Combat wounds in operation Iraqi Freedom and operation Enduring Freedom.
Brett D Owens, John F Kragh, Joseph C Wenke...
https://pubmed.ncbi.nlm.nih.gov/18301189/Actively Recruiting
Led by Henry M. Jackson Foundation for the Advancement of Military Medicine · Updated on 2026-07-30
40
Participants Needed
5
Research Sites
N/A
Total Duration
Researchers are evaluating the use of the WounDx medical device in a clinical hospital setting to assist surgeons in deciding when to close traumatic extremity wounds. This pilot trial aims to establish the feasibility of using WounDx, an experimental Clinical Decision Support Tool that analyzes inflammatory biomarkers and clinical data to predict wound healing success. The study focuses on adults aged 18 to 65 with large traumatic wounds treated with Negative Pressure Wound Therapy NPWT and delayed primary closure. Results from this pilot will guide a larger pivotal trial. Participants are randomly assigned to either a control group receiving standard careserial wound irrigation, NPWT, and surgical debridementor an intervention group receiving standard care plus the WounDx report to support clinical decision-making. The device provides a recommendation on wound closure timing within 48 to 72 hours after debridement, aligning with current clinical guidelines. The trial assesses the practical use of WounDx in real-world clinical operations, including recruitment, randomization, and data collection. During the study, wound effluent samples are collected to measure local and systemic inflammatory biomarkers. These data, along with clinical information, are input into the WounDx device to generate wound healing predictions. Researchers monitor the number of patients completing exploratory outcome measures over one year, evaluating the tools contribution to wound care decisions. The study spans from May 2026 to September 2026 and includes ongoing assessments to inform future larger trials.
CONDITIONS
Pilot Trial for WounDx™ Clinical Decision Support Tool
E
Eric Elster, MD
S
Seth Schobel, PhD
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Henry M. Jackson Foundation for the Advancement of Military Medicine
Lead Sponsor
Duke University
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 | WounDx CDST | Standard of Care |
|---|---|---|
| What it is | A biomarker‑based clinical decision support tool (CDST) that analyzes wound fluid biomarkers and clinical data to help surgeons predict when a traumatic extremity wound is likely ready for delayed closure | Standard of care involving serial wound irrigation, negative pressure wound therapy, and surgical debridement with clinician‑determined closure timing |
| Role in trial | Investigational intervention being tested for feasibility and predictive capability | Active comparator arm representing current standard practice |
| Primary use | To assist surgeons in estimating optimal timing for delayed closure of traumatic extremity wounds | To manage wound healing using irrigation, NPWT, and debridement with surgeon’s judgment guiding closure timing |
| How it is used | Wound fluid biomarkers and clinical data are input into the WounDx algorithm to generate a report suggesting closure timing | Standard wound care procedures performed by clinicians, with closure time decided by clinical judgment |
| Evidence status | Feasibility and predictive accuracy under investigation; prior models show AUC up to 0.89 for predicting closure readiness | Current clinical methods are widely used but have wound failure rates of 23‑25% for delayed closures |
| Important risks | Not yet established; no safety risks have been documented | Not specified in the registry; potential risks from standard surgical interventions not detailed |
| Important limitations | Pilot feasibility study; predictive performance and clinical value need validation in larger trials | Even with aggressive care, delayed closures can fail in roughly one of four cases |
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...
You will not qualify if you...
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 screening visit
Duration - Up to 4 months
Participants receive either standard wound care or standard care plus the WounDx report to support decisions about wound closure timing.
Regular visits during treatment for wound care and assessments
Duration - 1 year
Participants are monitored to complete exploratory outcome measures related to wound healing over one year.
Periodic follow-up visits for outcome assessments
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
DEVICE_FEASIBILITY
Number of Arms
2
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Brett D Owens, John F Kragh, Joseph C Wenke...
https://pubmed.ncbi.nlm.nih.gov/18301189/George E Peoples, James R Jezior, Craig D Shriver
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https://pubmed.ncbi.nlm.nih.gov/15978435/Felipe A Lisboa, Christopher J Dente, Seth A Schobel...
https://pubmed.ncbi.nlm.nih.gov/31348045/Henry M. Jackson Foundation for the Advancement of Military Medicine
Lead Sponsor
Duke University
Collaborating Sponsor