Allogeneic Adipose Tissue Extract in Wound Treatment and Scar Maturation
The Effect of Allogeneic Human Fat-Derived Extract on Skin Graft Donor Site Wound Healing
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Minna Höst, Clinical Study Coordinator
- Phone Number: +358407198476
- Email: minna.host@linio-biotech.com
Study Contact Backup
- Name: Jenny Lopez, Plastic Surgery Specialist
- Phone Number: +358 50 479 4588
- Email: jenny.lopez@hyvaks.fi
Study Locations
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Finland
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Jyväskylä, Finland, Finland, 40620
- Hospital Nova
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Wound of at least 10 cm3 with an indication of skin graft surgery (two skin grafts harvested and used)
- Adult (age 18 years or more)
- Able and willing to give informed consent
- Reasonably accessible to the study clinic and compliant to wound treatment
Exclusion Criteria:
- Known allergy to any of the preparation used in the study (Tience)
- Systemic cancer (does not include carcinoma in situ of the cervix or local skin cancers such as basiloma)
- Pregnancy or nursing
- Those who withhold consent
- Active infection on the receptor site, donor site or sepsis
- Any other serious disease likely to compromise the outcome of the trial, such as critical renal disease (creatinine greater than 300 mmol/l)
- Those living at such a distance from the clinic as would make frequent assessment visits inappropriately expensive and/or impractical.
- Those with conditions, which tend to limit a patient´s ability or willingness to restrict activities or comply with the instructions during the treatment and follow-up period.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: Adipose tissue extract treatment
Study participants will have two skin graft donor sites harvested.
One donor site will be treated topically with adipose tissue extract immediately after harvesting and again on Day 3. The other skin graft donor site wound will receive standard of care, following the hospital's Current Care Guidelines.
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The adipose tissue extract will be applied topically to one skin graft donor site wound immediately after harvesting and reapplied on Day 3. The other donor site will receives standard wound care according to hospital protocol, without application of adipose tissue extract.
Wounds will be photographed and assessed on Days 3, 7, 14, and 60.
Study participants and independent evaluators are blinded to treatment allocation.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Clinical evaluation
Time Frame: Day 3, Day 7, Day 14, Day 60
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The primary efficacy end point will the wound healing time during this study period, in days.
Healing will be defined as complete epithelialization (mm paper, photographs), confirmed by an investigator and independent evaluators.
The comparison will be made between the donor site treated with allogeneic adipose tissue extract (ATE) and the untreated donor site (standard care) within the same participant.
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Day 3, Day 7, Day 14, Day 60
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The number adverse events, including deterioration of the wounds during the study.
Time Frame: Day 3, Day 7, Day 14, Day 60
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The primary safety end points will be the number adverse events, including deterioration of the wounds during the study.
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Day 3, Day 7, Day 14, Day 60
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Clinical evaluation
Time Frame: Day 3, Day 7, Day 14
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The donor site wound physical characteristics will be recorded: moisture, colour, infection and hypergranulation
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Day 3, Day 7, Day 14
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Clinical imaging
Time Frame: Post op, Day 3, Day 7, Day 14, and Day 60
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Digital photographs will be taken to document the progression of wound healing.
One or two blinded plastic surgeons, with no conflicts of interest, will evaluate the donor site wounds and scars based on these photographs.
They will assess and compare the donor sites treated with allogeneic adipose tissue extract (ATE) and those treated with standard care, as well as the resulting scars, using the photographic documentation.
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Post op, Day 3, Day 7, Day 14, and Day 60
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Clinical evaluation
Time Frame: Day 60
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Scar scaling, modified Vancouver burn scale consists of six items.
All items are scored on a scale ranging from 1 ('like normal skin') to 3 ('worst scar imaginable').
• Vascularity category: pale, pink, red, normal • Pigmentation category: hypo, hyper, normal • Height: plane, depressed, elevated • Matte vs. shine: shine, matte • Contour: forms part of the adjacent skin, small indentation or invagination • Texture: normal, barely palpable, rough, indented
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Day 60
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Pain Intensity Measure
Time Frame: Day 3, Day 7, Day 14
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VAS Visual analogue scale (0-10 points)
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Day 3, Day 7, Day 14
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Clinical evaluation
Time Frame: Day 60
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Scar quality will be assessed using the Patient and Observer Scar Assessment Scale (POSAS), a validated tool that evaluates scars from both the clinician's and the patient's perspectives.
The POSAS scale includes seven parameters-each rated from 1 (normal skin) to 10 (worst scar imaginable).
The Scale assesses pain, itching, color, stiffness, thickness, irregularity, and overall impression.
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Day 60
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Fever (only symptomatic patients)
Time Frame: Day 3, Day 7, and Day 14
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Temperature (°C)
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Day 3, Day 7, and Day 14
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
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
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- CT-003
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
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