Trial To Assess Efficacy Of A Chimeric Skin In Patients With Epidermolysys Bullosa (TCEB)
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Purpose
A phase II, comparative, open label, prospective, multicentre clinical trial where each patient will undergo two procedures; implant of a patch of cultured chimeric skin (experimental therapy) in a half of the skin lesion and an occlusive non-adherent dressing (control) in the other half for 12 months of follow-up in two Spanish centres.
| Condition | Intervention | Phase |
|---|---|---|
|
EPIDERMOLYSIS BULLOSA |
Drug: CX501 Device: Occlusive non adherent dressing |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | A Comparative Open-Label Multicentre Clinical Trial To Assess The Efficacy And Safety Of A New Therapy With Cultured Chimeric Skin For The Treatment Of Skin Lesions In Patients With Epidermolysis Bullosa |
- Time to epithelization [ Time Frame: 21 days ] [ Designated as safety issue: No ]
- Fibroblast persistence [ Time Frame: 3, 8 and 12 months ] [ Designated as safety issue: No ]
- Incidence of Adverse Events [ Time Frame: 12 months ] [ Designated as safety issue: Yes ]
| Enrollment: | 12 |
| Study Start Date: | December 2006 |
| Study Completion Date: | May 2010 |
| Primary Completion Date: | May 2010 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: CX501
Cultured chimeric skin
|
Drug: CX501
Cultured chimeric skin
|
|
Active Comparator: Non adherent dressing
Occlusive non adherent dressing
|
Device: Occlusive non adherent dressing
Application of an occlusive non adherent dressing in the skin donor site
|
Detailed Description:
Reconstruction of interdigital commisures in patients with severe skin syndactyly using laminar grafts that will be uniformly and systematically taken with an electrical or compressed air dermatome on an aseptic area and with the same extent and depth in microns in all patients.
Immediately after the surgical procedure, a patch of cultured chimeric skin (experimental therapy) will be implanted in a half of the skin defect of the patient, and an occlusive non - adherent dressing (control) will be implanted in the other half.
Patients will initially be followed up every two days until epithelisation occurs (approximately 21 days after surgery) and at 3,8,and 12 months of follow-up.
Eligibility| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion criteria:
- Patients of both sexes over 28 days of age.
- Patients with recessive dystrophic epidermolysis bullosa diagnosed by clinical and historical criteria with severe skin syndactyly in whom reconstructive surgery is indicated.
- Patients whose legal guardians have given written informed consent for participation in the study before any study procedure is performed.
- Patients aged ≥ 12 years who have given written informed consent for participation in the study before any study procedure is performed.
Exclusion criteria:
- Women of childbearing age not using effective contraceptive methods (oral contraception)
- Pregnant or nursing women
- Documented or suspected hypersensitivity to any of the therapeutic agents included in the study, including anaesthetic drugs.
- Patients with a history of malignant tumor in the past 5 years
- Patients with a diagnosis of active tuberculosis at the time of recruitment
- Patients with prior positive markers for any of the following pathogens: hepatitis b and c, hiv-1 and hiv-2
- Patients with a history of clinically relevant hepatic, gastrointestinal, haematological, pulmonary, or neurological disease no directly related to epidermolysis bullosa.
- Any other medical condition which, in the investigator´s judgment, might interfere with optimal participation in the study or involve a significant risk for the patient.
- Alcoholism, drug addiction, psychiatric disorders, or other factors present in legal guardians which,in the investigator´s judgment may complicate patient participation in the study.
Contacts and Locations
More Information
No publications provided
| Responsible Party: | Lydia Dorrego, Clinical Operations Director., CELLERIX |
| ClinicalTrials.gov Identifier: | NCT00987142 History of Changes |
| Other Study ID Numbers: | 2005-002329-30 |
| Study First Received: | September 29, 2009 |
| Last Updated: | June 13, 2011 |
| Health Authority: | Spain: Spanish Agency of Medicines |
Additional relevant MeSH terms:
|
Epidermolysis Bullosa Skin Abnormalities Congenital Abnormalities Skin Diseases, Genetic |
Genetic Diseases, Inborn Skin Diseases Skin Diseases, Vesiculobullous |
ClinicalTrials.gov processed this record on May 16, 2013