RECELL® System Combined With Meshed Autograft for Reduction of Donor Skin Harvesting in Soft Tissue Reconstruction

NCT ID: NCT04091672

Last Updated: 2024-07-30

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

65 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-03-02

Study Completion Date

2023-02-02

Brief Summary

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A prospective randomized within-subject controlled study to compare the clinical performance of conventional autografting with and without the RECELL system on acute non-burn full-thickness skin defects.

Detailed Description

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Conditions

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Full-thickness Skin Defects Degloving Injuries Crush Injuries Laceration of Skin Surgical Wound Skin Cancer Cellulitis Infection Necrotizing Fasciitis Gun Shot Wound

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

The participant and blinded evaluator will be not be told which treatment area received which treatment (RECELL or Control).

Study Groups

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All Participants (within patient control)

Each participant will serve as their own Control, receiving both Control and Investigational Interventions randomly allocated to treatment of a portion of a full-thickness skin defect.

Group Type EXPERIMENTAL

Control Intervention (Conventional Autograft)

Intervention Type PROCEDURE

Meshed split-thickness skin graft, with standardized wound dressings (Telfa™ Clear and Xeroform™)

Investigational Intervention (RECELL + more widely meshed autograft)

Intervention Type DEVICE

More widely meshed split-thickness skin graft, Spray-on Skin™ Cells prepared using RECELL, and standardized wound dressings (Telfa™ Clear and Xeroform™)

Interventions

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Control Intervention (Conventional Autograft)

Meshed split-thickness skin graft, with standardized wound dressings (Telfa™ Clear and Xeroform™)

Intervention Type PROCEDURE

Investigational Intervention (RECELL + more widely meshed autograft)

More widely meshed split-thickness skin graft, Spray-on Skin™ Cells prepared using RECELL, and standardized wound dressings (Telfa™ Clear and Xeroform™)

Intervention Type DEVICE

Other Intervention Names

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meshed split-thickness skin graft

Eligibility Criteria

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Inclusion Criteria

1. The patient requires autografting for treatment of an acute full-thickness skin defect (e.g., trauma- or surgery-related).
2. The maximum area requiring autografting is 50% Total Body Surface Area (TBSA).
3. Two comparable areas requiring autografting, each at least 160 cm2 (or 320 cm2 contiguous), excluding face and genitalia. When hands or joints are included in the treatment areas, comparability of treatment areas means that each area (RECELL and Control) must include the same contralateral joint and/or hand.
4. The patient is at least 5 years of age.
5. The patient (or parent/guardian) is willing and able to comply with all compulsory study procedures and visit schedule.
6. The patient agrees to abstain from any other treatment (e.g., external fixation) of the study treatment areas for the duration of his/her participation the study (1 year).
7. The patient agrees to abstain from enrollment in any other interventional clinical trial for the duration of his/her participation the study (1 year).
8. In the opinion of the investigator, the patient and/or guardian must be able to:

1. Understand the full nature and purpose of the study, including possible risks and adverse events,
2. Understand instructions, and
3. Provide voluntary informed written consent.

Exclusion Criteria

1. Not able to understand English or Spanish.
2. The area requiring autografting sustained a burn injury.
3. The treatment area has previously failed to heal subsequent to surgical intervention for closure.
4. The patient is unable to follow the protocol requirements.
5. The patient has a condition that in the investigator's opinion may compromise patient safety or trial objectives.
6. Current use of medications that in the investigator's opinion may compromise patient safety or trial objectives.
7. The patient has a known hypersensitivity to trypsin or compound sodium lactate for irrigation (Hartmann's) solution.
8. The patient is pregnant or breast-feeding (pregnancy test should be performed in accordance with local institutional requirements).
9. Life expectancy is less than 1 year.
Minimum Eligible Age

5 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Avita Medical

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Arizona Burn Center - Valleywise Health

Phoenix, Arizona, United States

Site Status

University of Arizona - Banner Health

Tucson, Arizona, United States

Site Status

UCI Medical Center

Orange, California, United States

Site Status

Lundquist Institute @Harbor UCLA

Torrance, California, United States

Site Status

MedStar Washington Hospital Center

Washington D.C., District of Columbia, United States

Site Status

Kendall Regional Medical Center

Miami, Florida, United States

Site Status

Cook County Health

Chicago, Illinois, United States

Site Status

Carle Foundation Hospital

Urbana, Illinois, United States

Site Status

University Medical Center

New Orleans, Louisiana, United States

Site Status

University of Rochester Medical Center

New York, New York, United States

Site Status

Duke University Hospital

Durham, North Carolina, United States

Site Status

Wake Forest University Health Sciences

Winston-Salem, North Carolina, United States

Site Status

Ohio State University

Columbus, Ohio, United States

Site Status

Thomas Jefferson University

Philadelphia, Pennsylvania, United States

Site Status

Temple University

Philadelphia, Pennsylvania, United States

Site Status

Rhode Island Hospital

Providence, Rhode Island, United States

Site Status

JPS Health Network

Fort Worth, Texas, United States

Site Status

Metis Foundation

San Antonio, Texas, United States

Site Status

Countries

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United States

References

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Henry S, Mapula S, Grevious M, Foster KN, Phelan H, Shupp J, Chan R, Harrington D, Mashruwala N, Brown DA, Mir H, Singer G, Cordova A, Rae L, Chin T, Castanon L, Bell D, Hughes W, Molnar JA. Maximizing wound coverage in full-thickness skin defects: A randomized-controlled trial of autologous skin cell suspension and widely meshed autograft versus standard autografting. J Trauma Acute Care Surg. 2024 Jan 1;96(1):85-93. doi: 10.1097/TA.0000000000004120. Epub 2023 Sep 1.

Reference Type DERIVED
PMID: 38098145 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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CTP007

Identifier Type: -

Identifier Source: org_study_id

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