ClinicalTrials.gg
TerminatedNCT02148302CellutomeUpdated Apr 29, 2020Results posted

Clinical Trial to Evaluate Blister Graft Utilizing a Novel Harvesting Device for Treatment of Venous Leg Ulcers

An interventional study of Harvesting Device (CelluTome©) in Impaired Wound Healing, Venous Insufficiency of Leg and Diabetic Ulcers, sponsored by SerenaGroup, Inc.. Terminated at 18 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2020-04-29.

Sponsored by SerenaGroup, Inc. · Not applicable, Interventional, and Treatment

Why this study was terminated
Stopped by sponsor. No interest in continuing trial due to business changes.
Phase
Not applicable
Study type
Interventional
Enrollment
123
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 141 studies in Ulcer with a site in United States — 24 open to participants now, 27 under way, none of them phase 3. Ulcer · United States.

Enrollment
47th of 124
123 · median 95
Started
2014
with 5 others
No phase
60 of 141
12 open now
Registered
65th of 141
by date

Among the 141 studies in Ulcer with a site in United States, this one is the 47th largest by enrollment of the 124 interventional ones that give a count, is one of 6 that started in 2014, is one of 60 with no phase, and was the 65th registered.

Ulcer

359 studies on the registry are indexed under Ulcer; 62 are open to participants now.

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Open to participants now

24 of the 141 studies in Ulcer with a site in United States are open now. Recruiting first, the newest first:

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Of the 39 Ulcer studies recruiting now, 29 (74%) set no upper age limit and 4 (10%) stop at 75 or younger; 4 take children under 18; 5 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

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02

Study summary

Epidermal grafts are believed to promote healing by two mechanisms: graft take and the promotion of wound healing through the delivery of growth factors and the essential elements of tissue repair and wound healing.28 This study is intended to establish the superior effectiveness of epidermal grafting and multi-layer compression over that of multi-layer compression alone, in the treatment of venous leg ulcers.

Millions of Americans are afflicted with painful, open, draining sores on their lower extremities. These sores are referred to as venous leg ulcerations (VLUs). Under the best of circumstances these ulcers require weeks or months to heal. Not uncommonly wound care specialists see patients who have suffered for years or faced amputation of the limb as their only option to alleviate the pain.

Standard of care will result in healing in 50% of venous leg ulcers in 12 weeks. However, roughly half of patients suffering from venous ulcers will require advanced therapy. Epidermal grafting has been a reconstructive option for decades; however, to date there has not been a reliable and reproducible system to harvest epidermis. The CelluTome® Harvesting System permits the harvesting of epidermal blister grafts at the patient's bedside without the need for anesthesia. The grafts can be easily transferred to the wound bed. In case studies, epidermal grafting appeared to be effective in reducing wound size and accelerating closure of venous leg ulcers.

Read the detailed description

This study is a multi-center, randomized, controlled open-label study designed to evaluate the safety and effectiveness of epidermal grafting using the CelluTome® system plus multi-layer compression therapy versus multi-layer compression (SOC) in the treatment of venous leg ulcers.

The study will have two phases: Screening and Treatment. The Screening Phase (1 -14 days) is designed to determine whether subjects are eligible to proceed to the Treatment Phase of the study and consists of a series of screening assessments designed to determine eligibility.

At or up to 14 days before the first Screening Phase Visit (S1), written informed consent from the subject will be obtained by the Investigator or suitably qualified designee before the performance of any other protocol-specific procedure.

At the first Screening Phase Visit (S1), the Investigator will select the study (target) ulcer. Each subject will have only one VLU selected as the study (target) ulcer. In the situation where a subject has more than one VLU at the S1 visit, the Investigator will select the largest VLU that meets the eligibility criteria of the protocol as the study (target) ulcer.

Patients whose target ulcer has been treated with compression therapy for the previous two weeks are eligible to enter the treatment phase once all of the inclusion and exclusion criteria are met. If the ulcer has not received compression, the patient should be placed in compression and enrolled in the study after 14 days of compression therapy. Ulcers that have decreased in size by more than 40% during the screening period will be excluded as "rapid healer." Subjects that meet the inclusion/exclusion criteria at the end of screening will be randomized to either the Cellutome graft plus Standard of Care group or just the Standard of Care group. At Treatment Visit 7, subjects in the Standard of Care group that have healed \<40% will be allowed to cross over to the Cellutome graft group.

The study will consist of up to 30 centers in the United States each contributing about 10 subjects per center in order to obtain 194 evaluable subjects. The investigators anticipate a 10% drop out rate during the trial therefore a total of 213 subjects will be recruited. This trial employs an adaptive design therefore the enrollment numbers may be reduced or increased based on planned interim analysis.

03

Conditions studied

  • Impaired Wound Healing
  • Venous Insufficiency of Leg
  • Diabetic Ulcers

Keywords

  • Venous Leg Ulcerations
  • Epidermal Grafts
  • Chronic wounds
  • Clinical trial
  • Protease levels in chronic wounds
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. At least 18 years old.
  2. Adequate arterial flow (Ankle Brachial Pressure Index (ABI) > 0.75. (Calculations will be made using measurements from both posterior tibial and dorsalis pedis arteries as well as both arms), OR Skin Perfusion Pressure (SPP) >30, OR biphasic PVR OR TBI > 0.60 OR TCPO2 > 30mmHg OR adequate perfusion as demonstrated on florescent angiography, LUNA®).
  3. Presence of a venous leg ulcer through full skin thickness but not down to muscle, tendon or bone. The largest ulcer will be the index ulcer and the only one included in the study. If other ulcerations are present on the same leg they have to be more than 2 cm apart from the index ulcer.
  4. Study ulcer has been present for at least one month prior to the initial screening visit, and is excluded if it has undergone 12 months of continuous high strength compression therapy over its duration.
  5. Study ulcer is a minimum of 2.0 cm2 / maximum of 25 cm2 at the randomization visit.
  6. The target ulcer has been treated with compression therapy for at least 14 days prior to randomization.
  7. Ulcer has a clean, granulating base with minimal adherent slough at the randomization visit.
  8. Patient understands / is willing to participate in the clinical study and can comply with weekly visits and follow-up regimen.
  9. Patient has read and signed the IRB/IEC approved Form before screening procedures are undertaken.

Exclusion criteria

Exclusion Criteria:

Potential subjects meeting any of the following criteria will be excluded from enrollment and subsequent randomization.

  1. Study ulcer(s) deemed by the investigator to be caused by a medical condition other than venous insufficiency. These may include, but are not limited to: fungal ulcerations, malignant ulcerations, and ulcerations due to arterial insufficiency.
  2. Study ulcer exhibits clinical signs and symptoms of infection at the SV (screening visit) or TV1 (Treatment Visit 1).
  3. Known allergy to the components of the multi-layer compression bandaging, or who cannot tolerate multi-layer compression therapy.
  4. Study ulcer is suspicious for cancer should undergo an ulcer to rule out a carcinoma of the ulcer. The patient may be enrolled after a negative biopsy.
  5. Patients with a history of more than two weeks treatment with (including systemic ), cytotoxic chemotherapy, or application of topical steroids to the ulcer surface within one month prior to initial screening, or who receive such medications during the screening period, or who are anticipated to require such medications during the course of the study.
  6. Study ulcer has been previously treated with tissue engineered materials (e.g. Apligraf® or Dermagraft®) or other scaffold materials (e.g. Oasis, meristem) within the last 30 days
  7. Study ulcer requiring negative pressure wound therapy or hyperbaric oxygen during the course of the trial.
  8. Ulcers on the dorsum of the foot or with more than 50% of the ulcer below the malleolus are excluded.
  9. Pregnant or breast feeding.
  10. Known history of having Acquired Immunodeficiency Syndrome (AIDS) or with a history of (HIV).
  11. Known uncontrolled Diabetes Mellitus, as measured by an > 10%.
  12. Ulcers that have healed more than 40% during the screening phase are excluded.
  13. Patients on any drug(s) or therapeutic device(s) within 30 days preceding screening (i.e. S1); or patient or physician anticipates use of any of these therapies by the subject during the course of the study.
  14. History of radiation at ulcer site.
  15. Presence of one or more medical conditions, including renal, hepatic, hematologic, active auto-immune or immune diseases that, would make the subject an inappropriate candidate for this ulcer healing study.
  16. Patients who are unable to understand the aims and objectives of the trial.
  17. Presence of any condition(s) which seriously compromises the subject's ability to complete this study, or has a known history of poor adherence with medical treatment.
Terms in these criteria, in plain language(7)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

HbA1c

A blood test of average blood sugar over the past two to three months, given as a percentage or in mmol/mol. 6.5% (48 mmol/mol) or more is the usual threshold for diabetes, normally confirmed by a second test.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
123 participants (actual)

Study arms

  • Experimental
    Harvesting Device (CelluTome©)

    open-label trial designed to evaluate the safety and effectiveness of Epidermal grafting plus multi-layer compression therapy versus multi-layer compression alone in the healing of venous leg ulcers. Epidermal grafting will be applied up to three times in the treatment arm: at day zero, week 4 and week 8. A run-in period of two weeks followed by twelve weeks of active treatment

    Device: Harvesting Device (CelluTome©)

  • No intervention
    Control: SOC alone

    The Standard of Care therapy in this study is multi-layer compression therapy. A number of compression bandaging systems are commercially available. The trial will utilize Coban-2 (3M, Minneapolis, MN).

Interventions

  • DeviceHarvesting Device (CelluTome©)

    Subjects who continue to meet eligibility criteria will be randomized to one of two groups: (1) Up to 3 applications of Epidermal grafting harvested utilizing the CelluTome® system at day zero, week 4 and week 8, visits plus standard of care (multi-layer compression) (2) Multilayer compression alone.

06

What researchers measure

Primary outcomes

  1. Number of Patients With Healed Wounds

    Number of patients experiencing wound healing with epidermal grafting and standard of care vs. standard of care alone

    Time frame: 12 weeks

Secondary outcomes

  1. Wound Area Change at Week 4

    Percentage of wound area change at week 4

    Time frame: 4 weeks

  2. Wound Area Change at Week 12

    Percentage of wound area change at Week 12

    Time frame: 12 weeks

  3. Incidence of Adverse Event

    Incidence of adverse events with epidermal grafting versus standard of care.

    Time frame: 12 weeks

07

Results

Posted Apr 29, 2020
Limitations and caveats
The study was terminated before protocol enrollment could be reached.

Participant flow

Participant flow — Overall Study
MilestoneHarvesting Device (CelluTome©)Control: SOC Alone
Started5766
Completed5766
Not completed00

Outcome measures

PrimaryNumber of Patients With Healed Wounds

Number of patients experiencing wound healing with epidermal grafting and standard of care vs. standard of care alone

Time frame:
12 weeks
Reported as:
Number · participants
Number of Patients With Healed Wounds
participantsHarvesting Device (CelluTome©)Control: SOC Alone
Number of Patients With Healed Wounds1116
SecondaryWound Area Change at Week 4

Percentage of wound area change at week 4

Time frame:
4 weeks
Reported as:
Mean · percentage of area change
Wound Area Change at Week 4
percentage of area changeHarvesting Device (CelluTome©)Control: SOC Alone
Wound Area Change at Week 426.8 ± 20.2427.2 ± 24.12
SecondaryWound Area Change at Week 12

Percentage of wound area change at Week 12

Time frame:
12 weeks
Reported as:
Mean · percentage of area change
Wound Area Change at Week 12
percentage of area changeHarvesting Device (CelluTome©)Control: SOC Alone
Wound Area Change at Week 1241.7 ± 2147.4 ± 21.5
SecondaryIncidence of Adverse Event

Incidence of adverse events with epidermal grafting versus standard of care.

Time frame:
12 weeks
Reported as:
Number · percentage of participants
Incidence of Adverse Event
percentage of participantsHarvesting Device (CelluTome©)Control: SOC Alone
Incidence of Adverse Event2827

Adverse events

Collected over Adverse event data was collected from enrollment to subject completion (12 weeks).. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Harvesting Device (CelluTome©)0/57 (0%)5/57 (8.8%)15/57 (26.3%)
Control: SOC Alone0/66 (0%)6/66 (9.1%)17/66 (25.8%)
Most frequent serious events
Most frequent serious events
EventHarvesting Device (CelluTome©)Control: SOC Alone
InfectionSkin and subcutaneous tissue disorders5/576/66
Most frequent other events
Most frequent other events
EventHarvesting Device (CelluTome©)Control: SOC Alone
ColdGeneral disorders15/5717/66

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Harvesting Device (CelluTome©)Control: SOC AloneTotal
<=18 years000
Between 18 and 65 years374178
>=65 years202545
Sex: Female, Male
Sex: Female, Male(Participants)Harvesting Device (CelluTome©)Control: SOC AloneTotal
Female323769
Male252954
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Harvesting Device (CelluTome©)Control: SOC AloneTotal
Hispanic or Latino123
Not Hispanic or Latino5664120
Unknown or Not Reported000
Region of Enrollment
Region of Enrollment(participants)Harvesting Device (CelluTome©)Control: SOC AloneTotal
United States5266118
Colombia505
Area at Screening Visit
Area at Screening Visit(cm^2)Harvesting Device (CelluTome©)Control: SOC AloneTotal
Mean8.48 ± 6.727.59 ± 6.818.04 ± 6.76
08

Study locations

18 sites
  • Eric Lullove, Dpm
    Boca Raton, Florida 33433, United States
  • Advanced Research Institute of Miami
    Homestead, Florida 33030, United States
  • Largo Medical Center
    Largo, Florida 33770, United States
  • GF Professional Research
    Miami Lakes, Florida 33016, United States
  • St Marys Health Care System
    Athens, Georgia 30606, United States
  • Michael Miller, Do
    Indianapolis, Indiana 46234, United States
  • Berkshire Medical Center
    Pittsfield, Massachusetts 01201, United States
  • Inspira Health Network
    Elmer, New Jersey 08318, United States
  • Hackensack University Medical Center
    Hackensack, New Jersey 07601, United States
  • Akron General Medical Center
    Akron, Ohio 44307, United States
  • University of Toledo Medical Center
    Toledo, Ohio 43614, United States
  • St John Medical Center
    Tulsa, Oklahoma 74135, United States
  • Bay Area Hospital
    Coos Bay, Oregon 97420, United States
  • Summit Health Hospital
    Chambersburg, Pennsylvania 17201, United States
  • Saint Vincent Health Center
    Erie, Pennsylvania 16544, United States
  • Armstrong County Memorial Hospital
    Kittanning, Pennsylvania 16201, United States
  • Regional Medical Center
    Orangeburg, South Carolina 29118, United States
  • Pharmakon Medical Research
    Harrisonburg, Virginia 22801, United States
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

10

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of May 2014, a primary completion of Nov 2017 and a completion of Nov 2017. It does not say whether these dates are actual or estimated.

Results were first posted in Apr 2020, 2 years 5 months after primary completion.

How these figures are worked out, and which studies are left out of them.

Registered
Jan 27, 2014
First posted
May 28, 2014
Start
May 2014
Primary completionActual
Nov 2017
CompletionActual
Nov 2017
Results first posted
Apr 29, 2020
Last update
Apr 29, 2020
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Apr 29, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT02148302
Lead sponsor
SerenaGroup, Inc.
Collaborators
Kinetic Concepts, Inc.
Responsible party
Sponsor
First posted
May 28, 2014
Start date
May 2014
Primary completion
Nov 2017
Completion
Nov 2017
Results posted
Apr 29, 2020
Last update
Apr 29, 2020

Study contacts

Thomas Serena, MD
principal investigator · SerenaGroup, Inc.

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in Apr 2020. You cannot join it, but the record below documents what was studied.

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