SASS 2 : Self Assembled Skin Substitute for the Autologous Treatment of Severe Burn Wounds in Acute Stage of Burn Trauma
Study Details
Study Description
Brief Summary
This clinical trial is designed to assess the safety, effectiveness and benefits of Self Assembled Skin Substitute SASS grafts as a permanent skin replacement for the treatment of full-thickness burn wounds that require permanent coverage where the availability of donor sites is limited.
Condition or Disease | Intervention/Treatment | Phase |
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Phase 1/Phase 2 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Treatment (SASS) All patients will receive both Self assembled skin substitute (SASS) and Split-thickness autograft (paired samples). |
Biological: Self assembled skin substitute (SASS)
Two site A / B, an area of about 50-100 cm2 are selected. The two sites are side by side and subjected to similar stresses. The type of graft (split thickness autograft or SASS) for the site A or B has been determined in advance.
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Active Comparator: Control (split-thickness autograft) All patients will receive both SASS and Split-thickness autograft (paired samples). |
Procedure: Split-thickness autograft
Two site A / B, an area of about 50-100 cm2 are selected. The two sites are side by side and subjected to similar stresses. The type of graft (split thickness autograft or SASS) for the site A or B has been determined in advance.
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Outcome Measures
Primary Outcome Measures
- Percentage of graft take site A vs site B [< 1 month]
Clinical assessment; Image analysis
- Percentage of graft take of all SASS [< 1 month]
Clinical assessment
- Percentage of graft take according to sites [< 1 month]
Clinical assessment
Secondary Outcome Measures
- Scar evaluation site A vs site B [3, 6, 12, 24 and 36 months]
Vancouver Scar Scales; Cutometer; Mexameter; Dermascan; Images;
- Scar evaluation according to sites [3, 6, 12, 24 and 36 months]
Cutometer; Mexameter; Dermascan; Images;
- Incidence of adverse events site A vs site B [24 to 36 months]
Clinical assessment: Infection, Hematoma below the graft, corrective surgery, inclusion of cysts, granulation buds, other
- Incidence of adverse events of all SASS [24 to 36 months]
Clinical assessment: Infection, Hematoma below the graft, corrective surgery, inclusion of cysts, granulation buds, other
- Quality of life survey [3, 6, 12, 24 and 36 months]
Survey BSHS-B ( brief version of the Burn Specific Health Scale)
- Ratio harvested surface vs covered surface [1 month]
Planimetric analysis; Clinical assessment; Images; Image analysis;
Eligibility Criteria
Criteria
Inclusion Criteria:
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Deep second degree burns or third degree burns over 50% TBSA (Total body surface area) at time of recruitment or as determined by the surgeon;
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Limited availability of donor sites for autografts;
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Consent obtained by the participant or by the appropriate representative in case of inapt prospective participants or minors.
Exclusion Criteria:
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Skin grafting needed only on the face, hands, feet, ears or genital area;
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Connective tissue diseases;
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Hypersensitivity to bovine proteins;
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Coagulation disorders prior being burned;
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Immunodeficiency prior being burned;
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Uncontrolled diabetes prior being burned;
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Permanent wound coverage before SASS grafts are ready;
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Foothill Medcial Centre | Calgary | Alberta | Canada | T2N 2T9 |
2 | Mackenzie Health Science's Centre | Edmonton | Alberta | Canada | T6G 2B7 |
3 | BC Children's Hospital Plastic Surgery Clinic | Vancouver | British Columbia | Canada | V6H 3V4 |
4 | Winnipeg Health Science Center | Winnipeg | Manitoba | Canada | R3A 1R9 |
5 | Hospital for Sick Children (Sickkids) | Toronto | Ontario | Canada | M5G 1X8 |
6 | Hôpital Sainte Justine | Montréal | Quebec | Canada | H3T 1C5 |
7 | CHU de Québec - Unité des grands brûlés | Québec | Canada | G1J 1Z4 |
Sponsors and Collaborators
- CHU de Quebec-Universite Laval
Investigators
- Principal Investigator: François A Auger, MD, CHU de Quebec
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- LOEX 014