NCT02655211

Brief Summary

This study will evaluate the efficacy of pulsed dye laser (PDL) and carbon dioxide (CO2) laser in conjunction with usual care (MED) for the treatment of hypertrophic burn scars and will determine the optimal sequence and timing of lasers and usual care.

Trial Health

15
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Timeline
Completed

Started Dec 2016

Status
withdrawn

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

First Submitted

Initial submission to the registry

November 12, 2014

Completed
1.2 years until next milestone

First Posted

Study publicly available on registry

January 13, 2016

Completed
11 months until next milestone

Study Start

First participant enrolled

December 1, 2016

Completed
1 year until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2017

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2017

Completed
Last Updated

April 17, 2017

Status Verified

April 1, 2017

Enrollment Period

1 year

First QC Date

November 12, 2014

Last Update Submit

April 13, 2017

Conditions

Outcome Measures

Primary Outcomes (1)

  • Change in Hypotrophic scar score on the Vancouver Scar Scale (VSS) from baseline to three month visit

    Baseline and 3 months

Secondary Outcomes (1)

  • Long-term hypotrophic scar score on VSS

    Two years

Study Arms (12)

CO2-CO2-Med

ACTIVE COMPARATOR

Participants will receive two blocks of CO2 laser treatment, followed by one block of usual care.

Procedure: CO2 laser treatmentOther: Usual care

Med-CO2-CO2

ACTIVE COMPARATOR

Participants will receive one block of usual care, followed by two blocks of CO2 laser therapy.

Procedure: CO2 laser treatmentOther: Usual care

CO2-Med-CO2

ACTIVE COMPARATOR

Participants will receive one block of CO2 laser therapy, one block of usual care, and finally one more block of CO2 laser therapy.

Procedure: CO2 laser treatmentOther: Usual care

PDL-PDL-MED

ACTIVE COMPARATOR

Participants will receive two blocks of PDL laser therapy, followed by one block of usual care.

Procedure: PDL laser treatmentOther: Usual care

Med-PDL-PDL

ACTIVE COMPARATOR

Participants will receive one block of usual care, followed by two blocks of PDL laser therapy.

Procedure: PDL laser treatmentOther: Usual care

PDL-Med-PDL

ACTIVE COMPARATOR

Participants will receive one block of PDL laser therapy, followed by one block of usual care, followed by one block of PDL laser therapy.

Procedure: PDL laser treatmentOther: Usual care

PDL-CO2-Med

ACTIVE COMPARATOR

Participants will receive one block of PDL laser therapy, followed by one block of CO2 laser therapy, followed by one block of usual care.

Procedure: CO2 laser treatmentProcedure: PDL laser treatmentOther: Usual care

CO2-PDL-Med

ACTIVE COMPARATOR

Participants will receive one block of CO2 laser therapy, followed by one block of PDL laser therapy, followed by one block of usual care.

Procedure: CO2 laser treatmentProcedure: PDL laser treatmentOther: Usual care

Med-PDL-CO2

ACTIVE COMPARATOR

Participants will receive one block of usual care, followed by one block of PDL laser therapy, followed by one block of CO2 laser therapy.

Procedure: CO2 laser treatmentProcedure: PDL laser treatmentOther: Usual care

Med-CO2-PDL

ACTIVE COMPARATOR

Participants will receive one block of usual care, followed by one block of CO2 laser therapy, followed by one block of PDL laser therapy.

Procedure: CO2 laser treatmentProcedure: PDL laser treatmentOther: Usual care

PDL-Med-CO2

ACTIVE COMPARATOR

Participants will receive one block of PDL laser therapy, followed by one block of usual care, followed by one block of CO2 laser therapy.

Procedure: CO2 laser treatmentProcedure: PDL laser treatmentOther: Usual care

CO2-Med-PDL

ACTIVE COMPARATOR

Participants will receive one block of CO2 laser therapy, followed by one block of usual care, followed by one block of PDL laser therapy.

Procedure: CO2 laser treatmentProcedure: PDL laser treatmentOther: Usual care

Interventions

Surgical treatment using fractionated ablative carbon dioxide laser (CO2)

CO2-CO2-MedCO2-Med-CO2CO2-Med-PDLCO2-PDL-MedMed-CO2-CO2Med-CO2-PDLMed-PDL-CO2PDL-CO2-MedPDL-Med-CO2

Surgical treatment using flashlamp-excited pulsed dye laser (PDL)

CO2-Med-PDLCO2-PDL-MedMed-CO2-PDLMed-PDL-CO2Med-PDL-PDLPDL-CO2-MedPDL-Med-CO2PDL-Med-PDLPDL-PDL-MED

Usual care (i.e., non-surgical) therapy (compression garments, massage, physical therapy, silicone gel sheeting)

CO2-CO2-MedCO2-Med-CO2CO2-Med-PDLCO2-PDL-MedMed-CO2-CO2Med-CO2-PDLMed-PDL-CO2Med-PDL-PDLPDL-CO2-MedPDL-Med-CO2PDL-Med-PDLPDL-PDL-MED

Eligibility Criteria

Age6 Months - 99 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • have a burn injury which will be at least 6 months old at the time of first treatment,
  • have one or more symptomatic burn scars (with at least one or more symptoms such as erythema, pruritus, surface irregularity, or tightness not caused by a contracture that would be better served with surgical treatment),
  • desire laser treatment,
  • be at least 6 months of age at the time of treatment,
  • agree to have no aesthetic treatments for their burn scars, such as peels or fillers, until they have completed the study (two-year period),
  • agree to be randomized into one of the study's treatment conditions,
  • agree to return for all treatment and follow-up visits for the two-year study period,
  • agree to refrain from participating in any other treatment-oriented clinical trial for the duration of this study, and
  • be able and willing to follow the protocol requirements.

You may not qualify if:

  • be women who are pregnant or planning to become pregnant during the study,
  • have had any previous laser treatment of their burn scars,
  • have open wounds that are not re-epithelialized in the areas of proposed study treatment,
  • be taking systemic steroids or immunosuppression medication,
  • have a connective tissue disorder,
  • be receiving or planning to receive chemotherapy or radiation during the study,
  • be medically unable to tolerate anesthesia, or
  • have other conditions that in the opinion of the investigators or clinicians may affect participant safety or compromise study objectives.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

Cicatrix, Hypertrophic

Condition Hierarchy (Ancestors)

CicatrixFibrosisPathologic ProcessesPathological Conditions, Signs and Symptoms

Study Officials

  • Scott Hultman, MD

    UNC-Chapel Hill

    PRINCIPAL INVESTIGATOR
0

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

November 12, 2014

First Posted

January 13, 2016

Study Start

December 1, 2016

Primary Completion

December 1, 2017

Study Completion

December 1, 2017

Last Updated

April 17, 2017

Record last verified: 2017-04