A phase 3b, open-label, single-arm, multicenter, expanded-access study of the safety and clinical outcomes of StrataGraft® treatment in adults with deep partial-thickness thermal burns

IF 3.2 3区 医学 Q2 CRITICAL CARE MEDICINE Burns Pub Date : 2024-06-06 DOI:10.1016/j.burns.2024.05.023
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Abstract

Background

A phase 3b, open-label, multicenter, expanded-access study (NCT04123548) evaluated safety and clinical outcomes of StrataGraft treatment in adults with deep partial-thickness thermal burns with intact dermal elements.

Methods

Adult patients with 3 % to < 50 % total body surface area burns were treated with a single application of ≤ 1:1 meshed StrataGraft and followed for 24 weeks. Primary endpoint was count and percentage of patients with treatment-emergent adverse events (TEAEs). Secondary endpoints included confirmed wound closure (WC) at Week 12, durable WC at Week 24, time to WC, scar evaluation, and wound infection-related events.

Results

Fifty-two patients with 96 treatment sites were enrolled. Pruritus was the most common TEAE (22 patients [42.3 %]). Twenty serious TEAEs occurred in 10 patients (19.2 %); none were related to StrataGraft. There were 4 (7.7 %) deaths (aspiration, myocardial infarction, self-injury, Gram-negative rod sepsis); none were related to StrataGraft. Confirmed WC was achieved by Week 12 in 33 patients (63.5 %; 95 % CI: 50.4–76.5 %) and 69 treatment sites (71.9 %; 95 % CI: 62.9–80.9 %). Durable WC was achieved by Week 24 in 29 patients (55.8 %; 95 % CI: 42.3–69.3 %) and 58 treatment sites (60.4 %; 95 % CI: 50.6–70.2 %).

Conclusions

StrataGraft demonstrated clinical benefit. Safety data were consistent with previously reported findings.
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一项关于 StrataGraft® 治疗成人部分深度热烧伤的安全性和临床疗效的 3b 期、开放标签、单臂、多中心、扩大访问研究
背景一项3b期、开放标签、多中心、扩大访问研究(NCT04123548)评估了StrataGraft治疗具有完整真皮成分的成人深部部分厚度热烧伤的安全性和临床结果。方法对体表总面积烧伤面积为3%至50%的成人患者单次应用≤1:1网格的StrataGraft进行治疗,并随访24周。主要终点是出现治疗突发不良事件(TEAE)的患者人数和百分比。次要终点包括第 12 周确认的伤口闭合 (WC)、第 24 周持久的伤口闭合 (WC)、伤口闭合时间、疤痕评估以及伤口感染相关事件。瘙痒是最常见的 TEAE(22 名患者 [42.3%])。有 10 名患者(19.2%)发生了 20 次严重 TEAE,其中没有一次与 StrataGraft 有关。有 4 例(7.7%)死亡(吸入、心肌梗塞、自伤、革兰氏阴性杆菌败血症);均与 StrataGraft 无关。有 33 名患者(63.5%;95% CI:50.4-76.5%)和 69 个治疗部位(71.9%;95% CI:62.9-80.9%)在第 12 周前实现了确诊 WC。第 24 周时,29 例患者(55.8%;95% CI:42.3-69.3%)和 58 个治疗部位(60.4%;95% CI:50.6-70.2%)实现了持久 WC。安全性数据与之前报告的结果一致。
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来源期刊
Burns
Burns 医学-皮肤病学
CiteScore
4.50
自引率
18.50%
发文量
304
审稿时长
72 days
期刊介绍: Burns aims to foster the exchange of information among all engaged in preventing and treating the effects of burns. The journal focuses on clinical, scientific and social aspects of these injuries and covers the prevention of the injury, the epidemiology of such injuries and all aspects of treatment including development of new techniques and technologies and verification of existing ones. Regular features include clinical and scientific papers, state of the art reviews and descriptions of burn-care in practice. Topics covered by Burns include: the effects of smoke on man and animals, their tissues and cells; the responses to and treatment of patients and animals with chemical injuries to the skin; the biological and clinical effects of cold injuries; surgical techniques which are, or may be relevant to the treatment of burned patients during the acute or reconstructive phase following injury; well controlled laboratory studies of the effectiveness of anti-microbial agents on infection and new materials on scarring and healing; inflammatory responses to injury, effectiveness of related agents and other compounds used to modify the physiological and cellular responses to the injury; experimental studies of burns and the outcome of burn wound healing; regenerative medicine concerning the skin.
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