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CTRI Number  CTRI/2018/08/015147 [Registered on: 01/08/2018] Trial Registered Prospectively
Last Modified On: 01/12/2019
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Other (Specify) [Low Level Laser Therapy]  
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Study of effect of Low Level Laser Therapy (LLLT) on post burn scars 
Scientific Title of Study   Effect of Low Level Laser Therapy (LLLT) on severity of post burn immature scars: A randomized control study. 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
JIP/IEC/2017/0393 (date of IEC clearance: 02/05/2018)  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Saurabh Gupta 
Designation  Senior Resident 
Affiliation  Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER) Puducherry 
Address  Department of Plastic Surgery, 4th floor, Superspeciality Block, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER) Puducherry

Pondicherry
PONDICHERRY
605006
India 
Phone  9981856366  
Fax    
Email  drsaurabh2007@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Ravi Kumar Chittoria 
Designation  Professor and Registrar (Academic) 
Affiliation  Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER) Puducherry 
Address  Department of Plastic Surgery, 4th floor, Superspeciality Block, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER) Puducherry

Pondicherry
PONDICHERRY
605006
India 
Phone  9442285670  
Fax    
Email  drchittoria@yahoo.com  
 
Details of Contact Person
Public Query
 
Name  Dr Ravi Kumar Chittoria 
Designation  Professor and Registrar (Academic) 
Affiliation  Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER) Puducherry 
Address  Department of Plastic Surgery, 4th floor, Superspeciality Block, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER) Puducherry

Pondicherry
PONDICHERRY
605006
India 
Phone  9442285670  
Fax    
Email  drchittoria@yahoo.com  
 
Source of Monetary or Material Support  
Department of Plastic Surgery, 4th floor, Superspeciality Block, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER) Puducherry 
 
Primary Sponsor  
Name  Jawaharlal Institute of Postgraduate Medical Education and Research JIPMER Puducherry 
Address  Department of Plastic Surgery, 4th floor, Superspeciality Block, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER) Puducherry 
Type of Sponsor  Government medical college 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Saurabh Gupta  Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER) Puducherry  Department of Plastic Surgery, 4th floor, Superspeciality Block, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER) Puducherry
Pondicherry
PONDICHERRY 
9981856366

drsaurabh2007@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institute Ethics Committee (Human Studies) JIPMER  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: L988||Other specified disorders of the skin and subcutaneous tissue,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Combined Therapy (Low Level Laser Therapy, Conventional therapy: scar massage and compression garments)  Low Level Laser Therapy: Gallium Arsenide (GaAs) Diode Red Laser Wavelength 650 nm Energy density 4 J/cm² Output power 100 mW Frequency 10 kHz Duration 125 sec Continuous beam Interval: twice a week (not less than 3 days interval between two therapies) Non contact delivery (60cm distance between laser source and scar) Scanning mode 
Comparator Agent  Conventional therapy alone  Scar massage and compression garments 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Subjects with post burn immature scars (vascular, raised, non pliable or itchy) 
 
ExclusionCriteria 
Details  Subjects with acute burn wounds (<1month old) Subjects with age <18 years and >60 years Subjects with diabetes/ radiation exposure Scars near eyes
Scars >4 square feet area
Subjects not willing to participate in the study 
 
Method of Generating Random Sequence   Random Number Table 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Vancouver Scar Scale (VSS) score of the scar  At the time of enrolment of the scar in the study 
 
Secondary Outcome  
Outcome  TimePoints 
Vancouver Scar Scale (VSS) score of the scar  After eight weeks of intervention over the scar 
 
Target Sample Size   Total Sample Size="45"
Sample Size from India="45" 
Final Enrollment numbers achieved (Total)= "0"
Final Enrollment numbers achieved (India)="41" 
Phase of Trial   Post Marketing Surveillance 
Date of First Enrollment (India)   08/08/2018 
Date of Study Completion (India) 07/10/2019 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   Not yet 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary  

      Title of the study: Effect of Low Level Laser Therapy (LLLT) on severity of post burn immature scars: A randomized control study.

   Research question: What is the effect of combined therapy (LLLT + conventional therapy) on severity of scars compared to conventional therapy alone among the patients with post burn immature scars?

    Research hypothesis: Combined therapy is more effective than conventional therapy in reducing the severity of scars among the patients with post burn immature scar.

    Introduction:

     A.    Problem statement: A mature scar is flat, soft and supple with color matching with that of the surrounding skin. An immature scar is a red, sometimes itchy or painful and slightly elevated scar in the process of remodeling. Immature scars undergo repeated scar breakdown. This is a major problem in the post burn patients during rehabilitation phase. Various measures exist including Low level Laser Therapy (LLLT) to make the immature scar mature. No study has been reported from India on effect of LLLT on post burn immature scar.

    B.    Rationale: LLLT is claimed to increase collagen synthesis, decrease inflammation and has positive impact on scar remodeling. LLLT is one of the standard and safe treatments for immature scars. It can be utilized to promote faster maturation of post burn scars.

     C.   Novelty: Limited clinical studies are available on effect of LLLT on severity of post burn scars.

     D.   Expected outcome and application: Low Level Laser (LLL) has positive effect on post burn immature scar is expected. Based on outcome of this study role of Low Level Laser Therapy (LLLT) may be established as an adjunct in the management of post burn immature scars. This will be useful in rehabilitation of post burn patients.

     Aim and objectives:

       Aim: To assess the effect of LLLT on severity of the scars among the patients with post burn immature scars.

       Primary Objective: To assess efficacy of combined therapy (LLLT + conventional treatment) on severity of post burn immature scars in comparison with conventional treatment alone.

       Secondary Objective: To identify the clinical factors associated with the efficacy of LLLT on treatment of post burn immature scars.

 
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