An Investigator-blind Multi-center Prospective Study for the Efficacy and Safety of Silicon Gel (Dermatix)
Recruitment status was Active, not recruiting
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Purpose
Silicone gel is a self-drying silicone polymer that forms thin film after application onto the skin. Because silicone film is a medical device, silicone gel is also regarded as a medical device. Silicone gel has been on the market for many years for the management of scar in the phase of treatment as well as in the phase of prevention. In contrast to other methods that are expensive, invasive or inconvenient, silicone gel is convenient, non-invasive and also reasonably priced. However, the number of well-designed clinicial trials for efficacy and safety are not enough to provide robust evidences in making clinical decisions for scar management options. In a prospective, multi-center, investigator-blind randomized half-split study for patients undergoing cesarean sections, the investigators attempt to provide valid information for the efficacy and safety of silicone gel in the prevention phase of scar.
| Condition | Intervention | Phase |
|---|---|---|
|
Hypertrophic Cicatrix |
Device: silicone gel Other: no treatment |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Single Blind (Outcomes Assessor) Primary Purpose: Prevention |
| Official Title: | A Randomized Investigator-blind Multi-center Prospective Study for the Efficacy and Safety of Silicon Gel (Dermatix) in the Prevention of Hypertrophic Scar in Subjects Undergoing Caesarean Section |
- summation of scar scores of modified Vancouver Scar Scale [ Time Frame: week 12 ] [ Designated as safety issue: No ]
- summation of scar scores of mVSS 4 and 8 weeks after application [ Time Frame: weeks 4, 8, 12 ] [ Designated as safety issue: Yes ]
- scar thickness 12 weeks after application [ Time Frame: weeks 4, 8, 12 ] [ Designated as safety issue: Yes ]
- subjective satisfaction 12 weeks after application (VAS) [ Time Frame: weeks 4, 8, 12 ] [ Designated as safety issue: Yes ]
- tolerability 4, 8, 12 weeks after application (index3) [ Time Frame: weeks 4, 8, 12 ] [ Designated as safety issue: Yes ]
| Estimated Enrollment: | 47 |
| Study Start Date: | October 2010 |
| Estimated Study Completion Date: | February 2011 |
| Estimated Primary Completion Date: | February 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
No Intervention: no treatment
The other half of cesarean section wound that is to be left untreated.
|
Other: no treatment
left untreated during the study period
|
|
Experimental: silicone gel
Randomly-designated half of cesarean section wound that is to be subject to application ot silicone gel
|
Device: silicone gel
twice daily application onto designated half of cesarean section wound for 12 weeks
Other Name: Dermatix
|
Detailed Description:
Prospective subjects will be enrolled in the trial when eligibility screening and informed consent were made. One day after stitch out for cesarean sections, subjects will be asked to start applying silicone gel as the instruction to the randomly designated half of the wound 2 times a day for 12 weeks. Subjects are asked to make visits on week 4, 8, and 12 for efficacy, safety and compliance evaluations. Obstetricians, dermatologists and medical imaging specialists are involved in the trial for the evaluation of efficacy, safety and compliance. Sample size calculation as well as statistical analysis will be conducted by a designated statistician. Study product will be provided by the manufacturer at no cost and patient visits and relevant lab exams will be conducted free of charge.
Eligibility| Ages Eligible for Study: | 20 Years to 45 Years |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Pregnant female of 20-45 in ages equal to or beyond 34th of pregnancy
- Those who understand and agree on the trial conditions
Exclusion Criteria:
- Keloid (by present and past medical history)
- Secondary infection, and/or dermatitis in and around c/s wound
- Hypersensitivity to the study agent
- Diabetes
- (Pre)eclampsia
Contacts and Locations| Korea, Republic of | |
| Samsung Medical Center | |
| Seoul, Korea, Republic of, 135-710 | |
| Seoul National University Hospital | |
| Seoul, Korea, Republic of | |
| Kyung-Hee University Medical Center | |
| Seoul, Korea, Republic of | |
| Study Chair: | Joo-Heung Lee, MD | Samsung Medical Center |
More Information
No publications provided
| Responsible Party: | Joo-Heung Lee, MD/professor and chair of dermatology, Samsung Medical Center |
| ClinicalTrials.gov Identifier: | NCT01004536 History of Changes |
| Other Study ID Numbers: | 2009-08-092 |
| Study First Received: | October 29, 2009 |
| Last Updated: | December 9, 2010 |
| Health Authority: | South Korea: Institutional Review Board |
Additional relevant MeSH terms:
|
Hypertrophy Cicatrix, Hypertrophic Cicatrix |
Pathological Conditions, Anatomical Fibrosis Pathologic Processes |
ClinicalTrials.gov processed this record on May 16, 2013