Efficacy and Tolerance of Cellularised LG002 Versus Uncellularised LG002 in the Treatment of Severe Burns Injuries

NCT ID: NCT00366041

Last Updated: 2010-01-21

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-02-28

Study Completion Date

2009-12-31

Brief Summary

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After severe burn injury, the full-thickness burn areas are excised (in the first week) and then temporarily covered with allograft (cryogenic preserved cadaver skin). This first covering is then replaced with thin skin meshed autograft.

In this study, either the dermal substrates cellularised LG002 or uncellularised LG002 will be grafted, after excision, in symmetrical areas, in replacement of the allografts. Fourteen to twenty one days after this first covering, the dermal substrate will be covered with thin skin meshed autograft.

Detailed Description

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For lesions that cannot heal spontaneously, the wound is excised until fascia. Four contiguous dermal substrates (uncellularised and cellularised) are randomly grafted on each symmetric area.

A primary siliconized dressing will cover the wound. Secondary dressing: dressing gauze impregnated with physiologic serum and/or sterile dried dressing gauze, the whole is maintained by a (slightly compressive) tubular or elastic bandage.

Thin skin meshed autograft will occur 14 to 21 days after dermal substrate cellularised LG002 or uncellularised LG002 grafting (time frame necessary for the site to vascularize).

Meshed autograft development must be identical in both symmetric areas, for one single patient.

Conditions

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Burns

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Cellularised LG002

Cellularised LG002

Group Type EXPERIMENTAL

Dermal substrate cellularised LG002 (10x10cm)

Intervention Type DRUG

application depending on burn injury surface

UnCellularised LG002

UnCellularised LG002

Group Type EXPERIMENTAL

Dermal substrate uncellularised LG002 (10x10 cm)

Intervention Type DEVICE

depending on burn injury surface

Interventions

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Dermal substrate cellularised LG002 (10x10cm)

application depending on burn injury surface

Intervention Type DRUG

Dermal substrate uncellularised LG002 (10x10 cm)

depending on burn injury surface

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Patients with severe burn injuries ≥ 40 % of TBSA (Total Body Surface Area)
* Thermal burn on symmetrical areas allowing grafting of 4 contiguous dermal substrates (cellularised LG002 or uncellularised LG002) on each area
* The patient himself, or his legal representative, must give his informed consent in writing

Exclusion Criteria

* Anterior progressive serious illness (i.e severe hepatic insufficiency, immunodepression induced by corticotherapy or illness (AIDS))
* Metabolic disease
* Systemic infection or local burn infection
* Known allergy to collagen, streptomycin, Penicillin and/or bovine origine products
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hôpital d'Instruction des Armées de Percy

UNKNOWN

Sponsor Role collaborator

Institut National de la Santé Et de la Recherche Médicale, France

OTHER_GOV

Sponsor Role collaborator

Laboratoires Genévrier

INDUSTRY

Sponsor Role lead

Responsible Party

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sponsor

Principal Investigators

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Christine DOSQUET, MD

Role: STUDY_CHAIR

Hôpital Saint Louis, Unité thérapie cellulaire et Unité INSERM 553

Daniel WASSERMANN, PhD, MD

Role: PRINCIPAL_INVESTIGATOR

Hôpital Cochin, Service des Brûlés

Locations

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Hôpital d' Instruction des Armées de Percy, Service des Brûlés

Clamart, , France

Site Status

Hôpital Cochin, Service des Brûlés

Paris, , France

Site Status

Countries

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France

References

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Berthod F, Saintigny G, Chretien F, Hayek D, Collombel C, Damour O. Optimization of thickness, pore size and mechanical properties of a biomaterial designed for deep burn coverage. Clin Mater. 1994;15(4):259-65. doi: 10.1016/0267-6605(94)90055-8.

Reference Type BACKGROUND
PMID: 10147169 (View on PubMed)

Damour O, Gueugniaud PY, Berthin-Maghit M, Rousselle P, Berthod F, Sahuc F, Collombel C. A dermal substrate made of collagen--GAG--chitosan for deep burn coverage: first clinical uses. Clin Mater. 1994;15(4):273-6. doi: 10.1016/0267-6605(94)90057-4.

Reference Type BACKGROUND
PMID: 10147171 (View on PubMed)

Coulomb B, Lebreton C, Dubertret L. Influence of human dermal fibroblasts on epidermalization. J Invest Dermatol. 1989 Jan;92(1):122-5. doi: 10.1111/1523-1747.ep13071335.

Reference Type BACKGROUND
PMID: 2909624 (View on PubMed)

Berthod F, Hayek D, Damour O, Collombel C. Collagen synthesis by fibroblasts cultured within a collagen sponge. Biomaterials. 1993 Aug;14(10):749-54. doi: 10.1016/0142-9612(93)90039-5.

Reference Type BACKGROUND
PMID: 8218724 (View on PubMed)

Froget S, Barthelemy E, Guillot F, Soler C, Coudert MC, Benbunan M, Dosquet C. Wound healing mediator production by human dermal fibroblasts grown within a collagen-GAG matrix for skin repair in humans. Eur Cytokine Netw. 2003 Jan-Mar;14(1):60-4.

Reference Type BACKGROUND
PMID: 12799215 (View on PubMed)

Saintigny G, Bonnard M, Damour O, Collombel C. Reconstruction of epidermis on a chitosan cross-linked collagen-GAG lattice: effect of fibroblasts. Acta Derm Venereol. 1993 Jun;73(3):175-80. doi: 10.2340/0001555573175180.

Reference Type BACKGROUND
PMID: 8105612 (View on PubMed)

Sher SE, Hull BE, Rosen S, Church D, Friedman L, Bell E. Acceptance of allogeneic fibroblasts in skin equivalent transplants. Transplantation. 1983 Nov;36(5):552-7. doi: 10.1097/00007890-198311000-00015.

Reference Type BACKGROUND
PMID: 6356519 (View on PubMed)

Braye FM, Stefani A, Venet E, Pieptu D, Tissot E, Damour O. Grafting of large pieces of human reconstructed skin in a porcine model. Br J Plast Surg. 2001 Sep;54(6):532-8. doi: 10.1054/bjps.2001.3620.

Reference Type BACKGROUND
PMID: 11513518 (View on PubMed)

Coulomb B, Friteau L, Baruch J, Guilbaud J, Chretien-Marquet B, Glicenstein J, Lebreton-Decoster C, Bell E, Dubertret L. Advantage of the presence of living dermal fibroblasts within in vitro reconstructed skin for grafting in humans. Plast Reconstr Surg. 1998 Jun;101(7):1891-903. doi: 10.1097/00006534-199806000-00018.

Reference Type BACKGROUND
PMID: 9623833 (View on PubMed)

Other Identifiers

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03F/DE01

Identifier Type: -

Identifier Source: org_study_id

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