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The Effect of an ASC-seeded Collagen Hydrogel on Cerebrospinal Fluid Leak Rates Following Skull Base Surgery

The Effect of an ASC-seeded Collagen Hydrogel on Cerebrospinal Fluid Leak Rates Following Skull Base Surgery

Status
Withdrawn
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04503161
Enrollment
0
Registered
2020-08-07
Start date
2021-09-30
Completion date
2022-09-30
Last updated
2022-08-29

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

CSF Leak

Brief summary

This project seeks to test whether a cell-seeded collagen hydrogel dressing can reduce CSF leak after skull base surgery. Normally, patients at risk for CSF leak are treated with a commercial collagen matrix called Duragen. In this study, our sterile, cGMP manufactured collagen hydrogel dressing will be seeded with the stromal vascular fraction (SVF) mechanically isolated from lipoaspirate taken intra-operatively. This SVF contains pro-regenerative adipose stem cells (ASCs). The ASC-seeded hydrogel will be used as a supplement to Duragen to reinforce the skull base closure. The goal is to establish safety as well as to secondarily evaluate for effectiveness in reducing CSF leak postoperatively.

Interventions

DEVICEDuragen with Collagen Hydrodel and ASCs

Duragen combined with collagen hydrogel and patient's stem cells

Sponsors

Stanford University
Lead SponsorOTHER

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
PREVENTION
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes

Inclusion criteria

* Age \>/= 18 * Planned for skull base surgery * Able to understand and willing to sign a written informed consent form

Exclusion criteria

* active skull base infection * no plan for DuraGen repair by operating surgeon

Design outcomes

Primary

MeasureTime frame
Rate of CSF leak6 months active participation (date of surgery + 6 months follow up via chart review)

Secondary

MeasureTime frame
Need for reoperation6 months active participation (date of surgery + 6 months follow up via chart review)
Postoperative hematoma6 months active participation (date of surgery + 6 months follow up via chart review)
Length of hospital stay6 months active participation (date of surgery + 6 months follow up via chart review)
Need for rehospitalization6 months active participation (date of surgery + 6 months follow up via chart review)
Death6 months active participation (date of surgery + 6 months follow up via chart review)
Postoperative infection6 months active participation (date of surgery + 6 months follow up via chart review)

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026