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| Name | Class |
|---|---|
| Nutrasource Pharmaceutical and Nutraceutical Services, Inc. | NETWORK |
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The goal of this study is to see how an ingredient called kynurenic acid (which we named "FS2") affects scar formation in people with burn injuries that need skin graft surgery. A cream with FS2 will be used on both the area where the skin graft was placed and the area where the skin was taken (donor site). The cream will be applied after the skin has healed. This study will help us understand if FS2 is safe and effective for mitigating skin scar formation in burn patients.
For the first 90 days of the study, neither the patient nor the investigator will know which cream is being used: either the control cream (IP1) or the treatment cream (IP2), which contains 0.5% FS2. The assigned study product will be applied to the donor site and the skin graft site. After the first 90 days, all patients will use the FS2 cream for another 90 days in an open-label period where everyone knows they are receiving FS2.
The graft and donor sites will be photographed and assessed (POSAS and VSS), scored and recorded at the initial visit and again at every assessment visit thereafter.
An interim analysis will take place when about half of the participants (36 people) have finished their Day 90 visit. Based on the results, the study may continue as planned with the two-treatment, blinded design, or it may switch to an open-label format where all patients (those already in the study or newly enrolled) will use the FS2 cream.
Oversight - Human Subjects Protection Review section continued:
Site #02 (Edmonton) Approval Number: Pro00151882 Board Name: HREB - Biomedical Panel Board Affiliation: HREB - University of Alberta Board Contact Information: 780-492-8320 (Phone), vnadeau@ualberta.ca (Email)
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Skin Grafted wound | Experimental | The wound site (injury) |
|
| Donor Skin Graft Harvest wound | Experimental | A Surgical wound |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| IP1 control cream (Vehicle base) | Drug | Without FS2 |
|
| Measure | Description | Time Frame |
|---|---|---|
| Scar condition of the skin grafted wound on Day 90 as assessed by VSS | To evaluate the effect of 90-day FS2 cream use, compared to control, on clinician-assessed scar condition assessed by Vancouver Scar Scale (VSS) at the skin grafted wound (Study Arm 1) | 90 days |
| Measure | Description | Time Frame |
|---|---|---|
| Scar condition of the donor skin graft harvest site on Day 90 as assessed by VSS | To evaluate the effect of 90-day FS2 cream use, compared to control, on clinician-assessed scar condition assessed by VSS at the donor skin graft harvest site (Study Arm 2) | 90 days |
| Scar condition of the skin graft wound on Day 28 and Day 60 as assessed by VSS |
| Measure | Description | Time Frame |
|---|---|---|
| Scar size(cm2) at the skin grafted wound on Day 28, Day 60 and Day 90 as assessed by photographs | To evaluate the effect of 28-, 60-, and 90-day FS2 cream use, compared to control, on wound scarring from: skin grafted wound (Study Arm 1) | Day 28, Day 60 and Day 90 |
| Scar height(cm) at the skin grafted wound on Day 28, Day 60 and Day 90 as assessed by photographs |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Adam Kuttenkeuler | Contact | +1519-341-3367 | 113 | akuttenkeuler@nutrasource.ca |
| Stephanie Recker | Contact | 1-887-557-7722 | srecker@nutrasource.ca |
| Name | Affiliation | Role |
|---|---|---|
| Carlos Camozzi, MD, PHD | BirchBioMed Inc. | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Alberta, Division of Plastic Surgery | Recruiting | Edmonton | Alberta | T6G 2B7 | Canada |
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| ID | Term |
|---|---|
| D002056 | Burns |
| D002921 | Cicatrix |
| ID | Term |
|---|---|
| D014947 | Wounds and Injuries |
| D005355 | Fibrosis |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D051550 | I-kappa B Kinase |
| ID | Term |
|---|---|
| D017346 | Protein Serine-Threonine Kinases |
| D011494 | Protein Kinases |
| D017853 | Phosphotransferases (Alcohol Group Acceptor) |
| D010770 | Phosphotransferases |
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Two-arm, parallel, vehicle-controlled, Randomized, Double-blinded
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| IP2 - 0.5% w/w FS2 | Drug | FS2 in pharmaceutical compounding base |
|
To evaluate the effect of 28- and 60-day FS2 cream use, compared to control, on clinician-assessed scar condition assessed by VSS at: skin grafted wound (Study Arm 1) |
| Day 28 and Day 60 |
| Scar condition of the donor skin graft harvest site on Day 28 and Day 60 as assessed by VSS | To evaluate the effect of 28- and 60-day FS2 cream use, compared to control, on clinician-assessed scar condition assessed by VSS at: donor skin graft harvest site (Study Arm 2) | Day 28 and Day 60 |
| Scar condition of the skin grafted wound on Day 28, Day 60, and Day 90 as assessed by the Observer component of POSAS | To evaluate the effect of 28-, 60- and 90-day FS2 cream use, compared to control, on clinician-assessed scar condition assessed by the Observer component of Patient and Observer Scar Assessment Scale (POSAS) at skin grafted wound (Study Arm 1) | Day 28, Day 60 and Day 90 |
| Scar condition of the donor skin graft harvest site on Day 28, Day 60, and Day 90 as assessed by the Observer component of POSAS | To evaluate the effect of 28-, 60- and 90-day FS2 cream use, compared to control, on clinician-assessed scar condition assessed by (POSAS) at: donor skin graft harvest site (Study Arm 2) | Day 28, Day 60 and Day 90 |
| Scar condition of the skin grafted wound on Day 28, Day 60, and Day 90 as assessed by the Patient component of POSAS | To evaluate the effect of 28-, 60- and 90-day FS2 cream use, compared to control, on patient-reported scar condition at: skin grafted wound (Study Arm 1) | Day 28, Day 60 and Day 90 |
| Scar condition of the donor skin graft harvest site on Day 28, Day 60, and Day 90 as assessed by the Patient component of POSAS | To evaluate the effect of 28-, 60- and 90-day FS2 cream use, compared to control, on patient-reported scar condition at: donor skin graft harvest site (Study Arm 2) | Day 28, Day 60 and Day 90 |
| Scar condition of the skin grafted wound on Day 120 and Day 180 as assessed by the Observer component of POSAS | To evaluate the effect of 30- and 90-day FS2 cream use, starting 90 days after skin grafted wound's complete re-epithelization, on clinician-assessed scar condition at: skin grafted wound (Study Arm 1) - POSAS | Day 120 and Day 180 |
| Scar condition of the donor skin graft harvest site on Day 120 and Day 180 as assessed by the Observer component of POSAS | To evaluate the effect of 30- and 90-day FS2 cream use, starting 90 days after skin grafted wound's complete re-epithelization, on clinician-assessed scar condition at: donor skin graft harvest site (Study Arm 2) - POSAS | Day 120 and Day 180 |
| Scar condition of the skin grafted wound on Day 120 and Day 180 as assessed by VSS | To evaluate the effect of 30- and 90-day FS2 cream use, starting 90 days after skin grafted wound's complete re-epithelization, on clinician-assessed scar condition at: skin grafted wound (Study Arm 1) - VSS | Day 120 and Day 180 |
| Scar condition of the donor skin graft harvest site on Day 120 and Day 180 as assessed by VSS | To evaluate the effect of 30- and 90-day FS2 cream use, starting 90 days after skin grafted wound's complete re-epithelization, on clinician-assessed scar condition at: donor skin graft harvest site (Study Arm 2) - VSS | Day 120 and Day 180 |
| Scar condition of the skin grafted wound on Day 120 and Day 180 as assessed by the Patient component of POSAS | To evaluate the effect of 30- and 90-day FS2 cream use, starting 90 days after skin grafted wound's complete re-epithelization, on patient-reported scar condition at: skin grafted wound (Study Arm 1) -POSAS | Day 120 and Day 180 |
| Scar condition of the donor skin graft harvest site on Day 120 and Day 180 as assessed by the Patient component of POSAS | To evaluate the effect of 30- and 90-day FS2 cream use, starting 90 days after skin grafted wound's complete re-epithelization, on patient-reported scar condition at: donor skin graft harvest site (Study Arm 2) - POSAS | Day 120 and Day 180 |
| Scar condition of the skin grafted wound on Day 120 and Day 180 as assessed by the Observer component of POSAS | To evaluate the effect of 120- and 180-day FS2 cream use on clinician-assessed scar condition at: skin grafted wound (Study Arm 1) - POSAS | Day 120 and Day 180 |
| Scar condition of the donor skin graft harvest site on Day 120 and Day 180 as assessed by the Observer component of POSAS | To evaluate the effect of 120- and 180-day FS2 cream use on clinician-assessed scar condition at: donor skin graft harvest site (Study Arm 2) - POSAS | Day 120 and Day 180 |
| Scar condition of the skin grafted wound on Day 120 and Day 180 as assessed by VSS | To evaluate the effect of 120- and 180-day FS2 cream use on clinician-assessed scar condition at: skin grafted wound (Study Arm 1) - VSS | Day 120 and Day 180 |
| Scar condition of the donor skin graft harvest site on Day 120 and Day 180 as assessed by VSS | To evaluate the effect of 120- and 180-day FS2 cream use on clinician-assessed scar condition at: donor skin graft harvest site (Study Arm 2) - VSS | Day 120 and Day 180 |
| Scar condition of the skin grafted wound on Day 120 and Day 180 as assessed by the Patient component of POSAS | To evaluate the effect of 120- and 180-day FS2 cream use on patient-reported scar condition at: skin grafted wound (Study Arm 1) | Day 120 and Day 180 |
| Scar condition of the donor skin graft harvest site on Day 120 and Day 180 as assessed by the Patient component of POSAS | To evaluate the effect of 120- and 180-day FS2 cream use on patient-reported scar condition at: donor skin graft harvest site (Study Arm 2) | Day 120 and Day 180 |
| Quality of life on Day 28, Day 60, and Day 90 as assessed by the Burn Specific Health Scale-Brief (BSHS-B) | To evaluate the effect of 28-, 60- and 90-day FS2 cream use, compared to control, on burn injury-related quality of life | Day 28, Day 60 and Day 90 |
| Quality of life on Day 120 and Day 180 as assessed by BSHS-B | Quality of life on Day 120 and Day 180 as assessed by BSHS-B To evaluate the effect of 30- and 90-day FS2 cream use, starting 90 days after skin grafted wound's complete re-epithelization, on burn injury-related quality of life in those randomized to control for the first 90 days of study | Day 120 and Day 180 |
| Quality of life on Day 120 and Day 180 as assessed by BSHS-B | To evaluate the effect of 120- and 180-day FS2 cream use on burn injury-related quality of life in those randomized to FS2 cream for the first 90 days of study Quality of life on Day 120 and Day 180 as assessed by BSHS-B | Day 120 and Day 180 |
To evaluate the effect of 28-, 60-, and 90-day FS2 cream use, compared to control, on wound scarring from: skin grafted wound (Study Arm 1) |
| Day 28, Day 60 and Day 90 |
| Scar size(cm2) at the donor skin graft harvest site on Day 28, Day 60 and Day 90 as assessed by photographs | To evaluate the effect of 28-, 60-, and 90-day FS2 cream use, compared to control, on wound scarring from: donor skin graft harvest site (Study Arm 2) | Day 28, Day 60 and Day 90 |
| Scar height(cm) at the donor skin graft harvest site on Day 28, Day 60 and Day 90 as assessed by photographs | To evaluate the effect of 28-, 60-, and 90-day FS2 cream use, compared to control, on wound scarring from: donor skin graft harvest site (Study Arm 2) | Day 28, Day 60 and Day 90 |
| Scar size(cm2) at the skin grafted wound on Day 120 and Day 180 as assessed by photographs | To evaluate the effect of 120- and 180-day FS2 cream use on wound scarring from: skin grafted wound (Study Arm 1) | Day 120 and Day 180 |
| Scar height(cm) at the skin grafted wound on Day 120 and Day 180 as assessed by photographs | To evaluate the effect of 30- and 90-day FS2 cream use, starting 90 days after skin grafted wound's complete re-epithelization, on wound scarring from: skin grafted wound (Study Arm 1) | Day 120 and Day 180 |
| Scar size(cm2)at the donor skin graft harvest site on Day 120 and Day 180 as assessed by photographs | To evaluate the effect of 120- and 180-day FS2 cream use on wound scarring from: donor skin graft harvest site (Study Arm 2) | Day 120 and Day 180 |
| Scar height(cm) at the donor skin graft harvest site on Day 120 and Day 180 as assessed by photographs | To evaluate the effect of 30- and 90-day FS2 cream use, starting 90 days after skin grafted wound's complete re-epithelization, on wound scarring from: donor skin graft harvest site (Study Arm 2) | Day 120 and Day 180 |
| To evaluate the Safety of FS2 Cream - Adverse events | Report of Adverse Events | Day 0, Day 28, Day 60, Day 90 and Day 180 |
| To evaluate the safety of FS2 cream - Whole Blood Hemoglobin (g/dl) | Safety Laboratory Parameters - Hematology Parameters (Complete blood count) | Day 0, Day 28, Day 60, Day 90 and Day 180 |
| To evaluate the safety of FS2 cream - Hematocrit (%) | Safety Laboratory Parameters - Hematology Parameters (Complete blood count) | Day 0, Day 28, Day 60, Day 90 and Day 180 |
| To evaluate the safety of FS2 cream - Red Blood Cell Count | Safety Laboratory Parameters - Hematology Parameters (Complete blood count) | Day 0, Day 28, Day 60, Day 90 and Day 180 |
| To evaluate the safety of FS2 cream - Red Cell distribution Width | Safety Laboratory Parameters - Hematology Parameters (Complete blood count) | Day 0, Day 28, Day 60, Day 90 and Day 180 |
| To evaluate the safety of FS2 cream - Mean corpuscular Volume | Safety Laboratory Parameters - Hematology Parameters (Complete blood count) | Day 0, Day 28, Day 60, Day 90 and Day 180 |
| To evaluate the safety of FS2 cream - Mean corpuscular Hemoglobin | Safety Laboratory Parameters - Hematology Parameters (Complete blood count) | Day 0, Day 28, Day 60, Day 90 and Day 180 |
| To evaluate the safety of FS2 cream - Mean corpuscular Hemoglobin Concentration | Safety Laboratory Parameters - Hematology Parameters (Complete blood count) | Day 0, Day 28, Day 60, Day 90 and Day 180 |
| To evaluate the safety of FS2 cream - White Blood Cell Count and Differential | Safety Laboratory Parameters - Hematology Parameters (Complete blood count) | Day 0, Day 28, Day 60, Day 90 and Day 180 |
| To evaluate the safety of FS2 cream - Platelet Count | Safety Laboratory Parameters - Hematology Parameters (Complete blood count) | Day 0, Day 28, Day 60, Day 90 and Day 180 |
| To evaluate the safety of FS2 cream - Mean Platelet Volume | Safety Laboratory Parameters - Hematology Parameters (Complete blood count) | Day 0, Day 28, Day 60, Day 90 and Day 180 |
| To evaluate the safety of FS2 cream - AST | Safety Laboratory parameters: Clinical Chemical Parameters | Day 0, Day 28, Day 60, Day 90 and Day 180 |
| To evaluate the safety of FS2 cream - ALT | Safety laboratory parameters: Clinical chemistry parameters: | Day 0, Day 28, Day 60, Day 90 and Day 180 |
| To evaluate the safety of FS2 cream - GGT | To evaluate the safety of FS2 cream Safety laboratory parameters: Clinical chemistry parameters. | Day 0, Day 28, Day 60, Day 90 and Day 180 |
| To evaluate the safety of FS2 cream - Alkaline Phosphate | Safety laboratory parameters: Clinical chemistry parameters | Day 0, Day 28, Day 60, Day 90 and Day 180 |
| To evaluate the safety of FS2 cream - Creatinine | Safety laboratory parameters Clinical chemistry parameters. | Day 0, Day 28, Day 60, Day 90 and Day 180 |
| To evaluate the safety of FS2 cream - BUN | To evaluate the safety of FS2 cream Safety laboratory parameters: Clinical chemistry parameters. | Day 0, Day 28, Day 60, Day 90 and Day 180 |
| To evaluate the safety of FS2 cream - Bilirubin Total | Safety laboratory parameters: Clinical chemistry parameters. | Day 0, Day 28, Day 60, Day 90 and Day 180 |
| To evaluate the safety of FS2 cream - Bilirubin Direct | Safety laboratory parameters: Clinical chemistry parameter. | Day 0, Day 28, Day 60, Day 90 and Day 180 |
| Centre for Burn Research - Hamilton Health Sciences | Recruiting | Hamilton | Ontario | L8L 2X2 | Canada |
|
| D014166 | Transferases |
| D004798 | Enzymes |
| D045762 | Enzymes and Coenzymes |
| D047908 | Intracellular Signaling Peptides and Proteins |
| D011506 | Proteins |
| D000602 | Amino Acids, Peptides, and Proteins |