Evaluate Performance and Safety of Hyalo4 Skin in Acute and Chronic Wounds

Study Overview
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Brief Summary
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Evaluate the performance and safety of the use of Hyalo4 Skin Gel in terms of wound management

Detailed Description
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Ths clinical investigation study is to evaluate the performance and safety of Hyalo4 Skin Gel in the management of acute or chronic wounds of different etiology, according to the indication for use, the prescriptions of the clinicians and the standard procedures of the sites. A maximum of 7 Visits will be performed, with the first 4 visits performed over a 4-weeks period for each patient and the last visit after 8 weeks from the first visit. The schedule treatment will consist of daily medication changes, according to the instruction for use and the clinical practice.

Official Title
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Prospective, Multicentric, Observational Clinical Investigation to Evaluate the Performance and Safety of Hyalo4 Skin Gel in Management of Acute and Chronic Wounds.

Conditions
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Wound Heal

Intervention / Treatment
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* Device: Hyalo4 Skin Gel


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Signed written informed consent. Male or female ≥18 years. Patients selected to be treated with Hyalo4 Skin Gel. Patients with wound of the following etiology: first and second degree burns; surgical wounds; vascular ulcers; metabolic ulcers; pressure ulcers. Patients followed on an outpatient or home basis. Wound area ≥ 10 cm2 and ≤ 100 cm2 Exclusion Criteria: Patients < 18 years. Patients with acute or chronic infected lesions. Hospitalized patients. Women who are pregnant or breastfeeding or women who could become pregnant and are not using effective contraception. Patients with acute or chronic lesions at high risk of infection, presenting at least one of the following criteria: Stalled wound, without any clinical sign of healing progression Immune system disorders Protein-energy malnutrition Alcohol, smoking and drug abuse (50ml of spirit, 0,5L of wine and 10 cigarettes/day) Conditions associated with hypoxia and/or poor tissue perfusion Corticosteroid, cytotoxic or immunosuppressive therapy. Subjects unable to understand informed consent or having a high probability of non-compliance with the study procedures and or non-completion of the study according to investigator's judgement

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Hyalo4 Skin Gel<br> | Device: Hyalo4 Skin Gel<br>* The evaluation of performance and safety of Hyalo4 Skin Gel in the amelioration of bed wound appearance after 14 days of treatment.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Performance of Hyalo4 Skin Gel treatment | The outcome will be measured as percentage of patients showing positive change in at least one of the following parameters: amelioration of wound tissue type (necrotic, slough, granulation tissue, epithelial tissue, closed), decrease of exudate amount (dry, moist, slightly exuding, heavily exuding, wet) and amelioration of exudate type (bloody, bloody/purulent, clear, murky, purulent, serous). | 14 days | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| EQ5D-Patient's quality of life | Patient's quality of life assessment will be evaluated as a change from baseline to 56 days after the start of treatment, through administration of EuroQoL-5D (EQ-5D). | 56 days | 
| Performance of treatment | The performance of Hyalo4 Skin Gel will be evaluated from baseline to 7, 21, 28, 42 and 56 days as amelioration of wound bed appearance in terms of: type of wound bed tissue and exudate quantity and quality. | 7,21,28,42 and 56 days | 
| Safety and Tollerability | The safety and tolerability of Hyalo4 Skin Gel will be assessed throughout all the visits by investigating local and expected adverse events, as consequence of the product application and any other adverse event occurred during the study. | 56 days |