ClinicalTrials.gg
CompletedNCT03340025Updated Jul 30, 2021Results posted

Single-Use Negative Pressure Wound Therapy for Free Flap Donor Sites

An interventional study of PICO Single Use Negative Pressure Wound Therapy System and xeroform gauze in Surgical Wound, sponsored by University of Alabama at Birmingham. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-07-30.

Sponsored by University of Alabama at Birmingham · Not applicable, Interventional, and Treatment

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Phase
Not applicable
Study type
Interventional
Enrollment
20
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 129 studies in Surgical Wound with a site in United States — 17 open to participants now, 21 under way, none of them phase 3. Surgical Wound · United States.

Enrollment
82nd of 111
20 · median 50
Started
2018
with 11 others
No phase
88 of 129
9 open now
Registered
50th of 129
by date

Among the 129 studies in Surgical Wound with a site in United States, this one is the 82nd largest by enrollment of the 111 interventional ones that give a count, is one of 12 that started in 2018, is one of 88 with no phase, and was the 50th registered.

Surgical Wound

315 studies on the registry are indexed under Surgical Wound; 57 are open to participants now.

Browse Surgical Wound studies →

Open to participants now

17 of the 129 studies in Surgical Wound with a site in United States are open now. Recruiting first, the newest first:

12 more — sign in →

All 17 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 33 Surgical Wound studies recruiting now, 19 (58%) set no upper age limit and 10 (30%) stop at 75 or younger; 6 take children under 18; 7 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

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02

Study summary

Various management options for free flap donor sites that require split thickness skin grafting exist. None has proven superior from both a patient care and a cost standpoint. Major complications occurring at these surgical sites include wound breakdown, tendon exposure, and loss of function. We seek to investigate the use of the PICO single-use negative pressure wound therapy device in these surgical sites and determine if it can yield superior results to simpler methods.

Read the detailed description

Many studies have addressed the use of negative pressure wound therapy (NPWT) in free flap donor sites with mixed results. It is well established that NPWT is safe and causes no harm, and no delay in healing. A previous study performed at UAB showed that NPWT in complex Head \& Neck Surgery reconstruction is safe, including free flap donor sites. There have been studies that state the rate of tendon exposure is lower with NPWT in free flap donor sites, and studies that conclude there is no difference in complication rates. Current clinical practice is varied, often within a single institution.

While no studies of NPWT in free flap donor sites have noted inferior results with its use, a primary reason cited for not using it is cost. Traditional NPWT using canister-based vacuum devices adds significant cost. The PICO single-use NPWT device (Smith \& Nephew) is a relatively inexpensive, low-profile dressing that does not require attachment to an external canister. It is battery-powered and disposable. Empiric use on our patients undergoing split-thickness skin-grafting to free flap donor sites shows good results with minimal intra-operative effort compared to traditional bandaging. We would like to prospectively investigate the use of this low-cost NPWT device and compare it directly to the traditional post-op dressing method.

03

Conditions studied

  • Surgical Wound

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Keywords

  • negative pressure wound therapy
  • split thickness skin graft
04

Who can participate

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

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Inclusion criteria

  • > 18 years of age
  • participants are able to consent for themselves
  • undergoing reconstructive surgery requiring split-thickness skin graft coverage of a free flap donor site (i.e., radial forearm free flap or fibula free flap)

Exclusion criteria

Exclusion Criteria:

  • \< 18 years of age
  • participants are unable to consent for themselves
  • undergoing reconstructive surgery that does not require split-thickness skin graft coverage of a free flap donor site
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
20 participants (actual)

Study arms

  • Experimental
    negative pressure wound therapy

    PICO Single Use Negative Pressure Wound Therapy System

    Device: PICO Single Use Negative Pressure Wound Therapy System

  • Placebo comparator
    conventional dressing

    traditional surgical wound dressing of xeroform gauze and padding

    Device: xeroform gauze

Interventions

  • DevicePICO Single Use Negative Pressure Wound Therapy System

    Class II negative pressure wound therapy powered suction pump

  • Devicexeroform gauze

    traditional surgical dressing of xeroform gauze and padding

06

What researchers measure

Primary outcomes

  1. Progression of Wound Healing

    Comparison of photographs of all participants' wounds taken at post-operative Day 5, post-operative Day 14-21, and post-operative Day 30. Percentage skin graft take will be evaluated on Day 30 by blinded, independent raters. A 10x10 grid was digitally overlain on each image. The de-identified images were randomized and given to two independent raters. The raters used three criteria to assess each graft. Overall graft appearance was graded on a 1-5 scale, percent of graft take was estimated, and the presence of exposed tendon was noted for each timepoint.

    Time frame: Baseline through 30 days

07

Results

Posted Jul 30, 2021
Limitations and caveats
The patient population is small. Our statistics indicate that assuming an 80% graft take, the number of patients needed for an appropriately powered study (80%) would be 44 patients in each group, while our study recruited only 9 and 11 patients to each group. This study is limited by missing data. Our study also takes place at a single center and, therefore, surgeon technique must be taken into account as this may have affected the outcomes of our data.

Participant flow

Participant flow — Overall Study
MilestoneNegative Pressure Wound TherapyConventional Dressing
Started119
Completed97
Not completed22
Withdrew: Lost to follow-up22

Outcome measures

PrimaryProgression of Wound Healing

Comparison of photographs of all participants' wounds taken at post-operative Day 5, post-operative Day 14-21, and post-operative Day 30. Percentage skin graft take will be evaluated on Day 30 by blinded, independent raters. A 10x10 grid was digitally overlain on each image. The de-identified images were randomized and given to two independent raters. The raters used three criteria to assess each graft. Overall graft appearance was graded on a 1-5 scale, percent of graft take was estimated, and the presence of exposed tendon was noted for each timepoint.

Time frame:
Baseline through 30 days
Reported as:
Mean · percentage of skin graft take
Progression of Wound Healing
percentage of skin graft takeNegative Pressure Wound TherapyConventional Dressing
Progression of Wound Healing69.9 (50 to 90)75.6 (55 to 95)

Adverse events

Collected over 30 days. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Negative Pressure Wound Therapy0/11 (0%)0/11 (0%)0/11 (0%)
Conventional Dressing0/9 (0%)0/9 (0%)0/9 (0%)

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Negative Pressure Wound TherapyConventional DressingTotal
<=18 years000
Between 18 and 65 years6511
>=65 years549
Sex: Female, Male
Sex: Female, Male(Participants)Negative Pressure Wound TherapyConventional DressingTotal
Female415
Male7815
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Negative Pressure Wound TherapyConventional DressingTotal
American Indian or Alaska Native000
Asian000
Native Hawaiian or Other Pacific Islander000
Black or African American101
White10919
More than one race000
Unknown or Not Reported000
Region of Enrollment
Region of Enrollment(participants)Negative Pressure Wound TherapyConventional DressingTotal
United States11920
08

Study locations

1 site
  • University of Alabama at Birmingham
    Birmingham, Alabama 35233, United States
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jun 2018 to primary completion in Apr 2020, 21 months.

Results were first posted in Jul 2021, 1 year 3 months after primary completion.

Of 99 non-industry interventional studies with no phase under Surgical Wound, half reached primary completion within 25 months of starting (the median), counting those still running; a quarter within 10 and three quarters within 53. This study's 21 months is below that.

Counting every sponsor, half of 126 studies reached it within 18 months; a quarter within 9 and three quarters within 42.

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

Registered
Nov 8, 2017
First posted
Nov 13, 2017
StartActual
Jun 15, 2018
Primary completionActual
Apr 13, 2020
CompletionActual
Jun 15, 2021
Results first posted
Jul 30, 2021
Last update
Jul 30, 2021
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 30, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03340025
Responsible party
Benjamin Greene (Principal Investigator, University of Alabama at Birmingham) — Principal investigator
First posted
Nov 13, 2017
Start date
Jun 15, 2018
Primary completion
Apr 13, 2020
Completion
Jun 15, 2021
Results posted
Jul 30, 2021
Last update
Jul 30, 2021

Study contacts

Benjamin Greene, MD
principal investigator · University of Alabama at Birmingham

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jul 2021. You cannot join it, but the record below documents what was studied.

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