Health-related quality of life in hospital inpatients with pressure ulceration: assessment using generic health-related quality of life measures.
Holly N Essex, Michael Clark, Joyce Sims...
https://pubmed.ncbi.nlm.nih.gov/19903301/Actively Recruiting
Led by ULURU Inc. · Updated on 2025-11-20
300
Participants Needed
14
Research Sites
N/A
Total Duration
Pressure injuries, also known as pressure ulcers, affect over 2.5 million people in the United States and range from intact skin to severe wounds with deep tissue loss. This study focuses on patients with stage 2, 3, and 4 pressure injuries and aims to compare the standard care treatment recommended by the National Pressure Injury Advisory Panel to a new treatment using Altrazealae Transforming Powder Dressing, a wound hydrogel device. The study evaluates whether dressing changes can be reduced and compares wound healing, complications, pain, quality of life, and costs between the two treatments. Participants will be randomly assigned to one of two groups one receiving standard wound dressings such as hydrocolloid, hydrogel, foam, or negative pressure therapy, and the other receiving the Altrazealae Transforming Powder Dressing, which conforms to the wound and protects it from bacteria. Altrazealae can remain on the wound for up to 30 days and is topped off as needed during visits. Both groups receive treatments over 12 consecutive weeks, with the option to end earlier if the wound heals. During the study, participants will attend up to 12 visits over 12 weeks for wound evaluations including cleaning, photographs, and measurements. They will also complete pain assessments, quality of life surveys, and questionnaires about wound care and offloading device use. Researchers will monitor dressing changes, healing progress, complications, pain, and quality of life. At study end, participants will complete a satisfaction survey about the wound dressing experience.
CONDITIONS
Comparison of Transforming Powder Dressing to NPIAP Recommended Standard of Care Therapies in Stage 2, 3 and 4 Pressure Injuries
K
Kerry Wallace
S
Susan St. John, MSN
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ULURU Inc.
Lead Sponsor
United States Department of Defense
Collaborating Sponsor
This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
| Factors | Altrazeal® (TPD) | Standard‑of‑Care Dressing | Guideline‑Recommended Dressing |
|---|---|---|---|
| What it is | A novel powder‑based wound dressing that transforms into a moist, breathable matrix and provides extended wear time up to 30 days | Standard dressing therapies as recommended by the National Pressure Injury Advisory Panel | Guidelines recommend using stage‑appropriate moist dressings such as foam, hydrocolloid or alginate based on exudate level and injury stage |
| Role in trial | Participants are randomized to receive Altrazeal® dressing on pressure injury wounds | Participants are randomized to receive standard of care dressing per NPIAP guidelines | Represents current international practice outside the trial |
| Primary use | Evaluate whether TPD reduces frequency of dressing changes and supports wound healing | Serve as benchmark for comparison of dressing change frequency and healing outcomes | Reflects current best‑practice dressing selection as per guidelines |
| How it is given or performed | Powder applied to cleaned wound, transforms with hydration, optionally covered by secondary dressing, with up to 30 days wear | Dressing applied per NPIAP guideline recommendations, stage‑appropriate and changed per typical schedules | Use of foam, hydrocolloid, alginate or similar moist dressings matched to exudate level |
| Evidence status | Limited evidence from retrospective case series showing healing and pain reduction, but no RCT data published yet | Supported by international clinical guidelines based on broad evidence | Established practice supported by guideline consensus |
| Important limitations | Evidence so far is limited to small retrospective series; RCT results are pending | Guideline‑recommendations may vary locally and dressing effectiveness depends on matching to wound characteristics | Guideline‑based recommendations still allow clinical judgment and resource variability |
| Patient impact | Case series reports pain reduction and expedited healing, which could reduce dressing disruptions | Guideline‑recommended dressings aim to support healing environment but patient experience varies | These dressings are intended to manage exudate and support healing in line with wound stage |
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
You may qualify if you...
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Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
Duration - Up to 12 weeks or until the wound is healed
Participants receive either the standard of care dressings or Altrazeal® Transforming Powder Dressing for their pressure injuries. Wounds are evaluated, cleaned, measured, and dressed during visits.
Weekly visits for up to 12 weeks
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
FACTORIAL
Primary Purpose
TREATMENT
Number of Arms
2
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https://pubmed.ncbi.nlm.nih.gov/26135820/ULURU Inc.
Lead Sponsor
United States Department of Defense
Collaborating Sponsor