NCT00641433

Brief Summary

This study's purpose is to prospectively determine whether topical therapy with an oxidized regenerated cellulose collagen-silver compound is more effective than the current standard of topical antibiotic therapy for care following the removal of an ingrown toenail. Eighty adult patients with ingrown toenails will be recruited. Each patient will randomly be assigned to apply either topical silver sulfadiazine cream (standard antibiotic) or the novel collagen-silver compound to their nail bed daily, following removal of the ingrown portion of nail. Patients will return for follow up visits weekly, until healing has occurred or twelve weeks have passed. Healing will be defined as resolution of drainage and inflammatory changes surrounding the nail border.

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
80

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Nov 2005

Typical duration for not_applicable

Geographic Reach
1 country

2 active sites

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

November 1, 2005

Completed
2.4 years until next milestone

First Submitted

Initial submission to the registry

March 18, 2008

Completed
6 days until next milestone

First Posted

Study publicly available on registry

March 24, 2008

Completed
1 month until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 1, 2008

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

May 1, 2008

Completed
Last Updated

March 24, 2008

Status Verified

March 1, 2008

Enrollment Period

2.5 years

First QC Date

March 18, 2008

Last Update Submit

March 18, 2008

Conditions

Keywords

chemocautery

Outcome Measures

Primary Outcomes (1)

  • time to healing

    weekly

Secondary Outcomes (2)

  • time to return to regular shoe gear

    weekly

  • days unable to work

    weekly

Study Arms (2)

experimental

EXPERIMENTAL

Subjects will daily dress their nail bed with oxidized regenerated cellulose collagen-silver, until healing occurs.

Device: oxidized regenerated cellulose collagen-silver

Control

ACTIVE COMPARATOR

Topical silver sulfadiazine cream will be applied daily to the wound bed until healing has occured.

Drug: topical silver sulfadiazine cream

Interventions

Wound dressed daily with oxidized regenerated cellulose collagen-silver matrix.

Also known as: Prisma
experimental

Cream will be applied to nailbed daily and dressed with a bandage until healing occurs.

Also known as: Silvadene, Thermazene
Control

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Ingrown toenails will be defined as any incurvated nail border that digs into the skin of the nail fold and causes pain and discomfort

You may not qualify if:

  • Patients with immunocompromised states
  • chronic steroid use
  • diabetes mellitus
  • collagen vascular disease
  • HIV infection
  • Cellulitis proximal to the hallux interphalangeal joint or peripheral vascular disease will be excluded
  • We will define peripheral vascular disease as the absence of one or more pedal pulses or the presence of dystrophic changes to the integument

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

Scholl Foot and Ankle Center

North Chicago, Illinois, 60064, United States

RECRUITING

Preofessional Education and Research Institutue

Roanoke, Virginia, 24016, United States

RECRUITING

MeSH Terms

Conditions

Nails, Ingrown

Interventions

Silver Sulfadiazine

Condition Hierarchy (Ancestors)

Nail DiseasesSkin DiseasesSkin and Connective Tissue Diseases

Intervention Hierarchy (Ancestors)

SulfadiazineBenzenesulfonamidesSulfonamidesAmidesOrganic ChemicalsSulfanilamidesAniline CompoundsAminesBenzene DerivativesHydrocarbons, AromaticHydrocarbons, CyclicHydrocarbonsSulfonesSulfur Compounds

Study Officials

  • David G Armstrong, DPM, PhD

    Rosalind Franklin University

    PRINCIPAL INVESTIGATOR

Central Study Contacts

David G Armstrong, DPM, PhD

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER

Study Record Dates

First Submitted

March 18, 2008

First Posted

March 24, 2008

Study Start

November 1, 2005

Primary Completion

May 1, 2008

Study Completion

May 1, 2008

Last Updated

March 24, 2008

Record last verified: 2008-03

Locations