NCT04186273

Brief Summary

The study will investigate the safety and effectiveness of daily post surgical scar management, using a moisture-balancing base product containing different amounts of a novel (NCE) antifibrogenic compound FS2, a natural metabolite of the kynurenine pathway. Results of recent peer-reviewed, pre-clinical evidence warrant further investigation to validate therapeutic scar preventive efficacy of topically administered/delivered FS2. There are no known safety concerns with current product formulations. Recent Phase I clinical safety and tolerability data further support continuation of the research proposed in this study.

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
50

participants targeted

Target at P25-P50 for phase_2

Timeline
Completed

Started Dec 2019

Shorter than P25 for phase_2

Geographic Reach
1 country

1 active site

Status
unknown

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

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

November 15, 2019

Completed
19 days until next milestone

First Posted

Study publicly available on registry

December 4, 2019

Completed
1 day until next milestone

Study Start

First participant enrolled

December 5, 2019

Completed
1.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 1, 2021

Completed
28 days until next milestone

Study Completion

Last participant's last visit for all outcomes

March 1, 2021

Completed
Last Updated

December 17, 2019

Status Verified

December 1, 2019

Enrollment Period

1.2 years

First QC Date

November 15, 2019

Last Update Submit

December 13, 2019

Conditions

Outcome Measures

Primary Outcomes (2)

  • Vancouver Scar Scale (VSS)

    Differences in clinical scale scoring of healing, complications and scar severity using Vancouver Scar Scale. Investigator assessment of target scar or keloid using the Vancouver Scar Scale (VSS). Scale parameters include: Pigmentation (0-2), Vascularity (0-3), Pliability (0-5), and Height (0-3). Scale measurements include: minimum score of 0 = normal to a maximum score of 2, 3 or 5 depending on the parameter measured.

    0-9 months

  • Patient and Observer Scar Assessment Scale (POSAS)

    Differences in clinical scale scoring of healing, complications and scar severity using Patient and Observer Scar Assessment Scale (POSAS). Investigator assessment of target scar or keloid using the Patient and Observer Scar Assessment Scale (POSAS). Scale parameters include: Vascularity, Pigmentation, Thickness, Relief, Pliability, and Surface Area. Scale measurements include: minimum score of 1 = normal skin to a maximum score of 10 = worst scar imaginable.

    0-9 months

Secondary Outcomes (15)

  • Adverse Events

    0-9 months

  • Vital Signs - systolic blood pressure

    0-9 months

  • Vital Signs - diastolic blood pressure

    0-9 months

  • Vital Signs - Heart Rate

    0-9 months

  • Vital Signs - Respiratory Rate

    0-9 months

  • +10 more secondary outcomes

Study Arms (6)

Donor Site Wound, Vehicle

SHAM COMPARATOR

A vehicle moisturizing cream base applied to a bisected area of the donor site wound (from where the skin graft skin harvested).

Other: Vehicle moisture balancing base

Donor Site Wound, FS2 0.25

EXPERIMENTAL

A moisturizing cream base containing 0.25%w/w of FS2, applied to a bisected area of the donor site wound (from where the skin graft skin harvested).

Drug: Fibrosis-Inhibiting-Compound-FS2

Donor Site Wound, FS2 0.5

EXPERIMENTAL

A moisturizing cream base containing 0.50%w/w of FS2, applied to a bisected area of the donor site wound (from where the skin graft skin harvested)

Drug: Fibrosis-Inhibiting-Compound-FS2

Skin Graft Wound, Vehicle

SHAM COMPARATOR

A vehicle moisturizing cream base applied to a bisected area of the skin grafted wound site.

Other: Vehicle moisture balancing base

Skin Graft Wound, FS2 0.25

EXPERIMENTAL

A moisturizing cream base containing 0.25%w/w of FS2, applied to a bisected area of the skin grafted wound site.

Drug: Fibrosis-Inhibiting-Compound-FS2

Skin Graft Wound, FS2 0.5

EXPERIMENTAL

A moisturizing cream base containing 0.50%w/w of FS2, applied to a bisected area of the skin grafted wound site.

Drug: Fibrosis-Inhibiting-Compound-FS2

Interventions

There are three (3) experimental interventions: vehicle moisture balancing base, FS2-0.25 moisturizer, and 0.5 moisturizing base.

Also known as: FS2
Donor Site Wound, FS2 0.25Donor Site Wound, FS2 0.5Skin Graft Wound, FS2 0.25Skin Graft Wound, FS2 0.5

Vehicle base without FS2.

Also known as: Vehicle
Donor Site Wound, VehicleSkin Graft Wound, Vehicle

Eligibility Criteria

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

You may qualify if:

  • Medically able to consent to study requirements
  • Adult, male and female trauma patients
  • Ages 18 to 65 years of age
  • Fluent in English (able to consent without a translator)
  • Isolated skin wound of 3% Total Body Surface Area
  • Participant requires partial thickness skin graft (meshed/non-meshed), face and genitalia excluded.
  • Grafted skin is between 100 cm2 and 600 cm2
  • Maximum skin graft expansion ratio is 1:1.5

You may not qualify if:

  • Medically unable to consent to study requirements
  • Require an English translator to lawfully consent to the study and its requirements
  • Treatment sights (skin graft sights) located on the face and genitalia
  • Expected to be medically unstable for the duration of the study period and an additional 1-month thereafter
  • Pregnant, or attempting to become pregnant
  • Known immunosuppression or immunosuppressive illness
  • Subjects who had taken part in a clinical trial within 3 months prior to admission to this trial or who are currently participating in a clinical trial, whether an investigational drug was used or not.
  • Subjects who had any clinical evidence of severe ongoing or prolonged depression or mental illness
  • Subjects who smoke more than 20 cigarettes a day
  • Subjects who demonstrated evidence of drug abuse
  • Any other diagnosis, condition, physical or geographical limitation with the participant that may render, or increases the likelihood of rendering, him/her unable to complete the entire study.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

VGH Burn Unit

Vancouver, British Columbia, V5Z 1M9, Canada

RECRUITING

Related Publications (1)

  • Papp A, Hartwell R, Evans M, Ghahary A. The Safety and Tolerability of Topically Delivered Kynurenic Acid in Humans. A Phase 1 Randomized Double-Blind Clinical Trial. J Pharm Sci. 2018 Jun;107(6):1572-1576. doi: 10.1016/j.xphs.2018.01.023. Epub 2018 Feb 6.

    PMID: 29421218BACKGROUND

MeSH Terms

Conditions

CicatrixCicatrix, HypertrophicKeloid

Condition Hierarchy (Ancestors)

FibrosisPathologic ProcessesPathological Conditions, Signs and SymptomsCollagen DiseasesConnective Tissue DiseasesSkin and Connective Tissue Diseases

Study Officials

  • Anthony Papp, MD, PhD

    University of British Columbia

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Masking Details
PRINCIPLE INVESTIGATOR/ INVESTIGATORS/ SPONSOR/ OUTCOME ASSESSOR/ PATIENT
Purpose
PREVENTION
Intervention Model
FACTORIAL
Model Details: QUADRUPLE-BLINDED, RANDOMIZED, VEHICLE-CONTROLLED STUDY INTRA-SUBJECT CONTROLS
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Medical Director, BCPFF Burn Unit and Clinical Professor

Study Record Dates

First Submitted

November 15, 2019

First Posted

December 4, 2019

Study Start

December 5, 2019

Primary Completion

February 1, 2021

Study Completion

March 1, 2021

Last Updated

December 17, 2019

Record last verified: 2019-12

Data Sharing

IPD Sharing
Will not share

There is no plan to disseminate individual participant data at this time, beyond what will be accessible through publication.

Locations