NCT02169362

Brief Summary

The study will examine the safety of using a concentration of proteins from a patient's own blood, referred to as platelet rich plasma or (PRP) and applying it to a second degree burn wound.

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
36

participants targeted

Target at P50-P75 for phase_1

Timeline
Completed

Started Jul 2014

Longer than P75 for phase_1

Geographic Reach
1 country

8 active sites

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

May 23, 2014

Completed
1 month until next milestone

First Posted

Study publicly available on registry

June 23, 2014

Completed
8 days until next milestone

Study Start

First participant enrolled

July 1, 2014

Completed
3.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 1, 2018

Completed
4 months until next milestone

Study Completion

Last participant's last visit for all outcomes

May 1, 2018

Completed
Last Updated

April 13, 2017

Status Verified

January 1, 2017

Enrollment Period

3.5 years

First QC Date

May 23, 2014

Last Update Submit

April 12, 2017

Conditions

Keywords

BurnsThermal burnsSecond degree burnsPartial thickness burnsDeep partial thickness burnsAcute burnsBurn wounds

Outcome Measures

Primary Outcomes (1)

  • Safety as measured by Adverse Events

    The primary objective of this trial is to demonstrate the safety of applying autologous PRP gel to acute deep partial thickness thermal burns in the first days after burn injury. The primary endpoint of this study will be safety. Incidence of Adverse Events and/or Serious Adverse Events will be documented, along with time to wound closure.

    Days 1 -365

Secondary Outcomes (5)

  • Delay or minimization of skin grafting requirements following burn injury

    Change will be assessed up to 35 Days

  • Improved wound healing trajectory as compared to standard of care

    Change will be assessed up to 365 Days

  • Increased rate of wound closure as compared to standard of care

    Change will be assessed up to 365 Days

  • Reduced scarring, pain and pruritus

    Change will be assessed up to 365 Days

  • Improved Skin-Healing Quality

    Change will be assessed up to 365 Days

Study Arms (2)

Platelet Rich Plasma - Bio-Bandage™

EXPERIMENTAL

Autologous Platelet Rich Plasma (PRP) Gel (Magellan® Bio-Bandage™)

Device: Autologous Platelet Rich Plasma (PRP) Gel (Magellan® Bio-Bandage™)

Saline Spray, Standard of Care

SHAM COMPARATOR
Device: Autologous Platelet Rich Plasma (PRP) Gel (Magellan® Bio-Bandage™)

Interventions

Application of up to 18 mL of autologous PRP gel (Magellan® Bio-Bandage™) to the surface of an acute deep partial thickness burn wound no greater than 72 cm squared within 72 hours of the initial injury. Intervention is in addition to standard of care treatment. The PRP Bio-Bandage™ is prepared using the Magellan® System and is FDA cleared via BK030040 and BK040068.

Also known as: The Magellan® System
Platelet Rich Plasma - Bio-Bandage™Saline Spray, Standard of Care

Eligibility Criteria

Age18 Years - 86 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Informed consent will be obtained prior to study participation
  • Male or female age ≥ 18 years of age or ≤ 86 years of age
  • Total burn wound measuring ≤ 25% TBSA
  • Burn wound area to be treated must be a deep partial thickness wound
  • Burn wound area to be treated must be ≤72 cm2 and surrounded by a perimeter of healthy skin
  • Able and willing to comply with the procedures required by the protocol. Subjects 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 subjects, 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 subject's cell concentrate administration
  • Intrauterine device (IUD), or
  • Double barrier method (condoms, sponge, diaphragm, or vaginal ring with spermicidal jellies or cream)

You may not qualify if:

  • Conductive electrical, friction or chemical burns
  • Burns to the digits, head, genitalia, palms of hands, soles of feet, and face that are the only possible sites for treatment (subjects with burns elsewhere in addition to these sites may be enrolled in the study)
  • Burns that pose a risk to digits or limbs
  • Subjects who have gone into hemorrhagic shock following burn injury
  • Subject was medically treated for insulin-dependent or non-insulin-dependent diabetes mellitus prior to burn injury per subject medical history
  • 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. (Investigators are responsible for determining if 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 ventilator support
  • Any chronic condition requiring the use of systemic corticosteroids 30 days prior to study entry and anytime during the course of the study
  • Use of COX-1 and/or COX-2 inhibitors within 48 hours prior to treatment. Subjects must refrain from use of NSAIDs for five days after Visit 2.
  • Any other acute or chronic concurrent medical condition(s) that, in the investigator's opinion, are a contraindication to study participation or limit the subject's life expectancy to \< 6 months
  • Known or suspected hypersensitivity to Recothrom®
  • 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
  • +12 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (8)

Arizona Burn Center

Phoenix, Arizona, 85008, United States

Location

University of California, Davis Medica Center

Sacramento, California, 95817, United States

Location

MedStar Health Research Institute

Washington D.C., District of Columbia, 20010, United States

Location

Tampa General Hospital/University of South Florida

Tampa, Florida, 33606, United States

Location

University Medical Center Southern Nevada, Lions Regional Burn Center

Las Vegas, Nevada, 89102, United States

Location

Jaycee Burn Center at University of North Carolina

Chapel Hill, North Carolina, 27599, United States

Location

Lehigh Valley Health Network

Allentown, Pennsylvania, 18103, United States

Location

Firefighters' Regional Burn Center

Memphis, Tennessee, 38104, United States

Location

Related Publications (26)

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    PMID: 21854302BACKGROUND
  • Barr JE. Principles of wound cleansing. Ostomy Wound Manage. 1995 Aug;41(7A Suppl):15S-21S; discussion 22S.

    PMID: 7669196BACKGROUND
  • Almdahl SM, Veel T, Halvorsen P, Vold MB, Molstad P. Randomized prospective trial of saphenous vein harvest site infection after wound closure with and without topical application of autologous platelet-rich plasma. Eur J Cardiothorac Surg. 2011 Jan;39(1):44-8. doi: 10.1016/j.ejcts.2010.06.007. Epub 2010 Jul 15.

    PMID: 20634084BACKGROUND
  • Bielecki TM, Gazdzik TS, Arendt J, Szczepanski T, Krol W, Wielkoszynski T. Antibacterial effect of autologous platelet gel enriched with growth factors and other active substances: an in vitro study. J Bone Joint Surg Br. 2007 Mar;89(3):417-20. doi: 10.1302/0301-620X.89B3.18491.

    PMID: 17356164BACKGROUND
  • Boswell SG, Cole BJ, Sundman EA, Karas V, Fortier LA. Platelet-rich plasma: a milieu of bioactive factors. Arthroscopy. 2012 Mar;28(3):429-39. doi: 10.1016/j.arthro.2011.10.018. Epub 2012 Jan 28.

    PMID: 22284405BACKGROUND
  • 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.

    PMID: 21042116BACKGROUND
  • 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.

    PMID: 16614255BACKGROUND
  • Dib N, Michler RE, Pagani FD, Wright S, Kereiakes DJ, Lengerich R, Binkley P, Buchele D, Anand I, Swingen C, Di Carli MF, Thomas JD, Jaber WA, Opie SR, Campbell A, McCarthy P, Yeager M, Dilsizian V, Griffith BP, Korn R, Kreuger SK, Ghazoul M, MacLellan WR, Fonarow G, Eisen HJ, Dinsmore J, Diethrich E. Safety and feasibility of autologous myoblast transplantation in patients with ischemic cardiomyopathy: four-year follow-up. Circulation. 2005 Sep 20;112(12):1748-55. doi: 10.1161/CIRCULATIONAHA.105.547810.

    PMID: 16172284BACKGROUND
  • Erbs S, Linke A, Adams V, Lenk K, Thiele H, Diederich KW, Emmrich F, Kluge R, Kendziorra K, Sabri O, Schuler G, Hambrecht R. Transplantation of blood-derived progenitor cells after recanalization of chronic coronary artery occlusion: first randomized and placebo-controlled study. Circ Res. 2005 Oct 14;97(8):756-62. doi: 10.1161/01.RES.0000185811.71306.8b. Epub 2005 Sep 8.

    PMID: 16151021BACKGROUND
  • Farrior E, Ladner K. Platelet gels and hemostasis in facial plastic surgery. Facial Plast Surg. 2011 Aug;27(4):308-14. doi: 10.1055/s-0031-1283050. Epub 2011 Jul 26.

    PMID: 21792775BACKGROUND
  • Fearmonti R, Bond J, Erdmann D, Levinson H. A review of scar scales and scar measuring devices. Eplasty. 2010 Jun 21;10:e43.

    PMID: 20596233BACKGROUND
  • Fearmonti RM, Bond JE, Erdmann D, Levin LS, Pizzo SV, Levinson H. The modified Patient and Observer Scar Assessment Scale: a novel approach to defining pathologic and nonpathologic scarring. Plast Reconstr Surg. 2011 Jan;127(1):242-247. doi: 10.1097/PRS.0b013e3181f959e8.

    PMID: 21200219BACKGROUND
  • Forrester JS, Price MJ, Makkar RR. Stem cell repair of infarcted myocardium: an overview for clinicians. Circulation. 2003 Sep 2;108(9):1139-45. doi: 10.1161/01.CIR.0000085305.82019.65. No abstract available.

    PMID: 12952828BACKGROUND
  • Gunaydin S, McCusker K, Sari T, Onur M, Gurpinar A, Sevim H, Atasoy P, Yorgancioglu C, Zorlutuna Y. Clinical impact and biomaterial evaluation of autologous platelet gel in cardiac surgery. Perfusion. 2008 May;23(3):179-86. doi: 10.1177/0267659108097783.

    PMID: 19029269BACKGROUND
  • Jorgensen B, Karlsmark T, Vogensen H, Haase L, Lundquist R. A pilot study to evaluate the safety and clinical performance of Leucopatch, an autologous, additive-free, platelet-rich fibrin for the treatment of recalcitrant chronic wounds. Int J Low Extrem Wounds. 2011 Dec;10(4):218-23. doi: 10.1177/1534734611426755. Epub 2011 Oct 18.

    PMID: 22009148BACKGROUND
  • 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.

    PMID: 18703188BACKGROUND
  • Keck M, Selig HF, Lumenta DB, Kamolz LP, Mittlbock M, Frey M. The use of Suprathel((R)) in deep dermal burns: first results of a prospective study. Burns. 2012 May;38(3):388-95. doi: 10.1016/j.burns.2011.09.026. Epub 2011 Nov 10.

    PMID: 22078803BACKGROUND
  • Khalafi RS, Bradford DW, Wilson MG. Topical application of autologous blood products during surgical closure following a coronary artery bypass graft. Eur J Cardiothorac Surg. 2008 Aug;34(2):360-4. doi: 10.1016/j.ejcts.2008.04.026. Epub 2008 Jun 26.

    PMID: 18585051BACKGROUND
  • Lee H. Outcomes of sprayed cultured epithelial autografts for full-thickness wounds: a single-centre experience. Burns. 2012 Sep;38(6):931-6. doi: 10.1016/j.burns.2012.01.014. Epub 2012 Jun 9.

    PMID: 22688194BACKGROUND
  • 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.

    PMID: 21470370BACKGROUND
  • 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.

    PMID: 18615157BACKGROUND
  • Serraino GF, Dominijanni A, Jiritano F, Rossi M, Cuda A, Caroleo S, Brescia A, Renzulli A. Platelet-rich plasma inside the sternotomy wound reduces the incidence of sternal wound infections. Int Wound J. 2015 Jun;12(3):260-4. doi: 10.1111/iwj.12087. Epub 2013 May 21.

    PMID: 23692143BACKGROUND
  • Sullivan T, Smith J, Kermode J, McIver E, Courtemanche DJ. Rating the burn scar. J Burn Care Rehabil. 1990 May-Jun;11(3):256-60. doi: 10.1097/00004630-199005000-00014.

    PMID: 2373734BACKGROUND
  • Trowbridge CC, Stammers AH, Woods E, Yen BR, Klayman M, Gilbert C. Use of platelet gel and its effects on infection in cardiac surgery. J Extra Corpor Technol. 2005 Dec;37(4):381-6.

    PMID: 16524157BACKGROUND
  • Valeri CR, Saleem B, Ragno G. Release of platelet-derived growth factors and proliferation of fibroblasts in the releasates from platelets stored in the liquid state at 22 degrees C after stimulation with agonists. Transfusion. 2006 Feb;46(2):225-9. doi: 10.1111/j.1537-2995.2006.00705.x.

    PMID: 16441599BACKGROUND
  • Wolf SE, Arnoldo BD. The year in burns 2012. Burns. 2013 Dec;39(8):1501-13. doi: 10.1016/j.burns.2013.11.001. Epub 2013 Nov 16.

    PMID: 24252249BACKGROUND

MeSH Terms

Conditions

Burns

Condition Hierarchy (Ancestors)

Wounds and Injuries

Study Officials

  • Brian Barnes, PhD

    Arteriocyte, Inc.

    STUDY DIRECTOR

Study Design

Study Type
interventional
Phase
phase 1
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 23, 2014

First Posted

June 23, 2014

Study Start

July 1, 2014

Primary Completion

January 1, 2018

Study Completion

May 1, 2018

Last Updated

April 13, 2017

Record last verified: 2017-01

Locations