Thermal Burn Clinical Trial
Official title:
Safety and Feasibility of Adipose Derived Regenerative Cells (ADRCs) in the Treatment of Deep Partial Thickness and Full Thickness Thermal Wounds (RELIEF)
The primary objective of the protocol is to evaluate preliminary safety and feasibility of ADRCs via intravenous delivery in the treatment of deep partial and full thickness thermal wounds.
The RELIEF Trial is a prospective, open-label, parallel group, usual care controlled,
multi-center randomized (2:1, active: usual care alone) safety and feasibility study
targeting thermal burns. Subjects will have at least one deep partial or full thickness burn
wounds of > 250 cm2 that is to be autografted with a split thickness meshed skin graft
(STSG). Subjects randomized to ADRCs will undergo small volume fat harvest (100 to 150 mL)
performed at initiation of general anesthesia for scheduled burn surgery followed by
intravenous delivery of ADRCs within 4 hours following surgery. The lipoaspirate will be
processed in the Celution® System to isolate and concentrate ADRCs.
Following informed consent and initial screening assessments, eligible subjects will undergo
pre-operative testing. On the procedure day, subjects will be randomized to ADRCs (with usual
care) or usual care alone. Low volume lipoharvest will only be performed on subjects
randomized to ADRCs in order to obtain 100-150 mL lipoaspirate, which will then be
transferred to the Celution® System for processing to isolate and concentrate ADRCs for
same-day administration. All treatment will be delivered in a total volume of 10 mL which
will be delivered by slow intravenous administration into a peripheral vein.
Following surgery, subjects will be evaluated at first dressing change, day 10 (±2) (only if
wound dressing change planned) and weeks 2 (±3 days), 3 (±3 days), 4 (±3 days), 8 (±7 days),
12 (±14 days), 26 (±14 days), and 52(±21 days).
The 1st 5 subjects enrolled in active treatment will be observed for adverse events over a 7
day period. If no SAEs occur during that period, for that individual subject, the next
subject enrolled in active treatment may be entered with the same 7 day observation period.
The safety results of the first 5 subjects will be reviewed by the DMC and their evaluation
will be used in conjunction with the clinical data collected to date, and if appropriate, to
potentially remove the staggering approach to the study. Enrollment after the first 5
subjects may continue only after the DMC has completed its safety review and recommends
continuation.
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