| Primary | Intra-individual Difference in Time to Wound Closure | Intra-individual difference in time to wound closure between wound halves, either treated with Oleogel-S10 and non-adhesive wound dressing or treated with non-adhesive wound dressing only. Independent experts were blind to treatment and assessed efficacy based on chronological series of cropped and coded photographs by wound half that were taken before start of treatment, during wound dressing changes and at the end of treatment. Difference in time to wound closure was calculated for every individual participant as [time taken for wound half treated with Oleogel-S10 to close] - [time taken for wound half treated with non-adhesive wound dressing to close], i.e., results below 0 indicate earlier wound closure of Oleogel-S10 treatment. The overall mean difference in time to wound closure was calculated based on all mean differences in time to wound closure of individual participants. Hence, primary outcome data derived from mean difference in time to wound closure by participant. | The intent-to-treat (ITT) analysis population included all participants who were treated at least once with study medication, i.e. who received any dose of Oleogel-S10. | Posted | | Mean | 95% Confidence Interval | days | | up to 4 weeks | | | | ID | Title | Description |
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| OG000 | Entire Study Population | All patients treated with Oleogel-S10 plus non-adhesive wound dressing and with non-adhesive wound dressing only. |
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| | Group IDs | Group Description | Statistical Method | Statistical Comment | P-Value | P-Value Comment | Parameter Type | Parameter Value | Dispersion Type | Dispersion Value | Confidence Interval Sides | Confidence Interval % | CI Lower Limit | CI Upper Limit | CI Lower Limit Comment | CI Upper Limit Comment | Estimate Comment | Tested Non-Inferiority | Non-Inferiority Type | Non-Inferiority Comment | Other Analysis Description |
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| All participants received both treatments and treatments were intra-individually compared. Hypotheses tested: H0: δ = 0 and H1: δ ≠0 with δ being the difference in time to wound closure between treatments. Negative values for the intra-individual time difference indicate faster healing of the Oleogel-S10-treated wound half. For right-censored observations (no wound closure observed in blinded photo evaluation), wound closure was conservatively calculated as +1 day after the last photo. | t-test, 2 sided | | <0.0001 | 2-sided, significance level = 0.05 | | | | | | | | | | | | | Superiority or Other | |
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| Secondary | Time From Surgery Until Wound Closure is Achieved | Time from surgery until wound closure is achieved, separately for wound halves treated with Oleogel-S10 and non-adhesive wound dressing vs. non-adhesive wound dressing only. While outcome measure 1 (intra-individual difference in time to wound closure) was calculated based on mean intra-individual difference in time to wound closure in 107 participants with missing values replaced by a value of 0, for outcome measure 2 missing values were not replaced. For 5 of the 107 wounds data were missing, thus the reported values are calculated from 102 STSG donor site wound halves by intervention (Oleogel-S10 and non-adhesive wound dressing vs. non-adhesive wound dressing only). | The intent-to-treat (ITT) analysis population included all participants who were treated at least once with study medication, i.e. who received any dose of Oleogel-S10 and who had signed an informed consent form. For 5 of the 107 wounds, data were missing, thus the reported values are calculated from 102 STSG donor site wound halves by intervention | Posted | | Mean | 95% Confidence Interval | Days from surgery until wound closure | | up to 4 weeks | Number of STSG wound (halves) analyzed | Number of STSG wound (halves) analyzed | | ID | Title | Description |
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| OG000 | Oleogel-S10, Non-adhesive Wound Dressing | A split-thickness skin graft (STSG) donor site wound >15cm2 in size was divided in 2 halves. One half was randomized to Oleogel-S10 treatment and non-adhesive wound dressing (intra-individual comparison). Oleogel-S10 was administered (1 cm or 100 mg per cm2 wound area corresponding to thickness of about 1 mm or 0.04 inches) every 3 to 4 days until 95% epithelialization of the wound or end of treatment at Day 28. Oleogel-S10, non-adhesive wound dressing: 1 cm or 100 mg Oleogel-S10 per cm2 wound area (corresponds to thickness of approximately 1 mm or 0.04 inches) every 3 to 4 days until 95% epithelialization of the wound or end of treatment at Day 28. |
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| Secondary | Percentage of Participants With Earlier Healing | Percentage of participants with earlier healing of wound area treated with Oleogel-S10 and non-adhesive wound dressing compared to non-adhesive wound dressing only | The intent-to-treat (ITT) analysis population included all participants who were treated at least once with study medication, i.e. who received any dose of Oleogel-S10 and who had signed an informed consent form. | Posted | | Number | 95% Confidence Interval | Percentage with earlier healing | | up to 4 weeks | | | | ID | Title | Description |
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| OG000 | Oleogel-S10, Non-adhesive Wound Dressing | A split-thickness skin graft (STSG) donor site wound >15cm2 in size was divided in 2 halves. One half was randomized to Oleogel-S10 treatment and non-adhesive wound dressing (intra-individual comparison). Oleogel-S10 was administered (1 cm or 100 mg per cm2 wound area corresponding to thickness of about 1 mm or 0.04 inches) every 3 to 4 days until 95% epithelialization of the wound or end of treatment at Day 28. Oleogel-S10, non-adhesive wound dressing: 1 cm or 100 mg Oleogel-S10 per cm2 wound area (corresponds to thickness of approximately 1 mm or 0.04 inches) every 3 to 4 days until 95% epithelialization of the wound or end of treatment at Day 28. | | OG001 | Non-adhesive Wound Dressing Only | A STSG donor site wound >15cm2 in size was divided in 2 halves. One half was randomized to treatment with non-adhesive wound dressing only (intra-individual comparison). Non-adhesive wound Dressings are Standard of care (SOC) in the Treatment of STSG donor sites. Wound Dressings were changed every 3 to 4 days until 95% epithelialization of the wound or end of treatment at Day 28. Non-adhesive wound dressing only: Soft silicone faced polyurethane foam dressing such as Mepilex® only every 3 to 4 days until 95% epithelialization of the wound or end of treatment at Day 28. |
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| Secondary | Percentage of Participants With Wound Closure at Different Time Points | For separate time points (Day 7, Day 10, Day 14, Day 18, Day 21, and Day 28), the frequencies of wound areas which have reached wound closure were calculated. | The intent-to-treat (ITT) analysis population included all participants who were treated at least once with study medication, i.e. who received any dose of Oleogel-S10 and who had signed an informed consent form. Data were missing for n=5 participants at all time points. | Posted | | Number | 95% Confidence Interval | Percentage with wound closure | | up to 4 weeks | | | | ID | Title | Description |
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| OG000 | Oleogel-S10, Non-adhesive Wound Dressing | A split-thickness skin graft (STSG) donor site wound >15cm2 in size was divided in 2 halves. One half was randomized to Oleogel-S10 treatment and non-adhesive wound dressing (intra-individual comparison). Oleogel-S10 was administered (1 cm or 100 mg per cm2 wound area corresponding to thickness of about 1 mm or 0.04 inches) every 3 to 4 days until 95% epithelialization of the wound or end of treatment at Day 28. Oleogel-S10, non-adhesive wound dressing: 1 cm or 100 mg Oleogel-S10 per cm2 wound area (corresponds to thickness of approximately 1 mm or 0.04 inches) every 3 to 4 days until 95% epithelialization of the wound or end of treatment at Day 28. | | OG001 | Non-adhesive Wound Dressing Only | A STSG donor site wound >15cm2 in size was divided in 2 halves. One half was randomized to treatment with non-adhesive wound dressing only (intra-individual comparison). Non-adhesive wound Dressings are Standard of care (SOC) in the Treatment of STSG donor sites. Wound Dressings were changed every 3 to 4 days until 95% epithelialization of the wound or end of treatment at Day 28. Non-adhesive wound dressing only: Soft silicone faced polyurethane foam dressing such as Mepilex® only every 3 to 4 days until 95% epithelialization of the wound or end of treatment at Day 28. |
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| Secondary | Percentage of Wound Epithelialization at Different Time Points as Assessed by the Investigator | A study team member assessed the progress of wound healing by treatment regimen and noted the degree of epithelialization (expressed in percent of the original wound size) at wound dressing changes on Day 7, Day 10, Day 14, Day 18, Day 21, and Day 28. | The intent-to-treat (ITT) analysis population included all participants who were treated at least once with study medication, i.e. who received any dose of Oleogel-S10 and who had signed an informed consent form. Data were missing for n=1 participant at all time points. | Posted | | Mean | 95% Confidence Interval | Area Percent of initial wound size | | up to 4 weeks | | | | ID | Title | Description |
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| OG000 | Oleogel-S10, Non-adhesive Wound Dressing | A split-thickness skin graft (STSG) donor site wound >15cm2 in size was divided in 2 halves. One half was randomized to Oleogel-S10 treatment and non-adhesive wound dressing (intra-individual comparison). Oleogel-S10 was administered (1 cm or 100 mg per cm2 wound area corresponding to thickness of about 1 mm or 0.04 inches) every 3 to 4 days until 95% epithelialization of the wound or end of treatment at Day 28. Oleogel-S10, non-adhesive wound dressing: 1 cm or 100 mg Oleogel-S10 per cm2 wound area (corresponds to thickness of approximately 1 mm or 0.04 inches) every 3 to 4 days until 95% epithelialization of the wound or end of treatment at Day 28. | | OG001 | Non-adhesive Wound Dressing Only | |
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| Secondary | Likert Scale Rating of Efficacy | Participants and investigators were asked to grade the efficacy of Oleogel-S10 and non-adhesive wound dressing versus non-adhesive wound dressing only on a 5-point Likert scale (treatment with Oleogel-S10 is much more effective, treatment with Oleogel-S10 is more effective, both treatments have the same efficacy, non-adhesive wound dressing only is more effective, non-adhesive wound dressing only is much more effective). | The intent-to-treat (ITT) analysis population included all participants who were treated at least once with study medication, i.e. who received any dose of Oleogel-S10 and who had signed an informed consent form. | Posted | | Number | 95% Confidence Interval | Percentage of efficacy asssessments | | up to 4 weeks | | | | ID | Title | Description |
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| OG000 | Investigator Asssessment Day 7 | Efficacy as assessed by investigator at Day 7 | | OG001 | Investigator Assessment Day 14 | Efficacy as assessed by investigator at Day 14 | | OG002 | Investigator Assessment Day 21 | Efficacy as assessed by investigator at Day 21 | | OG003 |
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| Secondary | Cosmetic Outcome at 3 and 12 Months After Surgery, Respectively | Blinded photographic evaluation which wound half resembles more closely the surrounding skin with regard to texture, redness, growth of hair, and pigmentation. | The intent-to-treat (ITT) analysis population included 87 participants for the 3-months follow-up and 83 participants for the 12-months follow-up. | Posted | | Number | 95% Confidence Interval | Percentage of wounds | | 3 months and 12 months | | | | ID | Title | Description |
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| OG000 | Texture at 3 Months Follow-up | Evaluation of cosmetic outcome with regard to texture at 3 months follow-up | | OG001 | Hair Growth at 3 Months Follow-up | Evaluation of cosmetic outcome with regard to hair growth at 3 months follow-up | | OG002 | Pigmentation at 3 Months Follow-up | Evaluation of cosmetic outcome with regard to pigmentation at 3 months follow-up | | OG003 | Redness at 3 Months Follow-up | Evaluation of cosmetic outcome with regard to redness at 3 months follow-up |
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| Secondary | Likert Scale Rating of Tolerability | Participants and investigators were asked to evaluate the tolerability of Oleogel-S10 and non-adhesive wound dressing versus non-adhesive wound dressing only (standard of care) on a 5-point Likert scale (treatment with Oleogel-S10 is much better tolerated, treatment with Oleogel-S10 is better tolerated, both treatments are equally well tolerated, standard of care is better tolerated, standard of care is much better tolerated). | The safety analysis population (SAF) included all participants who received treatment at least once, i.e. who received any dose of Oleogel-S10 or standard of care (SOC). If the application of any treatment was uncertain, the participant was included in the SAF. | Posted | | Number | | Percentage of participants | | up to 4 weeks | | | | ID | Title | Description |
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| OG000 | Investigator Asssessment Day 7 | Tolerability as assessed by investigator at Day 7 | | OG001 | Investigator Assessment Day 14 | Tolerability as assessed by investigator at Day 14 | | OG002 | Investigator Assessment Day 21 | Tolerability as assessed by investigator at Day 21 | | OG003 |
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| Secondary | Pharmacokinetic (PK) Data (Number of Plasma Samples With Measurable Betulin Concentration) | Systemic presence/concentration of betulin in blood plasma samples. Plasma samples were collected in weekly intervals and at the end of treatment (when wound closure was achieved or at Day 28). Samples were analysed in a central laboratory with a validated LC-MS/MS method with a lower limit of quantification (LLOQ) of 1 ng/mL. | The safety analysis population included all participants who received treatment at least once, i.e. who received any dose of Oleogel-S10 or standard of care (SOC). If the application of any treatment was uncertain, the participant was included in the SAF. | Posted | | Number | | Plasma Samples | | up to 4 weeks | Plasma Samples | Plasma Samples | | ID | Title | Description |
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| OG000 | Day 0 (Pre-dose) | Plasma samples collected at the day of STSG surgery prior to first treatment with study medication | | OG001 | Treatment Period | Plasma samples collected at Day 7, Day 14, Day 21 or at end of treatment (day of wound closure or Day 28) |
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| Secondary | Pharmacokinetic (PK) Data (Plasma Betulin Concentration) | Systemic presence/concentration of betulin in blood plasma samples - values for the number of samples with measurable values in samples above the lower limit of quantification (LLOQ) of 1 ng/mL | A total of 5 participants had a total of 5 samples with betulin concentrations above the LLOQ (1 ng/mL) | Posted | | Mean | Full Range | Betulin (ng/mL) | | up to 4 weeks | Samples above LLOQ | Samples above LLOQ | | ID | Title | Description |
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| OG000 | Day 0 (Pre-dose) | Plasma samples collected at the day of STSG surgery prior to first treatment with study medication | | OG001 | Treatment Period | Plasma samples collected at Day 7, Day 14, Day 21 or at end of treatment (day of wound closure or Day 28) |
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| Secondary | Frequency of Adverse Events | | The safety analysis population included all participants who received treatment at least once, i.e. who received any dose of Oleogel-S10 or standard of care (SOC). If the application of any treatment was uncertain, the participant was included in the SAF. | Posted | | Number | | Participants with adverse events (%) | | Day 0 (start of treatment) until end of treatment (Day 28 or earlier if full wound closure was achieved earlier). | | | | ID | Title | Description |
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| OG000 | Entire Study Population | All participants who were randomized and treated with Oleogel-S10 and non-adhesive wound dressing and/or non-adhesive wound dressing only. |
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| Secondary | Severity of Adverse Events | Adverse Events were graded according to the National Cancer Institute (NCI) Common Toxicity Criteria for Adverse Events (CTCAE) as being mild (NCI CTCAE Grade 1), moderate (NCI CTCAE Grade 2), severe (NCI CTCAE Grade 3), life-threatening (NCI CTCAE Grade 4) or death (NCI CTCAE Grade 5). | The safety analysis population included all participants who received treatment at least once, i.e. who received any dose of Oleogel-S10 or standard of care (SOC). If the application of any treatment was uncertain, the participant was included in the SAF. | Posted | | Number | | Participants with adverse events (%) | | Day 0 (start of treatment) until end of treatment (Day 28 or earlier if full wound closure was achieved earlier). | | | | ID | Title | Description |
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| OG000 | Entire Study Population | All participants who were randomized and treated with Oleogel-S10 and non-adhesive wound dressing and/or non-adhesive wound dressing only. |
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| Secondary | Adverse Events by Relationship to Study Medication | Adverse events were assessed as being 'unlikely', 'possibly' or 'probably' related to study medication, 'not related' to study medication or the relationship to study medication was rated as 'unknown'. | The safety analysis population included all participants who received treatment at least once, i.e. who received any dose of Oleogel-S10 or standard of care (SOC). If the application of any treatment was uncertain, the participant was included in the SAF. | Posted | | Number | | Participants with adverse events (%) | | Day 0 (start of treatment) until end of treatment (Day 28 or earlier if full wound closure was achieved earlier). | | | | ID | Title | Description |
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| OG000 | Entire Study Population | All participants who were randomized and treated with Oleogel-S10 and non-adhesive wound dressing and/or non-adhesive wound dressing only. |
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