Phase I Study for Autologous Dermal Substitutes and Dermo-epidermal Skin Substitutes for Treatment of Skin Defects

NCT ID: NCT02145130

Last Updated: 2021-09-08

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

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

12 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-05-31

Study Completion Date

2021-03-31

Brief Summary

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The purpose of this study is the evaluation of the safety of autologous tissue-engineered dermal substitutes "denovoDerm" (first arm) and dermo-epidermal skin substitutes "denovoSkin" (second arm) transplanted onto the wound bed in children and adults.

Detailed Description

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Conditions

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Burn Injury Soft Tissue Injury Skin Necrosis Scars Congenital Giant Nevus Skin Tumors

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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denovoDerm

Autologous tissue-engineered dermal substitute

Group Type EXPERIMENTAL

denovoDerm

Intervention Type BIOLOGICAL

Transplantation of an autologous tissue-engineered dermal substitute, covered with autologous split-thickness skin

denovoSkin

Autologous tissue-engineered dermo-epidermal skin substitute

Group Type EXPERIMENTAL

denovoSkin

Intervention Type BIOLOGICAL

Transplantation of autologous tissue-engineered dermo-epidermal skin substitute, no additional coverage needed

Interventions

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denovoDerm

Transplantation of an autologous tissue-engineered dermal substitute, covered with autologous split-thickness skin

Intervention Type BIOLOGICAL

denovoSkin

Transplantation of autologous tissue-engineered dermo-epidermal skin substitute, no additional coverage needed

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* Deep partial or full thickness skin defect of at least 9 cm2 requiring surgical wound coverage due to:

1. Acute cases: burn injury, soft tissue injury, skin necrosis after purpura fulminans
2. Reconstructive cases (elective surgery): scar formation after burn injuries, congenital giant nevus, skin tumours
* Informed consent by patients/parents or other legal representatives

Exclusion Criteria

* Infected wounds or positive general microbiological swabs taken from the nose for multi-resistant germs
* Patients tested positive for HBV, HCV, syphilis or HIV
* Patients with known underlying or concomitant medical conditions that may interfere with normal wound healing (e.g. immune deficiency, systemic skin diseases, any kind of congenital defect of metabolism including diabetes)
* Coagulation disorders as defined by INR outside its normal value, PTT \>ULN and fibrinogen \<LLN and / or at the Investigator's discretion
* Previous enrolment of the patient into the current study
* Participation of the patient in another study within 30 days preceding and during the present study
* Patients or parents/other legal representatives expected not to comply with the study protocol
* Suspicion of child abuse
* Pregnant or breast feeding females
* Contamination derived from biopsy which could interfere with patients health
* Due to patient derived variations, isolated cells from biopsy do not proliferate or proliferate insufficiently
* Skin substitute has not been released due to production specific deviations
* Patients allergic to amphotericin B and gentamicin
Minimum Eligible Age

1 Year

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospital, Zürich

OTHER

Sponsor Role collaborator

University of Zurich

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Sophie Böttcher, PD Dr. med.

Role: PRINCIPAL_INVESTIGATOR

University Children's Hospital, Zurich

Locations

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University Children's Hospital Zurich: denovoDerm

Zurich, Canton of Zurich, Switzerland

Site Status

University Children's Hospital Zurich: denovoSkin

Zurich, Canton of Zurich, Switzerland

Site Status

Countries

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Switzerland

References

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Schiestl C, Neuhaus K, Meuli M, Farkas M, Hartmann-Fritsch F, Elrod J, Bressan J, Reichmann E, Bottcher-Haberzeth S. Long-Term Outcomes of a Cultured Autologous Dermo-Epidermal Skin Substitute in Children: 5-Year Results of a Phase I Clinical Trial. J Burn Care Res. 2025 Mar 4;46(2):326-334. doi: 10.1093/jbcr/irae150.

Reference Type DERIVED
PMID: 39115183 (View on PubMed)

Other Identifiers

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EuroSkinGraft / ESG-01-2011

Identifier Type: -

Identifier Source: org_study_id

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