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Status:

COMPLETED

A Study to Evaluate the Efficacy and Safety of NexoBrid in Children With Thermal Burns Compared the Standard of Care

Lead Sponsor:

MediWound Ltd

Conditions:

Thermal Burns

Eligibility:

All Genders

Up to 17 years

Phase:

PHASE3

Brief Summary

This study will be a two-arms study intending to demonstrate superiority of NexoBrid treatment over SOC in children with thermal burns. The study objective is to evaluate the safety and clinical benef...

Detailed Description

A total of 160 patients will be randomized into NexoBrid and SOC treatment (80 patients per arm). Age distribution will be managed as follows: * 45 patients 0-23 months old * 45 patients 24 months-3...

Eligibility Criteria

Inclusion

  • Inclusion Criteria
  • Stage 1: Males and females between 4 years to 18 years of age, Stage 2 (upon DSMB review): Males and females between 1 year to 18 years of age, Stage 3 (upon DSMB review): Males and females between 0 years to 18 years of age.
  • Thermal burns caused by fire/flame, scalds or contact.
  • Patient total burns area ≥ 1% DPT and / or FT,
  • Patient total burns area should be ≤ 30% TBSA; SPT, DPT and/or FT in depth,
  • Signed written informed consent by a legal guardian can be obtained within 84 hours of the burn injury.
  • At least one wound (a continuous burn area which can be treated in one session; might include several anatomical areas) in a patient should meet all following criteria:
  • Wound that is ≥ 1% TBSA (DPT and/or FT) (not including face, perineal or genital),
  • Wound is composed of DPT and/or FT in depth. Superficial partial thickness areas may be included in the wound area only if cannot be separated from deeper areas (e.g. surrounded by or mixed with DPT areas) and might interfere with the treatment of the deeper areas,
  • Wound that is potentially intended for surgical eschar removal,
  • Wound's blisters can be unroofed, as judged by the investigator.
  • Exclusion Criteria:
  • Patients weighing less than 3kg,
  • Patients who are unable to follow study procedures and follow up period,
  • Patients with electrical or chemical burns,
  • Patient with a continuous burn area above 15% TBSA,
  • Patients with no DPT and/or FT burn area (only SPT wounds),
  • Patient with circumferential anterior/posterior trunk fire/flame burns, \>15% TBSA (Circumferential is defined as encircling ≥ 80% of the trunk circumference),
  • The following pre-enrolment dressings: a. Flammacerium, b. Silver Nitrate (AgNO3),
  • Patients with diagnosed infections,
  • Diagnosis of smoke inhalation injury,
  • Patients with pre-enrolment wounds which are covered by eschar saturated with iodine or by SSD pseudoeschar (e.g. pseudoeschar as a result of \>12h SSD treatment),
  • Patients with pre-enrolment escharotomy,
  • Pregnant women (positive pregnancy test) or nursing mothers,
  • Poorly controlled diabetes mellitus (HbA1c\>9%),
  • Known Cardio-pulmonary disease, oxygen-dependent pulmonary diseases, broncho-pneumonia, uncontrolled asthma,
  • Known conditions which interfere with circulation (peripheral vascular disease, edema, lymphedema, surgery to the regional lymph nodes, obesity),
  • Any known conditions that would preclude safe participation in the study or adding further risk to the basic acute burn trauma (such as immuno-compromising diseases, life threatening trauma, severe pre-existing coagulation disorder, pulmono-cardiovascular, liver or neoplastic disease),
  • ASA greater than 2
  • Chronic systemic steroid intake,
  • History of allergy and/or known sensitivity to pineapples, papaya, Bromelain or papain,
  • Current (within 12 months prior to screening) suicide attempt,
  • Enrollment in any investigational drug trial within 4 weeks prior to screening,
  • Current (within 12 months prior to screening) alcohol (daily consumption \> 3 units for males and \>2 units for females) or drug abuse,
  • Prisoners and incarcerated
  • Patients who might depend on the clinical study site or investigator.
  • Patient expresses objection to participate in the study.
  • Patients with other severe cutaneous trauma at the same sites as the burns (i.e. blunt, avulsion or deep abrasion) or previous burn(s) at the same treatment site(s)
  • General condition of patient would contraindicate surgery

Exclusion

    Key Trial Info

    Start Date :

    May 1 2015

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ACTUAL

    End Date :

    December 1 2022

    Estimated Enrollment :

    145 Patients enrolled

    Trial Details

    Trial ID

    NCT02278718

    Start Date

    May 1 2015

    End Date

    December 1 2022

    Last Update

    September 27 2024

    Active Locations (36)

    Enter a location and click search to find clinical trials sorted by distance.

    Page 1 of 9 (36 locations)

    1

    Maricopa Special Health Care District

    Phoenix, Arizona, United States, 85008

    2

    University Of Florida

    Gainesville, Florida, United States, 32610

    3

    University of Miami

    Miami, Florida, United States, 33146

    4

    The University of South Florida Board of Trustees

    Tampa, Florida, United States, 33620