Trial Outcomes & Findings for Clinical Study to Assess a New Barrier Film's Ability to Provide Skin Protection Against Incontinence & Allow Healing (NCT NCT02570139)

NCT ID: NCT02570139

Last Updated: 2024-10-02

Results Overview

Primary endpoint was percent decrease in Incontinence Associated Dermatitis (IAD) score from baseline to end of subject's participation. A negative value indicates increased IAD score; a positive value indicates decreased IAD score. IAD scores were calculated for 6 anatomical zones for color, presence of lesions, and skin loss using 3M's Skin Condition Assessment Tool. Skin condition assessed for 1) epidermal loss depth \& area involved; 2) skin color intact skin \& % area if not normal color. Intensity scored based on % area involved. Epidermal loss intensity rating scores ranged from 0 (none) - 4 (76-100%) partial (skin open, not weeping) or complete (skin open \& weeping). Color of intact skin rating scores ranged from 0 (skin color normal) - 4 (76-100%) skin color pink or red. Scores for each of the 6 body zones were combined to obtain a single IAD score for each subject. IAD scores ranged from 0 (best) - 720 (worst).

Recruitment status

TERMINATED

Study phase

NA

Target enrollment

45 participants

Primary outcome timeframe

up to 21 days depending on length of hospitalization

Results posted on

2024-10-02

Participant Flow

Participant milestones

Participant milestones
Measure
Cavilon Advanced Skin Protectant
Product applicator contains liquid barrier applied on buttocks/thighs with it drying rapidly to durable barrier film. It's applied 3x/per week. Cavilon Advanced Skin Protectant: The liquid barrier film flows from the applicator and dries quickly on the skin. It is durable for 72-96 hours under conditions of incontinence.
ConvaTec Sensi-Care Protective Barrier
Marketed product applied following manufacturer's recommendation. The product is 15% zinc oxide with petrolatum. ConvaTec Sensi-Care Protective Barrier: Sensi-Care is commercial paste product applied to protect denuded and weeping skin from incontinence.
Overall Study
STARTED
24
21
Overall Study
COMPLETED
24
21
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

The age distribution is between years for adults

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Cavilon Advanced Skin Protectant
n=24 Participants
Product applicator contains liquid barrier applied on buttocks/thighs with it drying rapidly to durable barrier film. It's applied 3x/per week. Cavilon Advanced Skin Protectant: The liquid barrier film flows from the applicator and dries quickly on the skin.
ConvaTec Sensi-Care Protective Barrier
n=21 Participants
Marketed product applied following manufacturer's recommendation. The product is 15% zinc oxide with petrolatum. ConvaTec Sensi-Care Protective Barrier: Sensi-Care is commercial paste product applied to protect denuded and weeping skin from incontinence.
Total
n=45 Participants
Total of all reporting groups
Age, Customized
Years
67.1 years or weeks
STANDARD_DEVIATION 19.33 • n=21 Participants • The age distribution is between years for adults
62.1 years or weeks
STANDARD_DEVIATION 19.97 • n=18 Participants • The age distribution is between years for adults
64.8 years or weeks
STANDARD_DEVIATION 19.54 • n=39 Participants • The age distribution is between years for adults
Age, Customized
Weeks
11.3 Weeks
STANDARD_DEVIATION 7.37 • n=3 Participants • the discrepancy in overall number of baseline patients is due to revised age of the pediatric patients (in weeks) vs adult population (years). The total number of participants is unchanged.
20.3 Weeks
STANDARD_DEVIATION 4.51 • n=3 Participants • the discrepancy in overall number of baseline patients is due to revised age of the pediatric patients (in weeks) vs adult population (years). The total number of participants is unchanged.
15.8 Weeks
STANDARD_DEVIATION 7.36 • n=6 Participants • the discrepancy in overall number of baseline patients is due to revised age of the pediatric patients (in weeks) vs adult population (years). The total number of participants is unchanged.
Sex: Female, Male
Female
10 Participants
n=24 Participants
9 Participants
n=21 Participants
19 Participants
n=45 Participants
Sex: Female, Male
Male
14 Participants
n=24 Participants
12 Participants
n=21 Participants
26 Participants
n=45 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
4 Participants
n=24 Participants
0 Participants
n=21 Participants
4 Participants
n=45 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
20 Participants
n=24 Participants
21 Participants
n=21 Participants
41 Participants
n=45 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=24 Participants
0 Participants
n=21 Participants
0 Participants
n=45 Participants
Race (NIH/OMB)
American Indian or Alaska Native
2 Participants
n=24 Participants
0 Participants
n=21 Participants
2 Participants
n=45 Participants
Race (NIH/OMB)
Asian
2 Participants
n=24 Participants
1 Participants
n=21 Participants
3 Participants
n=45 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=24 Participants
0 Participants
n=21 Participants
0 Participants
n=45 Participants
Race (NIH/OMB)
Black or African American
3 Participants
n=24 Participants
2 Participants
n=21 Participants
5 Participants
n=45 Participants
Race (NIH/OMB)
White
17 Participants
n=24 Participants
18 Participants
n=21 Participants
35 Participants
n=45 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=24 Participants
0 Participants
n=21 Participants
0 Participants
n=45 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=24 Participants
0 Participants
n=21 Participants
0 Participants
n=45 Participants
Region of Enrollment
United States
24 participants
n=24 Participants
21 participants
n=21 Participants
45 participants
n=45 Participants

PRIMARY outcome

Timeframe: up to 21 days depending on length of hospitalization

Population: Analysis was done using the intent-to-treat (ITT) population, using all subjects who had at least one dose of their assigned product.

Primary endpoint was percent decrease in Incontinence Associated Dermatitis (IAD) score from baseline to end of subject's participation. A negative value indicates increased IAD score; a positive value indicates decreased IAD score. IAD scores were calculated for 6 anatomical zones for color, presence of lesions, and skin loss using 3M's Skin Condition Assessment Tool. Skin condition assessed for 1) epidermal loss depth \& area involved; 2) skin color intact skin \& % area if not normal color. Intensity scored based on % area involved. Epidermal loss intensity rating scores ranged from 0 (none) - 4 (76-100%) partial (skin open, not weeping) or complete (skin open \& weeping). Color of intact skin rating scores ranged from 0 (skin color normal) - 4 (76-100%) skin color pink or red. Scores for each of the 6 body zones were combined to obtain a single IAD score for each subject. IAD scores ranged from 0 (best) - 720 (worst).

Outcome measures

Outcome measures
Measure
Cavilon Advanced Skin Protectant
n=24 Participants
Product applicator contains liquid barrier applied on buttocks/thighs with it drying rapidly to durable barrier film. It's applied 3x/per week. Cavilon Advanced Skin Protectant: The liquid barrier film flows from the applicator and dries quickly on the skin. It is durable for 72-96 hours under conditions of incontinence.
ConvaTec Sensi-Care Protective Barrier
n=21 Participants
Marketed product applied following manufacturer's recommendation. The product is 15% zinc oxide with petrolatum. ConvaTec Sensi-Care Protective Barrier: Sensi-Care is commercial paste product applied to protect denuded and weeping skin from incontinence.
Percent Change From Baseline to End of Study in Incontinence Associated Dermatitis (IAD) Scores
11.0 percentage change
Standard Error 13.2
34.3 percentage change
Standard Error 14.1

SECONDARY outcome

Timeframe: Up to 21 days depending on length of hospitalization

Population: Review and analysis of healing of denuded skin to re-epithelialization.

Looking for healing of denuded skin to re-epithelialized skin.

Outcome measures

Outcome measures
Measure
Cavilon Advanced Skin Protectant
n=25 Participants
Product applicator contains liquid barrier applied on buttocks/thighs with it drying rapidly to durable barrier film. It's applied 3x/per week. Cavilon Advanced Skin Protectant: The liquid barrier film flows from the applicator and dries quickly on the skin. It is durable for 72-96 hours under conditions of incontinence.
ConvaTec Sensi-Care Protective Barrier
n=21 Participants
Marketed product applied following manufacturer's recommendation. The product is 15% zinc oxide with petrolatum. ConvaTec Sensi-Care Protective Barrier: Sensi-Care is commercial paste product applied to protect denuded and weeping skin from incontinence.
Re-epithelialization to a Category 1 or Lower
6 Participants
5 Participants

SECONDARY outcome

Timeframe: Up to 21 days depending on length of hospitalization

Population: The patient population analyzed were those who could report pain

Pain scores during incontinence management were measured on a 0-10 scale, and analyzed only for subjects from the intent-to-treat dataset who could report pain. Adult pain was measured on 0-10 Wong-Baker FACES® Pain Scale Visual Analog to see if there is pain reduction (0 - no pain; 10 - worst pain). Pain in pediatric patients was measured with the 0-10 FLACC (Face, Legs, Activity, Cry, Consolability Behavioral) Tool. FLACC tool scores pain based on 5 categories, each scored on 0-2 scale and a total score calculated from the sum of the 5 categories for a total possible 0 (no pain) - 10 (worst pain) score. Data from the 2 scales were combined for analysis. Reduction in pain scores collected during product application were reported and least squares means adjusted for baseline pain score as a covariate were calculated. Negative value indicates reduction in pain score; positive value indicates increased pain score.

Outcome measures

Outcome measures
Measure
Cavilon Advanced Skin Protectant
n=13 Participants
Product applicator contains liquid barrier applied on buttocks/thighs with it drying rapidly to durable barrier film. It's applied 3x/per week. Cavilon Advanced Skin Protectant: The liquid barrier film flows from the applicator and dries quickly on the skin. It is durable for 72-96 hours under conditions of incontinence.
ConvaTec Sensi-Care Protective Barrier
n=11 Participants
Marketed product applied following manufacturer's recommendation. The product is 15% zinc oxide with petrolatum. ConvaTec Sensi-Care Protective Barrier: Sensi-Care is commercial paste product applied to protect denuded and weeping skin from incontinence.
Pain Scores During Incontinence Management
-0.7 Change in Score on 0-10 Scale
Standard Error 0.8
0.3 Change in Score on 0-10 Scale
Standard Error 1.0

SECONDARY outcome

Timeframe: Measured at study day 5

Population: This is the population who went thru 5 days

Number of subjects with areas of buttock and thighs that were free of IAD at baseline and remained free of damage with ongoing incontinence through 5 days of treatment.

Outcome measures

Outcome measures
Measure
Cavilon Advanced Skin Protectant
n=9 Participants
Product applicator contains liquid barrier applied on buttocks/thighs with it drying rapidly to durable barrier film. It's applied 3x/per week. Cavilon Advanced Skin Protectant: The liquid barrier film flows from the applicator and dries quickly on the skin. It is durable for 72-96 hours under conditions of incontinence.
ConvaTec Sensi-Care Protective Barrier
n=7 Participants
Marketed product applied following manufacturer's recommendation. The product is 15% zinc oxide with petrolatum. ConvaTec Sensi-Care Protective Barrier: Sensi-Care is commercial paste product applied to protect denuded and weeping skin from incontinence.
Prevention of IAD.
8 Participants
4 Participants

Adverse Events

Cavilon Advanced Skin Protectant

Serious events: 0 serious events
Other events: 2 other events
Deaths: 1 deaths

ConvaTec Sensi-Care Protective Barrier

Serious events: 3 serious events
Other events: 3 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Cavilon Advanced Skin Protectant
n=24 participants at risk
Product applicator contains liquid barrier applied on buttocks/thighs with it drying rapidly to durable barrier film. It's applied 3x/per week. Cavilon Advanced Skin Protectant: The liquid barrier film flows from the applicator and dries quickly on the skin. It is durable for 72-96 hours under conditions of incontinence.
ConvaTec Sensi-Care Protective Barrier
n=21 participants at risk
Marketed product applied following manufacturer's recommendation. The product is 15% zinc oxide with petrolatum. ConvaTec Sensi-Care Protective Barrier: Sensi-Care is commercial paste product applied to protect denuded and weeping skin from incontinence.
Gastrointestinal disorders
Gi Bleed
0.00%
0/24 • Adverse event data was captured for 1 year, 9 months.
4.8%
1/21 • Adverse event data was captured for 1 year, 9 months.
Cardiac disorders
Hypotension
0.00%
0/24 • Adverse event data was captured for 1 year, 9 months.
4.8%
1/21 • Adverse event data was captured for 1 year, 9 months.
Vascular disorders
Non-occlusive thombosis
0.00%
0/24 • Adverse event data was captured for 1 year, 9 months.
4.8%
1/21 • Adverse event data was captured for 1 year, 9 months.

Other adverse events

Other adverse events
Measure
Cavilon Advanced Skin Protectant
n=24 participants at risk
Product applicator contains liquid barrier applied on buttocks/thighs with it drying rapidly to durable barrier film. It's applied 3x/per week. Cavilon Advanced Skin Protectant: The liquid barrier film flows from the applicator and dries quickly on the skin. It is durable for 72-96 hours under conditions of incontinence.
ConvaTec Sensi-Care Protective Barrier
n=21 participants at risk
Marketed product applied following manufacturer's recommendation. The product is 15% zinc oxide with petrolatum. ConvaTec Sensi-Care Protective Barrier: Sensi-Care is commercial paste product applied to protect denuded and weeping skin from incontinence.
Skin and subcutaneous tissue disorders
fungal infection
8.3%
2/24 • Adverse event data was captured for 1 year, 9 months.
9.5%
2/21 • Adverse event data was captured for 1 year, 9 months.
Skin and subcutaneous tissue disorders
Eczematous eruptions on back/arms
0.00%
0/24 • Adverse event data was captured for 1 year, 9 months.
4.8%
1/21 • Adverse event data was captured for 1 year, 9 months.

Additional Information

Anne Swearingen, Manager, Clinical Operations

3M Critical and Chronic Care Solutions Division

Phone: 651 736 7826

Results disclosure agreements

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