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A Feasibility Study of the ReGenerCell™ Autologous Cell Harvesting Device for Diabetic Foot Ulcers

Primary Purpose

Diabetic Foot Ulcer

Status
Completed
Phase
Phase 4
Locations
United Kingdom
Study Type
Interventional
Intervention
ReGenerCell™ Autologous Cell Harvesting Device
Sponsored by
Avita Medical
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Diabetic Foot Ulcer

Eligibility Criteria

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

Inclusion Criteria:

  • The patient has stable diabetes mellitus according to investigators clinical judgement
  • Diabetic foot Ulcer

    • Groups 1 and 2: Ulcer surface area between 3 cm2 and 100 cm2 (inclusive)
    • Group 1: 12-24 weeks in duration, no directly visible tendon or bone (University of Texas Ulcer grade 1A)
    • Group 2: >3 weeks in duration, University of Texas Ulcer grade 1B, 2A, 2B, 3A, 3B
  • No superficial skin infection (of the ulcer area) requiring intervention
  • Adequate offloading and compliance must be achievable
  • The patient is 18 years of age or older
  • The patient is willing to complete all follow-up evaluations required by the study protocol
  • The patient is able to abstain from any other non-standard treatment of the ulcer for the duration of the study, unless medically necessary
  • The patient agrees to abstain from enrolment in any other interventional clinical trial for the duration of the study
  • The patient is able to read and understand instructions and give voluntary written informed consent
  • The patient is able and willing to follow the protocol

Exclusion Criteria:

  • Patients requiring intervention for Peripheral Arterial Disease (PAD) will be excluded from this study
  • Severe Peripheral Arterial Disease that is not reconstructible
  • Pregnant/lactating females (self-reported or tested, per institutional requirements
  • Use of non-inert dressings (silver, honey etc.) during the past 10 days
  • Subjects who have evidence of connective tissue disorders (e.g. vasculitis or rheumatoid arthritis) under active treatment
  • The patient is known to have a pre-existing active condition that may interfere with wound healing, e.g. malignancy, autoimmune disease, immunocompromised blood borne diseases, the patient has AIDS, is HIV- or Hepatitis-C positive, or currently has a severe dermatological disorder (e.g. severe psoriasis, epidermolysis bullosa, pyoderma gangrenosum).
  • The patient is taking, or has taken in the past 60 days, >10mg of corticosteroids per day.
  • The patient has other concurrent conditions that in the opinion of the investigator may compromise patient safety or study objectives
  • The patient has a known hypersensitivity to trypsin or Compound Sodium Lactate solution.
  • The patient is a vulnerable or protected adult
  • The patient is unable to follow the protocol
  • The patient is unable to provide consent

Sites / Locations

  • King's College Hospital, London
  • Northwick Park Hospital
  • Manchester Royal Infirmary

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

ReGenerCell™

Arm Description

Debridement and/or a sterile saline rinse of ulcer, as clinically indicated, followed by ReGenerCell™ treatment and appropriate dressing and off-loading

Outcomes

Primary Outcome Measures

Complete Wound Closure
100% Re-epithelialisation of wound

Secondary Outcome Measures

Wound size
Objectively measured ulcer area cmxcm
Neuro-QoL
Quality of Life short questionnaire

Full Information

First Posted
June 2, 2016
Last Updated
June 20, 2019
Sponsor
Avita Medical
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1. Study Identification

Unique Protocol Identification Number
NCT02799121
Brief Title
A Feasibility Study of the ReGenerCell™ Autologous Cell Harvesting Device for Diabetic Foot Ulcers
Official Title
A Feasibility Study of the ReGenerCell™ Autologous Cell Harvesting Device for Diabetic Foot Ulcers
Study Type
Interventional

2. Study Status

Record Verification Date
June 2019
Overall Recruitment Status
Completed
Study Start Date
May 2016 (undefined)
Primary Completion Date
March 29, 2019 (Actual)
Study Completion Date
March 29, 2019 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Avita Medical

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This prospective case series is to gain additional clinical experience in the treatment of diabetic foot ulcers, by documenting and relating patient history (including baseline wound characteristics) and clinical outcomes (incidence of healing, rate of healing, and patient and physician satisfaction) in a group of study participants for whom the ReGenerCell™ Autologous Cell Harvesting Device (ReGenerCell™) is used in combination with conventional therapy for the closure of diabetic foot ulcers (DFUs). Participants will receive ReGenerCell™ treatment in addition to standard care (debridement, cleansing, dressings, offloading).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Diabetic Foot Ulcer

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
16 (Actual)

8. Arms, Groups, and Interventions

Arm Title
ReGenerCell™
Arm Type
Experimental
Arm Description
Debridement and/or a sterile saline rinse of ulcer, as clinically indicated, followed by ReGenerCell™ treatment and appropriate dressing and off-loading
Intervention Type
Device
Intervention Name(s)
ReGenerCell™ Autologous Cell Harvesting Device
Primary Outcome Measure Information:
Title
Complete Wound Closure
Description
100% Re-epithelialisation of wound
Time Frame
26 Weeks
Secondary Outcome Measure Information:
Title
Wound size
Description
Objectively measured ulcer area cmxcm
Time Frame
26 Weeks
Title
Neuro-QoL
Description
Quality of Life short questionnaire
Time Frame
26 Weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: The patient has stable diabetes mellitus according to investigators clinical judgement Diabetic foot Ulcer Groups 1 and 2: Ulcer surface area between 3 cm2 and 100 cm2 (inclusive) Group 1: 12-24 weeks in duration, no directly visible tendon or bone (University of Texas Ulcer grade 1A) Group 2: >3 weeks in duration, University of Texas Ulcer grade 1B, 2A, 2B, 3A, 3B No superficial skin infection (of the ulcer area) requiring intervention Adequate offloading and compliance must be achievable The patient is 18 years of age or older The patient is willing to complete all follow-up evaluations required by the study protocol The patient is able to abstain from any other non-standard treatment of the ulcer for the duration of the study, unless medically necessary The patient agrees to abstain from enrolment in any other interventional clinical trial for the duration of the study The patient is able to read and understand instructions and give voluntary written informed consent The patient is able and willing to follow the protocol Exclusion Criteria: Patients requiring intervention for Peripheral Arterial Disease (PAD) will be excluded from this study Severe Peripheral Arterial Disease that is not reconstructible Pregnant/lactating females (self-reported or tested, per institutional requirements Use of non-inert dressings (silver, honey etc.) during the past 10 days Subjects who have evidence of connective tissue disorders (e.g. vasculitis or rheumatoid arthritis) under active treatment The patient is known to have a pre-existing active condition that may interfere with wound healing, e.g. malignancy, autoimmune disease, immunocompromised blood borne diseases, the patient has AIDS, is HIV- or Hepatitis-C positive, or currently has a severe dermatological disorder (e.g. severe psoriasis, epidermolysis bullosa, pyoderma gangrenosum). The patient is taking, or has taken in the past 60 days, >10mg of corticosteroids per day. The patient has other concurrent conditions that in the opinion of the investigator may compromise patient safety or study objectives The patient has a known hypersensitivity to trypsin or Compound Sodium Lactate solution. The patient is a vulnerable or protected adult The patient is unable to follow the protocol The patient is unable to provide consent
Facility Information:
Facility Name
King's College Hospital, London
City
London
ZIP/Postal Code
SE5 9RS
Country
United Kingdom
Facility Name
Northwick Park Hospital
City
London
Country
United Kingdom
Facility Name
Manchester Royal Infirmary
City
Manchester
ZIP/Postal Code
M13 9WL
Country
United Kingdom

12. IPD Sharing Statement

Learn more about this trial

A Feasibility Study of the ReGenerCell™ Autologous Cell Harvesting Device for Diabetic Foot Ulcers

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