent-capable male and female patients ≥18 years of age who received a flap. Intervention: Repetitive Extracorporeal Shock Wave Therapy (Device Name: PiezoWave)

    Device: Repetitive Extracorporeal Shock Wave Therapy (Device Name: PiezoWave)

Interventions

  • DeviceExtracorporeal Shock Wave Therapy (Device Name: PiezoWave)

    Extracorporeal Shock Wave Therapy (Device Name: PiezoWave)

  • DeviceRepetitive Extracorporeal Shock Wave Therapy (Device Name: PiezoWave)

    Repetitive Extracorporeal Shock Wave Therapy (Device Name: PiezoWave)

06

What researchers measure

Primary outcomes

  1. Change in microcirculation (composite measure)

    * capillary blood flow \[arbitrary units AU\] * capillary blood velocity \[AU\] * tissue oxygen saturation \[%\] * relative postcapillary venous filling pressure \[AU\]

    Time frame: Baseline and 1 minute post-dose

Secondary outcomes

  1. Change in microcirculation (areolar measure)

    * tissue oxygen saturation \[%\] * tissue hemoglobin index

    Time frame: Baseline, while and 1 minute post-dose

07

Study locations

1 site
  • University of Schleswig-Holstein
    Lübeck, Schleswig-Holstein 23538, Germany
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 24, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT02417779
Lead sponsor
University Hospital Schleswig-Holstein
Responsible party
Tobias Kisch (MD, University Hospital Schleswig-Holstein) — Principal investigator
First posted
Apr 16, 2015
Start date
Mar 2015
Primary completion
Feb 2023
Completion
Feb 2023
Last update
Feb 24, 2023

Study contacts

Tobias Kisch, MD
principal investigator · University Hospital Schleswig-Holstein

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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