Study With an Autologous Dermo-epidermal Skin Substitute for the Treatment of Burns in Adults and Adolescents
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ClinicalTrials.gov Identifier: NCT03227146 |
Recruitment Status :
Active, not recruiting
First Posted : July 24, 2017
Last Update Posted : February 8, 2023
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Condition or disease | Intervention/treatment | Phase |
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Burns | Biological: EHSG-KF Biological: STSG | Phase 2 Phase 3 |
Study Type : | Interventional (Clinical Trial) |
Actual Enrollment : | 14 participants |
Allocation: | N/A |
Intervention Model: | Single Group Assignment |
Masking: | None (Open Label) |
Primary Purpose: | Treatment |
Official Title: | A Phase IIb, Prospective, Intra-patient Randomised Controlled, Multicentre Study to Evaluate the Safety and Efficacy of an Autologous Bio-engineered Dermo-epidermal Skin Substitute (EHSG-KF) for the Treatment of Partial Deep Dermal and Full Thickness Burns in Adults and Adolescents in Comparison to Autologous Split-thickness Skin Grafts (STSG) |
Actual Study Start Date : | October 25, 2017 |
Actual Primary Completion Date : | November 30, 2022 |
Estimated Study Completion Date : | August 31, 2025 |
Arm | Intervention/treatment |
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Experimental: EHSG-KF and STSG Transplantation
Transplantation of EHSG-KF to the experimental area and transplantation of STSG (split-thickness skin graft) to the control area
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Biological: EHSG-KF
Transplantation of autologous dermo-epidermal skin substitute EHSG-KF to the experimental area
Other Name: denovoSkin Biological: STSG Transplantation of autologous split-thickness skin graft to the control area
Other Name: Split-thickness skin graft |
- Efficacy of EHSG-KF in comparison to meshed STSG based on ratio of covered surface [ Time Frame: 4 weeks post grafting ]Efficacy of EHSG-KF in comparison to meshed STSG based on ratio of covered surface area to biopsy site/donor site surface area
- Safety of EHSG-KF in comparison to meshed STSG based on clinical signs of infection [ Time Frame: 4-11 days post grafting and 21 +/-2 days post grafting ]Evaluation of clinical signs of infection at experimental area and control area
- Safety of EHSG-KF in comparison to meshed STSG based on microbiological signs of infection [ Time Frame: 4-11 days post grafting and 21 +/-2 days post grafting ]Evaluation of microbiologic signs of infection at experimental area and control area
- Efficacy of EHSG-KF in comparison to meshed STSG based on evaluation of scar quality by measurement of the elasticity using Cutometer(R) [ Time Frame: 1 year +/-30 days post grafting ]Assessment of elasticity of experimental area and control area using Cutometer(R)
- Efficacy of EHSG-KF in comparison to meshed STSG based on evaluation of scar quality by assessment of General scar quality using POSAS assessment tool [ Time Frame: 1 year +/-30 days post grafting ]Assessment of general scar Quality of experimental area and control area using POSAS assessment tool

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Ages Eligible for Study: | 12 Years and older (Child, Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Age: ≥12 years of age
- Deep partial thickness and/or full thickness burns requiring surgical wound coverage
- Expected that ≥90 cm2 of wound (not counting the head and neck area for study patients in The Netherlands) will remain open at 4 weeks post burn despite proceeding with treatment in accordance with the standard of care. >20% TBSA burns can be taken as guideline, but TBSA is not an inclusion criterion.
- Signed Informed consent
Exclusion Criteria:
- 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. systemic skin and connective tissue diseases, any kind of congenital defect of metabolism including insulin-dependent diabetes mellitus, Cushing syndrome or disease, scurvy, chronic hypothyroidism, congenital or acquired immunosuppressive condition, chronic renal failure, or chronic hepatic dysfunction (Child-Pugh class B or C), severe malnutrition, or other concomitant illness which, in the opinion of the Investigator, has the potential to significantly delay wound healing)
- Severe drug and alcohol abuse
- Pre-existing coagulation disorders as defined by INR outside its normal value, PTT >ULN and fibrinogen <LLN prior to the current hospital admission and / or at the Investigator's discretion
- Patients with known allergies to amphotericin B, gentamicin, penicillin, streptomycin, or bovine collagen
- Previous enrolment of the patient into the current phase II study
- Participation of the patient in another study with conflicting endpoints within 30 days preceding and during the present study
- Patients expected not to comply with the study protocol (including patients with severe cognitive dysfunction/impairment and severe psychiatric disorders)
- Pregnant or breast feeding females
- Intention to become pregnant during the clinical course of the study (12 months)
- Wounds in the head and neck area as study target area (only applicable for study patients in The Netherlands)
- Enrolment of the Investigator, his/her family members, employees and other dependent persons

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03227146
Italy | |
Chirurgia Plastica e Centro Grandi Ustioni Azienda Ospedaliera di Rilievo Nazionale A. Cardarelli | |
Napoli, Italy | |
Unità di Chirurgia Plastica e Ustioni Ospedale Santobono | |
Napoli, Italy | |
U.O.C. Grandi Ustionati Azienda Ospedale Università Padova | |
Padova, Italy | |
Città della Salute | |
Torino, Italy, 10126 | |
U.O. Chirurgia Plastica e Centro Ustioni Azienda Ospedaliera Universitaria Integrata Verona | |
Verona, Italy | |
Netherlands | |
Rode Kruis Ziekenhuis | |
Beverwijk, Netherlands, 1940 | |
Maasstad Ziekenhuis | |
Rotterdam, Netherlands, 3079 | |
Switzerland | |
University Children's Hospital Zurich | |
Zurich, Switzerland, 8032 | |
University Hospital Zurich | |
Zurich, Switzerland, 8091 |
Study Chair: | Clemens Schiestl, Prof. | University Children's Hospital, Zurich |
Responsible Party: | CUTISS AG |
ClinicalTrials.gov Identifier: | NCT03227146 |
Other Study ID Numbers: |
TBRU-dS-BA-PIIb |
First Posted: | July 24, 2017 Key Record Dates |
Last Update Posted: | February 8, 2023 |
Last Verified: | February 2023 |
Individual Participant Data (IPD) Sharing Statement: | |
Plan to Share IPD: | No |
Studies a U.S. FDA-regulated Drug Product: | No |
Studies a U.S. FDA-regulated Device Product: | No |
Burns Scar Skin Wound healing |
Tissue Engineering Dermis Epidermis Thermal Injuries |
Burns Wounds and Injuries |