About this trial
Many patients suffer from traumatic burns and current treatments do not increase the regenerative potential of either skin grafts or the remaining uninjured skin. There is a need to develop treatments to accelerate and improve healing of burn injuries. More research is needed to evaluate the role of 4-AP, a promising new agent with an excellent safety profile, on wound and burn healing. The investigational treatment will be used to test the hypothesis that 4-AP accelerates burn healing in traumatically burned patients.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Injured (burned) adults with a maximum severity of second-degree burns.
Burns involving at least 6cm2 of skin area
Acute burns within 7 days of injury
Cognitive ability to evaluate burn healing, report sensory and motor deficit during examination.
Disqualifiers
History of multiple sclerosis, stroke or any other diagnosed neurological disorder
History of hypersensitivity to AMPYRA® or 4-aminopyridine
Current use of aminopyridine medications, including other compounded 4-AP
Suspected renal impairment based on the Choyke questionnaire.
Trial design
Parallel
Treatments tested in this trial
Drug: 4-Aminopyridine
DrugActive study drug
Placebo
Other interventionPlacebo comparator
Treatment groups
Trial outcomes
Primary outcomes
Healing rate
Each subject will undergo detailed fiducial-marking augmented macroscopic imaging to determine baseline burn area measurement. These measurements will be repeated at each follow up study visit to assess healing rate.
Secondary outcomes
Skin-graft rate
Skin-graft rate (failure of healing)
Scar formation
Scar formation will be measured by the Patient and Observer Scar Assessment Scale (POSAS). Each item of the POSAS is rated on a 10-point score with total scores ranging from 6 to 60 with higher scores indicating increase severity of symptoms. These measurements will be repeated at each follow up study visit.
Scar sensitivity
Scar sensitivity will be measured by the Patient and Observer Scar Assessment Scale (POSAS). Each item of the POSAS is rated on a 10-point score with total scores ranging from 6 to 60 with higher scores indicating increase severity of symptoms. These measurements will be repeated at each follow up study visit to assess healing rate.
Sponsors and contacts
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John Elfar
Lead sponsor
University of Arizona
Sponsor institution