About this trial
This study is intended to provide information from subjects who currently have painful, chronically open wounds and assess the pain reduction capacity of KeraStat® Gel with Morphine. In gathering data from subjects who have baseline pain from their chronically open wounds, the investigators can then evaluate the capacity of KeraStat® Gel plus Morphine in reducing the subjects daily pain levels, pain associated with dressing changes, and pain medication consumption.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Subjects age 18 or older able to provide informed consent.
Ulcer size 1-300 cm2
Disqualifiers
Known allergy to the standard of care or any of the ingredients in KeraStat® Gel or to morphine
Wound has heavy or high-volume exudate or necrotic tissue
Clinical signs of infection or contamination of the wound
Subjects unable to complete the VAS pain score in pain journal
Trial design
Parallel
Treatments tested in this trial
KeraStat® Gel with Morphine application
DrugAdministration and application of KeraStat® Gel with Morphine (Bi-Weekly): KeraStat® Gel with Morphine will be formulated by mixing liquid Morphine 25mg/mL into 5mg of KeraStat, this will be individually packaged in 5mL tubes at a concentration of 5mg/mL. Each 5mL tube will cover and area of 300cm2 which is approximately 1.5% TBSA of an average, 60kg subject. Home Administration and application of KeraStat® Gel with Morphine (Every 1-3days): Dressing is to be changed every 1-3 days, no more than once a day. Subjects will be provided the appropriate amount of pre-compounded KeraStat® Gel with Morphine in 5mL tubes.
KeraStat® Gel application
DrugAdministration and application of KeraStat® Gel (Bi-Weekly): Each 5mL tube will cover and area of 300cm2 which is approximately 1.5% TBSA of an average, 60kg subject. Home Administration and application of KeraStat® Gel (Every 1-3days): Dressing is to be changed every 1-3 days, no more than once a day. Subjects will be provided the appropriate amount of pre-compounded KeraStat® Gel in 5mL tubes.
Treatment groups
Trial outcomes
Primary outcomes
Change in Visual Analog Scale
This unidimensional measure is composed of a line, usually 10 centimeters in length, anchored by two verbal descriptors representing the symptom extremes ("no pain" and "worst imaginable pain") and 6 facial expression anchors.
Change in Adverse event assessment
Assessment of adverse events throughout the course of the subject treatment.
Secondary outcomes
Change in Pressure Sore Quality of Life questionnaire
Standardized method to assess wound specific symptoms and functional outcomes for quantifying the benefits of associated interventions. The questionnaire is composed of 11 questions with 4 answer boxes for each question, the subject is asked to check one of the four boxes to evaluate the wound. The boxes are labeled No bother at all, A little bother, A lot of bother, and I had this problem but not because of my pressure sores.
Sponsors and contacts
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