Cyanoacrylate Skin Adhesive After Mohs Surgery or Wide Local Excision
A Prospective Randomized Study of Surgical Site Infection After Linear Repair With or Without Cyanoacrylate Skin Adhesive Following Mohs Micrographic Surgery and Wide Local Excision
1 other identifier
interventional
300
1 country
3
Brief Summary
This study will compare surgical site infection after linear repair with or without cyanoacrylate skin adhesive following Mohs micrographic surgery or wide local excision. Adult participants undergoing Mohs micrographic surgery or wide local excision for skin cancer with a surgical defect suitable for linear repair will be stratified by suture type and randomized to standardized running epidermal suture closure with or without cyanoacrylate skin adhesive. The primary outcome is surgical site infection within 30 days after surgery. Secondary outcomes include scar quality, treatment satisfaction, wound care burden, wound healing characteristics, antibiotic use, culture results, health care utilization related to wound concerns, and adverse events.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Oct 2026
Typical duration for not_applicable
3 active sites
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
September 21, 2026
CompletedFirst Posted
Study publicly available on registry
September 28, 2026
CompletedStudy Start
First participant enrolled
October 1, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 30, 2028
ExpectedStudy Completion
Last participant's last visit for all outcomes
March 30, 2029
September 28, 2026
September 1, 2026
2.2 years
September 21, 2026
September 21, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Surgical Site Infection Within 30 Days After Linear Repair
Surgical site infection will be assessed within 30 days following linear repair after Mohs micrographic surgery or wide local excision. Surgical site infection is defined as culture-confirmed infection or strong clinical suspicion of infection when a culture cannot be obtained, including purulent discharge, erythema with edema or warmth, drainage consistent with infection, or cellulitis requiring antibiotic therapy.
Within 30 days after Mohs micrographic surgery or wide local excision
Secondary Outcomes (8)
Systemic Antibiotic Use
Baseline through 30 days after surgery
Wound Healing Complications
7 to 14 days and 30 days after surgery
Treatment Satisfaction
2 weeks and 3 months after surgery
Wound Care Burden
2 weeks after surgery
Scar Quality
3 months after surgery
- +3 more secondary outcomes
Study Arms (6)
Fast Gut Sutures With Adhesive
EXPERIMENTALParticipants in the absorbable suture stratum will receive standardized running epidermal closure using fast gut sutures followed by cyanoacrylate skin adhesive.
Fast Gut Sutures Without Adhesive
ACTIVE COMPARATORParticipants in the absorbable suture stratum will receive standardized running epidermal closure using fast gut sutures without cyanoacrylate skin adhesive.
Vicryl Rapide Sutures With Adhesive
EXPERIMENTALParticipants in the absorbable suture stratum will receive standardized running epidermal closure using Vicryl Rapide sutures followed by cyanoacrylate skin adhesive.
Vicryl Rapide Sutures Without Adhesive
ACTIVE COMPARATORParticipants in the absorbable suture stratum will receive standardized running epidermal closure using Vicryl Rapide sutures without cyanoacrylate skin adhesive.
Prolene Sutures With Adhesive
EXPERIMENTALParticipants in the non-absorbable suture stratum will receive standardized running epidermal closure using Prolene sutures followed by cyanoacrylate skin adhesive.
Prolene Sutures Without Adhesive
ACTIVE COMPARATORParticipants in the non-absorbable suture stratum will receive standardized running epidermal closure using Prolene sutures without cyanoacrylate skin adhesive.
Interventions
Standardized running epidermal closure will be performed using Vicryl Rapide absorbable suture material after Mohs micrographic surgery or wide local excision.
Standardized running epidermal closure will be performed using fast gut absorbable suture material after Mohs micrographic surgery or wide local excision.
Cyanoacrylate skin adhesive will be applied in a thin, continuous layer along the repaired wound after hemostasis and epidermal closure are complete. The adhesive is an FDA-approved topical wound closure product used within its labeled indication.
Standardized running epidermal closure will be performed using Prolene non-absorbable suture material after Mohs micrographic surgery or wide local excision.
Eligibility Criteria
You may qualify if:
- Age 18 years or older
- Undergoing Mohs micrographic surgery or wide local excision for skin cancer
- Surgical defect suitable for linear repair
- Surgical defect suitable for linear repair using standardized running epidermal sutures
- Ability to provide informed consent
- Ability to read at a 5th grade level or above, needed for survey administration
You may not qualify if:
- Requirement for flap, graft, geometric repair, or healing by second intention
- Active infection or severe contamination at the surgical site prior to closure
- Known allergy or hypersensitivity to cyanoacrylate adhesive, fast gut, Vicryl Rapide, or Prolene
- Recurrent tumor at the surgical site
- Prior radiation therapy to the surgical site
- Current use of systemic antibiotics for an unrelated medical condition at the time of surgery
- Concurrent participation in another interventional research study that could confound wound healing or infection outcomes
- Inability to comply with study procedures or follow-up visits
- Any condition that, in the judgment of the investigator, would interfere with safe participation or interpretation of study outcomes
- Children
- Fetuses
- Neonates
- Prisoners
- Adults lacking capacity to consent or adults with diminished or fluctuating capacity to consent
- Non-English speakers
- +2 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (3)
Oxboro Dermatology Clinic
Minneapolis, Minnesota, 55420, United States
University of Minnesota Dermatologic Surgery Clinic - CSC
Minneapolis, Minnesota, 55455, United States
University of Minnesota Dermatologic Surgery Clinic - MG
Minneapolis, Minnesota, 55455, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Chandler Rundle, MD
University of Minnesota
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 21, 2026
First Posted
September 28, 2026
Study Start
October 1, 2026
Primary Completion (Estimated)
December 30, 2028
Study Completion (Estimated)
March 30, 2029
Last Updated
September 28, 2026
Record last verified: 2026-09