Compression Device Versus 4-layer Compression System
A Phase II Study to Compare the Effect of a Compression Device to That of a 4-layer Compression System on Subjects With Venous Leg Ulcers.
1 other identifier
interventional
90
4 countries
20
Brief Summary
A prospective, Phase II, stratified, randomized study to compare the safety, ulcer healing, patient compliance (concordance) and resource utilisation of a compression device with IPC mode to a Class 3(c) UK standard graduated compression regime (4- layer system) on subjects with venous leg ulcers.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_2
Started May 2006
20 active sites
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
May 1, 2006
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2008
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2008
CompletedFirst Submitted
Initial submission to the registry
January 9, 2009
CompletedFirst Posted
Study publicly available on registry
January 13, 2009
CompletedResults Posted
Study results publicly available
January 9, 2015
CompletedJanuary 9, 2015
January 1, 2015
2.1 years
January 9, 2009
September 3, 2014
January 8, 2015
Conditions
Outcome Measures
Primary Outcomes (1)
Safety Measured by the Number of Subjects With Adverse Events (Including Any Deterioration of Ulcer)
12 Weeks
Secondary Outcomes (1)
Healing Measured by Number of Subjects Healed During the 12 Week Study Period
12 weeks
Study Arms (2)
Compression device
EXPERIMENTALThe electrical compression device is operated from battery or a main adaptor. It is based upon the use of inflatable pneumatic cuffs that apply controlled compression to the foot, ankle and calf.
Profore, 4-layer bandage
ACTIVE COMPARATORA high compression 4-layer bandage (Profore, Trademark of Smith and Nephew). This is a four-layer system that can be purchased either separately or as a package: a wound contact layer (Knitted viscose), a sub-compression wadding bandage, two layers of elastane bandage plus a top cohesive layer.
Interventions
Subjects randomized to the compression device regime were instructed to wear the compression device for all wakings hours for 12 weeks. The device was applied at the following pressures: Foot 40 mmHg, ankle 40 mmHg, mid-calf 30 mmHg, upper cuff 20 mmHg. Subjects were instructed to wear the Intermittent Pneumatic Compression for 2 hours per day.
Subjects randomised to the 4-layer compression bandage regime, Profore, were to wear the bandage system for 24 hours a day and bandage applications/dressing changes were to be performed by a trained health care professional. Four different sizes of Profore were available and size selection was based on measurement of the ankle circumference of the subject on the index leg. Profore was to be used according to the instructions provided by the manufacturer described in their package insert.
Eligibility Criteria
You may qualify if:
- Subjects over 18 years, willing and able to provide written informed consent
- Subjects able to wear the compression device and the comparative regime and follow the requirements of the clinical investigation plan
- Subjects who had an ankle to brachial pressure index (ABPI) of 0.8 or greater
- Subjects who had a chronic venous leg ulcer (i.e. CEAP classification of C6 1) 2 cm2 in size or greater, who required graduated compression
- Subjects who were outpatients
You may not qualify if:
- Subjects with a history of skin sensitivity to any of the components of the study product, comparator product or standard dressings
- \*Subjects with more than one ulcer on the test leg
- Subjects who had previously been entered into the study or a previous Amadeus study (U327, U332 or U337) or had participated in a previous clinical study within the past 3 months
- Subjects with any condition that prevented application and removal of the device without external assistance
- Subjects who had an active Deep Vein Thrombosis (DVT) or a recent DVT within the last 3 months
- Subjects who had leg sizes outside the following range:
- Ankle - 12cm to 44cm
- Calf - 22cm to 60cm
- Below knee - 22cm to 68cm
- Subjects who had an index venous leg ulcer greater in size than 10cm in any one dimension
- Diabetic subjects with advanced small vessel disease
- Amendment #1 dated 27th March 2007:
- \*Diabetic subjects who, in the opinion of the investigator, were not in reasonable metabolic control or had a history of hospitalisation within the last six months for the management of blood sugar and/or diabetic subjects with advanced small vessel disease
- Amendment #2 dated 2nd August 2007:
- \*Subjects who had an index venous leg ulcer greater in size than 15cm in any one dimension
- +1 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- ConvaTec Inc.lead
Study Sites (20)
Private Practice
Neuilly-sur-Seine, France
Groupe Hospitalier Saint-Joseph
Paris, France
Hautarzt Phlebologe Allergologe
Freiburg im Breisgau, Germany
Private Practice
Gilching, Germany
Private Practice
Hamburg, Germany
The Adelaide & Meath Hospital
Dublin, Ireland
Mid-Western Regional Hospital
Limerick, Ireland
Cork University Hospital
Wilton, Ireland
Dermatology Day Unit; Monklands Hospital
Airdrie, United Kingdom
The Wilson Practice, Alton Health Centre
Alton, United Kingdom
Wound Healing Research Unit; Cardiff University
Cardiff, United Kingdom
Tissue Viability Consultancy
Eastbourne, United Kingdom
Institute of Wound Care, The University of Hull
Hull, United Kingdom
Diving Diseases Research Centre, Hyperbaric Medical Centre
Plymouth, United Kingdom
University Dept of Vascular
Solihull, United Kingdom
Medical Physics & Bioengineering, Southampton University Hospital
Southampton, United Kingdom
Department of Vascular Surgery, Good Hope Hospital
Sutton Coldfield, United Kingdom
Trowbridge Community Hospital
Trowbridge, United Kingdom
Arrowe Park Hospital
Upton, United Kingdom
Short Health Clinic
Willenhall, United Kingdom
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Kim Peters, Director of Clinical Affairs
- Organization
- ConvaTec
Study Officials
- STUDY DIRECTOR
Jonathon Hopper, MD
ConvaTec Inc.
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 9, 2009
First Posted
January 13, 2009
Study Start
May 1, 2006
Primary Completion
June 1, 2008
Study Completion
June 1, 2008
Last Updated
January 9, 2015
Results First Posted
January 9, 2015
Record last verified: 2015-01