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Trial registered on ANZCTR
Registration number
ACTRN12609000765224
Ethics application status
Approved
Date submitted
1/09/2009
Date registered
3/09/2009
Date last updated
3/12/2013
Type of registration
Prospectively registered
Titles & IDs
Public title
A Randomised, Prospective Study of the Treatment of Superficial Partial-Thickness Burns:AWBAT (Trademark) vs. Biobrane (Registered Trademark)
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Scientific title
A Randomised, Prospective Study of the Treatment of Superficial Partial-Thickness Burns:AWBAT (Tradmark) vs. Biobrane (Registered Trademark)
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Secondary ID [1]
283680
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Nil known
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Superficial partial-thickness burns
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Condition category
Condition code
Surgery
239908
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0
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Other surgery
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
AWBAT is a second generation temporary epidermal replacement. It is to be compared with Biobrane (a first generation product with the same indications). Both materials are applied to meticulously cleaned superficial partial thickness burns under general anaesthesia in theatre. The piorcine peptide component in the materials stimulates the conversion of fibrinogen in the burn exudate to fibrin, firmly adhering the material to the burn. Both materials then stay in-situ until the burn re-epithelialises beneath. Both materials then spontaneously separate. The length of material adherence depends on the burn depth - very superficial 4-5 days, mid-dermal up to 14 days. All participants will receive both Biobrane and AWBAT thus acting as their own controls since Biobrane is the material we currently use routinely according to our surgical protocols.
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Intervention code [1]
241200
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Treatment: Devices
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Comparator / control treatment
Biobrane (like AWBAT) contains fragments of porcine type 1 collagen which convert burn exudate fibrinogen into fibrin. Both materials work identically except the peptide fragments in AWBAT are less sterically obstructed, therefore the conversion (and thus adhesion) are quicker.All participants will receive both Biobrane and AWBAT thus acting as their own controls since Biobrane is the material we currently use routinely according to our surgical protocols.
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Length of stay
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Assessment method [1]
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Timepoint [1]
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Daily from randomisation to discharge
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Primary outcome [2]
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Rate of epithelialisation (although the length of stay is often not directly related to healing and more dependent on the ease of treating these patients as out-patients post-application). In burns of the depth studies, epithelialisation will be completed by day 14 at the latest.
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Assessment method [2]
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Timepoint [2]
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Daily from randomisation until discharge.
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Secondary outcome [1]
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Perceived pain measured according to Mayo Clinic Visual analogue scale.
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Assessment method [1]
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Timepoint [1]
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Daily from randomisation until discharge. Additional measures may be made during therapy and procedures (dressing changes)
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Eligibility
Key inclusion criteria
Superficial partial thickness burns
Two non-contiguous burn sites of the same approximate size/depth for comparison,
OR
One burn site large enough to accommodate both a 6” square AWBAT (Trademark) dressing AND a 6” square Biobrane (Registered Trademerk) dressing
Burn wounds ranging between 2% < Total Body Surface Area <40%
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Minimum age
18
Years
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Maximum age
70
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Delayed presentation (>48 hours)
Ventilator dependence
Signs of burn wound infection
Pregnancy/Lactation
Electrical, chemical or frostbite injury
Non-English speakers (from an informed consent perspective)
Patient from a rural centre where there is a burns link-nurse (Port Pirie, Mount Gambier, Adelaide Hills, Gawler)
Co-morbidity which may compromise healing
Known allergy to porcine products
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Randomisation tables linked to sealed envelopes will be used.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
All patients meeting inclusion criteria and displaying no exclusion criteria will be approached to participate. Treatment allocation is per randomisation tables in study appendix (pertains to site to receive AWBAT vs site to receive Biobrane
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
Patients receive both AWBAT and Biobrane to burns at separate sites or the same site (large area) thus acting as their own active control
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
5/10/2009
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Actual
22/10/2009
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Date of last participant enrolment
Anticipated
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Actual
16/09/2010
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
60
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Hospital
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Name [1]
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Royal Adelaide Hospital
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Address [1]
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North Terrace,
Adelaide 5000
South Australia
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Country [1]
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Australia
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Funding source category [2]
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Self funded/Unfunded
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Name [2]
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Address [2]
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Country [2]
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Primary sponsor type
Hospital
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Name
Royal Adelaide Hospital
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Address
North Terrace,
Adelaide 5000,
South Australia
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Country
Australia
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Secondary sponsor category [1]
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Commercial sector/Industry
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Name [1]
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Aubrey, Inc.
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Address [1]
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5930, Sea Lion Place,
Suite 100,
Carlsbad,
California 92010
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Country [1]
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United States of America
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Royal Adelaide Hospital Research Ethjics Committee
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Ethics committee address [1]
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Level 3, Hanson Institute, Royal Adelaide Hospital North Terrace, Adelaide 5000 South Australia
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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Approval date [1]
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31/08/2009
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Ethics approval number [1]
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090810
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Summary
Brief summary
Biobrane is our gold standard for superficial partial thickness burns. AWBAT is very similar but adheres more rapidly to the wound. This is the rate limiting step in healing and allowing theses patients to be treated as outpatients. The study aims to compare the two in rate of epithelialisation and pain perception (the other issue which keeps burn patients in hospital).
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Trial website
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Trial related presentations / publications
Greenwood JE, Clausen J, Kavaqnagh S. 'Experience with Biobrane: Uses and Caveats for Success' ePlasty;9:243-255. Accessible at www.eplasty.com Greenwood JE. 'A randomized, prospective study of the treatment of superficial partial thickness burns: AWBAT-S vs. Biobrane' ePlasty 2011;11:75-87. Accessible at www.eplasty.com
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Public notes
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Contacts
Principal investigator
Name
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A/Prof John E Greenwood
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Address
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Adult Burn Centre, Royal Adelaide Hospital, North Terrace, Adelaide 5000, South Australia
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Country
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Australia
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Phone
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+61 8 8222 2233
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Fax
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+61 8 8222 5676
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Email
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[email protected]
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Contact person for public queries
Name
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John E Greenwood
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Address
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Burns Unit
Royal Adelaide Hospital
North Terrace,
Adelaide 5000
South Australia
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Country
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Australia
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Phone
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+61 422 000809
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Fax
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+61 8 8222 5676
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Email
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[email protected]
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Contact person for scientific queries
Name
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John E Greenwood
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Address
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Burns Unit
Royal Adelaide Hospital
North Terrace,
Adelaide 5000
South Australia
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Country
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Australia
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Phone
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+61 422 000809
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Fax
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+61 8 8222 5676
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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