Autologous Cell Suspension Grafting Using ReCell in Vitiligo and Piebaldism Patients

NCT ID: NCT01640678

Last Updated: 2013-08-05

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

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

10 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-06-30

Study Completion Date

2013-12-31

Brief Summary

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Autologous epidermal cell suspension grafting is an effective method of surgical treatment in vitiligo, which is suitable for treating larger areas with better cosmetic results as compared to other grafting methods. The ReCell Autologous Cell Harvesting Device (Avita Medical Europe Limited, Cambridge, UK) is an autologous cell harvesting device which, compared to other forms of autologous epidermal cell suspension grafting, is easier in use showing similar results. Furthermore, the ReCell device needs no laboratory facilities. Therefore, it is promising for patients with large vitiligo and piebaldism lesions.

Objectives: Primary: to asses the efficacy and safety of autologous epidermal cell suspension grafting with the ReCell device after CO2 laser abrasion compared to CO2 laser abrasion alone and no treatment, in patients with piebaldism and stable vitiligo. Secondary: to assess the practical aspects and patients satisfaction of autologous epidermal cell suspension grafting with the ReCell device.

Study design: Prospective observer blinded randomized controlled pilot study. Study population: 10 patients ≥ 18 years with stable segmental vitiligo or piebaldism who are under treatment at the Netherlands Institute for Pigment Disorders (NIPD) at the Academic Medical Centre University of Amsterdam.

Methods: Three depigmented regions on the trunk or proximal extremities will be randomly allocated to; CO2 laser abrasion + ReCell autologous cell suspension grafting, or CO2 laser abrasion, or no treatment. After the transplantation, UV-treatment according to the standard treatment protocol of the NIPD will be started on all sites and continued for 3 months. Three and six months after grafting, the percentage of repigmentation of the lesions will be assessed.

Detailed Description

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Conditions

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Piebaldism Segmental Vitiligo

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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ReCell epidermal cell suspension grafting

CO2 laser abrasion + ReCell epidermal cell suspension + UV-therapy

Group Type EXPERIMENTAL

ReCell epidermal cell suspension grafting

Intervention Type PROCEDURE

According to current standard of care procedures the treatment site will be superficially abraded using an ablative laser (10,600nm CO2 laser) after which the prepared ReCell cell suspension will be sprayed on.

CO2 laser abrasion + UV-therapy

According to current standard of care procedures the treatment site will be superficially abraded using an ablative laser (10,600nm CO2 laser)

Group Type ACTIVE_COMPARATOR

CO2 laser abrasion + UV-therapy

Intervention Type PROCEDURE

According to current standard of care procedures the treatment site will be superficially abraded using an ablative laser (10,600nm CO2 laser)

No treatment + UV-therapy

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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ReCell epidermal cell suspension grafting

According to current standard of care procedures the treatment site will be superficially abraded using an ablative laser (10,600nm CO2 laser) after which the prepared ReCell cell suspension will be sprayed on.

Intervention Type PROCEDURE

CO2 laser abrasion + UV-therapy

According to current standard of care procedures the treatment site will be superficially abraded using an ablative laser (10,600nm CO2 laser)

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* patient with piebaldism
* Patients with segmental vitiligo,stable since 12 months without systemic therapy or topical therapy as defined by the absence of new lesions and/or enlargement of existing lesions
* with at least three depigmented skin lesions on the proximal extremities or trunk larger than 3x3 cm or one lesion of at least 9x3 cm
* Age \>18
* willing and able to give written informed consent

Exclusion Criteria

* UV therapy or systemic immunosuppressive treatment during the last 12 months
* Local treatment of vitiligo during the last 12 months
* Vitiligo lesions with follicular or non-follicular repigmentation
* Skin type I
* Recurrent HSV skin infections
* Hypertrophic scars
* Keloid
* Cardial insufficiency
* Patients with a history of hypersensitivity to (UVB or UVA) light and/or allergy to local anesthesia.
* Patients who are pregnant or breast-feeding
* Patients not competent to understand the procedures involved
* Patients with atypical nevi
* Patients with a personal history of melanoma or non-melanoma skin cancer
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)

OTHER

Sponsor Role lead

Responsible Party

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Lisa Komen

Drs.

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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The Netherlands Institute for pigment disorders, AMC

Amsterdam, , Netherlands

Site Status

Countries

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Netherlands

Other Identifiers

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METC2012_052

Identifier Type: -

Identifier Source: org_study_id