ClinicalTrials.gg
RecruitingNCT07665268RESTOREUpdated Jun 24, 2026

Study Title: A Multicenter, Prospective, Modified Platform Trial Evaluating Several Cellular, Acellular, and Matrix-like Products (CAMPs) and Standard of Care Versus Matched Standard of Care Controls in the Management of Nonhealing Pressure Ulcers.

A Phase 4 interventional study of Activate™ Matrix + SOC and AmnioDefend™ FT Matrix + SOC in Skin Ulcer, Pressure Ulcer (PU) and Pressure Ulcer of Skin, sponsored by Sequence LifeScience, Inc.. Recruiting at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-06-24.

Primary conditionPressure UlcerRegistry: Skin UlcerReclassifiedWhy we changed it
Registry
Skin Ulcer — the first condition term the registry derived for this study.
ClinicalTrials.gg
Pressure Ulcer
Why
  1. The study's listed conditions name Pressure Ulcer, a narrower term within Skin Ulcer.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by Sequence LifeScience, Inc. · Phase 4, Interventional, and Treatment

From the registry’s dates

  • Registered 3 months after the study started (first participant enrolled Jan 2026, registered May 2026).
  • Started Jan 2026; still recruiting 9 months later.
Phase
Phase 4
Study type
Interventional
Enrollment
2,000
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

A multicenter prospective modified platform trial evaluating several cellular, acellular, and matrix like products and standard of care versus matched standard of care controls in the management of nonhealing pressure ulcers.

Read the detailed description

This study is a multi-center, prospective, modified platform trial consisting of 2,000 subjects from up to Up to 75 providers at up to 25 investigational sites. The subjects are randomized to receive 1 of 5 treatments, either with Activate™ Matrix (CAMP-1) and SOC; AmnioDefend™ FT Matrix (CAMP-2) and SOC; Palisade™ Matrix (CAMP-3) and SOC; Sentry™ SL Matrix (CAMP-4) and SOC; Shelter™ DM Matrix (CAMP-5) and SOC. The target ulcers are evaluated weekly by the investigator. The subject is treated once a week, to receive weekly applications of one of the five CAMPs + SOC or matched controls until or up to 20 weeks or until the study ulcer has completely closed (i.e. 100% closure as assessed by the investigator and confirmed 2 weeks later at the closure confirmation visit (CCV). One additional visit per week is optional, for the purpose of changing only the secondary dressing

02

Conditions studied

  • Skin Ulcer
  • Pressure Ulcer (PU)
  • Pressure Ulcer of Skin
  • Pressure Sore
  • Chronic Ulcer
  • Pressure Wound

Browse trials for

Keywords

  • Ulcer
  • Pressure
  • Pressure Ulcer
  • Pressure Sore
  • Skin Ulcer
  • Pressure Ulcer of Skin
  • Chronic Ulcer
  • Wound
03

In context

Pressure Ulcer Reclassified

545 studies on the registry are indexed under Pressure Ulcer; 129 are open to participants now.

This study's planned enrollment of 2,000 is above the median of 70 across 405 interventional studies indexed under Pressure Ulcer.

Browse Pressure Ulcer studies →

Lead sponsor

Sequence LifeScience, Inc. is the lead sponsor of 2 studies on the registry; 2 are open to participants now.

Compared within Pressure Ulcer, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Skin Ulcer. The counts are of registry records indexed under each term, refreshed daily. How we classify →

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

  • The potential subject must be at least 18 years of age or older.
  • The potential subject must agree to attend the weekly study visits required by the protocol.
  • The potential subject must be willing and able to participate in the process.
  • The potential subject must have a full-thickness pressure ulcer NPIAP stage 3 or stage 4 without exposed tendon or bone of greater than or equal to one month in duration located on the trunk (sacral, trochanteric, or ischial).
  • At enrollment, the potential subject must have a target ulcer with a minimum surface area of 2 cm2 and a maximum surface area of 100cm2 measured post-debridement with the imaging device.
  • The potential subject has adequate off-loading of the ulcer

Exclusion criteria

Exclusion Criteria:

  • The potential subject is known to have a of \< 3 months.
  • The potential subject's target ulcer is not a pressure ulcer.
  • The target ulcer is infected, requires systemic antibiotic therapy, or there is cellulitis in the surrounding skin.
  • The target ulcer exposes tendon or bone.
  • The target ulcer has undermining or tunneling.
  • There is evidence of osteomyelitis complicating the target ulcer.
  • The potential subject is receiving (including systemic at doses greater than 10 mg of prednisone per day or equivalent) or cytotoxic chemotherapy or is taking medications that the PI believes will interfere with wound healing (e.g., biologics).
  • The potential subject has applied topical steroids to the ulcer surface within one month of initial screening.
  • The potential subject has (HbA1c) greater than or equal to 12% within 3 months of the initial screening visit.
  • The surface area of the potential subject's target ulcer has reduced in size by more than 20% in the 2 weeks prior to the initial screening visit ("historical" run-in period). Imaging Device is not required for measurements taken during the historical run-in period (e.g., calculating surface area using length × width is acceptable).
  • The surface area measurement of the potential subject's target ulcer decreases by 25% or more during the active 2-week screening phase: the 2 weeks from the initial screening visit (S1) to the TV-1 visit during which time the potential subject received SOC. - The potential subject is a woman who is pregnant or considering becoming pregnant within the next 6 months.
  • The potential subject has end stage renal disease requiring dialysis.
  • The potential subject, in the opinion of the investigator, has a medical or psychological condition that may interfere with study assessments.
  • The potential subject was treated with hyperbaric oxygen therapy (HBOT) or a Cellular, Acellular, Matrix-like Product (CAMP) in the 30 days prior to the initial screening visit.
  • The potential subject has a malnutrition indicator score of \<17 as measured on the Mini Nutritional Assessment.
  • Known of \< 8 g/dL as this is an indicator of poor wound healing.
Terms in these criteria, in plain language(6)

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.

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.

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.

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.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
2,000 participants (estimated)

Study arms

  • Experimental
    Activate™ Matrix + SOC

    Three layers: amnion, intermediate layer, and chorion

    Other: Activate™ Matrix + SOC

  • Experimental
    AmnioDefend™ FT Matrix + SOC

    Three layers: amnion, intermediate layer, and chorion

    Other: AmnioDefend™ FT Matrix + SOC

  • Experimental
    Palisade™ DM Matrix + SOC

    Two layers: amnion and chorion

    Other: Palisade™ DM Matrix + SOC

  • Experimental
    Sentry™ SL Matrix + SOC

    One layer: amnion

    Other: Sentry™ SL Matrix + SOC

  • Experimental
    Shelter™ DM Matrix + SOC

    Two layers: amnion and chorion

    Other: Shelter™ DM Matrix + SOC

Interventions

  • OtherActivate™ Matrix + SOC

    Participants will receive weekly applications of Activate™ Matrix and Standard of Care until ulcer closure, or a maximum of 20 weeks, whichever occurs first.

  • OtherAmnioDefend™ FT Matrix + SOC

    Participants will receive weekly applications of AmnioDefend™ FT Matrix and Standard of Care until ulcer closure, or a maximum of 20 weeks, whichever occurs first.

  • OtherPalisade™ DM Matrix + SOC

    Participants will receive weekly applications of Palisade™ DM Matrix and Standard of Care until ulcer closure, or a maximum of 20 weeks, whichever occurs first.

  • OtherSentry™ SL Matrix + SOC

    Participants will receive weekly applications of Sentry™ SL Matrix and Standard of Care until ulcer closure, or a maximum of 20 weeks, whichever occurs first.

  • OtherShelter™ DM Matrix + SOC

    Participants will receive weekly applications of Shelter™ DM Matrix and Standard of Care until ulcer closure, or a maximum of 20 weeks, whichever occurs first.

06

What researchers measure

Primary outcomes

  1. Between Arm Difference for Complete Closure

    Determine the between-arm difference in the proportion of subjects achieving complete closure of nonhealing pressure ulcers with multiple CAMPs plus SOC versus matched SOC controls (mSOC) over 20 weeks using a modified platform trial design.

    Time frame: 0-20 Weeks

Secondary outcomes

  1. Time to Closure

    Determine the between-arm difference in the time to closure over 20 weeks for CAMP plus SOC versus mSOC.

    Time frame: 0-20 Weeks

  2. Percentage Area Reduction

    Determine the between-arm difference in the percent area reduction (PAR) at weekly intervals the CAMP plus SOC arms versus mSOC.

    Time frame: 0-20 Weeks

  3. Pain Scale Reduction

    Determine the between-arm difference in pain for patients that present with a Visual Analog Scale score of greater than 4. The scale is a rage of 0-10, 0 being no pain and 10 being worst pain imaginable.

    Time frame: 0-20 Weeks

  4. Adverse Events

    Evaluate the between-arm difference in the frequency and nature of adverse events in subjects receiving CAMP plus SOC versus mSOC.

    Time frame: 0-20 Weeks

Other outcomes

  1. Evaluate Quality of Life

    Evaluate the between-arm difference in the quality of life for subjects receiving CAMP plus SOC compared to SOC only using the Forgotten Wound Score (FWS) at treatment visits 1, 4, 8, 12, 16, and 20.

    Time frame: 0-20 Weeks

  2. Compliance with Off-loading

    To determine compliance with off-loading and the effect on wound closure.

    Time frame: 0-20 Weeks

  3. Ulcers to Close in Patients over 65

    To determine the proportion of ulcers that close in patients 65 years or older for CAMP plus SOC versus mSOC.

    Time frame: 0-20 Weeks

  4. Rate of Reoccurrence

    Selected sites only: to demonstrate durability of closure (rate of recurrence) of subjects with a closed ulcer.

    Time frame: 0-20 Weeks

07

Study locations

1 of 1 sites recruiting
  • Amber Stormer
    North Royalton, Ohio 44133, United States
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Jan 2026 (actual). Primary completion is estimated for Jan 2028, 24 months after the start.

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

Registered
May 21, 2026
First posted
Jun 24, 2026
StartActual
Jan 28, 2026
Primary completionEst.
Jan 28, 2028
CompletionEst.
Jan 28, 2028
Last update
Jun 24, 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 Jun 24, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07665268
Lead sponsor
Sequence LifeScience, Inc.
Collaborators
Serena Group
Responsible party
Sponsor
First posted
Jun 24, 2026
Start date
Jan 28, 2026
Primary completion
Jan 28, 2028 (estimated)
Completion
Jan 28, 2028 (estimated)
Last update
Jun 24, 2026

Study contacts

Bennett Sarver
Contact
info@serenagroups.com
1-833-865-6300
Amy Allen
Contact
info@serenagroups.com
1-833-865-6300
Thomas Serena, MD
principal investigator · Serena Group

Oversight

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

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