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This study was terminated early due to slow accrual of patients.
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The objective of this protocol is to perform a safety and dose-determination efficacy clinical trial in patients having a degree of partial-thickness burn wounds. The trial will be a prospectively randomized and double-blind trial of ST266 compared with standardized care using 0.9% NaCl (normal saline) solution in the same three treatment regimens.
A Phase I/II multi-center clinical trial will be performed in 99 adults with partial-thickness burns. Two similar partial-thickness burn areas in a single patient will be selected. One burn will be randomly assigned to receive either test drug ST266 or normal saline in one of three treatment regimens.
The three treatment arms will be:
Two different preclinical studies of partial-thickness burns on guinea pigs have demonstrated accelerated epithelialization with topical treatment with ST266. Similarly, preclinical studies in Yorkshire pigs have demonstrated more rapid maturity of epithelialization and better quality healing of partial-thickness skin graft donor sites with ST266 treatment.
In the preclinical studies, ST266 given in a dose of 0.01 mL/cm2 wound area appeared to saturate the wound adequately without excess and simultaneously improve healing. In preclinical toxicity studies, the dose of 0.01 mL/cm2 was shown to be safe.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ST266 1 | Experimental | Topical treatment every other day |
|
| ST266 2 | Experimental | Topical treatment every 4th day |
|
| ST266 3 | Experimental | Topical treatment every 7th day |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ST266 | Biological | ST266 is a clear liquid containing more than 200 proteins, cytokines, and growth factors in solution. Patients will be treated for 21 days unless both wounds have healed prior to 21 days, at which time a punch biopsy of the epithelialized area of each wound will be performed. A study evaluation visit for assessment of the biopsy site will occur on day 28 or within 7 days of the punch biopsies, whichever occurs first. Six months after the punch biopsy, the patient will return to the burn center for a final examination and photographs of the study wounds. |
| Measure | Description | Time Frame |
|---|---|---|
| The primary endpoint will be the percentage of each wound that has epithelialized during the 21-day treatment period comparing the ST266-treated wound with the saline-treated wound. | 21 days |
| Measure | Description | Time Frame |
|---|---|---|
| The number of totally epithelialized (100%) wounds in the ST266-treated wounds versus the number in the normal saline-treated wounds | 21 days | |
| The percentage conversion to full-thickness wounds in the ST266-treated wounds versus the conversion in the normal saline-treated wounds |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| David L Steed, MD | Noveome Biotherapeutics, formerly Stemnion | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of South Alabama Dept. of Surgery | Mobile | Alabama | 36617 | United States | ||
| LAC - USC Medical Center |
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|
| 21 days |
| Quality of healing, including pruritis, and scar hypertrophy, and reduction in pain in the ST266-treated wounds as compared to saline-treated wounds | 21 days |
| Quality of healing as assessed by hemoxylin and eosin staining of the punch biopsy taken on Day 21 in the ST266-treated wounds as compared to saline-treated wounds | 21 days |
| Assessment of change in arterial circulation using a laser Doppler from baseline to Day 21 in the ST266-treated wounds as compared to saline-treated wounds | 21 days |
| Determination of levels of 6 cytokines present in blood prior to treatment (baseline) and within one-hour of the first treatment for the initial 12 patients | 21 days |
| The primary safety endpoint will be the incidence of adverse events post-treatment. | 12 months |
| Los Angeles |
| California |
| 90033 |
| United States |
| Shands Burn Center at the University of Florida | Gainesville | Florida | 32610 | United States |
| University of South Florida / Tampa General Hospital | Tampa | Florida | 33606 | United States |
| Loyola University Medical Center | Maywood | Illinois | 60153 | United States |
| University of Kentucky Chandler Medical Center | Lexington | Kentucky | 40536-0284 | United States |
| Johns Hopkins Burn Center | Baltimore | Maryland | 21224 | United States |
| Brigham and Women's Hospital | Boston | Massachusetts | 02115 | United States |
| University of Missouri Health Care | Columbia | Missouri | 65212 | United States |
| Acute & Critical Care Surgery Barnes Jewish Hospital, Washington University Medical Center | St Louis | Missouri | 63110 | United States |
| University of Rochester | Rochester | New York | 14642 | United States |
| MetroHealth Medical Center | Cleveland | Ohio | 44109 | United States |
| Western Pennsylvania Hospital | Pittsburgh | Pennsylvania | 15224 | United States |
| John S. Dunn Sr. Burn Center | Houston | Texas | 77030 | United States |
| ID | Term |
|---|---|
| D002056 | Burns |
| D010146 | Pain |
| D002921 | Cicatrix |
| ID | Term |
|---|---|
| D014947 | Wounds and Injuries |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D005355 | Fibrosis |
| D010335 | Pathologic Processes |
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