Trial Outcomes & Findings for Effects of Non Contact Low Frequency Ultrasound in Healing Venous Leg Ulcers (NCT NCT01549860)

NCT ID: NCT01549860

Last Updated: 2015-07-30

Results Overview

Compare between the treatment groups percent wound area reduction at four weeks of study treatment. H0: µMIST+SC -- µSC = 0 HA: µMIST+SC -- µSC ≠ 0 Where µ = percent reduction in wound size.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

156 participants

Primary outcome timeframe

4 weeks post baseline visit (randomization visit)

Results posted on

2015-07-30

Participant Flow

156 subjects were consented for the study, 112 subjects met the major inclusion/exclusion criteria (study cohort), 81 subject were randomized (reduced \<30% during run-in period).

Participant milestones

Participant milestones
Measure
Standard Care (SC)
30 to 40 mmHg compression, dressing for moist wound healing environment, debridement as needed. Minimum of one treatment per week and up to 3 times per week per investigator discretion for 4 weeks
SC + Mist Therapy
30 to 40 mmHg compression, dressing for moist wound healing environment, debridement as needed plus non-contract low frequency ultrasound 3 x per week for 4 weeks. MIST Therapy: Non-contact low frequency ultrasound therapy
Overall Study
STARTED
40
41
Overall Study
COMPLETED
38
40
Overall Study
NOT COMPLETED
2
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Standard Care (SC)
30 to 40 mmHg compression, dressing for moist wound healing environment, debridement as needed. Minimum of one treatment per week and up to 3 times per week per investigator discretion for 4 weeks
SC + Mist Therapy
30 to 40 mmHg compression, dressing for moist wound healing environment, debridement as needed plus non-contract low frequency ultrasound 3 x per week for 4 weeks. MIST Therapy: Non-contact low frequency ultrasound therapy
Overall Study
Withdrawal by Subject
1
0
Overall Study
Physician Decision
1
1

Baseline Characteristics

Effects of Non Contact Low Frequency Ultrasound in Healing Venous Leg Ulcers

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Standard Care (SC)
n=40 Participants
30 to 40 mmHg compression, dressing for moist wound healing environment, debridement as needed. Minimum of one treatment per week and up to 3 times per week per investigator discretion for 4 weeks
SC + Mist Therapy
n=41 Participants
30 to 40 mmHg compression, dressing for moist wound healing environment, debridement as needed plus non-contract low frequency ultrasound 3 x per week for 4 weeks. MIST Therapy: Non-contact low frequency ultrasound therapy
Total
n=81 Participants
Total of all reporting groups
Age, Continuous
60.0 years
n=99 Participants
58.0 years
n=107 Participants
59.0 years
n=206 Participants
Sex: Female, Male
Female
11 Participants
n=99 Participants
13 Participants
n=107 Participants
24 Participants
n=206 Participants
Sex: Female, Male
Male
29 Participants
n=99 Participants
28 Participants
n=107 Participants
57 Participants
n=206 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Asian
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Black or African American
11 Participants
n=99 Participants
13 Participants
n=107 Participants
24 Participants
n=206 Participants
Race (NIH/OMB)
White
24 Participants
n=99 Participants
22 Participants
n=107 Participants
46 Participants
n=206 Participants
Race (NIH/OMB)
More than one race
5 Participants
n=99 Participants
6 Participants
n=107 Participants
11 Participants
n=206 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Region of Enrollment
United States
40 participants
n=99 Participants
41 participants
n=107 Participants
81 participants
n=206 Participants
BMI
33.2 kg per meter squared
n=99 Participants
37.4 kg per meter squared
n=107 Participants
34.7 kg per meter squared
n=206 Participants
Wound Age at Randomization
8.9 months
n=99 Participants
10.3 months
n=107 Participants
10.3 months
n=206 Participants
Wound Area at Randomization
9.8 centimeters squared
n=99 Participants
12.4 centimeters squared
n=107 Participants
11.0 centimeters squared
n=206 Participants

PRIMARY outcome

Timeframe: 4 weeks post baseline visit (randomization visit)

Population: eligible subjects that were randomized

Compare between the treatment groups percent wound area reduction at four weeks of study treatment. H0: µMIST+SC -- µSC = 0 HA: µMIST+SC -- µSC ≠ 0 Where µ = percent reduction in wound size.

Outcome measures

Outcome measures
Measure
Standard Care (SC)
n=40 Participants
30 to 40 mmHg compression, dressing for moist wound healing environment, debridement as needed. Minimum of one treatment per week and up to 3 times per week per investigator discretion for 4 weeks
SC + Mist Therapy
n=41 Participants
30 to 40 mmHg compression, dressing for moist wound healing environment, debridement as needed plus non-contract low frequency ultrasound 3 x per week for 4 weeks. MIST Therapy: Non-contact low frequency ultrasound therapy
Wound Area Mean Percent Reduction
45.8 percentage of mean area reduction
Standard Deviation 32.5
61.6 percentage of mean area reduction
Standard Deviation 28.9

SECONDARY outcome

Timeframe: 12 weeks post randomization

Population: Eligible subjects randomized

Compare rate of wound closure between study arms for 12 weeks post randomization. Descriptive statistics as not a powered endpoint.

Outcome measures

Outcome measures
Measure
Standard Care (SC)
n=40 Participants
30 to 40 mmHg compression, dressing for moist wound healing environment, debridement as needed. Minimum of one treatment per week and up to 3 times per week per investigator discretion for 4 weeks
SC + Mist Therapy
n=41 Participants
30 to 40 mmHg compression, dressing for moist wound healing environment, debridement as needed plus non-contract low frequency ultrasound 3 x per week for 4 weeks. MIST Therapy: Non-contact low frequency ultrasound therapy
Heal Rates
10 participants
16 participants

SECONDARY outcome

Timeframe: Baseline, 2 weeks and 4 weeks post randomization

Population: Eligible Subjects Randomized

Compare VAS Pain Scores between arms at baseline and 4 weeks post randomization Subjects indicate their pain level by drawing a mark on a 10 cm line on a visual analog scale (VAS) at randomization and 4 week post treatment visit. The left end of the line indicates "no pain" and the right end of line indicates "worst pain imaginable". VAS score is determined by using a ruler placed at 0 (left end of scale) and measuring the distance from zero to the patient's mark . The objective is to compare the change in VAS values in MIST+SC to SC alone. H0: The average change in pain level is not different between MIST and SC HA: The average change in pain level is different between MIST and SC H0: µMIST = µSC vs HA: µMIST ≠ µSC, Statistical Analysis. A repeated measures ANCOVA will be used to test for differences in change in VAS with an indicator variable to indicate treatment, any demographic variables which were significant in the baseline comparisons.

Outcome measures

Outcome measures
Measure
Standard Care (SC)
n=40 Participants
30 to 40 mmHg compression, dressing for moist wound healing environment, debridement as needed. Minimum of one treatment per week and up to 3 times per week per investigator discretion for 4 weeks
SC + Mist Therapy
n=41 Participants
30 to 40 mmHg compression, dressing for moist wound healing environment, debridement as needed plus non-contract low frequency ultrasound 3 x per week for 4 weeks. MIST Therapy: Non-contact low frequency ultrasound therapy
Change in Pain VAS Scores
4 Week post-randomizaton VAS Score
2.4 VAS pain level measured in centimeters
Interval 0.0 to 10.0
0.6 VAS pain level measured in centimeters
Interval 0.0 to 9.1
Change in Pain VAS Scores
Randomization (baseline) VAS Score
3.0 VAS pain level measured in centimeters
Interval 0.0 to 9.0
3.0 VAS pain level measured in centimeters
Interval 0.0 to 10.0

Adverse Events

Standard Care (SC)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

SC + Mist Therapy

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Pamela Unger

VP Medical Affairs

Phone: (952) 224-8755

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place