search
Back to results

Using Autologous Platelet Rich Plasma (PRP) Gel to Treat Deep 2nd and 3rd Degree Burns

Primary Purpose

Acute Burns

Status
Unknown status
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Magellan®
Placebo Saline Gel and Usual and Customary Standard of Care
Sponsored by
Arteriocyte, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Acute Burns focused on measuring Acute 2nd and 3rd Degree Burns, Autologous Platelet Rich Plasma (PRP), Skin Grafting, Magellan® System, Wounds

Eligibility Criteria

18 Years - 86 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Written informed consent obtained either the subject or the subject's legally acceptable representative prior to screening activities
  • Male or female age ≥ 18 and ≤ 86 years of age
  • Total burn wound measuring ≤ 20% TBSA to include a deep partial thickness/full thickness area requiring surgical excision and autologous split thickness skin grafts
  • Hemoglobin HbA1c ≤7.5% (for patients with pre-existing diabetes mellitus)
  • Able and willing to comply with the procedures required by the protocol. Patients may be managed as either inpatient or outpatient.
  • If a female of childbearing potential, the subject must have a negative serum pregnancy test at screening
  • All participants, male and female, must use acceptable method(s) of birth control for the duration of the study
  • Female subjects must be of non-childbearing potential (defined as postmenopausal for at least 1 year or surgically sterile [bilateral tubal ligation, bilateral oophorectomy or hysterectomy]) or must be using adequate contraception (practicing one of the following methods of birth control):
  • Total abstinence from sexual intercourse (minimum of one complete menstrual cycle before study entry),
  • A partner who is physically unable to impregnate the subject (e.g., vasectomized)
  • Contraceptives (oral, parenteral, or transdermal) for 3 consecutive months prior to the patient's cell concentrate administration,
  • Intrauterine device (IUD)or,
  • Double-barrier method (condoms, sponge, diaphragm, or vaginal ring with spermicidal jellies or cream)

Exclusion Criteria:

  • Conductive electrical burns and chemical burns
  • Digits, head, genitalia, palms of hands, soles of feet, and face are excluded as test sites
  • Burns that pose a risk to digits or limbs
  • Test area with infection as determined clinically by the investigator prior to surgery
  • Venous or arterial vascular disorder directly affecting a designated test area
  • Known immune deficiency disorder, either congenital or acquired
  • Chronically malnourished as determined clinically by the investigator prior to surgery (Investigators are responsible for determining subjects are chronically malnourished during the screening process. Investigators should take into consideration the following parameters: medical history and physical appearance, the subject's body mass index, and any significant laboratory findings)
  • Severe respiratory problems or concurrent head trauma at hospital admission, including inhalation injury requiring ventilatory support
  • Any chronic condition requiring the use of systemic corticosteroids 30 days prior to study entry and anytime during the course of the study
  • Any other acute or chronic concurrent medical condition(s) that in the investigator's opinion are a contraindication to skin grafting and study participation or limit the participant's life expectancy to < 6 months
  • Known or suspected hypersensitivity to bovine protein
  • Concurrent participation in another clinical trial in which an investigational agent is used. (Subjects must not have been enrolled in another clinical trial within 30 days of enrolling in this trial)
  • Females who are pregnant or nursing or intend to become pregnant during the duration of the study
  • Burn wounds that occur over joints
  • Patients with the following abnormal laboratory test levels:
  • Stage 4 or greater chronic kidney disease (eGFR < 30 mL/min)
  • Hemoglobin < 10 g/dL
  • Thrombocytopenia < 100,000 platelets/µL
  • Serum albumin level <2.5 g/dL or > 30 g/dL at time of screening

Sites / Locations

  • University of California, Davis, Division of Burn Surgery
  • Medstar Health Research Institute
  • University of Utah Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Autologous Platelet Rich Plasma (PRP)

Saline Gel, Standard of Care

Arm Description

Magellan Autologous Platelet Separator used to extract Platelet Rich Plasma from autologous whole blood. PRP is mixed with calcified thrombin to create a gel, which is place on the excised wound bed prior to application of split thickness autograft.

Normlgel Saline is placed on the excised wound bed prior to application of split thickness autograft.

Outcomes

Primary Outcome Measures

Demonstrate the safety of application of autologous platelet rich plasma (PRP) gel following excision of an acute deep 2nd and 3rd degree burn.
Examine that there is no increase in adverse events above what is seen with excision and split thickness autografting of deep 2nd and 3rd degree burns

Secondary Outcome Measures

Assessment of a composite of wound healing measurements
This treatment is intended to stimulate rapid healing and improve outcomes of standard of care burn treatments: Time to 100% healing and time to complete wound closure (skin re-epithelialization without drainage or dressing requirements confirmed at study visits wound remained closed for at least 14 days) Length of hospital stay Time for return to full activity clinical wound measurement with respect to wound surface area and need for reoperation. Monitoring improvement of scar appearance. Assessment of wound flora, dermal collagen and elastin content, and epithelialization using tissue markers.

Full Information

First Posted
April 25, 2013
Last Updated
January 8, 2018
Sponsor
Arteriocyte, Inc.
Collaborators
United States Department of Defense
search

1. Study Identification

Unique Protocol Identification Number
NCT01843686
Brief Title
Using Autologous Platelet Rich Plasma (PRP) Gel to Treat Deep 2nd and 3rd Degree Burns
Official Title
Use of Autologous Platelet Rich Plasma (PRP) Gel as an Adjunct to the Treatment of Deep 2nd and 3rd Degree Burns
Study Type
Interventional

2. Study Status

Record Verification Date
January 2018
Overall Recruitment Status
Unknown status
Study Start Date
April 2013 (Actual)
Primary Completion Date
February 2018 (Anticipated)
Study Completion Date
March 2018 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Arteriocyte, Inc.
Collaborators
United States Department of Defense

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This study will demonstrate the safety of the application of autologous platelet rich plasma (PRP) gel following excision and autologous skin grafting of acute deep 2nd and 3rd degree burns. The study will be a randomized, double-blinded controlled safety study. Investigators expect that the PRP will deliver improved hemostasis and growth factors at the wound site thus increasing the effectiveness of treatment at the wound site. This will lead to rapid production and delivery of an autologous therapy that should minimize additional morbidity to the patient.
Detailed Description
The goal of this study is to demonstrate the safety of the application of autologous platelet rich plasma (PRP) gel following excision and autologous skin grafting of acute deep 2nd and 3rd degree burns. This treatment is intended to stimulate rapid healing and improve the outcome of standard of care treatments for burns common to active duty military personnel, and more broadly for treatment of all acute burns. The care is specific to excision and split thickness skin grafting in the context of this burn study. The study will enroll 42 patients receiving surgical management of acute 2nd and 3rd degree burns requiring excision and skin grafting. The patient's total body surface area burn injury should not exceed 20%. The study will be conducted for 12 months. This study will provide further information for the development of enhanced treatment of wound-deployable cellular therapy for advanced trauma care of burned warriors.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Acute Burns
Keywords
Acute 2nd and 3rd Degree Burns, Autologous Platelet Rich Plasma (PRP), Skin Grafting, Magellan® System, Wounds

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
Care ProviderInvestigator
Allocation
Randomized
Enrollment
42 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Autologous Platelet Rich Plasma (PRP)
Arm Type
Experimental
Arm Description
Magellan Autologous Platelet Separator used to extract Platelet Rich Plasma from autologous whole blood. PRP is mixed with calcified thrombin to create a gel, which is place on the excised wound bed prior to application of split thickness autograft.
Arm Title
Saline Gel, Standard of Care
Arm Type
Placebo Comparator
Arm Description
Normlgel Saline is placed on the excised wound bed prior to application of split thickness autograft.
Intervention Type
Device
Intervention Name(s)
Magellan®
Other Intervention Name(s)
Autologous Platelet Rich Plasma
Intervention Description
Autologous Platelet Rich Plasma Prepared Using the Magellan System
Intervention Type
Other
Intervention Name(s)
Placebo Saline Gel and Usual and Customary Standard of Care
Primary Outcome Measure Information:
Title
Demonstrate the safety of application of autologous platelet rich plasma (PRP) gel following excision of an acute deep 2nd and 3rd degree burn.
Description
Examine that there is no increase in adverse events above what is seen with excision and split thickness autografting of deep 2nd and 3rd degree burns
Time Frame
12 Months
Secondary Outcome Measure Information:
Title
Assessment of a composite of wound healing measurements
Description
This treatment is intended to stimulate rapid healing and improve outcomes of standard of care burn treatments: Time to 100% healing and time to complete wound closure (skin re-epithelialization without drainage or dressing requirements confirmed at study visits wound remained closed for at least 14 days) Length of hospital stay Time for return to full activity clinical wound measurement with respect to wound surface area and need for reoperation. Monitoring improvement of scar appearance. Assessment of wound flora, dermal collagen and elastin content, and epithelialization using tissue markers.
Time Frame
12 Months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
86 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Written informed consent obtained either the subject or the subject's legally acceptable representative prior to screening activities Male or female age ≥ 18 and ≤ 86 years of age Total burn wound measuring ≤ 20% TBSA to include a deep partial thickness/full thickness area requiring surgical excision and autologous split thickness skin grafts Hemoglobin HbA1c ≤7.5% (for patients with pre-existing diabetes mellitus) Able and willing to comply with the procedures required by the protocol. Patients may be managed as either inpatient or outpatient. If a female of childbearing potential, the subject must have a negative serum pregnancy test at screening All participants, male and female, must use acceptable method(s) of birth control for the duration of the study Female subjects must be of non-childbearing potential (defined as postmenopausal for at least 1 year or surgically sterile [bilateral tubal ligation, bilateral oophorectomy or hysterectomy]) or must be using adequate contraception (practicing one of the following methods of birth control): Total abstinence from sexual intercourse (minimum of one complete menstrual cycle before study entry), A partner who is physically unable to impregnate the subject (e.g., vasectomized) Contraceptives (oral, parenteral, or transdermal) for 3 consecutive months prior to the patient's cell concentrate administration, Intrauterine device (IUD)or, Double-barrier method (condoms, sponge, diaphragm, or vaginal ring with spermicidal jellies or cream) Exclusion Criteria: Conductive electrical burns and chemical burns Digits, head, genitalia, palms of hands, soles of feet, and face are excluded as test sites Burns that pose a risk to digits or limbs Test area with infection as determined clinically by the investigator prior to surgery Venous or arterial vascular disorder directly affecting a designated test area Known immune deficiency disorder, either congenital or acquired Chronically malnourished as determined clinically by the investigator prior to surgery (Investigators are responsible for determining subjects are chronically malnourished during the screening process. Investigators should take into consideration the following parameters: medical history and physical appearance, the subject's body mass index, and any significant laboratory findings) Severe respiratory problems or concurrent head trauma at hospital admission, including inhalation injury requiring ventilatory support Any chronic condition requiring the use of systemic corticosteroids 30 days prior to study entry and anytime during the course of the study Any other acute or chronic concurrent medical condition(s) that in the investigator's opinion are a contraindication to skin grafting and study participation or limit the participant's life expectancy to < 6 months Known or suspected hypersensitivity to bovine protein Concurrent participation in another clinical trial in which an investigational agent is used. (Subjects must not have been enrolled in another clinical trial within 30 days of enrolling in this trial) Females who are pregnant or nursing or intend to become pregnant during the duration of the study Burn wounds that occur over joints Patients with the following abnormal laboratory test levels: Stage 4 or greater chronic kidney disease (eGFR < 30 mL/min) Hemoglobin < 10 g/dL Thrombocytopenia < 100,000 platelets/µL Serum albumin level <2.5 g/dL or > 30 g/dL at time of screening
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Brian R. Barnes, PhD
Organizational Affiliation
Arteriocyte, Inc.
Official's Role
Study Director
Facility Information:
Facility Name
University of California, Davis, Division of Burn Surgery
City
Sacramento
State/Province
California
ZIP/Postal Code
95817
Country
United States
Facility Name
Medstar Health Research Institute
City
Washington
State/Province
District of Columbia
ZIP/Postal Code
20010
Country
United States
Facility Name
University of Utah Hospital
City
Salt Lake City
State/Province
Utah
ZIP/Postal Code
84132
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
21042116
Citation
Bush J, Duncan JAL, Bond JS, Durani P, So K, Mason T, O'Kane S, Ferguson MWJ. Scar-improving efficacy of avotermin administered into the wound margins of skin incisions as evaluated by a randomized, double-blind, placebo-controlled, phase II clinical trial. Plast Reconstr Surg. 2010 Nov;126(5):1604-1615. doi: 10.1097/PRS.0b013e3181ef8e66.
Results Reference
background
PubMed Identifier
21470370
Citation
Saad Setta H, Elshahat A, Elsherbiny K, Massoud K, Safe I. Platelet-rich plasma versus platelet-poor plasma in the management of chronic diabetic foot ulcers: a comparative study. Int Wound J. 2011 Jun;8(3):307-12. doi: 10.1111/j.1742-481X.2011.00797.x. Epub 2011 Apr 7.
Results Reference
background
PubMed Identifier
9589248
Citation
Wieman TJ, Smiell JM, Su Y. Efficacy and safety of a topical gel formulation of recombinant human platelet-derived growth factor-BB (becaplermin) in patients with chronic neuropathic diabetic ulcers. A phase III randomized placebo-controlled double-blind study. Diabetes Care. 1998 May;21(5):822-7. doi: 10.2337/diacare.21.5.822.
Results Reference
background
PubMed Identifier
12811816
Citation
Badiavas EV, Abedi M, Butmarc J, Falanga V, Quesenberry P. Participation of bone marrow derived cells in cutaneous wound healing. J Cell Physiol. 2003 Aug;196(2):245-50. doi: 10.1002/jcp.10260.
Results Reference
background
PubMed Identifier
16309946
Citation
Milkiewicz M, Ispanovic E, Doyle JL, Haas TL. Regulators of angiogenesis and strategies for their therapeutic manipulation. Int J Biochem Cell Biol. 2006 Mar;38(3):333-57. doi: 10.1016/j.biocel.2005.10.006. Epub 2005 Nov 7.
Results Reference
background
PubMed Identifier
16079687
Citation
Lee JA, Conejero JA, Mason JM, Parrett BM, Wear-Maggitti KD, Grant RT, Breitbart AS. Lentiviral transfection with the PDGF-B gene improves diabetic wound healing. Plast Reconstr Surg. 2005 Aug;116(2):532-8. doi: 10.1097/01.prs.0000172892.78964.49.
Results Reference
background
PubMed Identifier
18376156
Citation
Renz EM, Cancio LC, Barillo DJ, White CE, Albrecht MC, Thompson CK, Ennis JL, Wanek SM, King JA, Chung KK, Wolf SE, Holcomb JB. Long range transport of war-related burn casualties. J Trauma. 2008 Feb;64(2 Suppl):S136-44; discussion S144-5. doi: 10.1097/TA.0b013e31816086c9.
Results Reference
background
PubMed Identifier
11076319
Citation
Kalka C, Asahara T, Krone W, Isner JM. [Angiogenesis and vasculogenesis. Therapeutic strategies for stimulation of postnatal neovascularization]. Herz. 2000 Sep;25(6):611-22. doi: 10.1007/pl00001974. German.
Results Reference
background
PubMed Identifier
19317995
Citation
Gomez R, Murray CK, Hospenthal DR, Cancio LC, Renz EM, Holcomb JB, Wade CE, Wolf SE. Causes of mortality by autopsy findings of combat casualties and civilian patients admitted to a burn unit. J Am Coll Surg. 2009 Mar;208(3):348-54. doi: 10.1016/j.jamcollsurg.2008.11.012. Epub 2009 Jan 21.
Results Reference
background
PubMed Identifier
18615157
Citation
Schwacha MG, Nickel E, Daniel T. Burn injury-induced alterations in wound inflammation and healing are associated with suppressed hypoxia inducible factor-1alpha expression. Mol Med. 2008 Sep-Oct;14(9-10):628-33. doi: 10.2119/2008-00069.Schwacha.
Results Reference
background
PubMed Identifier
16614255
Citation
Church D, Elsayed S, Reid O, Winston B, Lindsay R. Burn wound infections. Clin Microbiol Rev. 2006 Apr;19(2):403-34. doi: 10.1128/CMR.19.2.403-434.2006.
Results Reference
background
PubMed Identifier
18703188
Citation
Kazakos K, Lyras DN, Verettas D, Tilkeridis K, Tryfonidis M. The use of autologous PRP gel as an aid in the management of acute trauma wounds. Injury. 2009 Aug;40(8):801-5. doi: 10.1016/j.injury.2008.05.002. Epub 2008 Aug 13.
Results Reference
background
PubMed Identifier
19882589
Citation
Marquez De Aracena Del Cid R, Montero De Espinosa Escoriaza I. Subconjunctival application of regenerative factor-rich plasma for the treatment of ocular alkali burns. Eur J Ophthalmol. 2009 Nov-Dec;19(6):909-15. doi: 10.1177/112067210901900603.
Results Reference
background
PubMed Identifier
19541423
Citation
Pallua N, Wolter T, Markowicz M. Platelet-rich plasma in burns. Burns. 2010 Feb;36(1):4-8. doi: 10.1016/j.burns.2009.05.002. Epub 2009 Jun 21.
Results Reference
background
PubMed Identifier
10406801
Citation
Asahara T, Takahashi T, Masuda H, Kalka C, Chen D, Iwaguro H, Inai Y, Silver M, Isner JM. VEGF contributes to postnatal neovascularization by mobilizing bone marrow-derived endothelial progenitor cells. EMBO J. 1999 Jul 15;18(14):3964-72. doi: 10.1093/emboj/18.14.3964.
Results Reference
background

Learn more about this trial

Using Autologous Platelet Rich Plasma (PRP) Gel to Treat Deep 2nd and 3rd Degree Burns

We'll reach out to this number within 24 hrs