The Management of Necrotizing Soft Tissue Infection Wounds With Cytal® Wound Matrix and MicroMatrix®

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorBenjamin T. Miller

About this trial

This is a prospective, pilot, parallel group, randomized controlled trial with 1:1 allocation. This will be a single center study coordinated at the Cleveland Clinic Foundation (CCF) Main Campus in Cleveland, Ohio. Data will be collected in a secure manner using REDCap housed at CCF. The study will consist of 2 arms: treatment with Cytal® Wound Matrix 2-Layer and MicroMatrix® (Integra LifeSciences, Plainsboro Township, NJ, U.S.A.) versus standard of care dressings. Wound debridement procedures will be performed by surgical staff at CCF. A co-investigator trained in the application of Cytal® Wound Matrix and MicroMatrix® will apply these treatments as outlined in section 6.1.2 Administration. This study will be conducted with IRB approval and written informed consent of each participant enrolled. The trial will be registered at ClinicalTrials.gov before the first participant is enrolled.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Adults (≥ 18 years) with a diagnosis of necrotizing fasciitis

Wound ≥ 30 cm2

The participant is willing and able to adhere to protocol requirements and agrees to participate in the study program and comply with the study follow-up regimen.

Disqualifiers

Burn as etiology of wound

Acute osteomyelitis requiring active treatment

Known allergy, hypersensitivity, or objection to porcine materials

Pregnant participants

Trial design

Design model

Parallel

Treatments tested in this trial

  • Cytal® Wound Matrix

    Device

    This is the only study to use this intervention in necrotizing soft tissue wounds

  • MicroMatrix®

    Device

    This is the only study to use this intervention in necrotizing soft tissue wounds

Treatment groups

50 Participants
are divided into 2 treatment groups
Group A: Interventional armExperimental treatment 2 interventions
Group B: Standard of Care ArmNo intervention 0 interventions

Trial outcomes

Primary outcomes

1

Time to readiness for grafting of the wound bed

Time frame
From randomization to readiness for grating, up to 12 weeks

Secondary outcomes

1

Relative wound healing as assessed by the Photographic Wound Assessment Tool (PWAT)

Relative wound healing as assessed by the Photographic Wound Assessment Tool (PWAT) between the two study arms

Time frame
From randomization to readiness for grating, up to 12 weeks
2

Assess the relative rate of wound infection, seroma, hematoma, and need for re-intervention (including incision and drainage)

To assess the relative rate of wound infection, seroma, hematoma, and need for re-intervention (including incision and drainage) between the treated and untreated wound beds

Time frame
From randomization to readiness for grating, up to 12 weeks
3

To assess the rate of product excision resulting from wound complications, allergic reaction, or intolerance to the product

Time frame
From randomization to readiness for grating, up to 12 weeks
4

To assess relative rates of wound closure, measured as the proportion of the remaining wound area compared to the starting wound area

Time frame
From randomization to readiness for grating, up to 12 weeks

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Benjamin T. Miller

Lead sponsor

The Cleveland Clinic

Sponsor institution