Title

Mepilex Ag Versus Silver Sulfadiazine in Children and Adults With Burn Injuries.
An Open, Randomized, Comparative, Multi-centre Investigation Evaluating the Efficacy and Tolerance of Mepilex Ag Versus Silver Sulfadiazine in the Treatment of Deep Partial Thickness Burn Injuries.
  • Phase

    Phase 4
  • Study Type

    Interventional
  • Study Participants

    162
The purpose is to compare time to healing using absorbent foam silver dressing (Mepilex Ag) compared to a silver sulfadiazine (SSD) 1% cream in the treatment of partial thickness burn injuries.284 in-patients in 8-12 centres in China will be evaluated. Treatment period will be up to 4 weeks with either Mepilex Ag or SSD.
Subjects enrolled in this investigation were in-patients at eleven centers in China. To be included, subjects had to have deep partial-thickness burn injuries. The subjects were consecutively allocated to a subject code providing they fulfilled all inclusion criteria and none of the exclusion criteria and had signed a written informed consent form. Two evaluators independent of each other made the judgment regarding depth of the burn before enrolling a subject. The subjects were randomized to either receive Mepilex Ag or SSD.

Treatment period were up to four weeks with either SSD or Mepilex Ag. Changes of the investigation products were performed according to a standardized schedule, unless the wound healed before.
Study Started
Sep 30
2011
Primary Completion
Sep 30
2013
Study Completion
Sep 30
2013
Results Posted
Oct 01
2014
Estimate
Last Update
Dec 18
2017

Device Mepilex Ag

Dressing

  • Other names: Absorbent foam silver dressing

Drug Silver Sulphadiazine Ag cream

A cream used on burnt areas.

  • Other names: SSD Ag cream, 1% SSD Ag, 40g/tube

Mepilex Ag Active Comparator

Mepilex Ag consists of a Safetac(R) soft silicone wound contact layer, a grey absorbent polyurethane foam pad containing a silver compound, activated carbon, and a vapour permeable waterproof film.

Silver Sulphadiazine Ag cream Active Comparator

SSD Ag cream is white cream, 1% SSD Ag, 40g/tube This cream is indicated for prevent and treat secondary wound infection of small area, mild burn/scald.

Criteria

Inclusion Criteria:

Subjects with a deep partial-thickness burn injury covering 2.5%-25% TBSA (3rd degree areas not to exceed 10% TBSA)
Burn of thermal origin
Both gender with an age ≥5 years and ≤65 years at ICF
Understood and signed informed consent
Subjects who are younger than the legal consenting age must have a legally authorized representative

One study burn should be chosen which fulfil the following criteria;

isolated burn area (not head and/or face)
2nd degree deep partial
area is from 1 to 10% BSA

All deep 2nd degree burn should be treated with the investigation product, Mepilex Ag/SSD (according to the randomization).

Exclusion Criteria:

Burns "occurred" equal to or older than 36 hours
Burns of chemical and electrical origin
Clinically infected burn (as judged by the investigator)
Subjects with lung injury or subjects being on a ventilator
Treatment of the burn with an active agent before study entry. SSD is allowed up to 24 hours prior to randomization
Subjects with dermatologic skin disorders or necrotizing processes
Diagnosed underlying disease(s) (e.g. HIV/AIDS, cancer and severe anaemia) judged by the investigator to be a potential interference in the treatment
Subjects with insulin dependent diabetes mellitus
Subjects treated with systemic glucocorticosteroids, except Subjects taking occasional doses or doses less than 10mg prednisolon (day or equivalent
Use of immunosuppressive agents, radiation or chemotherapy within the past 30 days
Known allergy/hypersensitivity to any of the components (SSD , Ag glycerin, monostearate, glycerol, cetearyl alcohol, leveling agent O, albolene, light liquid paraffin, ethylparaben/ silicone, polyurethane foam pad containing a silver compound, activated carbon)of the investigation products
Subjects with physical and/or mental conditions that are not expected to comply with the investigation
Participation in other clinical investigation(s) within 1 month prior to start of the investigation
Pregnancy (pregnancy test needed if they do not use contraceptive)
Previously randomized to this investigation (PUMA 418

Summary

Mepilex Ag

SSD Ag Cream

All Events

Event Type Organ System Event Term

Time to Healing

Healing will be defined as number of days

Mepilex Ag

16.0
days (Mean)
Standard Deviation: 7.27

SSD Ag Cream

17.0
days (Mean)
Standard Deviation: 6.39

Percent of Burn Epithelised/Healed

Healing will be defined as 95% or more epithelialisation

Mepilex Ag

87.1
percentage of study burn healed (Mean)
Standard Deviation: 29

SSD Ag Cream

85.2
percentage of study burn healed (Mean)
Standard Deviation: 27.8

Number of Dressing Changes

Number of dressing changes including first assembly

Mepilex Ag

3.1
applications (Mean)
Standard Deviation: 1.86

SSD Ag Cream

14.0
applications (Mean)
Standard Deviation: 13.0

% of Study Burn Healed After One Week

Mepilex Ag

44.3
percentage of study burn healed (Mean)
Standard Deviation: 37.4

SSD Ag Cream

27.0
percentage of study burn healed (Mean)
Standard Deviation: 30.7

Total

153
Participants

Age, Continuous

36.2
years (Mean)
Standard Deviation: 12.8

Age, Categorical

Region of Enrollment

Sex: Female, Male

Overall Study

Mepilex Ag

SSD Ag Cream

Drop/Withdrawal Reasons

Mepilex Ag

SSD Ag Cream