Study of ST266 in Diabetic Subjects With Deep Burns Managed With Skin Grafts
Primary Purpose
Third Degree Burns, Diabetes
Status
Terminated
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
ST266
Saline
Sponsored by
About this trial
This is an interventional treatment trial for Third Degree Burns focused on measuring Burn, Diabetes, Skin graft, Donor site
Eligibility Criteria
Inclusion Criteria:
- Signed and dated Institutional Review Board-approved written Informed Consent
- 18 - 75 years of age.
- Thermal or scald burn, either full thickness or deep partial thickness, which in the opinion of the burn surgeon, requires a meshed skin graft to heal.
- Target burn area for treatment equal to or less than three percent total body surface area.
- A skin graft site harvested at 10/1000ths of an inch and a skin graft meshed at 2:1.
- Total Body Surface Area (TBSA) burn of less than or equal to 20 percent total body surface.
- Patient must have a known history of diabetes, or be found to have diabetes at the time of admission, confirmed by a Hemoglobin A1C of greater than 6.5 percent.
- If a woman of child-bearing potential (WOCBP), she and her partner must be willing to employ either a highly effective form of birth control (e.g., implants, injectable medications, a hormone combination oral contraceptive, etc.), sexual abstinence, or a vasectomised partner, in combination with a barrier method, for the entire duration of the study (through study discharge). Male subjects with a WOCBP partner must be willing to use a condom during sexual activity for the entire duration of the study (through study discharge).
- Willing to participate in the clinical study and comply with the requirements of the trial.
Exclusion Criteria:
- Full thickness burns involving tendon, ligament, bone, or joint capsule.
- Burns of the face, neck, palmer surface of the hands and plantar surface of the foot.
- Burn from chemical, electrical or radiation causes.
- Subjects with any immune deficiency including current treatment with corticosteroid medication, chemotherapeutic agents, anti-viral therapy, or concurrent radiation therapy within 30 days of signing the informed consent.
- Active cancer or a history of cancer in the five years prior to signing the informed consent form. (History of basal cell carcinoma is allowed).
- Life expectancy of less than one year.
- Patients requiring care in the Intensive Care Unit.
- Inhalation injury requiring mechanical ventilation.
- Multiple trauma (significant traumatic injury to a solid organ in addition to skin).
- Psychiatric condition or substance abuse which in the Investigator's opinion may pose a threat to subject compliance.
- History of non-compliance with treatment or clinical visit attendance.
- Participation in an investigational trial within 30 days of study entry.
- Women who are pregnant or lactating
- Prisoners
- Acute clinically significant infection (including viral infections) in the six weeks prior to administration of study drug or any clinically significant ongoing chronic infection (excluding fungal infections of the nail beds).
- Evidence or history of skin conditions that would interfere with evaluations.
- Any other uncontrolled concomitant disease, condition, or treatment that could interfere with the conduct of the study, or that would, in the opinion of the investigator, pose an unacceptable risk to individuals in this study or interfere with the interpretation of study data.
Sites / Locations
- The Burn Unit of the Wexner Medical Center at The Ohio State University.
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Placebo Comparator
Arm Label
ST266
Saline
Arm Description
ST266 sprayed to the skin graft and donor site
Saline (placebo)sprayed to the skin graft and donor site
Outcomes
Primary Outcome Measures
Safety
The primary objective of this study is to evaluate the safety of ST266 in treating burns in diabetic subjects by evaluating adverse events and serious adverse events. Physical examination, hematology, serum chemistry, urinalysis, vital signs, Adverse Event monitoring, and concomitant medications, cytokine and antibody levels will be monitored at baseline and during the study.
Secondary Outcome Measures
Healing of skin graft
Evaluation of ST266 compared with placebo (saline) in treating burns in diabetic subjects by assessing the time to complete healing of the skin graft.
Healing of skin graft donor site
Evaluation of ST266 compared with placebo (saline) in treating burns in diabetic subjects by assessing the healing of the skin graft donor site.
Scarring of skin graft
Evaluation of ST266 compared with placebo (saline) in treating burns in diabetic subjects by assessing scarring of the skin graft at six months and one year using a validated scar scale.
Scarring of skin graft donor site
Evaluation of ST266 compared with placebo (saline) in treating burns in diabetic subjects by assessing scarring of the skin graft donor site at six months and one year using a validated scar scale.
Full Information
NCT ID
NCT01715012
First Posted
October 22, 2012
Last Updated
May 9, 2019
Sponsor
Noveome Biotherapeutics, formerly Stemnion
1. Study Identification
Unique Protocol Identification Number
NCT01715012
Brief Title
Study of ST266 in Diabetic Subjects With Deep Burns Managed With Skin Grafts
Official Title
A Phase 2a Randomized, Double Blind, Placebo Controlled, Single-center Study of ST266 Spray in Diabetic Subjects With Deep Burns Managed With Meshed Skin Grafts.
Study Type
Interventional
2. Study Status
Record Verification Date
May 2019
Overall Recruitment Status
Terminated
Why Stopped
Enrollment futility
Study Start Date
October 2012 (undefined)
Primary Completion Date
January 2015 (Actual)
Study Completion Date
March 2015 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Noveome Biotherapeutics, formerly Stemnion
4. Oversight
Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
This study is a randomized, double blind, placebo controlled trial at a single site. The primary objective is to evaluate the safety of ST266 in diabetic subjects with deep burns. The secondary objectives of this study are to (1) evaluate efficacy of ST266 in healing burns and (2) evaluate whether treatment with ST266 results in less scarring, in subjects with diabetes separately comparing healing of the skin graft and the skin graft donor site using ST266 plus a burn dressing versus placebo and a burn dressing.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Third Degree Burns, Diabetes
Keywords
Burn, Diabetes, Skin graft, Donor site
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
1 (Actual)
8. Arms, Groups, and Interventions
Arm Title
ST266
Arm Type
Experimental
Arm Description
ST266 sprayed to the skin graft and donor site
Arm Title
Saline
Arm Type
Placebo Comparator
Arm Description
Saline (placebo)sprayed to the skin graft and donor site
Intervention Type
Biological
Intervention Name(s)
ST266
Intervention Description
ST266 is applied daily by spray to burn wound and skin graft donor site
Intervention Type
Drug
Intervention Name(s)
Saline
Other Intervention Name(s)
Placebo
Intervention Description
Saline is applied daily by spray to burn wound and skin graft donor site
Primary Outcome Measure Information:
Title
Safety
Description
The primary objective of this study is to evaluate the safety of ST266 in treating burns in diabetic subjects by evaluating adverse events and serious adverse events. Physical examination, hematology, serum chemistry, urinalysis, vital signs, Adverse Event monitoring, and concomitant medications, cytokine and antibody levels will be monitored at baseline and during the study.
Time Frame
Beginning at enrollment and continuing 12 months after last treatment
Secondary Outcome Measure Information:
Title
Healing of skin graft
Description
Evaluation of ST266 compared with placebo (saline) in treating burns in diabetic subjects by assessing the time to complete healing of the skin graft.
Time Frame
Up to 2 weeks of treatment
Title
Healing of skin graft donor site
Description
Evaluation of ST266 compared with placebo (saline) in treating burns in diabetic subjects by assessing the healing of the skin graft donor site.
Time Frame
Up to 2 weeks of treatment
Title
Scarring of skin graft
Description
Evaluation of ST266 compared with placebo (saline) in treating burns in diabetic subjects by assessing scarring of the skin graft at six months and one year using a validated scar scale.
Time Frame
One year following treatment
Title
Scarring of skin graft donor site
Description
Evaluation of ST266 compared with placebo (saline) in treating burns in diabetic subjects by assessing scarring of the skin graft donor site at six months and one year using a validated scar scale.
Time Frame
One year following treatment
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Signed and dated Institutional Review Board-approved written Informed Consent
18 - 75 years of age.
Thermal or scald burn, either full thickness or deep partial thickness, which in the opinion of the burn surgeon, requires a meshed skin graft to heal.
Target burn area for treatment equal to or less than three percent total body surface area.
A skin graft site harvested at 10/1000ths of an inch and a skin graft meshed at 2:1.
Total Body Surface Area (TBSA) burn of less than or equal to 20 percent total body surface.
Patient must have a known history of diabetes, or be found to have diabetes at the time of admission, confirmed by a Hemoglobin A1C of greater than 6.5 percent.
If a woman of child-bearing potential (WOCBP), she and her partner must be willing to employ either a highly effective form of birth control (e.g., implants, injectable medications, a hormone combination oral contraceptive, etc.), sexual abstinence, or a vasectomised partner, in combination with a barrier method, for the entire duration of the study (through study discharge). Male subjects with a WOCBP partner must be willing to use a condom during sexual activity for the entire duration of the study (through study discharge).
Willing to participate in the clinical study and comply with the requirements of the trial.
Exclusion Criteria:
Full thickness burns involving tendon, ligament, bone, or joint capsule.
Burns of the face, neck, palmer surface of the hands and plantar surface of the foot.
Burn from chemical, electrical or radiation causes.
Subjects with any immune deficiency including current treatment with corticosteroid medication, chemotherapeutic agents, anti-viral therapy, or concurrent radiation therapy within 30 days of signing the informed consent.
Active cancer or a history of cancer in the five years prior to signing the informed consent form. (History of basal cell carcinoma is allowed).
Life expectancy of less than one year.
Patients requiring care in the Intensive Care Unit.
Inhalation injury requiring mechanical ventilation.
Multiple trauma (significant traumatic injury to a solid organ in addition to skin).
Psychiatric condition or substance abuse which in the Investigator's opinion may pose a threat to subject compliance.
History of non-compliance with treatment or clinical visit attendance.
Participation in an investigational trial within 30 days of study entry.
Women who are pregnant or lactating
Prisoners
Acute clinically significant infection (including viral infections) in the six weeks prior to administration of study drug or any clinically significant ongoing chronic infection (excluding fungal infections of the nail beds).
Evidence or history of skin conditions that would interfere with evaluations.
Any other uncontrolled concomitant disease, condition, or treatment that could interfere with the conduct of the study, or that would, in the opinion of the investigator, pose an unacceptable risk to individuals in this study or interfere with the interpretation of study data.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Larry Jones, MD
Organizational Affiliation
Ohio State University
Official's Role
Principal Investigator
Facility Information:
Facility Name
The Burn Unit of the Wexner Medical Center at The Ohio State University.
City
Columbus
State/Province
Ohio
ZIP/Postal Code
43210
Country
United States
12. IPD Sharing Statement
Plan to Share IPD
No
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Study of ST266 in Diabetic Subjects With Deep Burns Managed With Skin Grafts
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