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Dehydrated Human Amnion Chorion Membrane (dHACM) vs. Control in the Treatment of Partial Thickness Burns.

Primary Purpose

Treatment of Partial Thickness Burns

Status
Terminated
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Dehydrated Human Amnion/Chorion Membrane
Mepilex Ag
Sponsored by
MiMedx Group, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Treatment of Partial Thickness Burns

Eligibility Criteria

12 Months - 70 Years (Child, Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

ll patients enrolled must meet all the following criteria:

  1. Patient with burn injury that meets all of the following requirements:

    1. Occurred within the last 48 hours
    2. Wound is thermal in nature
    3. Partial-thickness burn (burn extends through the epidermis and may penetrate into the dermis)
    4. Total body surface area (TBSA) of burn(s) is 2-20% for all subjects
    5. Burn area(s) located on smooth, flat surface
    6. 2 burn areas, each with a minimum size of 16cm2 (burn areas may be two separate burns or within one large burn, see Section 9.4.2)
  2. Age ≥ 12 months and ≤ 70 years

Exclusion Criteria:

Subjects meeting any of the following criteria will be excluded:

  1. Burns meeting any of the following criteria:

    1. Mechanism of injury was electrical, radiation, chemical or frostbite
    2. Wound is larger than 200 cm2
    3. Clinically infected burn (as judged by the investigator)
    4. Previous or planned treatment of the Burn Area(s) with any of the following:

      • Biological Skin Substitutes (including Apligraf®, Dermagraft®, etc.)
  2. Patient criteria that will make patient ineligible for enrollment:

    1. Ventilator dependence
    2. Active malignant disease or patient is less than 1 year disease-free
    3. Use of immunosuppressive agents, radiation or chemotherapy within the past 30 days
    4. Auto-immune disorders including Systemic Lupus Erythematosus (SLE), Fibromyalgia, Acquired Immunodeficiency Syndrome (AIDS) or Human Immunodeficiency Virus (HIV)
    5. Presence of any condition (including current drug or alcohol abuse, medical or psychiatric condition) that is likely to impair understanding of or compliance with the study protocol in the judgment of the Investigator
    6. Presence of any condition that is likely to compromise healing in the judgment of the Investigator
    7. Pregnancy at enrollment or within last 6 months, women who are breastfeeding, or women of childbearing potential who are planning to become pregnant during the time of the study OR are unwilling/unable to use acceptable methods of contraception (birth control pills, barriers, or abstinence)
    8. Patient has been on any investigational drug(s) or therapeutic device(s) in the last 30 days or any previous enrollment in this study
  3. Allergy or known sensitivity to any of the following:

    1. Aminoglycosides such as gentamicin sulfate and/or streptomycin sulfate
    2. Silver

      -

Sites / Locations

  • Arizona Burn Center
  • Keck School of Medicine
  • University of San Diego Nedical Center
  • St Elizabeth Reg Med Center
  • Bruce Cairns Surgery Burn Center
  • Drexel University

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Active Comparator

Arm Label

Group 1

Group 2

Arm Description

Treatment 1 - dHACM plus Control Burn Area A Treatment 2 - Control Burn Area B

Treatment 1 - dHACM plus Control Burn Area B Treatment 2 - Control Burn Area A

Outcomes

Primary Outcome Measures

Healing Rate
95% epitheliazation as assesses by the investigator
Freedom from Scarring
Vancouver Scar Scale: consists of four variables: pliability, vascularity, height (thickness), and pigmentation. Each variable has four to six possible scores. A total score ranges from 0 to 14, whereby a score of 0 reflects normal skin.

Secondary Outcome Measures

Reduction in pain
Visual Analog Scale or FLACC Behavioral Pain Assessment Scale:VAS-No pain on left of line, worst pain imaginable on the right of line; FLACC- 0-2, (0 being least uncomfortable to 2 which is very uncomfortable)

Full Information

First Posted
May 5, 2016
Last Updated
May 10, 2022
Sponsor
MiMedx Group, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT02765737
Brief Title
Dehydrated Human Amnion Chorion Membrane (dHACM) vs. Control in the Treatment of Partial Thickness Burns.
Official Title
Dehydrated Human Amnion Chorion Membrane (dHACM) vs. Control in the Treatment of Partial Thickness Burns.
Study Type
Interventional

2. Study Status

Record Verification Date
November 2020
Overall Recruitment Status
Terminated
Why Stopped
Slow enrollment, issues with inclusion/exclusion and choice of control
Study Start Date
April 2016 (undefined)
Primary Completion Date
January 2019 (Actual)
Study Completion Date
January 2019 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
MiMedx Group, Inc.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
Multicenter, prospective, randomized, controlled feasibility trial to determine the safety and effectiveness of Dehydrated Human Amnion Chorion Membrane (dHACM) plus Control as compared to Control alone for the treatment of second degree burns (partial thickness burns) as assessed by time to healing and scarring
Detailed Description
Multicenter, prospective, randomized, controlled feasibility trial to determine the safety and effectiveness of Dehydrated Human Amnion Chorion Membrane (dHACM) plus Control as compared to Control alone for the treatment of second degree burns as assessed by time to healing and scarring

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Treatment of Partial Thickness Burns

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
23 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Group 1
Arm Type
Active Comparator
Arm Description
Treatment 1 - dHACM plus Control Burn Area A Treatment 2 - Control Burn Area B
Arm Title
Group 2
Arm Type
Active Comparator
Arm Description
Treatment 1 - dHACM plus Control Burn Area B Treatment 2 - Control Burn Area A
Intervention Type
Other
Intervention Name(s)
Dehydrated Human Amnion/Chorion Membrane
Other Intervention Name(s)
dHACM
Intervention Description
Dehydrated human amnion/chorion membrane (dHACM) product and is regulated as a Human Cells, Tissues and Cellular and Tissue Based Product (HCT/P) under Section 361 of the Public Health Service Act by the Food and Drug Administration (FDA).
Intervention Type
Device
Intervention Name(s)
Mepilex Ag
Primary Outcome Measure Information:
Title
Healing Rate
Description
95% epitheliazation as assesses by the investigator
Time Frame
3 weeks
Title
Freedom from Scarring
Description
Vancouver Scar Scale: consists of four variables: pliability, vascularity, height (thickness), and pigmentation. Each variable has four to six possible scores. A total score ranges from 0 to 14, whereby a score of 0 reflects normal skin.
Time Frame
3 Months
Secondary Outcome Measure Information:
Title
Reduction in pain
Description
Visual Analog Scale or FLACC Behavioral Pain Assessment Scale:VAS-No pain on left of line, worst pain imaginable on the right of line; FLACC- 0-2, (0 being least uncomfortable to 2 which is very uncomfortable)
Time Frame
3 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
12 Months
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: ll patients enrolled must meet all the following criteria: Patient with burn injury that meets all of the following requirements: Occurred within the last 48 hours Wound is thermal in nature Partial-thickness burn (burn extends through the epidermis and may penetrate into the dermis) Total body surface area (TBSA) of burn(s) is 2-20% for all subjects Burn area(s) located on smooth, flat surface 2 burn areas, each with a minimum size of 16cm2 (burn areas may be two separate burns or within one large burn, see Section 9.4.2) Age ≥ 12 months and ≤ 70 years Exclusion Criteria: Subjects meeting any of the following criteria will be excluded: Burns meeting any of the following criteria: Mechanism of injury was electrical, radiation, chemical or frostbite Wound is larger than 200 cm2 Clinically infected burn (as judged by the investigator) Previous or planned treatment of the Burn Area(s) with any of the following: Biological Skin Substitutes (including Apligraf®, Dermagraft®, etc.) Patient criteria that will make patient ineligible for enrollment: Ventilator dependence Active malignant disease or patient is less than 1 year disease-free Use of immunosuppressive agents, radiation or chemotherapy within the past 30 days Auto-immune disorders including Systemic Lupus Erythematosus (SLE), Fibromyalgia, Acquired Immunodeficiency Syndrome (AIDS) or Human Immunodeficiency Virus (HIV) Presence of any condition (including current drug or alcohol abuse, medical or psychiatric condition) that is likely to impair understanding of or compliance with the study protocol in the judgment of the Investigator Presence of any condition that is likely to compromise healing in the judgment of the Investigator Pregnancy at enrollment or within last 6 months, women who are breastfeeding, or women of childbearing potential who are planning to become pregnant during the time of the study OR are unwilling/unable to use acceptable methods of contraception (birth control pills, barriers, or abstinence) Patient has been on any investigational drug(s) or therapeutic device(s) in the last 30 days or any previous enrollment in this study Allergy or known sensitivity to any of the following: Aminoglycosides such as gentamicin sulfate and/or streptomycin sulfate Silver -
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
David Mason, MD
Organizational Affiliation
Chief Medical Officer
Official's Role
Study Director
Facility Information:
Facility Name
Arizona Burn Center
City
Phoenix
State/Province
Arizona
ZIP/Postal Code
85008
Country
United States
Facility Name
Keck School of Medicine
City
Los Angeles
State/Province
California
ZIP/Postal Code
90032
Country
United States
Facility Name
University of San Diego Nedical Center
City
San Diego
State/Province
California
ZIP/Postal Code
92103
Country
United States
Facility Name
St Elizabeth Reg Med Center
City
Lincoln
State/Province
Nebraska
ZIP/Postal Code
68506
Country
United States
Facility Name
Bruce Cairns Surgery Burn Center
City
Chapel Hill
State/Province
North Carolina
ZIP/Postal Code
27514
Country
United States
Facility Name
Drexel University
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19140
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

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Dehydrated Human Amnion Chorion Membrane (dHACM) vs. Control in the Treatment of Partial Thickness Burns.

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