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Randomized, double blind, controlled study on efficacy and overall impact on wound healing of acetic acid and ascorbic acid as antiseptics in chronic diabetic wounds

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SLCTR Registration Number

SLCTR/2014/035


Date of Registration

22 Dec 2014

The date of last modification

Mar 03, 2019


Trial Status



Application Summary


Scientific Title of Trial

Randomized, double blind, controlled study on efficacy and overall impact on wound healing of acetic acid and ascorbic acid as antiseptics in chronic diabetic wounds


Public Title of Trial

Efficacy and overall impact on wound healing of acetic acid and ascorbic acid as antiseptics in chronic diabetic wounds


Disease or Health Condition(s) Studied

Chronic diabetic wounds


Scientific Acronym

None


Public Acronym

None


Brief title

Role of antiseptics in chronic wound management


Universal Trial Number

U1111-1159-7983


Any other number(s) assigned to the trial and issuing authority

39/14 (University of Sri Jayawardenepura)


Trial Details


What is the research question being addressed?

Is ascorbic acid a better antiseptic than conventionally used acetic acid or normal saline in the management of chronic diabetic wounds?


Type of study

Interventional


Study design

Allocation

Randomized controlled trial


Masking

Double blinded


Control

Standard therapy/practice


Assignment

Parallel


Purpose

Treatment


Study Phase

Not Applicable


Intervention(s) planned

Participants will be recruited from in-ward patients as well as patients attending the wound clinics of the Colombo South Teaching Hospital. Consenting participants will be randomized into three arms. either 0.5% acetic acid (arm A), 0.5% ascorbic acid (arm B) or 0.9% saline (arm C).

Following initial assessment, cleaning, and swabbing the relevant antiseptic solution will be applied in a amount adequate to soak the wound. The wound will be managed according to standard protocols, with the same antiseptic solution being applied every other day for 1 week.


Inclusion criteria

  1. Age over 18 years
  2. Chronic diabetic wounds which have lasted over 1 month
  3. No clinical evidence of occlusive arterial disease

Exclusion criteria

  1. Uncontrolled diabetes needing inward management
  2. Clinical evidence of concurrent occlusive arterial disease (OAD).
  3. Other co-morbidities requiring use of systemic antibiotics
  4. Any patient needing surgical intervention or use of other methods (rotational antiseptics) to control wound infection. I
  5. Known hypersensitivity to acetic acid or ascorbic acid


Primary outcome(s)

1.

Wound healing according to PEDIS score (Perfusion, Extent/size, Depth/tissue loss, Infection, and Sensation) and an objective wound assessment questionnaire

[

At baseline, at the end of one week and at the end of 1 month

]

Secondary outcome(s)

1.
  1. Bacterial colony count of the wound
  2. pH of the wound
[

Both secondary outcomes will be assessed at the following time points.

Day 1: Pre swab (prior to antiseptic instillation), 10 minutes after instillation, 1 hour after instillation, 4 hours after instillation

Day 3: Pre swab (prior to antiseptic instillation), 10 minutes after instillation, 1 hour after instillation, 4 hours after instillation

At the end of one month

]

Target number/sample size

174 (58 in each arm)


Countries of recruitment

Sri Lanka


Anticipated start date

2015-01-01


Anticipated end date

2015-12-31


Date of first enrollment


Date of study completion


Recruitment status

Pending


Funding source

None


Regulatory approvals



State of Ethics Review Approval


Status

Approved


Date of Approval

2014-07-17


Approval number

39/14


Details of Ethics Review Committee

Name: Ethics Review Committee, Faculty of Medical Sciences, University of Sri Jayewardenepura
Institutional Address:Gangodawila, Nugegoda Sri Lanka
Telephone:+94-112758000 (Extension: 4075)
Email: erc.fms.usjp@gmail.com

Contact & Sponsor Information


Contact person for Scientific Queries/Principal Investigator

Dr. Thilina Samarasinghe

Department of Surgery, Faculty of Medical Sciences, University of Sri Jayewardenepura.
Tel: +94 -011- 2858660
Mob: +94-773-817660
Fax: +94 -11-2810480
thilinasam@gmail.com

Contact Person for Public Queries

Prof. Aloka Pathirana
Professor in Surgery
Department of Surgery, Faculty of Medical Sciences, University of Sri Jayewardenepura.
Tel: +94 -011- 2858660
Mob: +94-77-7393003
Fax: +94 -11-2810480
aloka@sltnet.lk


Primary study sponsor/organization

Department of Surgery

Faculty of Medical Sciences, University of Sri Jayewardenepura, Sri Lanka
Tel: +94 -011- 2858660
Fax: +94 -11-2810480

http://www.sjp.ac.lk/fms/index.php/about-the-faculty-home/departments/department-of-surgery

Secondary study sponsor (If any)

None





Trial Completion details


Do the investigators plan to share identified individual clinical trial participant-level data (IPD)?


IPD sharing plan description


Study protocol available


Protocol version and date

Not Available


Protocol URL

Not Available


Results summary available

No


Date of posting results


Date of study completion


Final sample size


Date of first publication


Link to results


Brief summary of results