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Feasibility Study to Evaluate RECELL and Melanocyte Keratinocyte Transplantation Procedure for Repigmentation of Stable Vitiligo Lesions

Primary Purpose

Vitiligo

Status
Terminated
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Melanocyte-Keratinocyte Transplantation and Ultraviolet Lamp (UVB)
RECELL 1:5 and Ultraviolet Lamp (UVB)
RECELL 1:10 and Ultraviolet Lamp (UVB)
RECELL 1:20 and Ultraviolet Lamp (UVB)
Sponsored by
Avita Medical
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional device feasibility trial for Vitiligo focused on measuring Vitiligo

Eligibility Criteria

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

Inclusion Criteria:

Subjects must meet all of the following criteria to be eligible:

  1. Focal, segmental or generalized (i.e., nonsegmental) vitiligo documented as stable (no new lesions nor lesions expanding in size within the preceding 12 months, regardless of whether the lesions are intended for treatment in this study).
  2. The patient has not undergone topical treatment (e.g., steroids) for the study lesion within the past 60 days.
  3. The patient has not undergone phototherapy (e.g., NB-UVB) for the study lesion within the past 6 months.
  4. The patient is a candidate for surgical intervention for treatment of a depigmented area, defined as: the patient has been compliant but has not satisfactorily responded to topical therapy and a minimum of 3 months of phototherapy.
  5. Five discrete 3cm by 3cm areas are available for treatment within the depigmented lesion.
  6. The 5 study areas must be similarly sun exposed.
  7. The extent of leukotrichia must be similar between the five study areas.
  8. The patient is ≥ 22 years of age.
  9. The patient is willing and able to comply with post-treatment at-home phototherapy and all follow-up evaluations required by the study protocol.
  10. The patient agrees to abstain from any other treatment of the study areas for the duration of the his/her participation in the study (24 weeks).
  11. The patient agrees to abstain from enrollment in any other interventional clinical trial for the duration of his/her participation in the study (24 weeks).
  12. In the opinion of the investigator, the patient and/or guardian must be able to:

    1. Understand the full nature and purpose of the study, including possible risks and adverse events,
    2. Understand instructions, and
    3. Provide voluntary written informed consent.

Exclusion Criteria:

Subjects who meet any of the following criteria are not eligible:

  1. The area requiring treatment is not associated with vitiligo.
  2. Study areas contain the distal phalanges.
  3. The patient in unable to undergo the treatment area preparation.
  4. Patients who are pregnant.
  5. Patients with universalis vitiligo, depigmented areas over >30% of their body surface area, or depigmented lips and fingertips (lip-tip vitiligo).
  6. Patient with a history of keloid formation.
  7. Patients who have used a tanning salon in the past 60 days.
  8. The patient has other concurrent conditions that in the opinion of the investigator may compromise patient safety or study objectives.
  9. Current use of medications (e.g., anticoagulants such as such as heparin or warfarin) that in the investigator's opinion may compromise patient safety or trial objectives.
  10. The patient has a known hypersensitivity to trypsin or compound sodium lactate for irrigation (Hartmann's) solution.
  11. The patient has recent history (within 12 months) of Koebner phenomenon and/or confetti-like or trichrome lesions.
  12. Life expectancy is less than 1 year

Sites / Locations

  • University of Massachusetts

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm Type

No Intervention

Active Comparator

Experimental

Experimental

Experimental

Arm Label

Control

Melanocyte-Keratinocyte Transplantation

RECELL 1:5

RECELL 1:10

RECELL 1:20

Arm Description

Area without surgical intervention. Ultraviolet Lamp (UVB)

Autologous skin cell suspension prepared by laboratory based melanocyte-keratinocyte transplantation procedure technique applied to a surgically prepared area of depigmentation

Regenerative epidermal suspension diluted 1:5 applied to a surgically prepared area of depigmentation

Regenerative epidermal suspension diluted 1:10 applied to a surgically prepared area of depigmentation

Regenerative epidermal suspension diluted 1:20 applied to a surgically prepared area of depigmentation

Outcomes

Primary Outcome Measures

Repigmentation
Percent area repigmented for each study area compared to standardized reference photos by a Blinded Evaluator

Secondary Outcome Measures

Categorization of Repigmentation
Categorization of each study area in terms of ranges of percent repigmentation by a Blinded Evaluator (0-25%, 26-50%, 51-79%, 80-100%)
Responders
Proportion of treated lesions achieving ≥80% or <80% repigmentation as assessed by a Blinded Evaluator.
Subject Repigmentation Rating
Ratings of poor, moderate, good, or excellent
Blinded Evaluator Color Matching
Assessment of color matching (0-3: poor, moderate, good, excellent) inclusive of hypopigmentation and hyperpigmentation

Full Information

First Posted
February 13, 2020
Last Updated
March 12, 2023
Sponsor
Avita Medical
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1. Study Identification

Unique Protocol Identification Number
NCT04271501
Brief Title
Feasibility Study to Evaluate RECELL and Melanocyte Keratinocyte Transplantation Procedure for Repigmentation of Stable Vitiligo Lesions
Official Title
A Prospective Blinded Randomized Within-Subject Controlled Clinical Feasibility Study to Evaluate RECELL and Melanocyte Keratinocyte Transplantation Procedure (MKTP) for Repigmentation of Stable Vitiligo Lesions
Study Type
Interventional

2. Study Status

Record Verification Date
March 2023
Overall Recruitment Status
Terminated
Why Stopped
Suspended and Terminated to focus on CTP009 (NCT04547998) Clinical Study to Investigate the Safety and Effectiveness of RECELL for Repigmentation of Stable Vitiligo Lesions
Study Start Date
September 25, 2020 (Actual)
Primary Completion Date
August 24, 2021 (Actual)
Study Completion Date
August 24, 2021 (Actual)

3. Sponsor/Collaborators

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

4. Oversight

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

5. Study Description

Brief Summary
Prospective randomized within-subject controlled feasibility study to evaluate the clinical performance of RECELL for repigmentation of stable, depigmented lesions. The trial will evaluate 50 matched, stable depigmented areas from 10 subjects.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Vitiligo
Keywords
Vitiligo

7. Study Design

Primary Purpose
Device Feasibility
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Model Description
Each subject serves as their own control.
Masking
ParticipantOutcomes Assessor
Masking Description
Repigmentation will be evaluated via measurement of the area repigmented and will be rated by the patient and a Blinded Evaluator (blinded to treatment allocation) using standardized photographs.
Allocation
Randomized
Enrollment
5 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Control
Arm Type
No Intervention
Arm Description
Area without surgical intervention. Ultraviolet Lamp (UVB)
Arm Title
Melanocyte-Keratinocyte Transplantation
Arm Type
Active Comparator
Arm Description
Autologous skin cell suspension prepared by laboratory based melanocyte-keratinocyte transplantation procedure technique applied to a surgically prepared area of depigmentation
Arm Title
RECELL 1:5
Arm Type
Experimental
Arm Description
Regenerative epidermal suspension diluted 1:5 applied to a surgically prepared area of depigmentation
Arm Title
RECELL 1:10
Arm Type
Experimental
Arm Description
Regenerative epidermal suspension diluted 1:10 applied to a surgically prepared area of depigmentation
Arm Title
RECELL 1:20
Arm Type
Experimental
Arm Description
Regenerative epidermal suspension diluted 1:20 applied to a surgically prepared area of depigmentation
Intervention Type
Procedure
Intervention Name(s)
Melanocyte-Keratinocyte Transplantation and Ultraviolet Lamp (UVB)
Intervention Description
Application of melanocytes (aka melanocyte-keratinocyte transplantation procedure or MKTP) to surgically prepared depigmented areas
Intervention Type
Device
Intervention Name(s)
RECELL 1:5 and Ultraviolet Lamp (UVB)
Intervention Description
Skin cell suspension dilution prepared using the RECELL System applied to a surgically prepared area of depigmentation
Intervention Type
Device
Intervention Name(s)
RECELL 1:10 and Ultraviolet Lamp (UVB)
Intervention Description
Skin cell suspension dilution prepared using the RECELL System applied to a surgically prepared area of depigmentation
Intervention Type
Device
Intervention Name(s)
RECELL 1:20 and Ultraviolet Lamp (UVB)
Intervention Description
Skin cell suspension dilution prepared using the RECELL System applied to a surgically prepared area of depigmentation
Primary Outcome Measure Information:
Title
Repigmentation
Description
Percent area repigmented for each study area compared to standardized reference photos by a Blinded Evaluator
Time Frame
24 weeks
Secondary Outcome Measure Information:
Title
Categorization of Repigmentation
Description
Categorization of each study area in terms of ranges of percent repigmentation by a Blinded Evaluator (0-25%, 26-50%, 51-79%, 80-100%)
Time Frame
4, 12 and 24 weeks
Title
Responders
Description
Proportion of treated lesions achieving ≥80% or <80% repigmentation as assessed by a Blinded Evaluator.
Time Frame
24 weeks
Title
Subject Repigmentation Rating
Description
Ratings of poor, moderate, good, or excellent
Time Frame
4, 12 and 24 weeks
Title
Blinded Evaluator Color Matching
Description
Assessment of color matching (0-3: poor, moderate, good, excellent) inclusive of hypopigmentation and hyperpigmentation
Time Frame
4, 12 and 24 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
22 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subjects must meet all of the following criteria to be eligible: Focal, segmental or generalized (i.e., nonsegmental) vitiligo documented as stable (no new lesions nor lesions expanding in size within the preceding 12 months, regardless of whether the lesions are intended for treatment in this study). The patient has not undergone topical treatment (e.g., steroids) for the study lesion within the past 60 days. The patient has not undergone phototherapy (e.g., NB-UVB) for the study lesion within the past 6 months. The patient is a candidate for surgical intervention for treatment of a depigmented area, defined as: the patient has been compliant but has not satisfactorily responded to topical therapy and a minimum of 3 months of phototherapy. Five discrete 3cm by 3cm areas are available for treatment within the depigmented lesion. The 5 study areas must be similarly sun exposed. The extent of leukotrichia must be similar between the five study areas. The patient is ≥ 22 years of age. The patient is willing and able to comply with post-treatment at-home phototherapy and all follow-up evaluations required by the study protocol. The patient agrees to abstain from any other treatment of the study areas for the duration of the his/her participation in the study (24 weeks). The patient agrees to abstain from enrollment in any other interventional clinical trial for the duration of his/her participation in the study (24 weeks). In the opinion of the investigator, the patient and/or guardian must be able to: Understand the full nature and purpose of the study, including possible risks and adverse events, Understand instructions, and Provide voluntary written informed consent. Exclusion Criteria: Subjects who meet any of the following criteria are not eligible: The area requiring treatment is not associated with vitiligo. Study areas contain the distal phalanges. The patient in unable to undergo the treatment area preparation. Patients who are pregnant. Patients with universalis vitiligo, depigmented areas over >30% of their body surface area, or depigmented lips and fingertips (lip-tip vitiligo). Patient with a history of keloid formation. Patients who have used a tanning salon in the past 60 days. The patient has other concurrent conditions that in the opinion of the investigator may compromise patient safety or study objectives. Current use of medications (e.g., anticoagulants such as such as heparin or warfarin) that in the investigator's opinion may compromise patient safety or trial objectives. The patient has a known hypersensitivity to trypsin or compound sodium lactate for irrigation (Hartmann's) solution. The patient has recent history (within 12 months) of Koebner phenomenon and/or confetti-like or trichrome lesions. Life expectancy is less than 1 year
Facility Information:
Facility Name
University of Massachusetts
City
Worcester
State/Province
Massachusetts
ZIP/Postal Code
01655
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
Undecided

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Feasibility Study to Evaluate RECELL and Melanocyte Keratinocyte Transplantation Procedure for Repigmentation of Stable Vitiligo Lesions

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