Status:

NOT_YET_RECRUITING

CiNPWT Lower Extremity Amputations (Closed Incision Neagtive Pressure Wound Therapy)

Lead Sponsor:

University of Southern California

Collaborating Sponsors:

3M

Conditions:

Wound Heal

Wound Dehiscence

Eligibility:

All Genders

18+ years

Phase:

PHASE1

Brief Summary

The objective of this study is to evaluate prospectively the effect of a novel application of Closed Incision Negative Pressure Wound Therapy(CiNPWT), as delivered by the V.A.C. Ulta™ Therapy System (...

Detailed Description

The objective of this study is to evaluate prospectively the effect of a novel application of Closed Incision Negative Pressure Wound Therapy (CiNPWT), as delivered by the V.A.C. Ulta™ Therapy System ...

Eligibility Criteria

Inclusion

  • Inclusion criteria to select the participants (intervention and control):
  • Individual aged 18 years or older
  • Individual with a closed incision following LEA (transmetatarsal or proximal)
  • Individual presents with adequate perfusion based on WIfI ischemia component score of less than 2 (\>30mm Hg TCPO2 or higher at region of amputation)
  • Individual presents with no residual surgical site infection (WIfI grade 0) post LEA
  • Individual is competent to make their own medical decisions
  • Exclusion criteria (intervention and control):
  • Individual presents with any defined contraindications to NPWT (e.g., allergy).
  • Individual presents with residual acute osteomyelitis (after amputation).
  • Individual with collagen vascular disease or malignant disease in the wound
  • Individual has uncontrolled hyperglycemia (glycosylated hemoglobin \[HbA1c\]\>12%).
  • Individual is currently taking corticosteroids, immunosuppressive drugs, or chemotherapy and is not on stable course of therapy as determined by principal investigator
  • Individual has a history of local radiation therapy that could impact the edema of the amputated limb.
  • Individual has pre-existing conditions contributing to residual limb edema (i.e., nephropathy, congestive heart failure, primary lymphedema, etc.).
  • Withdrawal of individuals:
  • Voluntary withdrawal
  • Death
  • Lost to follow-up
  • Termination of compression therapy (control or intervention group)

Exclusion

    Key Trial Info

    Start Date :

    July 25 2024

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ESTIMATED

    End Date :

    June 30 2025

    Estimated Enrollment :

    10 Patients enrolled

    Trial Details

    Trial ID

    NCT06493539

    Start Date

    July 25 2024

    End Date

    June 30 2025

    Last Update

    July 10 2024

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