Betulin wound gel accelerated healing of superficial partial thickness burns: Results of a randomized, intra-individually controlled, phase III trial with 12-months follow-up.

Frew, Quentin, Rennekampff, Hans-Oliver, Dziewulski, Peter, Moiemen, Naiem, Zahn, Tobias and Hartmann, Bernd (2019) Betulin wound gel accelerated healing of superficial partial thickness burns: Results of a randomized, intra-individually controlled, phase III trial with 12-months follow-up. Burns : journal of the International Society for Burn Injuries, 45 (4). pp. 876-890. ISSN 1879-1409. This article is available to all UHB staff and students via ASK Discovery tool http://tinyurl.com/z795c8c by using their UHB Athens login IDs.

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Abstract

OBJECTIVE

Acceleration of wound healing promises advantages for patients and caregivers in reducing the burden of disease, avoiding complications such as wound infections, and improving the long-term outcome. However, medicines that can accelerate wound healing are lacking. The objective of this open, blindly evaluated, randomized, multicenter phase III study was to compare intra-individually the efficacy and tolerability of Oleogel-S10 with fatty gauze dressing versus Octenilin wound gel with fatty gauze dressing in accelerating the healing of superficial partial thickness burn wounds.

METHODS

Acute superficial partial thickness burn wounds in adults caused by fire, heat burn or scalding were divided into 2 halves and randomly assigned to treatment with Oleogel-S10 or Octenilin wound gel. Photos for observer-blinded analysis of wound healing were taken at each wound dressing change. Percentages of reepithelialization were assessed at defined intervals. Efficacy and tolerability were evaluated based on a 5-point Likert scale.

RESULTS

Of 61 patients that were enrolled, 57 received the allocated intervention and 48 completed treatment. The percentage of patients with earlier wound healing was significantly higher for Oleogel-S10 (85.7%, n=30) compared to Octenilin wound gel (14.3%, n=5, p<0.0001). The mean intra-individual difference in time to wound closure was -1.0 day in favour of Oleogel-S10 (-1.4, -0.6; 95% CI, p<0.0001). Most investigators (87.0%) and patients (84.8%) evaluated the efficacy of Oleogel-S10 to be 'better' or 'much better' than that of Octenilin wound gel. Long-term outcome 3 months and 12 months post injury was improved in some patients.

CONCLUSIONS

Oleogel-S10 (Episalvan) significantly accelerated the healing of superficial partial thickness burn wounds. It was safe and well tolerated.

Item Type: Article
Additional Information: This article is available to all UHB staff and students via ASK Discovery tool http://tinyurl.com/z795c8c by using their UHB Athens login IDs.
Subjects: WR Skin. Dermatology
Divisions: Planned IP Care > Plastic and Reconstructive Surgery
Related URLs:
Depositing User: Mrs Noomi Tyholdt-Pidgley
Date Deposited: 06 May 2020 14:33
Last Modified: 06 May 2020 14:33
URI: http://www.repository.uhblibrary.co.uk/id/eprint/3047

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