Dermal Micrografts in Regenerative Surgery

NCT ID: NCT03912675

Last Updated: 2019-04-11

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

NA

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-07-11

Study Completion Date

2019-01-31

Brief Summary

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Objective assessment of the effectiveness of a micro-fragmented dermal extract obtained with Rigenera™ technology (patented by Human Brain Wave) in promoting the wound healing process in an in-vivo homogeneous experimental human acute surgical wound model.

Detailed Description

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The aim of the study is the objective assessment of the effectiveness of a micro-fragmented dermal extract obtained with Rigenera™ technology (patented by Human Brain Wave) in promoting the wound healing process in an in-vivo homogeneous experimental human acute surgical wound model. The study includes 20 patients with 24 acute post-surgical soft tissue loss and a planned sequential two-stage repair with dermal substitute and autologous split-thickness skin graft. Each acute post-surgical soft tissue loss is randomized to be treated either with Integra® dermal substitute enriched with the autologous dermal micro-grafts obtained with Rigenera™ technology (group A - Rigenera™ protocol) or with Integra® dermal substitute only (group B - Control). The re-epithelialization rate in the wounds is assessed in both groups at 4 weeks through digital photography with the software "Image J". The dermal cell suspension enrichment with the Rigenera™ technology is considered effective if the re-epithelialized area is higher than the 25% of the total wound surface as this threshold is considered far beyond the expected spontaneous re-epithelialization rate.

Conditions

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Regenerative Medicine

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

The study includes 20 patients with 24 post-surgical defect in any site of the body with a size range 4-400 cm2. The acute post-surgical soft tissue loss is considered the experimental unit of the study irrespective of the number of wounds per patient. Each unit is randomized to be treated either with Integra® dermal substitute enriched with the autologous dermal micro-grafts obtained with RigeneraTM protocol (group A - RigeneraTM protocol - 12 units) or with Integra® dermal substitute only (group B - Control - 12 units). The expected endpoint is a spontaneous re-epithelialization higher than 25% of the total wound area in group A at 4 weeks. The secondary endpoint is the comparison of the re-epithelialization rate at 4 weeks after the first surgical stage between the group A and the controls. The re-epithelialization rate in the wounds is assessed through digital photography with the software "Image J".
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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RigeneraTM protocol

Teatment with Integra® dermal substitute enriched with the autologous dermal micro-grafts obtained with RigeneraTM protocol.

Group Type EXPERIMENTAL

Integra® dermal substitute and RigeneraTM protocol

Intervention Type PROCEDURE

Integra® dermal substitute enriched with the autologous dermal micro-grafts obtained with RigeneraTM protocol

Control

Treatment with Integra® dermal substitute only.

Group Type EXPERIMENTAL

Integra® dermal substitute and RigeneraTM protocol

Intervention Type PROCEDURE

Integra® dermal substitute enriched with the autologous dermal micro-grafts obtained with RigeneraTM protocol

Interventions

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Integra® dermal substitute and RigeneraTM protocol

Integra® dermal substitute enriched with the autologous dermal micro-grafts obtained with RigeneraTM protocol

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Post-surgical defect in any site of the body with a size range 4-400 cm2.

Exclusion Criteria

* Wound infection, chemotherapy in the last 6 months, use of corticosteroids or immunosuppressive treatment, metabolic, endocrine, autoimmune and collagen diseases.
Minimum Eligible Age

18 Years

Maximum Eligible Age

95 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Istituti Clinici Scientifici Maugeri SpA

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Angela Faga, Professor

Role: PRINCIPAL_INVESTIGATOR

Università degli Studi di Pavia

Locations

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Istituti Clinici Scientifici Maugeri IRCCS

Pavia, , Italy

Site Status

Countries

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Italy

References

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Tresoldi MM, Graziano A, Malovini A, Faga A, Nicoletti G. The Role of Autologous Dermal Micrografts in Regenerative Surgery: A Clinical Experimental Study. Stem Cells Int. 2019 Sep 8;2019:9843407. doi: 10.1155/2019/9843407. eCollection 2019.

Reference Type DERIVED
PMID: 31582991 (View on PubMed)

Other Identifiers

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2142CE

Identifier Type: -

Identifier Source: org_study_id

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