About this trial
This multicentre phase III clinical trial will target adults and adolescents of 12 years and older with severe burns to confirm the efficacy and functionality of denovoSkin™ in achieving wound closure and reducing scarring in patients with deep partial and full-thickness burns as compared to split-thickness skin.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patients with deep partial or full-thickness thermal burns of ≥20% total body surface area (TBSA) for which excision and standard of care (SOC) (STSG) are clinically indicated
Patients of either sex aged ≥12 years
Signed informed consent from the patient and/or legally authorised representative
Disqualifiers
Burn wound areas solely located on the head and neck (i.e., test and control areas must NOT be located on head/neck)
Patients eligible to have all areas autografted in a single surgery or significantly earlier than the end of the manufacturing period of denovoSkin™, for whom the application of denovoSkin™ would delay the standard of care therapies
Patients with serologic evidence of active hepatitis B virus (HBV) infection (i.e., positive for Hepatitis B surface antigen [HbsAg] or immunoglobulin M total hepatitis B core antibody [anti-HBc]), active hepatitis C infection (hepatitis C virus [HCV] antibody positive), positive human immunodeficiency virus (HIV) serology, or positive Treponema pallidum serology assessed as per local standard of care; cured hepatitis C (defined as documented treatment and negative viral load) is not an exclusion
Patients with known underlying or concomitant medical conditions that, in the opinion of the Investigator, has the potential to significantly delay wound healing, e.g., glycated haemoglobin (HbA1c) ≥53 mmol/mol and/or systemic skin and connective tissue diseases
Trial design
Single group
Treatments tested in this trial
denovoSkin(TM)
Biological/VaccineTransplantation of autologous dermo-epidermal skin substitute denovoSkin(TM) to the experimental area
STSG
Other interventionTransplantation of autologous split-thickness skin to the control area
Treatment groups
Trial outcomes
Primary outcomes
A composite endpoint whereby success is defined by meeting both of the following criteria: - Wound closure - Scar quality (POSAS v2.0)
A composite endpoint whereby success is defined by meeting both of the following criteria: * Wound closure * Scar quality (POSAS v2.0)
Secondary outcomes
Ratio of covered surface area to biopsy site/donor site surface area at 4 weeks post-grafting
Ratio of covered surface area to biopsy site/donor site surface area at 4 weeks post-grafting
Assessment of scar contracture
Assessment of scar contracture
Epithelialisation percentage at 3 months and 6 months post-grafting
Epithelialisation percentage at 3 months and 6 months post-grafting
Graft take at 14 and 21 days post-grafting
Graft take at 14 and 21 days post-grafting
Other outcomes
Assessment of safety and tolerability using the National Cancer Institute-CTCAE v5.0 throughout the study: - Assessment of the incidence of treatment-emergent adverse events (TEAEs), total AEs, and serious adverse events (SAEs)
Assessment of safety and tolerability using the National Cancer Institute-CTCAE v5.0 throughout the study: \- Assessment of the incidence of treatment-emergent adverse events (TEAEs), total AEs, and serious adverse events (SAEs)
Sponsors and contacts
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CUTISS AG
Lead sponsor
RCTs
Collaborator