Caring for the wounded in Iraq--a photo essay.
George E Peoples, James R Jezior, Craig D Shriver
https://pubmed.ncbi.nlm.nih.gov/15622566Actively Recruiting
Led by Henry M. Jackson Foundation for the Advancement of Military Medicine · Updated on 2026-04-17
40
Participants Needed
5
Research Sites
13 weeks
Total Duration
H
Henry M. Jackson Foundation for the Advancement of Military Medicine
Lead Sponsor
D
Duke University
Collaborating Sponsor
Researchers are studying the use of the WounDx medical device in hospital settings to help surgeons decide when to close large, traumatic wounds on the arms or legs. This device is still experimental and not approved by the FDA. The study aims to test if WounDx can assist clinicians in identifying wounds likely to heal well after delayed surgical closure, which remains a challenge as many such wounds fail to heal properly despite treatment. The pilot trial will help plan a larger, more definitive study in the future. Participants will receive either standard wound care or standard care plus the WounDx device report. Standard care includes wound cleaning, Negative Pressure Wound Therapy (NPWT), and surgical removal of damaged tissue every 2-3 days. The WounDx device uses biomarker tests from wound fluid along with clinical data to generate a report for surgeons about whether a wound is ready to close within 48-72 hours after the last surgery. The trial will enroll adults aged 18 to 65 with traumatic wounds of at least 75cm² treated with NPWT and delayed closure methods like skin grafts or flaps. During the study, participants will be monitored through wound fluid sampling and clinical evaluations to collect data for the WounDx device. Researchers will track how many patients complete the exploratory outcome measures over one year. The study will assess the feasibility of using WounDx in clinical practice, including recruitment, randomization, treatment, and data collection. Safety and wound healing outcomes will be observed, with participation lasting through the wound treatment and follow-up periods.
CONDITIONS
Pilot Trial for WounDx™ Clinical Decision Support Tool
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Complete this quick 3-step screening to check your eligibility
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - Duration of treatment until wound closure decision based on clinical and WounDx™ assessments
Participants receive standard wound care including serial wound irrigation, Negative Pressure Wound Therapy (NPWT), and surgical debridement. The WounDx™ device is used to support clinicians in determining wound readiness for closure by analyzing inflammatory biomarkers and clinical data.
Multiple wound care visits including debridement every 2 to 3 days
Duration - Up to 1 year after wound closure
Participants are monitored after delayed primary closure including skin grafts or flaps to assess wound healing outcomes.
Follow-up visits as scheduled to monitor wound healing
Total: 5 locations
1
University of Alabama - Birmingham Hospital
Birmingham, Alabama, United States, 35294
Not Yet Recruiting
2
Emory University / Grady Memorial Hospital
Atlanta, Georgia, United States, 30322
Actively Recruiting
3
Indiana University Health University Hospital
Indianapolis, Indiana, United States, 46202
Not Yet Recruiting
4
Duke University Hospital
Durham, North Carolina, United States, 27705
Actively Recruiting
5
Brooke Army Medical Center
Fort Sam Houston, Texas, United States, 78234
Not Yet Recruiting
E
Eric Elster, MD
S
Seth Schobel, PhD
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
DEVICE_FEASIBILITY
Number of Arms
2
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