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The purpose of this study is to evaluate the performance of Atlas (new base plate) on the degree of leakage under the base plate compared to SenSura and Conform 2. Our hypothesis is that Atlas will do better than the two comparator products.
Peristomal skin problems are reported to have a negative impact on the quality of life of people with a stoma and cause one third of all visits to a stoma care nurse. Stoma effluent in contact with the peristomal skin (leakage) appears to predispose patients to peristomal skin problems. To protect the skin against effluent, the appliance used for collection of stoma effluent should completely cover the peristomal skin close to the stoma. Coloplast has developed a new base plate (SSH) to improve security and increase comfort by minimizing leakage (seeping under the base plate) risk and thereby also the leakage related peristomal skin problems.
The purpose with this clinical study is to evaluate the effect of the new base plate on the degree of leakage under the base plate compared to two existing base plates on the market.
The study is a randomised controlled cross-over intervention study, where all study participants will test all three test products (SSH, Conform 2 and Sensura). Each test period will last 14 days. If 4 changes of base plates is not obtained during the 14 days, the test period will be prolonged until 4 base plate changes is obtained. However, the max test period of one type of product is 21 days. The participants will visit the study investigator at study start and at every shift to a new type of test product. At these visits they will answer questions about the tested product, have a peristomal skin examination and be instructed in how to use the next test products for the next treatment period. Evaluation of leakage and handling will occur via questionnaires the participants take home.
80 healthy participants with an ileostomy will be included in the study.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| New ostomy appliance (Atlas) | Active Comparator | Atlas= new base plate. Due to company confidentiality the product is just called Atlas and this is not short for any other names |
|
| SenSura | Active Comparator | Commercially available ostomy appliance |
|
| Conform 2 | Active Comparator | Commercially available ostomy appliance |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Atlas | Device | Altas base plates are tested for 14 days (minimum 4 base plates) and the degree of leakage under the baseplate is measured and compared to two other types of base plates. |
| Measure | Description | Time Frame |
|---|---|---|
| Leakage Under the Base Plate | Area of leakage under the base plate is recorded on a circular scale going from 0 fields to 24 fields where 0 is "no leakage" and 24 is "complete leakage" under the base plate. | At every change of base plate |
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Inclusion Criteria:
Have given written Informed Consent
Are at least 18 years old
Had their ileostomy for minimum 3 months with a size between 20-40 mm
Have mental capacity to understand study guidelines and questionnaires
Are capable to changing base plate and pouches without help. The help of a caregiver is accepted.
Experience leakage under the base plate at least one a week
Are currently using a flat 2-piece base plate with mechanical coupling
Have been evaluated by investigator (i.e. a health care professional) to have a stoma and peristomal skin condition that is acceptable for entering the study
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Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Lis H Poulsen, MD | Coloplast A/S | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Herlev Hospital | Herlev | 2730 | Denmark |
41 subjects were enrolled, however 6 subjects did not comply with the inclusion and exclusion criteria. Four of these were terminated before testing any products. Whereas two subjects were included in the safety population as the inclusion criteria violation was first discovered after they tested a product.
Subjects were recruited from a user database in Denmark.
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| ID | Title | Description |
|---|---|---|
| FG000 | Atlas | New base plate All subjects tested this test product in one period during the study. No parcipitants recieved the same study intervention more than once |
| FG001 | SenSura | Commercially available base plate All subjects tested this test product in one period during the study. No parcipitants recieved the same study intervention more than once |
| FG002 | Conform2 | Commercially available base plate All subjects tested this test product in one period during the study. No parcipitants recieved the same study intervention more than once |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| First Period (14 +/- 3 Days) |
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| Second Period (14 +/- 3 Days) |
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| Third Period (14 +/- 3 Days) |
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2 subjects were excluded from the ITT and PP population, and therefore not included in the baseline measurements
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| ID | Title | Description |
|---|---|---|
| BG000 | All Study Parcipitants | All parcipitants recieved all three intervention and they are therefore combined into one group. |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age Continuous | Mean |
| 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 | Leakage Under the Base Plate | Area of leakage under the base plate is recorded on a circular scale going from 0 fields to 24 fields where 0 is "no leakage" and 24 is "complete leakage" under the base plate. | ITT | Posted | Mean | Standard Deviation | units on a scale | At every change of base plate |
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Adverse event data was collected from inclusion to the end of the three test periods (~43 days).
The safety population contained 37 subjects, whereof two subjects were excluded from the ITT population due to inclusion criteria violation and did not try any test products.
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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 | Atlas | new base plate |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Volvulus | Gastrointestinal disorders | Non-systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| skin irritation | Skin and subcutaneous tissue disorders | Non-systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Dr. Lis Hentze Poulsen | Coloplast A/S | 4549111111 | dklhp@coloplast.com |
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| SenSura | Device | SenSura base plates are tested for 14 days (minimum 4 base plates) and the degree of leakage under the baseplate is measured and compared to two other types of base plates. |
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| Conform 2 | Device | Conform 2 base plates are tested for 14 days (minimum 4 base plates) and the degree of leakage under the baseplate is measured and compared to two other types of base plates. |
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| years |
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| Sex: Female, Male | Count of Participants | Participants |
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base plate
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| 2 |
| 35 |
| 6 |
| 35 |
| EG001 | SenSura | base plate | 0 | 33 | 1 | 33 |
| EG002 | Conform2 | base plate | 0 | 34 | 6 | 34 |
| faeces leakage under base plate | Gastrointestinal disorders | Non-systematic Assessment |
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