Effect of Platelet Rich Plasma and Keratinocyte Suspensions on Wound Healing

NCT ID: NCT00856934

Last Updated: 2009-03-06

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

View full results

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

45 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-06-30

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

This prospective randomized trial evaluated the impact of autologous keratinocytes suspended in platelet concentrates on healing skin graft donor site wounds. It was hypothesized that the treatment would speed and improve wound healing.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Skin Graft

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Control

Wounds covered with standard dressings: three layers of paraffin gauze, standard bandages, elastic bandage.

Group Type NO_INTERVENTION

Standard dressings

Intervention Type OTHER

Three layers of paraffin gauze, topped with standard dry bandages and an elastic bandage.

PRP

PRP sprayed onto the wound bed with Calcium Choride. Wounds covered with same standard dressings used in control group.

Group Type EXPERIMENTAL

Autologous Platelet Rich Plasma

Intervention Type BIOLOGICAL

Platelet Rich Plasma isolated from patient blood sprayed onto wound bed along with 10% Calcium Chloride solution in a 10 to 1 proportion.

Standard dressings

Intervention Type OTHER

Three layers of paraffin gauze, topped with standard dry bandages and an elastic bandage.

PRP+K

Keratinocytes suspended in PRP sprayed onto the wound bed with Calcium Choride. Wounds covered with same standard dressings used in control group.

Group Type EXPERIMENTAL

Autologous Platelet Rich Plasma

Intervention Type BIOLOGICAL

Platelet Rich Plasma isolated from patient blood sprayed onto wound bed along with 10% Calcium Chloride solution in a 10 to 1 proportion.

Keratinocyte suspension

Intervention Type BIOLOGICAL

Autologous keratinocytes isolated from skin biopsy suspended in platelet rich plasma before spraying.

Standard dressings

Intervention Type OTHER

Three layers of paraffin gauze, topped with standard dry bandages and an elastic bandage.

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Autologous Platelet Rich Plasma

Platelet Rich Plasma isolated from patient blood sprayed onto wound bed along with 10% Calcium Chloride solution in a 10 to 1 proportion.

Intervention Type BIOLOGICAL

Keratinocyte suspension

Autologous keratinocytes isolated from skin biopsy suspended in platelet rich plasma before spraying.

Intervention Type BIOLOGICAL

Standard dressings

Three layers of paraffin gauze, topped with standard dry bandages and an elastic bandage.

Intervention Type OTHER

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Skin graft donor sites total surface \< 15% BSA
* Skin graft donor site size: 0.2mm deep, 30 to 40 cm2 surface area

Exclusion Criteria

* Patients treated with immunosuppressors
* Patients treated with corticoids
* Patients suffering from terminal renal insufficiency
* Patients suffering from severe peripheral arteriopathy
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Centre Hospitalier Universitaire Vaudois

OTHER

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Service de Chirurgie Plastique et Reconstructrice, CHUV

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Wassim Raffoul, PD, MER

Role: PRINCIPAL_INVESTIGATOR

CHUV - CPR

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Centre hospitalier Universitaire Vaudois

Lausanne, Canton of Vaud, Switzerland

Site Status

Countries

Review the countries where the study has at least one active or historical site.

Switzerland

References

Explore related publications, articles, or registry entries linked to this study.

Fu X, Li X, Cheng B, Chen W, Sheng Z. Engineered growth factors and cutaneous wound healing: success and possible questions in the past 10 years. Wound Repair Regen. 2005 Mar-Apr;13(2):122-30. doi: 10.1111/j.1067-1927.2005.130202.x.

Reference Type BACKGROUND
PMID: 15828936 (View on PubMed)

Ansel JC, Tiesman JP, Olerud JE, Krueger JG, Krane JF, Tara DC, Shipley GD, Gilbertson D, Usui ML, Hart CE. Human keratinocytes are a major source of cutaneous platelet-derived growth factor. J Clin Invest. 1993 Aug;92(2):671-8. doi: 10.1172/JCI116636.

Reference Type BACKGROUND
PMID: 8349805 (View on PubMed)

Ballaun C, Weninger W, Uthman A, Weich H, Tschachler E. Human keratinocytes express the three major splice forms of vascular endothelial growth factor. J Invest Dermatol. 1995 Jan;104(1):7-10. doi: 10.1111/1523-1747.ep12613450.

Reference Type BACKGROUND
PMID: 7798644 (View on PubMed)

Brown LF, Yeo KT, Berse B, Yeo TK, Senger DR, Dvorak HF, van de Water L. Expression of vascular permeability factor (vascular endothelial growth factor) by epidermal keratinocytes during wound healing. J Exp Med. 1992 Nov 1;176(5):1375-9. doi: 10.1084/jem.176.5.1375.

Reference Type BACKGROUND
PMID: 1402682 (View on PubMed)

Decline F, Rousselle P. Keratinocyte migration requires alpha2beta1 integrin-mediated interaction with the laminin 5 gamma2 chain. J Cell Sci. 2001 Feb;114(Pt 4):811-23. doi: 10.1242/jcs.114.4.811.

Reference Type BACKGROUND
PMID: 11171386 (View on PubMed)

Feliciani C, Gupta AK, Sauder DN. Keratinocytes and cytokine/growth factors. Crit Rev Oral Biol Med. 1996;7(4):300-18. doi: 10.1177/10454411960070040101.

Reference Type BACKGROUND
PMID: 8986393 (View on PubMed)

McKay IA, Leigh IM. Epidermal cytokines and their roles in cutaneous wound healing. Br J Dermatol. 1991 Jun;124(6):513-8. doi: 10.1111/j.1365-2133.1991.tb04942.x.

Reference Type BACKGROUND
PMID: 2064935 (View on PubMed)

Tamariz-Dominguez E, Castro-Munozledo F, Kuri-Harcuch W. Growth factors and extracellular matrix proteins during wound healing promoted with frozen cultured sheets of human epidermal keratinocytes. Cell Tissue Res. 2002 Jan;307(1):79-89. doi: 10.1007/s004410100450. Epub 2001 Nov 14.

Reference Type BACKGROUND
PMID: 11810316 (View on PubMed)

Carter CA, Jolly DG, Worden CE Sr, Hendren DG, Kane CJ. Platelet-rich plasma gel promotes differentiation and regeneration during equine wound healing. Exp Mol Pathol. 2003 Jun;74(3):244-55. doi: 10.1016/s0014-4800(03)00017-0.

Reference Type BACKGROUND
PMID: 12782011 (View on PubMed)

Knighton DR, Ciresi KF, Fiegel VD, Austin LL, Butler EL. Classification and treatment of chronic nonhealing wounds. Successful treatment with autologous platelet-derived wound healing factors (PDWHF). Ann Surg. 1986 Sep;204(3):322-30. doi: 10.1097/00000658-198609000-00011.

Reference Type BACKGROUND
PMID: 3753059 (View on PubMed)

Mazzucco L, Medici D, Serra M, Panizza R, Rivara G, Orecchia S, Libener R, Cattana E, Levis A, Betta PG, Borzini P. The use of autologous platelet gel to treat difficult-to-heal wounds: a pilot study. Transfusion. 2004 Jul;44(7):1013-8. doi: 10.1111/j.1537-2995.2004.03366.x.

Reference Type BACKGROUND
PMID: 15225241 (View on PubMed)

Valbonesi M, Giannini G, Migliori F, Dalla Costa R, Galli A. The role of autologous fibrin-platelet glue in plastic surgery: a preliminary report. Int J Artif Organs. 2002 Apr;25(4):334-8. doi: 10.1177/039139880202500413.

Reference Type BACKGROUND
PMID: 12027145 (View on PubMed)

Brissett AE, Hom DB. The effects of tissue sealants, platelet gels, and growth factors on wound healing. Curr Opin Otolaryngol Head Neck Surg. 2003 Aug;11(4):245-50. doi: 10.1097/00020840-200308000-00005.

Reference Type BACKGROUND
PMID: 14515071 (View on PubMed)

Feldman DL. Which dressing for split-thickness skin graft donor sites? Ann Plast Surg. 1991 Sep;27(3):288-91. doi: 10.1097/00000637-199109000-00017.

Reference Type BACKGROUND
PMID: 1952757 (View on PubMed)

Gharaee-Kermani M, Phan SH. Role of cytokines and cytokine therapy in wound healing and fibrotic diseases. Curr Pharm Des. 2001 Jul;7(11):1083-103. doi: 10.2174/1381612013397573.

Reference Type BACKGROUND
PMID: 11472255 (View on PubMed)

Werner S, Grose R. Regulation of wound healing by growth factors and cytokines. Physiol Rev. 2003 Jul;83(3):835-70. doi: 10.1152/physrev.2003.83.3.835.

Reference Type BACKGROUND
PMID: 12843410 (View on PubMed)

Di Giulio AM, Picotti GB, Cesura AM, Panerai AE, Mantegazza P. Met-enkephalin immunoreactivity in blood platelets. Life Sci. 1982 May 10;30(19):1605-14. doi: 10.1016/0024-3205(82)90492-1.

Reference Type BACKGROUND
PMID: 7098767 (View on PubMed)

Atiyeh BS, Gunn SW, Hayek SN. State of the art in burn treatment. World J Surg. 2005 Feb;29(2):131-48. doi: 10.1007/s00268-004-1082-2.

Reference Type BACKGROUND
PMID: 15654666 (View on PubMed)

Hierner R, Degreef H, Vranckx JJ, Garmyn M, Massage P, van Brussel M. Skin grafting and wound healing-the "dermato-plastic team approach". Clin Dermatol. 2005 Jul-Aug;23(4):343-52. doi: 10.1016/j.clindermatol.2004.07.028.

Reference Type BACKGROUND
PMID: 16023929 (View on PubMed)

Eaglstein WH, Falanga V. Chronic wounds. Surg Clin North Am. 1997 Jun;77(3):689-700. doi: 10.1016/s0039-6109(05)70575-2.

Reference Type BACKGROUND
PMID: 9194887 (View on PubMed)

Edwards R, Harding KG. Bacteria and wound healing. Curr Opin Infect Dis. 2004 Apr;17(2):91-6. doi: 10.1097/00001432-200404000-00004.

Reference Type BACKGROUND
PMID: 15021046 (View on PubMed)

Robson MC, Stenberg BD, Heggers JP. Wound healing alterations caused by infection. Clin Plast Surg. 1990 Jul;17(3):485-92.

Reference Type BACKGROUND
PMID: 2199139 (View on PubMed)

Smith DJ Jr, Thomson PD, Garner WL, Rodriguez JL. Donor site repair. Am J Surg. 1994 Jan;167(1A):49S-51S. doi: 10.1016/0002-9610(94)90012-4.

Reference Type BACKGROUND
PMID: 8109686 (View on PubMed)

Innes ME, Umraw N, Fish JS, Gomez M, Cartotto RC. The use of silver coated dressings on donor site wounds: a prospective, controlled matched pair study. Burns. 2001 Sep;27(6):621-7. doi: 10.1016/s0305-4179(01)00015-8.

Reference Type RESULT
PMID: 11525858 (View on PubMed)

Barnea Y, Amir A, Leshem D, Zaretski A, Weiss J, Shafir R, Gur E. Clinical comparative study of aquacel and paraffin gauze dressing for split-skin donor site treatment. Ann Plast Surg. 2004 Aug;53(2):132-6. doi: 10.1097/01.sap.0000112349.42549.b3.

Reference Type RESULT
PMID: 15269581 (View on PubMed)

Wiechula R. The use of moist wound-healing dressings in the management of split-thickness skin graft donor sites: a systematic review. Int J Nurs Pract. 2003 Apr;9(2):S9-17. doi: 10.1046/j.1322-7114.2003.00417.x.

Reference Type RESULT
PMID: 12694482 (View on PubMed)

Greenhalgh DG, Barthel PP, Warden GD. Comparison of back versus thigh donor sites in pediatric patients with burns. J Burn Care Rehabil. 1993 Jan-Feb;14(1):21-5. doi: 10.1097/00004630-199301000-00006.

Reference Type RESULT
PMID: 8454661 (View on PubMed)

Hart DW, Wolf SE, Herndon DN, Chinkes DL, Lal SO, Obeng MK, Beauford RB, Mlcak RT RP. Energy expenditure and caloric balance after burn: increased feeding leads to fat rather than lean mass accretion. Ann Surg. 2002 Jan;235(1):152-61. doi: 10.1097/00000658-200201000-00020.

Reference Type RESULT
PMID: 11753055 (View on PubMed)

Hormbrey E, Pandya A, Giele H. Adhesive retention dressings are more comfortable than alginate dressings on split-skin-graft donor sites. Br J Plast Surg. 2003 Jul;56(5):498-503. doi: 10.1016/s0007-1226(03)00195-4.

Reference Type RESULT
PMID: 12890465 (View on PubMed)

Rakel BA, Bermel MA, Abbott LI, Baumler SK, Burger MR, Dawson CJ, Heinle JA, Ocheltree IM. Split-thickness skin graft donor site care: a quantitative synthesis of the research. Appl Nurs Res. 1998 Nov;11(4):174-82. doi: 10.1016/s0897-1897(98)80296-6.

Reference Type RESULT
PMID: 9852660 (View on PubMed)

Bielecki TM, Gazdzik TS, Arendt J, Szczepanski T, Krol W, Wielkoszynski T. Antibacterial effect of autologous platelet gel enriched with growth factors and other active substances: an in vitro study. J Bone Joint Surg Br. 2007 Mar;89(3):417-20. doi: 10.1302/0301-620X.89B3.18491.

Reference Type RESULT
PMID: 17356164 (View on PubMed)

Moojen DJ, Everts PA, Schure RM, Overdevest EP, van Zundert A, Knape JT, Castelein RM, Creemers LB, Dhert WJ. Antimicrobial activity of platelet-leukocyte gel against Staphylococcus aureus. J Orthop Res. 2008 Mar;26(3):404-10. doi: 10.1002/jor.20519.

Reference Type RESULT
PMID: 17960651 (View on PubMed)

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

132/03

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.