MPS  Vol.7 No.4 , October 2017
A Single-Center Open-Label Single-Arm Study Evaluating Efficacy and Safety of Skin Adhesive EpinexusTM in Surgical Patients
Abstract: Existing skin adhesives may, however, cause inflammatory response to toxicity of formaldehyde generated as hydrolysate of polycyanoacrylate (the main ingredient), delay in wound closure due to the adhesive’s flowing into the wound from the edges, or a wide scar. EpinexusTM (Mitsui Chemicals, Inc.), the skin adhesive used for this study, was developed to prevent these risks. For the method of this study, This was a single-center, open-label, single-arm, intervention study of an acrylate skin adhesive, EpinexusTM. The primary endpoint was safety. The secondary endpoints were wound closure, cosmetic outcome (Manchester Scar Scale), and usability. Failures and adverse events were also appropriately evaluated. As a result, there were no particular adverse events such as inflammatory findings, which demonstrated that there is no problem in safety. Some common adverse events were observed, but no adverse events for which a causal relationship cannot be ruled out or failures. As a conclusion, there was no problem in wound closure, cosmetic outcome, or usability. This was a pilot study of EpinexusTM of an ongoing, single-center, open-label, parallel-group, comparative study in 60 subjects comparing EpinexusTMwith an existing skin adhesive, Dermabond? Advanced.
Cite this paper: Kishi, K. , Aramaki-Hattori, N. , Sakamoto, Y. , Okabe, K. , Hayashida, T. , Takahashi, M. , Kitagawa, Y. , Saito, M. , Adachi, T. , Honda, A. and Jinno, H. (2017) A Single-Center Open-Label Single-Arm Study Evaluating Efficacy and Safety of Skin Adhesive EpinexusTM in Surgical Patients. Modern Plastic Surgery, 7, 31-38. doi: 10.4236/mps.2017.74004.

[1]   Toriumi, D.M., O’Grady, K., Desai, D., et al. (1998) Use of Octyl-2-Cyanoacrylate for Skin Closure in Facial Plastic Surgery. Plastic and Reconstructive Surgery, 102, 2209-2219.

[2]   Quinn, J., Wells, G., Sutcliffe, T., et al. (1997) A Randomized Trial Comparing Octylcyanoacrylate Tissue Adhesive and Sutures in the Management of Lacerations. JAMA, 277, 1527-1530.

[3]   Singer, A., Arora, B., Dagum, A., et al. (2007) Development and Validation of a Novel Scar Evaluation Scale. Plastic and Reconstructive Surgery, 120, 1892-1897.

[4]   Beausang, E., Floyd, H., Dunn, K.W., et al. (1998) A New Quantitative Scale for Clinical Scar Assessment. Plastic and Reconstructive Surgery, 102, 1954-1961.