MSCs for the Treatment of Burn Wounds

NCT ID: NCT06103409

Last Updated: 2023-10-26

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

PHASE1/PHASE2

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-06-30

Study Completion Date

2025-06-30

Brief Summary

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The goal of this study is to evaluate the capacity of allogenic mesenchymal stromal cells form bone marrow (BM-MSC) or adipose tissue(Ad-MSC) to induce wound healing in patients with burn wounds.

Detailed Description

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Based on the paracrine and immunomodulatory effects of MSCs, they are considered promising cells for tissue engineering and skin regeneration in burn wounds. This protocol is designed to evaluate the efficacy of transplantation of allogenic BM-MSCs or Ad-MSCs, included in preclotted platelet-rich plasma (PRP), in patients with deep- or full-thickness burns (second- or third-degree / AB B or B degree). All patients will receive concomitant first-line treatments.

Conditions

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Burn Wound Second- or Third-degree Burn

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Allogenic MSCs

All Patients will receive conservative treatment before transplantation of allogenic MSCs embedded in autologous platelet rich plasma clot.

Group Type EXPERIMENTAL

Implantation of allogeneic MSCs on burn wounds

Intervention Type BIOLOGICAL

Transplantation of allogeneic MSCs in patients with deep- or full-thickness burns. Allogeneic MSCs embedded in autologous platelet rich plasma clot (PRP) are implanted onto the burned areas. The treated areas will be covered with conventional dressings and burned roll. Dressings will be changed after 5 days and then weekly. The total number of MSCs used in each patient varied according to the burn injury. In patients with larger burned areas, its necessary to apply new treatments with MSCs in affected areas, at intervals of at least 1 month. Implantation will be performed in the operating room. Patients will receive first line treatments.

Interventions

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Implantation of allogeneic MSCs on burn wounds

Transplantation of allogeneic MSCs in patients with deep- or full-thickness burns. Allogeneic MSCs embedded in autologous platelet rich plasma clot (PRP) are implanted onto the burned areas. The treated areas will be covered with conventional dressings and burned roll. Dressings will be changed after 5 days and then weekly. The total number of MSCs used in each patient varied according to the burn injury. In patients with larger burned areas, its necessary to apply new treatments with MSCs in affected areas, at intervals of at least 1 month. Implantation will be performed in the operating room. Patients will receive first line treatments.

Intervention Type BIOLOGICAL

Other Intervention Names

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Transplantation of MSCs on burn wounds

Eligibility Criteria

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Inclusion Criteria

* Age between 2 weeks and 85 years old
* Patient with second- or third-degree burn (AB/B or B).
* Thermal burns
* Electrical burns
* Chemical burns
* Informed consent of the patient or caretaker

Exclusion Criteria

* First degree burn (A or AB)
* Evidence of active infection at the wound site
* Chronic malnutrition
* Systemic inflammatory response syndrome (SIRS) or sepsis
* Moderate or severe respiratory tract or lungs burn injuries
* Autoimmune disease (e.g. multiple sclerosis, lupus erythematosus)
* Severe pulmonary disease, hematologic disease, malignancy, or hypo-immunity.
* Diabetes
* Pregnancy
Minimum Eligible Age

2 Weeks

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Unidad de Terapia Celular - IVIC

UNKNOWN

Sponsor Role collaborator

Hospital Pediátrico Niño Jesús, San Felipe, Yaracuy

UNKNOWN

Sponsor Role collaborator

Hospital Central Dr. Plácido D. Rodriguez Rivero, San Felipe, Yaracuy

UNKNOWN

Sponsor Role collaborator

Instituto Venezolano de Investigaciones Cientificas

OTHER

Sponsor Role lead

Responsible Party

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Dylana Diaz Solano

Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Olga L Wittig, MSc

Role: PRINCIPAL_INVESTIGATOR

Instituto Venezolano de Investigaciones Cientificas

Locations

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Instituto Venezolano de Investigaciones Cientificas

Caracas, Miranda, Venezuela

Site Status

Countries

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Venezuela

References

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Wittig O, Diaz-Solano D, Chacin T, Rodriguez Y, Ramos G, Acurero G, Leal F, Cardier JE. Healing of deep dermal burns by allogeneic mesenchymal stromal cell transplantation. Int J Dermatol. 2020 Aug;59(8):941-950. doi: 10.1111/ijd.14949. Epub 2020 Jun 5.

Reference Type BACKGROUND
PMID: 32501530 (View on PubMed)

Pereira B, Duque K, Ramos-Gonzalez G, Diaz-Solano D, Wittig O, Zamora M, Gledhill T, Cardier JE. Wound healing by transplantation of mesenchymal stromal cells loaded on polyethylene terephthalate scaffold: Implications for skin injury treatment. Injury. 2023 Apr;54(4):1071-1081. doi: 10.1016/j.injury.2023.02.024. Epub 2023 Feb 13.

Reference Type BACKGROUND
PMID: 36801131 (View on PubMed)

Ramos-Gonzalez G, Salazar L, Wittig O, Diaz-Solano D, Cardier JE. The effects of mesenchymal stromal cells and platelet-rich plasma treatments on cutaneous wound healing. Arch Dermatol Res. 2023 May;315(4):815-823. doi: 10.1007/s00403-022-02451-y. Epub 2022 Nov 3.

Reference Type BACKGROUND
PMID: 36326886 (View on PubMed)

Ramos-Gonzalez G, Wittig O, Diaz-Solano D, Salazar L, Ayala-Grosso C, Cardier JE. Evaluation of epithelial progenitor cells and growth factors in a preclinical model of wound healing induced by mesenchymal stromal cells. Biosci Rep. 2020 Jul 31;40(7):BSR20200461. doi: 10.1042/BSR20200461.

Reference Type BACKGROUND
PMID: 32667622 (View on PubMed)

Other Identifiers

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IVIC-UTC-MSC-Burn

Identifier Type: -

Identifier Source: org_study_id

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