ClinicalTrials.gg
CompletedNCT04091672Updated Jul 30, 2024Results posted

RECELL® System Combined With Meshed Autograft for Reduction of Donor Skin Harvesting in Soft Tissue Reconstruction

An interventional study of Control Intervention (Conventional Autograft) and Investigational Intervention (RECELL + more widely meshed autograft) in Full-thickness Skin Defects, Degloving Injuries and Crush Injuries, sponsored by Avita Medical. Completed at 18 sites in United States. Open to participants aged 5 Years and older. Per ClinicalTrials.gov, last updated 2024-07-30.

Sponsored by Avita Medical · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
65
Allocation
Not applicable
Ages
5 Years and older
Sex
All
01

Study summary

A prospective randomized within-subject controlled study to compare the clinical performance of conventional autografting with and without the RECELL system on acute non-burn full-thickness skin defects.

02

Conditions studied

  • Full-thickness Skin Defects
  • Degloving Injuries
  • Crush Injuries
  • Laceration of Skin
  • Surgical Wound
  • Skin Cancer
  • Cellulitis
  • Infection
  • Necrotizing Fasciitis
  • Gun Shot Wound
03

In context

Crush Injuries

8 studies on the registry are indexed under Crush Injuries; 2 are open to participants now.

Browse Crush Injuries studies →

Lead sponsor

Avita Medical is the lead sponsor of 15 studies on the registry; none are open to participants now.

Of its 9 completed or terminated interventional studies of FDA-regulated products, 5 (56%) have results posted.

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

04

Who can participate

Ages eligible
5 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. The patient requires autografting for treatment of an acute full-thickness skin defect (e.g., trauma- or surgery-related).
  2. The maximum area requiring autografting is 50% Total Body Surface Area (TBSA).
  3. Two comparable areas requiring autografting, each at least 160 cm2 (or 320 cm2 contiguous), excluding face and genitalia. When hands or joints are included in the treatment areas, comparability of treatment areas means that each area (RECELL and Control) must include the same contralateral joint and/or hand.
  4. The patient is at least 5 years of age.
  5. The patient (or parent/guardian) is willing and able to comply with all compulsory study procedures and visit schedule.
  6. The patient agrees to abstain from any other treatment (e.g., external fixation) of the study treatment areas for the duration of his/her participation the study (1 year).
  7. The patient agrees to abstain from enrollment in any other interventional clinical trial for the duration of his/her participation the study (1 year).
  8. In the opinion of the investigator, the patient and/or guardian must be able to:

    1. Understand the full nature and purpose of the study, including possible risks and adverse events,
    2. Understand instructions, and
    3. Provide voluntary informed written consent.

Exclusion criteria

Exclusion Criteria:

  1. Not able to understand English or Spanish.
  2. The area requiring autografting sustained a burn injury.
  3. The treatment area has previously failed to heal subsequent to surgical intervention for closure.
  4. The patient is unable to follow the protocol requirements.
  5. The patient has a condition that in the investigator's opinion may compromise patient safety or trial objectives.
  6. Current use of medications that in the investigator's opinion may compromise patient safety or trial objectives.
  7. The patient has a known to trypsin or compound sodium lactate for irrigation (Hartmann's) solution.
  8. The patient is pregnant or breast-feeding (pregnancy test should be performed in accordance with local institutional requirements).
  9. is less than 1 year.
Terms in these criteria, in plain language(2)

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.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
65 participants (actual)

Study arms

  • Experimental
    All Participants (within patient control)

    Each participant will serve as their own Control, receiving both Control and Investigational Interventions randomly allocated to treatment of a portion of a full-thickness skin defect.

    Procedure: Control Intervention (Conventional Autograft) · Device: Investigational Intervention (RECELL + more widely meshed autograft)

Interventions

  • ProcedureControl Intervention (Conventional Autograft)

    Meshed split-thickness skin graft, with standardized wound dressings (Telfa™ Clear and Xeroform™)

    Also known as: meshed split-thickness skin graft

  • DeviceInvestigational Intervention (RECELL + more widely meshed autograft)

    More widely meshed split-thickness skin graft, Spray-on Skin™ Cells prepared using RECELL, and standardized wound dressings (Telfa™ Clear and Xeroform™)

06

What researchers measure

Primary outcomes

  1. Incidence of Treatment Area Healing

    The incidence of healing is hypothesized to be non-inferior for RECELL-treated areas (Investigational Intervention) as compared to Control areas (Control Intervention). Healing is defined as complete wound closure characterized by 100% skin re-epithelialization without drainage, confirmed at two consecutive study visits at least 2 weeks apart by direct visualization by a Blinded Evaluator.

    Time frame: Prior to or at 8 weeks

  2. Donor Skin Area to Treatment Area Expansion Ratio

    The donor skin expansion achieved with treatment using RECELL and widely meshed autograft (Investigational Intervention) is hypothesized to be superior to the donor skin expansion ratio achieved with conventional autograft treatment (Control Intervention). Expansion ratio, computed as the ratio of measured treated area to the measured donor site area, is calculated separately for each Intervention (including any donor skin needed for repeat treatments).

    Time frame: Treatment Day

07

Results

Posted Sep 21, 2023

Participant flow

Participant flow — Overall Study
MilestoneControl InterventionInvestigational Intervention (RECELL)
Started6565
Completed4747
Not completed1818
Withdrew: Death66
Withdrew: Lost to follow-up77
Withdrew: Withdrawal by subject33
Withdrew: Non-compliance with study schedule22

Outcome measures

PrimaryIncidence of Treatment Area Healing

The incidence of healing is hypothesized to be non-inferior for RECELL-treated areas (Investigational Intervention) as compared to Control areas (Control Intervention). Healing is defined as complete wound closure characterized by 100% skin re-epithelialization without drainage, confirmed at two consecutive study visits at least 2 weeks apart by direct visualization by a Blinded Evaluator.

Time frame:
Prior to or at 8 weeks
Reported as:
Count of units · Treatment Areas
Incidence of Treatment Area Healing
Treatment AreasControl InterventionInvestigational Intervention (RECELL)
Incidence of Treatment Area Healing3034
Statistical analysis
  • Control Intervention vs Investigational Intervention (RECELL) · 1-sided z-test of proportions · p = .005alpha=0.025
PrimaryDonor Skin Area to Treatment Area Expansion Ratio

The donor skin expansion achieved with treatment using RECELL and widely meshed autograft (Investigational Intervention) is hypothesized to be superior to the donor skin expansion ratio achieved with conventional autograft treatment (Control Intervention). Expansion ratio, computed as the ratio of measured treated area to the measured donor site area, is calculated separately for each Intervention (including any donor skin needed for repeat treatments).

Time frame:
Treatment Day
Reported as:
Mean · Expansion Ratio
Donor Skin Area to Treatment Area Expansion Ratio
Expansion RatioControl InterventionInvestigational Intervention (RECELL)
Donor Skin Area to Treatment Area Expansion Ratio1.39 ± 0.441.86 ± 0.47
Statistical analysis
  • Control Intervention vs Investigational Intervention (RECELL) · GMR of ratios · p = 0.001

Adverse events

Collected over 26 Weeks. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Control Intervention6/65 (9.2%)2/65 (3.1%)35/65 (53.8%)
Investigational Intervention (RECELL)6/65 (9.2%)2/65 (3.1%)33/65 (50.8%)
Most frequent serious events
Most frequent serious events
EventControl InterventionInvestigational Intervention (RECELL)
Impaired HealingGeneral disorders2/652/65
Local Soft Tissue InfectionInfections and infestations2/652/65
Other InfectionInfections and infestations2/652/65
Graft LossInjury, poisoning and procedural complications1/651/65
Skin Graft FailureInjury, poisoning and procedural complications1/651/65
Suture Related ComplicationInjury, poisoning and procedural complications0/651/65
Device MalfunctionProduct Issues1/651/65
Most frequent other events
Showing 10 of 15
Most frequent other events
EventControl InterventionInvestigational Intervention (RECELL)
Impaired HealingGeneral disorders14/6512/65
Excessive Granulation TissueSkin and subcutaneous tissue disorders8/6512/65
Graft LossInjury, poisoning and procedural complications8/656/65
Wound DecompositionInjury, poisoning and procedural complications6/654/65
Skin ExfoliationSkin and subcutaneous tissue disorders4/655/65
Local Soft Tissue InfectionInfections and infestations3/654/65
PruritusSkin and subcutaneous tissue disorders3/653/65
RashSkin and subcutaneous tissue disorders1/652/65
FallInjury, poisoning and procedural complications1/651/65
Skin Graft FailureInjury, poisoning and procedural complications1/650/65

Baseline characteristics

Experimental: All Participants (within patient control)

Age, Continuous
Age, Continuous(years)Experimental: All Participants (Within Patient Control)
Mean45.7 ± 18.3
Sex: Female, Male
Sex: Female, Male(Participants)Experimental: All Participants (Within Patient Control)
Female21
Male44
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Experimental: All Participants (Within Patient Control)
Hispanic or Latino17
Not Hispanic or Latino47
Unknown or Not Reported1
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Experimental: All Participants (Within Patient Control)
American Indian or Alaska Native2
Asian0
Native Hawaiian or Other Pacific Islander0
Black or African American14
White46
More than one race0
Unknown or Not Reported3
08

Study locations

18 sites
  • Arizona Burn Center - Valleywise Health
    Phoenix, Arizona 85008, United States
  • University of Arizona - Banner Health
    Tucson, Arizona 85719, United States
  • UCI Medical Center
    Orange, California 92868, United States
  • Lundquist Institute @Harbor UCLA
    Torrance, California 90502, United States
  • MedStar Washington Hospital Center
    Washington, District of Columbia 20010, United States
  • Kendall Regional Medical Center
    Miami, Florida 33175, United States
  • Cook County Health
    Chicago, Illinois 60612, United States
  • Carle Foundation Hospital
    Urbana, Illinois 61801, United States
  • University Medical Center
    New Orleans, Louisiana 70112, United States
  • University of Rochester Medical Center
    New York, New York 14642, United States
  • Duke University Hospital
    Durham, North Carolina 27710, United States
  • Wake Forest University Health Sciences
    Winston-Salem, North Carolina 27157, United States
  • Ohio State University
    Columbus, Ohio 43210, United States
  • Thomas Jefferson University
    Philadelphia, Pennsylvania 19107, United States
  • Temple University
    Philadelphia, Pennsylvania 19140, United States
  • Rhode Island Hospital
    Providence, Rhode Island 02903, United States
  • JPS Health Network
    Fort Worth, Texas 76104, United States
  • Metis Foundation
    San Antonio, Texas 78216, United States
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 30, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT04091672
Lead sponsor
Avita Medical
Responsible party
Sponsor
First posted
Sep 17, 2019
Start date
Mar 2, 2020
Primary completion
Mar 7, 2022
Completion
Feb 2, 2023
Results posted
Sep 21, 2023
Last update
Jul 30, 2024

Oversight

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

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