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CompletedNCT03394612Updated Aug 27, 2026

Study With an Autologous Dermo-epidermal Skin Substitute for the Treatment of Full-Thickness Skin Defects in Adults and Children

A Phase 2 interventional study of EHSG-KF and STSG in Skin Wound, sponsored by CUTISS AG. Completed at 7 sites in 3 countries. Open to participants aged 1 Year and older. Per ClinicalTrials.gov, last updated 2026-08-27.

Sponsored by CUTISS AG · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
21
Allocation
Randomized
Ages
1 Year and older
Sex
All
01

Study summary

This phase II trial aims to evaluate the efficacy and safety of EHSG-KF (synonym denovoSkin) in comparison to meshed STSG in adults and children with full-thickness Skin defects.

Read the detailed description

This multicentre phase II clinical trial will target adults and children with fullt-thickness skin defects to elucidate the benefit of a tissue-engineered autologous skin substitute. Particular emphasis, apart from safety, will be placed on efficacy, e.g. scar quality, in comparison to meshed STSG.

02

Conditions studied

  • Skin Wound

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Keywords

  • Scar
  • Skin
  • Wound Healing
  • Tissue Engineering
  • Dermis
  • Epidermis
03

In context

Cicatrix

611 studies on the registry are indexed under Cicatrix; 114 are open to participants now.

This study's enrollment of 21 is below the median of 40 across 512 interventional studies indexed under Cicatrix.

Browse Cicatrix studies →

Lead sponsor

CUTISS AG is the lead sponsor of 4 studies on the registry; 1 is open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
1 Year 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

  • Age: ≥1 years of age
  • Large full-thickness defects that require coverage after excision of: Scars, Benign skin tumors (e.g. neurofibroma), Melanocytic nevus (e.g. giant nevus), Gender reassignment surgery, Soft tissue defect after trauma, Soft tissue defect after infection and debridement (e.g necrotizingn fascitis, hidadentitis suppurativa, purpura fulminans), Flap donorsite (e.g. radial forearm flap)
  • Minimal areas requiring coverage (not counting the head and neck area for study patients in The Netherlands): 1-5 years: minimum 9cm2, 6-16 years: minimum 25cm2, >16 years: minimum 45cm2
  • Signed

Exclusion criteria

Exclusion Criteria:

  • Patients tested positive for , , syphilis or
  • Patients with known underlying or concomitant medical conditions that may interfere with normal wound healing (e.g. systemic skin and connective tissue diseases, any kind of congenital defect of metabolism including insulin-dependent diabetes mellitus, Cushing syndrome or disease, scurvy, chronic hypothyroidism, congenital or acquired condition, chronic renal failure, or chronic hepatic dysfunction ( class B or C), severe malnutrition, or other concomitant illness which, in the opinion of the Investigator, has the potential to significantly delay wound healing)
  • Severe drug and alcohol abuse
  • Pre-existing coagulation disorders as defined by outside its normal value, PTT > and fibrinogen \<LLN prior to the current hospital admission and / or at the Investigator's discretion
  • Patients with known allergies to amphotericin B, gentamicin, penicillin, streptomycin, or bovine collagen
  • Previous enrolment of the patient into the current phase II study
  • Participation of the patient in another study with conflicting endpoints within 30 days preceding and during the present study
  • Patients expected not to comply with the study protocol (including patients with severe cognitive dysfunction/impairment and severe psychiatric disorders)
  • Pregnant or breast feeding females
  • Intention to become pregnant during the clinical course of the study (12 months)
  • Enrolment of the Investigator, his/her family members, employees and other dependent persons
Terms in these criteria, in plain language(8)

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

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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.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

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.

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.

Child-Pugh class

A score of how well the liver works in people with liver disease such as cirrhosis: class A is mild, B moderate and C severe.

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
21 participants (actual)

Study arms

  • Other
    Option 1

    Location A is the experimental area and Location B is the control area.

    Biological: EHSG-KF · Biological: STSG

  • Other
    Option 2

    Location A is the control area and Location B is the experimental area.

    Biological: EHSG-KF · Biological: STSG

Interventions

  • BiologicalEHSG-KF

    Transplantation of autologous dermo-epidermal skin substitute EHSG-KF to the experimental area

    Also known as: denovoSkin

  • BiologicalSTSG

    Transplantation of autologous split-thickness skin graft to the control area

    Also known as: Split-thickness skin graft

06

What researchers measure

Primary outcomes

  1. Efficacy of EHSG-KF in comparison to STSG based on the assessment of scar quality

    Efficacy of EHSG-KF in comparison to STSG based on the assessment of scar quality, using the POSAS ("Patient and Observer Scar Assessment Scale"). The reported Observer Total Score can range from 1 (best) to 10 (worst).

    Time frame: 3 months post grafting

Secondary outcomes

  1. Efficacy of EHSG-KF in comparison to STSG based on the assessment of scar quality

    Evaluation of scar quality at experimental area and control area, using Cutometer for elasticity measurement

    Time frame: 3 months and 1 year +/- 30 days post grafting

  2. Efficacy of EHSG-KF in comparison to STSG based on the assessment of scar quality

    Evaluation of scar quality at experimental area and control area, using POSAS ("Patient and Observer Scar Assessment Scale") Observer Total Score

    Time frame: 3 months and 1 year +/- 30 days post grafting

  3. Efficacy of EHSG-KF in comparison to STSG based on the assessment of scar quality

    Evaluation of scar quality at experimental area and control area, using POSAS ("Patient and Observer Scar Assessment Scale") Patient Items and Total Score

    Time frame: 3 months and 1 year +/- 30 days post grafting

  4. A Efficacy of EHSG-KF in comparison to STSG based on the assessment of scar quality

    Evaluation of scar quality at experimental area and control area, using Colormeter for skin colour measurement,.

    Time frame: 3 months and 1 year +/- 30 days post grafting

  5. Efficacy of EHSG-KF in comparison to STSG based on the assessment of epithelialisation

    Evaluation of efficacy at experimental area and control area, calculating the epithelialized area as percentage of the total grafted area.

    Time frame: 28 +/- 3 days post grafting

  6. Efficacy of EHSG-KF in comparison to STSG based on the assessment of graft take.

    Evaluation of efficacy at experimental area and control area, assessed by the analysis of the graft take

    Time frame: 4-11 days post grafting

  7. Efficacy of EHSG-KF in comparison to STSG based on the assessment of quality of life.

    Evaluation of efficacy of experimental and control treatment, assessed by quality of life questionnaires ("Pediatric quality of life inventory")

    Time frame: 1 +/- 30 days year post grafting

  8. Efficacy of EHSG-KF in comparison to STSG based on the assessment of quality of life.

    Evaluation of efficacy of experimental and control treatment, assessed by quality of life questionnaires ("Patient Observer Scar Assessment Scale")

    Time frame: 1 +/- 30 days year post grafting

  9. Efficacy of EHSG-KF in comparison to STSG based on the assessment of quality of life.

    Evaluation of efficacy of experimental and control treatment, assessed by quality of life questionnaires ("EuroQuol 5 dimensions questionnaire")

    Time frame: 1 +/- 30 days year post grafting

  10. Efficacy of EHSG-KF in comparison to STSG based on the assessment of quality of life.

    Evaluation of efficacy of experimental and control treatment, assessed by quality of life questionnaires ("Burn Specific Health Scale Brief")

    Time frame: 1 +/- 30 days year post grafting

  11. Safety of EHSG-KF in comparison to STSG based on the assessment of infection rate.

    Evaluation of safety at experimental area and control area based on the infection rate, assessed by using wound swabs and clinical evaluation.

    Time frame: 4-11 days and 19-23 days post grafting

  12. Safety of EHSG-KF in comparison to STSG based on the assessment of adverse events.

    Evaluation of safety at experimental area and control area, assessed by the type and number of adverse events.

    Time frame: through study completion, an average of 3 years

07

Study locations

7 sites
  • Chirurgia Plastica e Centro Ustioni Azienda Ospedaliera di Rilievo Nazionale A. Cardarelli
    Naples, Italy
  • Unità di Chirurgia Plastica e Ustioni Ospedale Santobono
    Naples, Italy
  • U.O.C. Grandi Ustionati Azienda Ospedale Università Padova
    Padova, Italy
  • Dept. of Plastic, Reconstructive and Hand Surgery, VU University Medical Center
    Amsterdam, 1081, Netherlands
  • Rode Kruis Ziekenhuis
    Beverwijk, 1940, Netherlands
  • University Children's Hospital Zurich
    Zurich, 8032, Switzerland
  • University Hospital Zurich
    Zurich, 8091, Switzerland
08

References and documents

Publications

  • Kemme FM, Pijpe A, Stoop MM, van Zuijlen PPM, Meuli M, Schiestl C, Hartmann-Fritsch F, Kim BS, Neuhaus K, Plock JA, Rittirsch D, Mujynya K, Reichmann E, Bottcher-Haberzeth S, Farkas M, Bressan J, Zamparelli M, Mataro I, Petroccione C, Pontini A, Azzena B, Marino D, Middelkoop E. Safety and efficacy of bio-engineered, autologous dermo-epidermal skin grafts in reconstructive surgery: 1-year results of a prospective, randomized, intra-patient controlled, multicenter phase II clinical trial. J Tissue Eng. 2026 Mar 23;17:20417314261429663. doi: 10.1177/20417314261429663. eCollection 2026 Jan-Dec. PubMed 41890789 ↗
  • Schiestl C, Neuhaus K, Meuli M, Farkas M, Hartmann-Fritsch F, Elrod J, Bressan J, Reichmann E, Bottcher-Haberzeth S. Long-Term Outcomes of a Cultured Autologous Dermo-Epidermal Skin Substitute in Children: 5-Year Results of a Phase I Clinical Trial. J Burn Care Res. 2025 Mar 4;46(2):326-334. doi: 10.1093/jbcr/irae150. PubMed 39115183 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Feb 2018 to primary completion in Dec 2023, 69 months.

Of 24 phase 2 interventional studies under Cicatrix, half reached primary completion within 21 months of starting (the median), counting those still running; a quarter within 7 and three quarters within 61. This study's 69 months is above that.

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

Registered
Dec 7, 2017
First posted
Jan 9, 2018
StartActual
Feb 14, 2018
Primary completionActual
Dec 1, 2023
CompletionActual
Aug 21, 2026
Last update
Aug 27, 2026
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 Aug 27, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03394612
Lead sponsor
CUTISS AG
Collaborators
Wyss Zurich, Julius Clinical, Sintesi Research Srl, University Hospital, Zürich, University of Zurich
Responsible party
Sponsor
First posted
Jan 9, 2018
Start date
Feb 14, 2018
Primary completion
Dec 1, 2023
Completion
Aug 21, 2026
Last update
Aug 27, 2026

Study contacts

Clemens Sc, Prof.
study chair · University Children's Hospital, Zurich

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

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