Burn Injury, Congenital Giant Nevus, Scars, Skin Necrosis, Skin Tumors, Soft Tissue Injury
Conditions
Keywords
Skin, Tissue-engineering, Autologous, Dermis, Epidermis
Brief summary
The purpose of this study is the evaluation of the safety of autologous tissue-engineered dermal substitutes denovoDerm (first arm) and dermo-epidermal skin substitutes denovoSkin (second arm) transplanted onto the wound bed in children and adults.
Interventions
Transplantation of an autologous tissue-engineered dermal substitute, covered with autologous split-thickness skin
Transplantation of autologous tissue-engineered dermo-epidermal skin substitute, no additional coverage needed
Sponsors
Study design
Eligibility
Inclusion criteria
* Deep partial or full thickness skin defect of at least 9 cm2 requiring surgical wound coverage due to: 1. Acute cases: burn injury, soft tissue injury, skin necrosis after purpura fulminans 2. Reconstructive cases (elective surgery): scar formation after burn injuries, congenital giant nevus, skin tumours * Informed consent by patients/parents or other legal representatives
Exclusion criteria
* Infected wounds or positive general microbiological swabs taken from the nose for multi-resistant germs * Patients tested positive for HBV, HCV, syphilis or HIV * Patients with known underlying or concomitant medical conditions that may interfere with normal wound healing (e.g. immune deficiency, systemic skin diseases, any kind of congenital defect of metabolism including diabetes) * Coagulation disorders as defined by INR outside its normal value, PTT \>ULN and fibrinogen \<LLN and / or at the Investigator's discretion * Previous enrolment of the patient into the current study * Participation of the patient in another study within 30 days preceding and during the present study * Patients or parents/other legal representatives expected not to comply with the study protocol * Suspicion of child abuse * Pregnant or breast feeding females * Contamination derived from biopsy which could interfere with patients health * Due to patient derived variations, isolated cells from biopsy do not proliferate or proliferate insufficiently * Skin substitute has not been released due to production specific deviations * Patients allergic to amphotericin B and gentamicin
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Safety | denovoDerm: 4-6 days and 21 days after transplantation, denovoSkin 9-11 days and 21 days after transplantation | Assessment/reporting of local infection rate and graft take |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Adverse events | until 90 days post transplantation | Assessment/reporting of number of adverse events |
Countries
Switzerland