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RecruitingNCT07241013Updated Nov 21, 2025

Tissue-Engineered Construct Based on Amniotic Membrane and Calcium Alginate for Cesarean Section Wound Healing

An interventional study of Tissue-engineered construct based on amniotic membrane and calcium alginate (TEC) in Skin Wound Healing After Cesarean Section and Cesarean Section Scar Healing, sponsored by Asfendiyarov Kazakh National Medical University. Recruiting at 1 site in Kazakhstan. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-11-21.

Sponsored by Asfendiyarov Kazakh National Medical University · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
100
Allocation
Randomized
Ages
18 Years and older
Sex
Female
01

Study summary

This clinical trial aims to evaluate the safety and efficacy of an experimental tissue-engineered construct (TEC) based on amniotic membrane and calcium alginate for promoting epithelialization and improving scar quality in patients after cesarean section. The study will assess both biological and clinical indicators of wound healing, including cytokine dynamics (IL-6, IL-10), ultrasound characteristics, and patient-reported outcomes.

Read the detailed description

The amniotic membrane (AM) is a natural biological material with regenerative and anti-inflammatory properties. In this study, a biodegradable tissue-engineered construct (TEC) combining amniotic membrane and calcium alginate is applied to the postoperative wound after cesarean section.

A total of 100 participants will be randomized into two groups:

  1. Experimental group - TEC application to the postoperative wound.
  2. Control group - standard postoperative wound care without TEC. Outcomes will include objective ultrasound measures of scar formation, cytokine profile changes, clinical scar evaluation (POSAS), and cosmetic appearance at 12 weeks.
02

Conditions studied

  • Skin Wound Healing After Cesarean Section
  • Cesarean Section Scar Healing

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Keywords

  • skin wound healing
  • Cesarean section
  • postoperative scar
  • amniotic membrane
  • tissue-engineered construct
  • epithelialization
03

In context

Cicatrix

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

This study's planned enrollment of 100 is above the median of 40 across 512 interventional studies indexed under Cicatrix.

Browse Cicatrix studies →

Lead sponsor

Asfendiyarov Kazakh National Medical University is the lead sponsor of 19 studies on the registry; 2 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
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. Women aged 18 years and older.
  2. Planned elective cesarean section for medical indications (breech presentation, multiple pregnancy, large fetus, uterine scar, etc.).
  3. Absence of severe obstetric complications (e.g., preeclampsia, hemorrhage, placental abruption).
  4. No decompensated chronic diseases or acute infections.
  5. Signed written .

Exclusion criteria

Exclusion Criteria:

  1. Acute infectious, , or oncological diseases.
  2. Severe pregnancy complications (preeclampsia, eclampsia, decompensated gestational diabetes).
  3. Emergency cesarean section.
  4. Severe postpartum complications: massive bleeding (>1000 mL), infection, abscess, severe anemia, allergic reactions to dressing materials.
  5. Withdrawal of consent or inability to continue participation.
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.

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.

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

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

Study arms

  • Experimental
    Tissue-Engineered Construct (Amniotic Membrane + Calcium Alginate)

    Application of the bioengineered tissue construct (amniotic membrane and calcium alginate) on the postoperative skin incision after cesarean section.

    Device: Tissue-engineered construct based on amniotic membrane and calcium alginate (TEC)

  • No intervention
    Standard Postoperative Care

    Routine postoperative wound care after cesarean section without tissue-engineered construct application.

Interventions

  • DeviceTissue-engineered construct based on amniotic membrane and calcium alginate (TEC)

    Application of a bioresorbable tissue-engineered construct (based on amniotic membrane and calcium alginate) on the postoperative skin incision site to promote epithelialization and improve scar healing.

06

What researchers measure

Primary outcomes

  1. Serum interleukin-6 (IL-6), interleukin-10 (IL-10) concentration

    Dynamic evaluation of systemic inflammatory response; IL-6, 10 levels measured by ELISA in peripheral blood.

    Time frame: Preoperative baseline, Day 3, Day 28

Secondary outcomes

  1. POSAS clinical scar assessment (Observer and Patient Scale)

    Clinical evaluation of scar healing using the Patient and Observer Scar Assessment Scale (POSAS), including vascularity, pigmentation, thickness, relief, and pliability. Both patient and clinician assessments collected.

    Time frame: Day 5-7, Day 28

  2. Ultrasound-assessed scar thickness and echogenicity

    Quantitative ultrasound assessment of postoperative scar (thickness, echogenicity, and vascularization) using Doppler imaging.

    Time frame: Day 3, Day 28

  3. Cosmetic and photographic scar assessment

    Remote follow-up with voluntary photographic documentation and patient self-assessment of cosmetic outcomes (color, relief, discomfort, satisfaction).

    Time frame: Week 12

07

Study locations

1 of 1 sites recruiting
  • Center for Perinatology and Pediatric Surgery (ЦПиДКХ)
    Almaty, Kazakhstan
    Recruiting
    • Issenova S.Sh. Professor, Head of the Department of Obstetrics and Gynecology · Contactisenova.s@kaznmu.kz · +77051727500
08

References and documents

Individual participant data

Plan to share: Undecided — Individual participant data (IPD) will not be shared because the study involves a limited number of participants and includes sensitive personal and clinical data. Data will be used only within the study team for scientific analysis and publication in aggregated form.

No publications or documents are linked to this record.

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

Start is estimated for Nov 2025; primary completion for Dec 2026, 13 months later.

Of 173 non-industry interventional studies with no phase under Cicatrix, half reached primary completion within 20 months of starting (the median), counting those still running; a quarter within 9 and three quarters within 36. This study's planned 13 months is below that.

Counting every sponsor, half of 206 studies reached it within 18 months; a quarter within 8 and three quarters within 36.

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

Registered
Nov 16, 2025
First posted
Nov 21, 2025
StartEst.
Nov 2025
Primary completionEst.
Dec 2026
CompletionEst.
Dec 2027
Last update
Nov 21, 2025
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 Nov 21, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07241013
Lead sponsor
Asfendiyarov Kazakh National Medical University
Collaborators
Center for Perinatology and Pediatric Surgery, Almaty, Kazakhstan, Zhalyn Scientific and Technical Production Center, Almaty, Kazakhstan
Responsible party
Gulzhan Muratovna Issina (G.M.Issina, MD, PhD, Acting Professor of Obstetrics and Gynecology Department, KazNMU, Asfendiyarov Kazakh National Medical University) — Principal investigator
First posted
Nov 21, 2025
Start date
Nov 2025 (estimated)
Primary completion
Dec 2026 (estimated)
Completion
Dec 2027 (estimated)
Last update
Nov 21, 2025

Oversight

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

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No contact was published for this record. The registry link below has the sponsor’s details.

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