Study on the efficacy and safety of an autologous (from the patient's skin cells) skin substitute product for the treatment of skin defects
Zusammenfassung der Studie
This study is conducted in individuals aged 12 years and older who require a skin transplant due to a skin burn. It is being carried out in various countries and hospitals (centers): in Zurich, Switzerland; in Beverwijk, Netherlands and in Turin, Italy. Two burned skin areas are selected and, according to a random distribution, one area is treated with EHSG-KF and the other with autologous skin. During the visits after the transplant, both grafts are monitored for their safety and efficacy. EHSG-KF is not yet approved in Switzerland or any other country and is compared to the transplantation of thin autologous skin (standard procedure). EHSG-KF has been tested in humans (small number of patients) and animals. We aim to include a total of 12 patients. This study includes 12 visits over 3 years: 2 before the transplant, the transplant, 7 control visits within the first year, 2 long-term control visits (once a year).
(BASEC)
Untersuchte Intervention
Transplantation of skin substitute product on skin defect
(BASEC)
Untersuchte Krankheit(en)
Skin defect
(BASEC)
• Age: ≥ 12 years • Acute burn requiring surgical treatment • Consent of the patient / relatives (BASEC)
Ausschlusskriterien
• Positive test result for Hepatitis B, Hepatitis C, Syphilis or HIV • Known underlying or concomitant diseases that may negatively affect normal wound healing • Known blood coagulation disorder (BASEC)
Studienstandort
Zürich
(BASEC)
Sponsor
CUTISS AG Grabenstrasse 11 8952 Schlieren, Switzerland Phone: +41 44 244 36 60 Email: clinicaltrials@cutiss.swiss
(BASEC)
Kontakt für weitere Auskünfte zur Studie
Kontaktperson Schweiz
Christin Roeskes
+41 44 249 7491
studien.plastische@clutterkispi.uzh.chKinderspital Zürich - Eleonorenstiftung
(BASEC)
Allgemeine Auskünfte
University Children's Hospital, Zurich
(ICTRP)
Wissenschaftliche Auskünfte
University Children's Hospital, Zurich
(ICTRP)
Name der bewilligenden Ethikkommission (bei multizentrischen Studien nur die Leitkommission)
Ethikkommission Zürich
(BASEC)
Datum der Bewilligung durch die Ethikkommission
05.01.2018
(BASEC)
ICTRP Studien-ID
NCT03227146 (ICTRP)
Offizieller Titel (Genehmigt von der Ethikkommission)
A Phase IIb, Prospective, Intra-patient Randomised Controlled, Multicentre Study to Evaluate the Safety and Efficacy of an Autologous Bio-engineered Dermo-epidermal Skin Substitute (EHSG-KF) for the Treatment of Partial Deep Dermal and Full Thickness Burns in Adults and Adolescents in Comparison to Autologous Split-thickness Skin Grafts (STSG) (BASEC)
Wissenschaftlicher Titel
A Phase IIb, Prospective, Intra-patient Randomised Controlled, Multicentre Study to Evaluate the Safety and Efficacy of an Autologous Bio-engineered Dermo-epidermal Skin Substitute (EHSG-KF) for the Treatment of Partial Deep Dermal and Full Thickness Burns in Adults and Adolescents in Comparison to Autologous Split-thickness Skin Grafts (STSG) (ICTRP)
Öffentlicher Titel
Study with an Autologous Dermo-epidermal Skin Substitute for the Treatment of Burns in Adults and Adolescents (ICTRP)
Untersuchte Krankheit(en)
Burns (ICTRP)
Untersuchte Intervention
Biological: EHSG-KF;Biological: STSG (ICTRP)
Studientyp
Interventional (ICTRP)
Studiendesign
Allocation: Randomized. Intervention model: Single Group Assignment. Primary purpose: Treatment. Masking: None (Open Label). (ICTRP)
Ein-/Ausschlusskriterien
Gender: All
Maximum age: N/A
Minimum age: 12 Years
Inclusion Criteria:
- Age: =12 years of age
- Deep partial thickness and/or full thickness burns requiring surgical wound coverage
- Expected that =90 cm2 of wound (not counting the head and neck area for study
patients in The Netherlands) will remain open at 4 weeks post burn despite
proceeding with treatment in accordance with the standard of care. >20% TBSA burns
can be taken as guideline, but TBSA is not an inclusion criterion.
- Signed Informed consent
Exclusion Criteria:
- Patients tested positive for HBV, HCV, syphilis or HIV
- Patients with known underlying or concomitant medical conditions that may interfere
with normal wound healing (e.g. systemic skin and connective tissue diseases, any
kind of congenital defect of metabolism including insulin-dependent diabetes
mellitus, Cushing syndrome or disease, scurvy, chronic hypothyroidism, congenital or
acquired immunosuppressive condition, chronic renal failure, or chronic hepatic
dysfunction (Child-Pugh class B or C), severe malnutrition, or other concomitant
illness which, in the opinion of the Investigator, has the potential to
significantly delay wound healing)
- Severe drug and alcohol abuse
- Pre-existing coagulation disorders as defined by INR outside its normal value, PTT
>ULN and fibrinogen
- Patients with known allergies to amphotericin B, gentamicin, penicillin,
streptomycin, or bovine collagen
- Previous enrolment of the patient into the current phase II study
- Participation of the patient in another study with conflicting endpoints within 30
days preceding and during the present study
- Patients expected not to comply with the study protocol (including patients with
severe cognitive dysfunction/impairment and severe psychiatric disorders)
- Pregnant or breast feeding females
- Intention to become pregnant during the clinical course of the study (12 months)
- Wounds in the head and neck area as study target area (only applicable for study
patients in The Netherlands)
- Enrolment of the Investigator, his/her family members, employees and other dependent
persons (ICTRP)
nicht verfügbar
Primäre und sekundäre Endpunkte
Efficacy of EHSG-KF in comparison to meshed STSG based on ratio of covered surface (ICTRP)
Safety of EHSG-KF in comparison to meshed STSG based on clinical signs of infection;Safety of EHSG-KF in comparison to meshed STSG based on microbiological signs of infection;Efficacy of EHSG-KF in comparison to meshed STSG based on evaluation of scar quality by measurement of the elasticity using Cutometer(R);Efficacy of EHSG-KF in comparison to meshed STSG based on evaluation of scar quality by assessment of General scar quality using POSAS assessment tool (ICTRP)
Registrierungsdatum
nicht verfügbar
Einschluss des ersten Teilnehmers
nicht verfügbar
Sekundäre Sponsoren
Wyss Zurich;Julius Clinical;Sintesi Research Srl;University Hospital, Z?rich;University of Zurich (ICTRP)
Weitere Kontakte
Clemens Schiestl, Prof., University Children's Hospital, Zurich (ICTRP)
Sekundäre IDs
TBRU-dS-BA-PIIb (ICTRP)
Angaben zur Verfügbarkeit von individuellen Teilnehmerdaten
nicht verfügbar
Weitere Informationen zur Studie
https://clinicaltrials.gov/ct2/show/NCT03227146 (ICTRP)
Ergebnisse der Studie
Zusammenfassung der Ergebnisse
nicht verfügbar
Link zu den Ergebnissen im Primärregister
nicht verfügbar