- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01269164
Face Transplantation Clinical Trial
August 30, 2023 updated by: Frank Papay, MD, The Cleveland Clinic
Protocol for Composite Facial Allograft Transplant
The purpose of this study is to apply human facial allograft transplant to the subjects with severe facial deformities or disfigurements in order to provide adequate coverage, aesthetic appearance and functional outcome.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed Description
The human scalp and face define two important body units, both functionally and aesthetically.
Traumatic deformities of the head and neck region resulting from burn injuries, gun shot wounds, or ablative tumor surgeries may involve the defect of the skin, subcutaneous tissue, muscle or the combination of all these elements.
In most cases, the ideal reconstruction is very difficult to achieve.
Sometimes, a major part of face along with the ear or the nose may be involved.
The extensive scalp loss due to burn or avulsion injury is another deforming and psychologically debilitating condition presenting as a major reconstructive challenge.
An ideal reconstructive procedure should replace the missing tissues and restore the motor and sensory function.
Traditional reconstructive procedures of facial deformities involve skin grafting, local flap applications, tissue expansion, and prefabrication as well as free tissue transfers.
The primary goal during facial reconstruction is restoration of the function and aesthetic appearance.
To obtain satisfactory results, missing parts should be replaced only by tissues of the same color and texture.
The purpose of this study is to apply human facial allograft transplant to the subjects with severe facial deformities or disfigurements in order to provide adequate coverage, aesthetic appearance and functional outcome.
Study Type
Interventional
Enrollment (Actual)
3
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
Ohio
-
Cleveland, Ohio, United States, 44195
- Cleveland Clinic
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years to 60 years (Adult)
Accepts Healthy Volunteers
No
Description
Inclusion Criteria:
- Subject must be willing to sign the informed consent and agree to all follow up procedures, including the realistic understanding of the impact of face allotransplantation on their lifestyle
- Subjects will be evaluated by plastic surgeon to assess indications for facial allotransplantations based on severity and complexity of facial deformity
- Subjects ages 18-60.
- Subject must be willing to undergo a psychiatric and social services pre-transplantation evaluation
- Subject must be willing to undergo major face surgery
- Subject must be a candidate for general anesthesia
- Subjects must be willing to comply with post transplant physical therapy.
- Subject must be willing and able to receive potent drugs to induce and maintain immunosuppression and follow the infection prophylaxis protocol
- Subject must be willing to receive standard vaccinations such as influenza, pneumococcus, and hepatitis B.
- Subjects must be free of malignant tumors for 5 or more years with the exception of certain skin cancer.
Exclusion Criteria:
- Subject that shows history of persistent non-compliance
- Findings of the psychiatric evaluation that may indicate non-compliance or mental instability
- Presence of an active infection including Human Immunodeficiency Virus, mycobacteria, hepatitis B, and hepatitis C
- Presence of an occult infection for example, dental abscess, UTI, tuberculosis, or history of systemic/occult infection within 3 months of surgery
- Any current Chemical Dependency including alcohol
- Subjects at high risk for the recurrence of malignancy with the exception of certain skin cancers
- Any diagnosis that the qualifying plastic surgeon feels would put the subject at high risk for the surgical procedure of face transplantation
- Subjects who do not have adequate donor site tissue available for coverage in the event of face transplant failure
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Face Transplantation
Surgical Procedure Composite Facial Transplant
|
Single Center Prospective Clinical Study to Document the Safety and Feasibility of the Surgical Procedure for Composite Facial Allograft Transplantation
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Evaluate the success of the face transplant
Time Frame: Patients will be carefully screened and monitored post-operatively for signs of rejection or flap failure for 5 years.
|
Demonstrate stable engraftment and restoration of facial skin/bone coverage and sensory-motor function in recipients of composite tissue allografts of vascularized skin, bone, and soft tissue augments(nose, ear, lips, eyelids, etc)under standard immunopression protocol.
|
Patients will be carefully screened and monitored post-operatively for signs of rejection or flap failure for 5 years.
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Evaluate tolerogenic properties of the immunosuppression protocol
Time Frame: Patients will be carefully screened and monitored post-operatively for signs of rejection or flap failure for 5 years.
|
Characterize tolerogenic properties of our immunosuppression protocol, by monitoring of donor specific chimerism and presence of T regulatory cells in the face allograft transplant recipients.
|
Patients will be carefully screened and monitored post-operatively for signs of rejection or flap failure for 5 years.
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Collaborators
Investigators
- Principal Investigator: Frank Papay, MD, The Cleveland Clinic
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
July 1, 2010
Primary Completion (Actual)
August 1, 2020
Study Completion (Actual)
November 1, 2020
Study Registration Dates
First Submitted
December 30, 2010
First Submitted That Met QC Criteria
January 3, 2011
First Posted (Estimated)
January 4, 2011
Study Record Updates
Last Update Posted (Estimated)
August 31, 2023
Last Update Submitted That Met QC Criteria
August 30, 2023
Last Verified
August 1, 2023
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- IRB6914
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
UNDECIDED
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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