Obtaining and Storing Standard of Care Wound Biopsies for Immediate or Future Wound-Related Scientific Study
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Purpose
The objective of this study protocol is to use wound biopsies that have been obtained during standard of care management for further scientific evaluation after standard evaluation by a pathologist. Further imaging and molecular analyses would closely evaluate the presence, architecture, and interaction of wound biofilm and human host tissues.
| Condition |
|---|
|
Diabetic Foot Leg Ulcer Decubitus Ulcer |
| Study Type: | Observational |
| Study Design: | Time Perspective: Prospective |
| Official Title: | Obtaining and Storing Standard of Care Wound Biopsies for Immediate or Future Wound Related Scientific Study |
- To analyze and image wounds using microscopy and molecular techniques [ Time Frame: 1 year ] [ Designated as safety issue: Yes ]
Biospecimen Retention: Samples With DNA
Wound edge biopsies that are obtained through standard of care protocols will be subjected to additional microscopic and molecular analyses following the completion of standard medical assessment.
| Estimated Enrollment: | 5 |
| Study Start Date: | March 2007 |
| Estimated Study Completion Date: | March 2015 |
| Estimated Primary Completion Date: | March 2015 (Final data collection date for primary outcome measure) |
| Groups/Cohorts |
|---|
|
wound biopsy
diabetic foot,venous leg ulcer, decubitus ulcer
|
Detailed Description:
The criteria for considering a wound biopsy in a given patient are a chronic wound (venous leg ulcer, diabetic foot ulcer, decubitus ulcer) that has been present for over two (2) months and has failed to progress towards healing (less than 20% decrease in size over 2-week period of time). Also any suspicious wound in which cancer is strongly considered on a clinical basis should be biopsied immediately without any arbitrary timeline being imposed.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
| Sampling Method: | Non-Probability Sample |
Wound edge biopsies that are obtained through standard of care protocols will be subjected to additional microscopic and molecular analyses following the completion of standard medical assessment.
Inclusion Criteria:
The subject must have a wound, which requires a biopsy for at least one of the following reasons:
- The wound is clinically suspicious (raised fibrotic edges, patchy discoloration of the edges, "invasive appearance", or an appearance substantially different from normal chronic wound appearance).
- The wound has been present for over 3 months that has been under standard of care management for at least 1 month and shows no progression towards healing. No progression towards healing is defined as less than 20% reduction in the size of the wound over a 2-week period of time.
- The subject must be at least 18 years of age.
- The ulcer to be biopsied must be greater than 3 centimeters in area.
Exclusion Criteria:
- Unacceptable risk of bleeding as determined by the investigator.
Medical or emotional risk associated with the potential biopsy that outweighs the risk of not taking a biopsy as determined by the investigator.
- Note: Vulnerable populations will not be excluded from the study as they are over represented in the chronic wound population, but care will be taken to explain the study to family members and caretakers and other stakeholders in the subject's care, so that concerned parties are in agreement as to the subject's enrollment in the study.
Contacts and Locations| Contact: Randall Wolcott, MD | 806-793-8869 | randy@randallwolcott.com |
| Contact: Lisa Morrow, LBSW | 806-793-8869 | lisa@randallwolcott.com |
| United States, Texas | |
| Southwest Regional Wound Care Center | Recruiting |
| Lubbock, Texas, United States, 79410 | |
| Contact: Randall Wolcott, MD 806-793-8869 randy@randallwolcott.com | |
| Contact: Lisa Morrow, LBSW 806-793-8869 lisa@randallwolcott.com | |
| Principal Investigator: Randall Wolcott, MD | |
| Principal Investigator: | Randall Wolcott, MD | Southwest Regional Wound Care Center |
More Information
No publications provided
| Responsible Party: | Randall Wolcott, Prinicipal Investigator, Southwest Regional Wound Care Center |
| ClinicalTrials.gov Identifier: | NCT00759889 History of Changes |
| Other Study ID Numbers: | 56-RW-005 |
| Study First Received: | September 24, 2008 |
| Last Updated: | March 4, 2013 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by Southwest Regional Wound Care Center:
|
venous leg ulcer |
Additional relevant MeSH terms:
|
Leg Ulcer Pressure Ulcer Ulcer Diabetic Foot Skin Ulcer Skin Diseases Pathologic Processes Diabetic Angiopathies |
Vascular Diseases Cardiovascular Diseases Foot Ulcer Diabetes Complications Diabetes Mellitus Endocrine System Diseases Diabetic Neuropathies |
ClinicalTrials.gov processed this record on May 22, 2013