ClinicalTrials.gg
CompletedNCT04030832MG-1Updated Jul 24, 2019

Reconstruction of Skin Substance Loss With "Micro-grafts" Obtained by Mechanical Disintegration

An observational study in Cutaneous Ulcer and Trauma Injury, sponsored by Azienda Ospedaliero, Universitaria Ospedali Riuniti. Completed at 4 sites in Italy. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2019-07-24.

Sponsored by Azienda Ospedaliero, Universitaria Ospedali Riuniti · Observational

Study type
Observational
Model
Case-only
Time perspective
Prospective
Enrollment
70
Ages
18 Years to 70 Years
Sex
All
01

Study summary

The etiology of non-healing ulcers depends on both systemic and local factors. The introduction of advanced dressing, negative wound therapy and compression therapy have undoubtedly improved clinical outcomes. The principal aim of study was to demonstrate the efficacy of skin micrografts in the treatment of skin substance loss.

Read the detailed description

The principal aim of study was to evaluate the efficacy of skin micro-grafts obtained with the system of mechanical disintegration in the reconstruction of skin substance loss in the limbs.

The primary endpoint consists in evaluating, through a specific evaluation scale, the Wound Bed Score (WBS) for skin substance loss at Time 0 (T0) and 30 days after the procedure (T30) and to evaluate the increase of this score in this time frame set at 50%. The evaluation will be carried out in double blind.

The secondary endpoints instead consist in the evaluation of the Wound Surface Area Assessment to be carried out at T0 and T30.

In the evaluation of the quality of the resulting scars, through the Vancouver Scale (VS), 90 (T90) and 180 days (T180) after treatment and to evaluate the reduction of this score by 15%; on the other in the evaluation of the progress of the Visual Analogic Scale (VAS) administered to the patient at T0, 30, 90, 180.

The purpose of this minimally invasive treatment is to improve the quality of life of those affected by these injuries, avoiding the use of prolonged advanced medications and / or more invasive surgical procedures, thus speeding up healing and favoring the clinical outcome of patients.

No chemical reagents or enzymes are used for the method. There is therefore no tissue manipulation, in full compliance with the European directive 23/2004.

02

Conditions studied

  • Cutaneous Ulcer
  • Trauma Injury
03

In context

Skin Ulcer

61 studies on the registry are indexed under Skin Ulcer; 14 are open to participants now.

Browse Skin Ulcer studies →

Lead sponsor

Azienda Ospedaliero, Universitaria Ospedali Riuniti is the lead sponsor of 8 studies on the registry; 4 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

Patients who attend the various regional hospitals through the emergency room or surgical clinic

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

  • Full-thickness skin loss from a minimum size of 3x3 cm (9cm2) to a maximum size of 5x5 cm (25cm2);
  • Loss of substance caused by abrasive-contusive traumas (loss of full-thickness skin substance) or by thermal burn (deep degree II), present for at least 15 days;
  • Absence of clinical signs of infection assessed by two culture swabs performed at T0 (pre and post debridement);
  • Pre-operative inflammatory index (VES, PCR) and b-hcg negative;
  • Absence of exposure of osteo-cartilaginous structures, of noble structures (major arterial vessels, major nerve trunks, tendons without paratenon);
  • Specific written

Exclusion criteria

Exclusion Criteria:

  • Smoking patients (≥ 10 cigarettes / day);
  • Patients with type I or type II diabetes mellitus:
  • Patients suffering vascular trophic ulcers;
  • Patients with loss of substance at the level of the fingers and toes;
  • Patients with loss of substance of the foot and the yarrow region;
  • Patients with oncological pathologies in progress or in remission;
  • Patients in therapy with and drugs, anticoagulants, antiplatelet agents;
  • Patients with diseases including connectivitis;
  • Patients with congenital, acquired and metabolic immunodeficiencies;
  • Pregnant patients (ascertained with β-HCG) and breastfeeding.
Terms in these criteria, in plain language(4)

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.

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.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

05

Study design

Observational model
Case-only
Time perspective
Prospective
Enrollment
70 participants (actual)
Patient registry
No
06

What researchers measure

Primary outcomes

  1. Wound Bed Score values

    Percentage of patients with change of the Wound Bed Score values higher than 50%, after 30 days,

    Time frame: change of baseline wound bed score values at day 30

Secondary outcomes

  1. Spontaneous re-epithelialization.

    Percentage of patients with spontaneous re-epithelialization of the total wound surface, after 30 days, as assessed by Wound Surface Area Assessment

    Time frame: Day 0 and Day 30

  2. Vancouver scale

    Percentage of patients with change of Vancouver scale values higher than 15%

    Time frame: Day 30, Day 90 and Day 180

07

Study locations

4 sites
  • Azienda Ospedaliera Universitaria Ospedali Riuniti
    Ancona, AN 60126, Italy
  • IRCCS Policlinico San Donato
    Milan, MI, Italy
  • Università degli Studi di Udine
    Udine, UD, Italy
  • Università degli Studi di Roma "La Sapienza"
    Roma, Italy
08

References and documents

Publications

  • Greaves NS, Ashcroft KJ, Baguneid M, Bayat A. Current understanding of molecular and cellular mechanisms in fibroplasia and angiogenesis during acute wound healing. J Dermatol Sci. 2013 Dec;72(3):206-17. doi: 10.1016/j.jdermsci.2013.07.008. Epub 2013 Jul 30. PubMed 23958517 ↗
  • Trovato L, Monti M, Del Fante C, Cervio M, Lampinen M, Ambrosio L, Redi CA, Perotti C, Kankuri E, Ambrosio G, Rodriguez Y Baena R, Pirozzi G, Graziano A. A New Medical Device Rigeneracons Allows to Obtain Viable Micro-Grafts From Mechanical Disaggregation of Human Tissues. J Cell Physiol. 2015 Oct;230(10):2299-303. doi: 10.1002/jcp.24973. PubMed 25728337 ↗
  • Marcarelli M, Trovato L, Novarese E, Riccio M, Graziano A. Rigenera protocol in the treatment of surgical wound dehiscence. Int Wound J. 2017 Feb;14(1):277-281. doi: 10.1111/iwj.12601. Epub 2016 Apr 29. PubMed 27126653 ↗
  • Baglioni E, Trovato L, Marcarelli M, Frenello A, Bocchiotti MA. Treatment of Oncological Post-surgical Wound Dehiscence with Autologous Skin Micrografts. Anticancer Res. 2016 Mar;36(3):975-9. PubMed 26976986 ↗
  • Svolacchia F, De Francesco F, Trovato L, Graziano A, Ferraro GA. An innovative regenerative treatment of scars with dermal micrografts. J Cosmet Dermatol. 2016 Sep;15(3):245-53. doi: 10.1111/jocd.12212. Epub 2016 Jan 30. PubMed 26825041 ↗
  • De Francesco F, Graziano A, Trovato L, Ceccarelli G, Romano M, Marcarelli M, Cusella De Angelis GM, Cillo U, Riccio M, Ferraro GA. A Regenerative Approach with Dermal Micrografts in the Treatment of Chronic Ulcers. Stem Cell Rev Rep. 2017 Feb;13(1):139-148. doi: 10.1007/s12015-016-9692-2. Erratum In: Stem Cell Rev Rep. 2017 Feb;13(1):149. doi: 10.1007/s12015-016-9698-9. PubMed 27738884 ↗
  • Falanga V, Saap LJ, Ozonoff A. Wound bed score and its correlation with healing of chronic wounds. Dermatol Ther. 2006 Nov-Dec;19(6):383-90. doi: 10.1111/j.1529-8019.2006.00096.x. PubMed 17199681 ↗
  • Qi X, Ding L, Huang W, Wen B, Guo X, Zhang J. An improved automated type-based method for area assessment of wound surface. Wound Repair Regen. 2017 Jan;25(1):150-158. doi: 10.1111/wrr.12495. Epub 2017 Jan 25. PubMed 27859908 ↗
  • Baryza MJ, Baryza GA. The Vancouver Scar Scale: an administration tool and its interrater reliability. J Burn Care Rehabil. 1995 Sep-Oct;16(5):535-8. doi: 10.1097/00004630-199509000-00013. PubMed 8537427 ↗
  • Jimi S, Kimura M, De Francesco F, Riccio M, Hara S, Ohjimi H. Acceleration Mechanisms of Skin Wound Healing by Autologous Micrograft in Mice. Int J Mol Sci. 2017 Aug 2;18(8):1675. doi: 10.3390/ijms18081675. PubMed 28767054 ↗
09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Oct 2017 to primary completion in Oct 2018, 12 months.

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

Registered
Jul 17, 2019
First posted
Jul 24, 2019
StartActual
Oct 1, 2017
Primary completionActual
Oct 1, 2018
CompletionActual
Jun 30, 2019
Last update
Jul 24, 2019
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 Jul 24, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04030832
Lead sponsor
Azienda Ospedaliero, Universitaria Ospedali Riuniti
Responsible party
Michele Riccio (Director, Azienda Ospedaliero, Universitaria Ospedali Riuniti) — Principal investigator
First posted
Jul 24, 2019
Start date
Oct 1, 2017
Primary completion
Oct 1, 2018
Completion
Jun 30, 2019
Last update
Jul 24, 2019

Oversight

Data monitoring committee
No
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 Jul 2019. You cannot join it, but the record below documents what was studied.

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