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FDA request as study could not serve as the confirmatory trial.
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| Name | Class |
|---|---|
| Mylan Bertek Pharmaceuticals | INDUSTRY |
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The primary objective is to compare the effectiveness of treatment with Sulfamylon® solution as the initial topical moist dressing over meshed autografts following the initial graft procedure on preventing graft loss in a prospective cohort of subjects versus a historical control group in a non-inferiority trial.
This is a prospective, non-inferiority, multi-center, historically controlled, open label study that will evaluate the effects of topical therapy with Sulfamylon® For 5% Topical Solution on autograft healing in subjects with thermal injuries requiring meshed autografts against a similar historic control population in which Sulfamylon® For 5% Topical Solution or mafenide acetate or other mafenide salt forms were not used. Prospective subjects meeting the entrance criteria will receive Sulfamylon® solution as topical antimicrobial treatment on moist dressings following initial meshed autograft procedure (Day 1). Sulfamylon® solution will be used every 6-8 hours, or as needed, to keep the dressing moist. The graft will be evaluated on Days 5-7, Days 12-14 and Days 18-21, unless the subject is discharged, dies, or experiences graft loss / regrafting of the initial meshed autograft prior to Assessment 4 (Days 18-21).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Historical Control | Other | Treated within the last 5 years (if possible) with topical prophylactic therapies that did not include mafenide acetate or mafenide salt forms. These are considered the Topical Antimicrobial/Antifungal Medications |
|
| Prospective Patients/Active Drug | Experimental | Prospective subjects with thermal injuries of 20-60% TBSA on the chest, abdomen, or proximal upper and lower extremities requiring meshed autografts on these areas will receive SS5% as the initial topical moist dressing over the meshed autograft(s) placed at the initial graft procedure (Day 1). Intervention is Sulfamylon® For 5 % Topical Solution. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Sulfamylon® For 5 % Topical Solution | Drug | Sulfamylon® For 5% Topical Solution is indicated for use as an adjunctive topical antimicrobial agent to control bacterial infection when used under moist dressings over meshed autografts on excised burn wounds. |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Participants With Graft Loss After Initial Meshed Autograft Procedure on Days 5-7. | The primary analysis will compare the percent of subjects with All Cause Graft Loss of the initial meshed autograft procedure at Days 5-7. |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Participants With All-cause Graft Loss at Days 12 to 14 in the FAS Population | All cause graft loss is defined as graft adhesion of < 85% for the initial meshed autograft procedure. | Secondary analyses will include the percent of subjects with All Cause Graft Loss at Days 12-14 |
| Percentage of Participants With All-cause Graft Loss at Days 18 to 21 in the FAS Population |
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Inclusion Criteria:
In order for prospective subjects to be eligible for entry into the study:
Exclusion Criteria:
Prospective subjects will be excluded from the study for the following reasons:
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| Name | Affiliation | Role |
|---|---|---|
| Eric Davis, MD | Mylan Inc. | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of South Alabama Medical Center | Mobile | Alabama | 36617 | United States | ||
| Arrowhead Regional Medical Center |
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| ID | Title | Description |
|---|---|---|
| FG000 | Historical Control | Treated within the last 5 years (if possible) with topical prophylactic therapies that did not include mafenide acetate or mafenide salt forms (with the sponsor's prior approval, sites may obtain historical control subjects treated longer than 5 years ago) Sulfamylon® (mafenide acetate) For 5 % Topical Solution: Sulfamylon® For 5% Topical Solution is indicated for use as an adjunctive topical antimicrobial agent to control bacterial infection when used under moist dressings over meshed autografts on excised burn wounds. |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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|
| Topical Antimicrobial/Antifungal Medications | Drug | 'Topical Antimicrobial/Antifungal Medications' Various topical antimicrobials and antifungals include: Bacitracin; Amphotericin B; Silver Sulfadiazine; Cefazolin; Vancomycin; Nystatin; Fluconazole; Piperacillin Sodium with Tazobactam. |
|
|
All cause graft loss is defined as graft adhesion of < 85% for the initial meshed autograft procedure. |
| Days 18 to 21 |
| Percentage of Participants With Treatment Failure at Days 5 to 7 in the FAS Population | Treatment failure is defined as a change in topical antimicrobial therapy of initial meshed autograft due to suspected infection within the first 7 days or infectious graft loss. | Days 5-7 |
| Percentage of Participants With Infectious Graft Loss at Days 5 to 7 in the FAS Population | Graft adhesion of < 85% for the initial meshed autograft procedure due to infection. | Days 5-7 |
| Percentage of Participants With Infectious Graft Loss at Days 12 to 14 in the FAS Population | Graft adhesion of < 85% for the initial meshed autograft procedure due to infection. | Days 12-14 |
| Percentage of Participants With Infectious Graft Loss at Days 18 to 21 in the FAS Population | Graft adhesion of < 85% for the initial meshed autograft procedure due to infection. | Days 18-21 |
| Redlands |
| California |
| 92373 |
| United States |
| Shands Burn Center - Univ. of Florida | Gainesville | Florida | 32610 | United States |
| Loyola University Medical Center | Maywood | Illinois | 60153 | United States |
| The Plastic Surgery Institute - Southern Illinois Univ. School of Medicine | Springfield | Illinois | 62794-9653 | United States |
| University of Kansas Medical Center | Kansas City | Kansas | 66160 | United States |
| John's Hopkins Burn Center | Baltimore | Maryland | 21224 | United States |
| University of Missouri Healthcare - Dept. of Surgery | Columbia | Missouri | 65212 | United States |
| Wake Forest University - Department of General Surgery | Winston-Salem | North Carolina | 27157 | United States |
| FG001 | Prospective Patients/Active Drug | Prospective subjects with thermal injuries of 20-60% TBSA on the chest, abdomen, or proximal upper and lower extremities requiring meshed autografts on these areas will receive SS5% as the initial topical moist dressing over the meshed autograft(s) placed at the initial graft procedure (Day 1). Sulfamylon® (mafenide acetate) For 5 % Topical Solution: Sulfamylon® For 5% Topical Solution is indicated for use as an adjunctive topical antimicrobial agent to control bacterial infection when used under moist dressings over meshed autografts on excised burn wounds. |
| COMPLETED |
|
| NOT COMPLETED |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Historical Control | Treated within the last 5 years (if possible) with topical prophylactic therapies that did not include mafenide acetate or mafenide salt forms (with the sponsor's prior approval, sites may obtain historical control subjects treated longer than 5 years ago) Sulfamylon® (mafenide acetate) For 5 % Topical Solution: Sulfamylon® For 5% Topical Solution is indicated for use as an adjunctive topical antimicrobial agent to control bacterial infection when used under moist dressings over meshed autografts on excised burn wounds. |
| BG001 | Prospective Patients/Active Drug | Prospective subjects with thermal injuries of 20-60% TBSA on the chest, abdomen, or proximal upper and lower extremities requiring meshed autografts on these areas will receive SS5% as the initial topical moist dressing over the meshed autograft(s) placed at the initial graft procedure (Day 1). Sulfamylon® (mafenide acetate) For 5 % Topical Solution: Sulfamylon® For 5% Topical Solution is indicated for use as an adjunctive topical antimicrobial agent to control bacterial infection when used under moist dressings over meshed autografts on excised burn wounds. |
| BG002 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
| |||||||||||||||
| Age, Customized | Number | participants |
| ||||||||||||||||
| Sex/Gender, Customized | Number | participants |
| ||||||||||||||||
| Region of Enrollment | Number | participants |
|
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Percentage of Participants With Graft Loss After Initial Meshed Autograft Procedure on Days 5-7. | Posted | Number | Percentage of Participants | The primary analysis will compare the percent of subjects with All Cause Graft Loss of the initial meshed autograft procedure at Days 5-7. |
|
|
| |||||||||||||||||||||||||||||||
| Secondary | Percentage of Participants With All-cause Graft Loss at Days 12 to 14 in the FAS Population | All cause graft loss is defined as graft adhesion of < 85% for the initial meshed autograft procedure. | Posted | Number | Percentage of participants | Secondary analyses will include the percent of subjects with All Cause Graft Loss at Days 12-14 |
| ||||||||||||||||||||||||||||||||
| Secondary | Percentage of Participants With All-cause Graft Loss at Days 18 to 21 in the FAS Population | All cause graft loss is defined as graft adhesion of < 85% for the initial meshed autograft procedure. | Posted | Number | Percentage of participants | Days 18 to 21 |
| ||||||||||||||||||||||||||||||||
| Secondary | Percentage of Participants With Treatment Failure at Days 5 to 7 in the FAS Population | Treatment failure is defined as a change in topical antimicrobial therapy of initial meshed autograft due to suspected infection within the first 7 days or infectious graft loss. | Posted | Number | Percentage of participants | Days 5-7 |
| ||||||||||||||||||||||||||||||||
| Secondary | Percentage of Participants With Infectious Graft Loss at Days 5 to 7 in the FAS Population | Graft adhesion of < 85% for the initial meshed autograft procedure due to infection. | Posted | Number | Percentage of participants | Days 5-7 |
| ||||||||||||||||||||||||||||||||
| Secondary | Percentage of Participants With Infectious Graft Loss at Days 12 to 14 in the FAS Population | Graft adhesion of < 85% for the initial meshed autograft procedure due to infection. | Posted | Number | Percentage of participants | Days 12-14 |
| ||||||||||||||||||||||||||||||||
| Secondary | Percentage of Participants With Infectious Graft Loss at Days 18 to 21 in the FAS Population | Graft adhesion of < 85% for the initial meshed autograft procedure due to infection. | Posted | Number | Percentage of participants | Days 18-21 |
|
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There is a change in the analysis sets that were used for analyzing efficacy-FA Set and Safety data- Safety set. Out of 138 patients enrolled, one patient had 'No post-graft assessments' and hence the patient was excluded from FAS- efficacy analysis. This resulted in a reduced number(one less) of patients for FAS. There is no analytical error.
Reference -Table 14.1.3.1
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Historical Control | Treated within the last 5 years (if possible) with topical prophylactic therapies that did not include mafenide acetate or mafenide salt forms (with the sponsor's prior approval, sites may obtain historical control subjects treated longer than 5 years ago) Sulfamylon® (mafenide acetate) For 5 % Topical Solution: Sulfamylon® For 5% Topical Solution is indicated for use as an adjunctive topical antimicrobial agent to control bacterial infection when used under moist dressings over meshed autografts on excised burn wounds. | 9 | 82 | 74 | 82 | ||
| EG001 | Prospective Patients/Active Drug | Prospective subjects with thermal injuries of 20-60% TBSA on the chest, abdomen, or proximal upper and lower extremities requiring meshed autografts on these areas will receive SS5% as the initial topical moist dressing over the meshed autograft(s) placed at the initial graft procedure (Day 1). Sulfamylon® (mafenide acetate) For 5 % Topical Solution: Sulfamylon® For 5% Topical Solution is indicated for use as an adjunctive topical antimicrobial agent to control bacterial infection when used under moist dressings over meshed autografts on excised burn wounds. | 27 | 138 | 130 | 138 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Atrial Fibrillation | Cardiac disorders | Systematic Assessment |
| ||
| Bradycardia | Cardiac disorders | Systematic Assessment |
| ||
| Cardiac Arrest | Cardiac disorders | Systematic Assessment |
| ||
| Tachycardia | Cardiac disorders | Systematic Assessment |
| ||
| Gastrointestinal Necrosis | Gastrointestinal disorders | Systematic Assessment |
| ||
| Multi-organ Failure | General disorders | Systematic Assessment |
| ||
| Pneumonia | Infections and infestations | Systematic Assessment |
| ||
| Sepsis | Infections and infestations | Systematic Assessment |
| ||
| Renal Failure | Renal and urinary disorders | Systematic Assessment |
| ||
| Renal Failure - acute | Renal and urinary disorders | Systematic Assessment |
| ||
| Hypoxia | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
| ||
| Pulmonary Embolism | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
| ||
| Respiratory Acidosis | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
| ||
| Respiratory Failure | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
| ||
| Deep Vein Thrombosis | Vascular disorders | Systematic Assessment |
| ||
| Hypotension | Vascular disorders | Systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Anaemia | Blood and lymphatic system disorders | Systematic Assessment |
| ||
| Coagulopathy | Blood and lymphatic system disorders | Systematic Assessment |
| ||
| Leukocytosis | Blood and lymphatic system disorders | Systematic Assessment |
| ||
| Thrombocythaemia | Blood and lymphatic system disorders | Systematic Assessment |
| ||
| Thrombocytopenia | Blood and lymphatic system disorders | Systematic Assessment |
| ||
| Atrial Fibrillation | Cardiac disorders | Systematic Assessment |
| ||
| Tachycardia | Cardiac disorders | Systematic Assessment |
| ||
| Constipation | Gastrointestinal disorders | Systematic Assessment |
| ||
| Diarrhea | Gastrointestinal disorders | Systematic Assessment |
| ||
| Nausea | Gastrointestinal disorders | Systematic Assessment |
| ||
| Vomiting | Gastrointestinal disorders | Systematic Assessment |
| ||
| Pyrexia | General disorders | Systematic Assessment |
| ||
| Bacteraemia | Infections and infestations | Systematic Assessment |
| ||
| Cellulitis | Infections and infestations | Systematic Assessment |
| ||
| Pneumonia | Infections and infestations | Systematic Assessment |
| ||
| Sepsis | Infections and infestations | Systematic Assessment |
| ||
| Urinary Tract Infection | Infections and infestations | Systematic Assessment |
| ||
| Procedural Hypotension | Injury, poisoning and procedural complications | Systematic Assessment |
| ||
| Procedural Pain | Injury, poisoning and procedural complications | Systematic Assessment |
| ||
| Culture Wound Positive | Investigations | Systematic Assessment |
| ||
| Hyperglycemia | Metabolism and nutrition disorders | Systematic Assessment |
| ||
| Hypernatraemia | Metabolism and nutrition disorders | Systematic Assessment |
| ||
| Hypocalcaemia | Metabolism and nutrition disorders | Systematic Assessment |
| ||
| Hypoglycaemia | Metabolism and nutrition disorders | Systematic Assessment |
| ||
| Hypokalaemia | Metabolism and nutrition disorders | Systematic Assessment |
| ||
| Hypomagnesaemia | Metabolism and nutrition disorders | Systematic Assessment |
| ||
| Hyponatraemia | Metabolism and nutrition disorders | Systematic Assessment |
| ||
| Hypophosphataemia | Metabolism and nutrition disorders | Systematic Assessment |
| ||
| Malnutrition | Metabolism and nutrition disorders | Systematic Assessment |
| ||
| Agitation | Psychiatric disorders | Systematic Assessment |
| ||
| Anxiety | Psychiatric disorders | Systematic Assessment |
| ||
| Depression | Psychiatric disorders | Systematic Assessment |
| ||
| Insomnia | Psychiatric disorders | Systematic Assessment |
| ||
| Renal Failure | Renal and urinary disorders | Systematic Assessment |
| ||
| Renal Failure-acute | Renal and urinary disorders | Systematic Assessment |
| ||
| Respiratory Failure | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
| ||
| Pruritus | Skin and subcutaneous tissue disorders | Systematic Assessment |
| ||
| Deep Vein Thrombosis | Vascular disorders | Systematic Assessment |
| ||
| Hypertension | Vascular disorders | Systematic Assessment |
| ||
| Hypotension | Vascular disorders | Systematic Assessment |
|
The study was terminated on 17 June 2013 due to the recommendation and request by the FDA to design a superiority clinical study to satisfy the sponsor's post marketing study commitment for SS5%.
The Principal Investigator shall provide Sponsor with (i) a copy of the papers prepared for publication by him or her as soon as possible, but in any event not less than sixty (60) days prior to their submission to a scientific journal or other publication; or (ii) a reasonably detailed summary or abstract of any oral presentation not less than forty-five (45) days prior to their submission or presentation. Sponsor may comment and remove any confidential information as needed.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Eric Davis, M.D. | Mylan Pharmaceuticals Inc. | 304.554.6503 | eric.davis@mylan.com |
| ID | Term |
|---|---|
| D002056 | Burns |
| ID | Term |
|---|---|
| D014947 | Wounds and Injuries |
Not provided
Not provided
| ID | Term |
|---|---|
| D008272 | Mafenide |
| D012996 | Solutions |
| D000890 | Anti-Infective Agents |
| D001414 | Bacitracin |
| D000666 | Amphotericin B |
| ID | Term |
|---|---|
| D000096926 | Benzenesulfonamides |
| D013449 | Sulfonamides |
| D000577 | Amides |
| D009930 | Organic Chemicals |
| D001555 | Benzene Derivatives |
| D006841 | Hydrocarbons, Aromatic |
| D006844 | Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| D013450 | Sulfones |
| D013457 | Sulfur Compounds |
| D004364 | Pharmaceutical Preparations |
| D045506 | Therapeutic Uses |
| D020228 | Pharmacologic Actions |
| D020164 | Chemical Actions and Uses |
| D010456 | Peptides, Cyclic |
| D047028 | Macrocyclic Compounds |
| D011083 | Polycyclic Compounds |
| D010455 | Peptides |
| D000602 | Amino Acids, Peptides, and Proteins |
| D018942 | Macrolides |
| D061065 | Polyketides |
| D007783 | Lactones |
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| >= 18 years |
|
| Male |
|
|
|
|
|
|
|
| Units | Counts |
|---|---|
| Participants |
|
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|
|