A Prospective, Single-arm, Clinical Trial of Electrospun Fiber Matrix (Restrata) in the Treatment of Surgical Defects Secondary to Resection of Malignant Cutaneous Neoplasms
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Contacts and Locations
Study Contact
Study Contact
- Name: Matthew MacEwan, PhD
- Phone Number: 440-477-1890
- Email: macewan@acera-surgical.com
Study Locations
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Nevada
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Las Vegas, Nevada, United States, 89102
- Recruiting
- University Nevada - Las Vegas
-
Contact:
- Michelle Tomasino, CHPSE
- Phone Number: 702-895-4923
- Email: michelle.tomasino@unlv.edu
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Principal Investigator:
- Brian Ward, MD, PhD, FACS
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- Patient is at least 18 years old
- Patient plans to undergo surgical resection of a cutaneous neoplasm
- Patient is willing and capable of complying with all protocol requirements
- Patient or legally authorized representative (LAR) is willing to provide written informed consent prior to participation in study
- Post-resection surgical wound with a surface area of ≥4 cm2 and ≤ 36cm2
Exclusion Criteria:
- Inability to give informed consent or to complete the procedures required for study completion
- Patient has been previously enrolled into this study, or is currently participating in another drug or device study that has not reached its primary endpoint
- Patient is pregnant, breast feeding or planning to become pregnant
- Patient has a known allergy to resorbable suture materials, e.g. Polyglactin 910 (PGLA), Polydioxanone (PDS)
- Patients receiving any immunotherapy, radiation, or chemotherapy within the past four weeks prior to resection surgery.
- Patient has a life expectancy less than six months as assessed by the investigator
- Patient has an additional non-study related wound within 3 cm of the study wound
- Study wound is located on the hands or feet
- Patient has been diagnosed with osteomalacia
- Resection defect from a squamous cell carcinoma arising from a chronic wound
- Patient has an uncontrolled thyroid disorder
- Hgb A1c > 12% within 3 months prior to enrollment in patients with a known history of diabetes
- Patient has a BMI > 34.9
- Patient has used any tobacco product within the past 30 days prior to surgery
- Patients with chronic kidney disease on peritoneal or hemodialysis, or with an estimated glomerular filtration rate less than 15mL/min
- Patients with severe liver disease with active cirrhosis defined as a gross ascites upon clinical exam or a Model for End-stage Liver Disease (MELD)-Na score greater than 15
- Patient not in reasonable metabolic control in the judgement of the investigator
- Patient has a known history of poor compliance with medical treatment
- Patient has a history of radiotherapy to wound bed of interest
- Patient has been diagnosed with at least one of the following autoimmune connective tissue diseases: lupus, vasculitis, sickle cell, or uncontrolled rheumatoid arthritis
- Active infection, undrained abscess, or critical colonization of the wound with bacteria in the judgement of the investigator
Study Plan
How is the study designed?
Design Details
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Time to wound bed granulation
Time Frame: Weekly assessments until granulation achieved or up to 6 weeks following resection surgery
|
Time from initial resection and product placement to the time of at least 75% wound bed granulation using a modified Bates-Jenson Scale.
The Bates-Jenson Scale for Granulation Tissue ranges from: 1=Skin intact or partial thickness wound, to: 5=No granulation tissue present.
Wounds are considered "granulated" upon receiving a rating of 2 (Bright, beefy red;75% to 100% of wound filled &/or tissue overgrowth) or less upon investigator assessment.
Lower scores are indicative of better outcomes.
|
Weekly assessments until granulation achieved or up to 6 weeks following resection surgery
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Time to complete wound healing
Time Frame: Until healed or until 16 weeks post resection
|
Total healing time will be documented (in days) at the final follow-up appointment by calculating the difference using the resection visit and "healed" visit dates.
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Until healed or until 16 weeks post resection
|
|
Patient pain
Time Frame: Weekly for up to six weeks post resection
|
Pain reported by patient on a Visual Analogue Scale (VAS), with 0 indicating no pain and 10 indicating worst pain possible.
Lower scores are indicative of a better outcome
|
Weekly for up to six weeks post resection
|
|
Time to skin grafting
Time Frame: Weekly for up to 6 weeks post-resection
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Time from resection and product place until skin grafting (if patient elects to do so)
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Weekly for up to 6 weeks post-resection
|
|
Skin graft "take" rate
Time Frame: 1 week after skin graft application
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Percent of skin graft incorporation as assessed by the investigator, in patients who elect to undergo skin grafting
|
1 week after skin graft application
|
|
Tissue flap take rate
Time Frame: 1 week after tissue flap procedure
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Percent of successful tissue graft incorporation as assessed by the investigator, in patients who elect to undergo tissue flap procedures
|
1 week after tissue flap procedure
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Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Scar quality
Time Frame: At the time of complete wound closure and at the 6 month post-resection follow up
|
Scar quality using a Vancouver Scar Scale (VSS).
The scale ranges from 0 (normal skin) to 13 (worst scar outcome).
Lower scores are indicative of a better scar outcome
|
At the time of complete wound closure and at the 6 month post-resection follow up
|
|
Infection rate and severity
Time Frame: to be assessed at each visit for up to 6 months post resection
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Incidence and severity of wound bed infection (if one occurs) per CTCAE V5.0 definitions ranging from 1 (localized, local intervention indicated) to 5 (death).
Lower scores are indicative of milder infections
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to be assessed at each visit for up to 6 months post resection
|
|
Skin Graft Failure
Time Frame: To be assessed at each post skin graft visit for up to 6 months post-resection
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Incidence of inadequate skin graft adherence to the underlying wound bed as assessed by the investigator in patients who have received a skin graft
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To be assessed at each post skin graft visit for up to 6 months post-resection
|
|
Tissue flap failure
Time Frame: Each post-flap follow up visit for up to 6 months post-resection
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Incidence of complete flap necrosis or need for total flap removal in patients who receive a tissue flap
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Each post-flap follow up visit for up to 6 months post-resection
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|
Incidence of local skin cancer recurrence
Time Frame: at the 6 month post-resection follow up
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local recurrence of skin cancer
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at the 6 month post-resection follow up
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Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 24-RES-002
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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