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Topical Collagen-Silver Versus Standard Care Following Removal of Ingrown Nails

The recruitment status of this study is unknown. The completion date has passed and the status has not been verified in more than two years.
Verified March 2008 by Rosalind Franklin University of Medicine and Science.
Recruitment status was:  Recruiting
Information provided by:
Rosalind Franklin University of Medicine and Science Identifier:
First received: March 18, 2008
Last updated: NA
Last verified: March 2008
History: No changes posted
This study's purpose is to prospectively determine whether topical therapy with an oxidized regenerated cellulose collagen-silver compound is more effective than the current standard of topical antibiotic therapy for care following the removal of an ingrown toenail. Eighty adult patients with ingrown toenails will be recruited. Each patient will randomly be assigned to apply either topical silver sulfadiazine cream (standard antibiotic) or the novel collagen-silver compound to their nail bed daily, following removal of the ingrown portion of nail. Patients will return for follow up visits weekly, until healing has occurred or twelve weeks have passed. Healing will be defined as resolution of drainage and inflammatory changes surrounding the nail border.

Condition Intervention
Ingrown Nail
Device: oxidized regenerated cellulose collagen-silver
Drug: topical silver sulfadiazine cream

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single Blind (Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Topical Collagen-Silver Versus Standard Care Following Phenol Ablation of Ingrown Nails: A Randomized Controlled Trial

Resource links provided by NLM:

Further study details as provided by Rosalind Franklin University of Medicine and Science:

Primary Outcome Measures:
  • time to healing [ Time Frame: weekly ]

Secondary Outcome Measures:
  • time to return to regular shoe gear [ Time Frame: weekly ]
  • days unable to work [ Time Frame: weekly ]

Estimated Enrollment: 80
Study Start Date: November 2005
Estimated Study Completion Date: May 2008
Estimated Primary Completion Date: May 2008 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: experimental
Subjects will daily dress their nail bed with oxidized regenerated cellulose collagen-silver, until healing occurs.
Device: oxidized regenerated cellulose collagen-silver
Wound dressed daily with oxidized regenerated cellulose collagen-silver matrix.
Other Name: Prisma
Active Comparator: Control
Topical silver sulfadiazine cream will be applied daily to the wound bed until healing has occured.
Drug: topical silver sulfadiazine cream
Cream will be applied to nailbed daily and dressed with a bandage until healing occurs.
Other Name: Silvadene, Thermazene


Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Ingrown toenails will be defined as any incurvated nail border that digs into the skin of the nail fold and causes pain and discomfort

Exclusion Criteria:

  • Patients with immunocompromised states

    • chronic steroid use
    • diabetes mellitus
    • collagen vascular disease
    • HIV infection
  • Cellulitis proximal to the hallux interphalangeal joint or peripheral vascular disease will be excluded
  • We will define peripheral vascular disease as the absence of one or more pedal pulses or the presence of dystrophic changes to the integument
  Contacts and Locations
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Please refer to this study by its identifier: NCT00641433

Contact: David G Armstrong, DPM, PhD 847-578-8440

United States, Illinois
Scholl Foot and Ankle Center Recruiting
North Chicago, Illinois, United States, 60064
Contact: Ryan T Crews, MS    847-578-8437   
Principal Investigator: David Armstrong, DPM, PhD         
Sub-Investigator: Stephanie Wu, DPM, MS         
Sub-Investigator: James Wrobel, DPM, MS         
United States, Virginia
Preofessional Education and Research Institutue Recruiting
Roanoke, Virginia, United States, 24016
Contact: Charles Zelen, DPM    540-725-5027   
Principal Investigator: Charles Zelen, DPM         
Sponsors and Collaborators
Rosalind Franklin University of Medicine and Science
Principal Investigator: David G Armstrong, DPM, PhD Rosalind Franklin University
  More Information

Responsible Party: Office of Sponsored Research, Rosalind Franklin University of Medicine and Science Identifier: NCT00641433     History of Changes
Other Study ID Numbers: ORT 014
Study First Received: March 18, 2008
Last Updated: March 18, 2008

Keywords provided by Rosalind Franklin University of Medicine and Science:

Additional relevant MeSH terms:
Nails, Ingrown
Nail Diseases
Skin Diseases
Silver Sulfadiazine
Anti-Infective Agents, Local
Anti-Infective Agents
Antiprotozoal Agents
Antiparasitic Agents
Coccidiostats processed this record on May 23, 2017