MSCs for the Treatment of Burn Wounds
Study Details
Study Description
Brief Summary
The goal of this study is to evaluate the capacity of allogenic mesenchymal stromal cells form bone marrow (BM-MSC) or adipose tissue(Ad-MSC) to induce wound healing in patients with burn wounds.
Condition or Disease | Intervention/Treatment | Phase |
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Phase 1/Phase 2 |
Detailed Description
Based on the paracrine and immunomodulatory effects of MSCs, they are considered promising cells for tissue engineering and skin regeneration in burn wounds. This protocol is designed to evaluate the efficacy of transplantation of allogenic BM-MSCs or Ad-MSCs, included in preclotted platelet-rich plasma (PRP), in patients with deep- or full-thickness burns (second- or third-degree / AB B or B degree). All patients will receive concomitant first-line treatments.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Allogenic MSCs All Patients will receive conservative treatment before transplantation of allogenic MSCs embedded in autologous platelet rich plasma clot. |
Biological: Implantation of allogeneic MSCs on burn wounds
Transplantation of allogeneic MSCs in patients with deep- or full-thickness burns. Allogeneic MSCs embedded in autologous platelet rich plasma clot (PRP) are implanted onto the burned areas. The treated areas will be covered with conventional dressings and burned roll. Dressings will be changed after 5 days and then weekly. The total number of MSCs used in each patient varied according to the burn injury. In patients with larger burned areas, its necessary to apply new treatments with MSCs in affected areas, at intervals of at least 1 month. Implantation will be performed in the operating room. Patients will receive first line treatments.
Other Names:
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Outcome Measures
Primary Outcome Measures
- Re-epithelialization areas [Up to 6 month]
Re-epithelialization will be determined by clinical evaluations and recorded by digital color photographs
- Complete burn wound healing [Up to 12 month]
Time (days) to complete re-epithelialization of burned skin. It will be based on clinical evaluations and digital color photographs
Eligibility Criteria
Criteria
Inclusion Criteria:
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Age between 2 weeks and 85 years old
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Patient with second- or third-degree burn (AB/B or B).
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Thermal burns
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Electrical burns
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Chemical burns
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Informed consent of the patient or caretaker
Exclusion Criteria:
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First degree burn (A or AB)
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Evidence of active infection at the wound site
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Chronic malnutrition
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Systemic inflammatory response syndrome (SIRS) or sepsis
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Moderate or severe respiratory tract or lungs burn injuries
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Autoimmune disease (e.g. multiple sclerosis, lupus erythematosus)
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Severe pulmonary disease, hematologic disease, malignancy, or hypo-immunity.
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Diabetes
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Pregnancy
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Instituto Venezolano de Investigaciones Cientificas | Caracas | Miranda | Venezuela | 1204 |
Sponsors and Collaborators
- Instituto Venezolano de Investigaciones Cientificas
- Unidad de Terapia Celular - IVIC
- Hospital Pediátrico Niño Jesús, San Felipe, Yaracuy
- Hospital Central Dr. Plácido D. Rodriguez Rivero, San Felipe, Yaracuy
Investigators
- Principal Investigator: Olga L Wittig, MSc, Instituto Venezolano de Investigaciones Cientificas
Study Documents (Full-Text)
None provided.More Information
Publications
- Pereira B, Duque K, Ramos-Gonzalez G, Diaz-Solano D, Wittig O, Zamora M, Gledhill T, Cardier JE. Wound healing by transplantation of mesenchymal stromal cells loaded on polyethylene terephthalate scaffold: Implications for skin injury treatment. Injury. 2023 Apr;54(4):1071-1081. doi: 10.1016/j.injury.2023.02.024. Epub 2023 Feb 13.
- Ramos-Gonzalez G, Salazar L, Wittig O, Diaz-Solano D, Cardier JE. The effects of mesenchymal stromal cells and platelet-rich plasma treatments on cutaneous wound healing. Arch Dermatol Res. 2023 May;315(4):815-823. doi: 10.1007/s00403-022-02451-y. Epub 2022 Nov 3.
- Ramos-Gonzalez G, Wittig O, Diaz-Solano D, Salazar L, Ayala-Grosso C, Cardier JE. Evaluation of epithelial progenitor cells and growth factors in a preclinical model of wound healing induced by mesenchymal stromal cells. Biosci Rep. 2020 Jul 31;40(7):BSR20200461. doi: 10.1042/BSR20200461.
- Wittig O, Diaz-Solano D, Chacin T, Rodriguez Y, Ramos G, Acurero G, Leal F, Cardier JE. Healing of deep dermal burns by allogeneic mesenchymal stromal cell transplantation. Int J Dermatol. 2020 Aug;59(8):941-950. doi: 10.1111/ijd.14949. Epub 2020 Jun 5.
- IVIC-UTC-MSC-Burn