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Procedure
CO2 Laser for Hypertrophic Burn Scars
N/A
Recruiting
Led By Jonathan Friedstat, MD
Research Sponsored by Massachusetts General Hospital
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Must be able to answer surveys on their own, and not rely on surrogates
Patients must be 18 years of age or older
Must not have
Medical Conditions that preclude laser treatment or general anesthesia if needed
Cognitively unable to complete PROMs on their own
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 14 months (from first treatment to follow-up)
Awards & highlights
No Placebo-Only Group
Summary
This trial will evaluate the effectiveness of laser treatment and punch biopsies for improving burn scars & patient's quality of life.
Who is the study for?
This trial is for adults over 18 with hypertrophic burn scars (HTBS) from burns, who are medically fit for laser treatment and not on medications that affect wound healing. They should be planning to undergo laser treatment but have areas untreated for the study. Pregnant individuals or those planning pregnancy during the study phase are excluded.
What is being tested?
The trial tests a fractional ablative carbon dioxide laser against a control of no treatment and punch biopsies, which remove tissue without burning. It aims to see if these methods improve scarring in burn survivors by comparing treated scar areas through photographs, surveys, and microscopic tissue analysis.
What are the potential side effects?
Potential side effects may include discomfort at the site of treatment, changes in skin pigmentation, swelling, redness, and a risk of infection or delayed healing post-procedure. The severity can vary among patients.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
I can complete surveys by myself without help.
Select...
I am 18 years old or older.
Exclusion Criteria
You may be eligible for the trial if you check “No” for criteria below:Select...
I don't have any health issues that prevent me from undergoing laser treatments or general anesthesia.
Select...
I am unable to complete health surveys by myself due to cognitive reasons.
Select...
My study scar is not near areas needing surgery.
Select...
I have had laser or reconstructive surgery on my scar or nearby tissue.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ 14 months (from first treatment to follow-up)
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~14 months (from first treatment to follow-up)
Treatment Details
Study Objectives
Study objectives can provide a clearer picture of what you can expect from a treatment.Primary study objectives
Vancouver Scar Scale
Secondary study objectives
Gene expression
elasticity of treatment areas of scar
histology of treatment areas of scar
+1 moreOther study objectives
Patient Reported Outcome Measures Burn Specific
Patient Reported Outcome Measures Generic
Awards & Highlights
No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.
Trial Design
3Treatment groups
Experimental Treatment
Active Control
Group I: LaserExperimental Treatment1 Intervention
Laser treatment to 3x3cm2 area. It will receive the Luminous ultra pulse fractional ablative carbon dioxide laser at 150mJ, 3% density and 250Hz.
Group II: 0.5mm punch biopsyExperimental Treatment1 Intervention
0.5mm punch biopsy area. This area will receive 0.5mm punch biopsies 75 per cm2 at a depth of 5mm.
Group III: No treatmentActive Control1 Intervention
3x3cm2 area designated as no treatment that will serve as a control
Find a Location
Who is running the clinical trial?
United States Department of DefenseFED
913 Previous Clinical Trials
334,186 Total Patients Enrolled
Massachusetts General HospitalLead Sponsor
3,023 Previous Clinical Trials
13,317,825 Total Patients Enrolled
Jonathan Friedstat, MDPrincipal InvestigatorMassachusetts General Hospital
1 Previous Clinical Trials
28 Total Patients Enrolled
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- My scar is not tight or thickened in a way that surgery would be better.I am unable to complete health surveys by myself due to cognitive reasons.I can complete surveys by myself without help.My burn injury was treated with skin grafts or healed on its own.I am planning to get laser treatment for my painful scar, not just the one being studied.I am 18 years old or older.I don't have any health issues that prevent me from undergoing laser treatments or general anesthesia.I am healthy enough for laser or reconstructive surgery.My study scar is not near areas needing surgery.I am not on steroids, immunosuppressants, chemotherapy, or medications that affect wound healing or immunity.I have had laser or reconstructive surgery on my scar or nearby tissue.
Research Study Groups:
This trial has the following groups:- Group 1: 0.5mm punch biopsy
- Group 2: Laser
- Group 3: No treatment
Awards:
This trial has 1 awards, including:- No Placebo-Only Group - All patients enrolled in this study will receive some form of active treatment.
Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.