Department of Surgery, Wake Forest University School of Medicine, Winston-Salem, NC, United States.
United States Army Institute of Surgical Research, Fort Sam Houston, TX, United States.
Burns. 2022 Dec;48(8):1816-1824. doi: 10.1016/j.burns.2022.07.013. Epub 2022 Jul 28.
This analysis includes pooled safety data from 2 clinical trials (NCT01437852; NCT03005106) that evaluated the safety and efficacy of StrataGraft in patients with deep partial-thickness (DPT) burns.
The study enrolled 101 adult patients with thermal burns covering 3-49% of total body surface area. Patients were followed for up to 1 year. The pooled safety events included: adverse events (AEs), adverse reactions (ARs), serious AEs (SAEs), discontinuation, and deaths; immunological responses (reactivity to panel reactive antibodies [PRA] and human leukocyte antigen [HLA] class 1 alleles); and persistence of allogeneic DNA from StrataGraft.
Eighty-seven (86.1%) patients experienced 397 AEs. Thirty patients (29.7%) experienced ARs; 16 patients (15.8%) experienced SAEs. The most frequent AEs were pruritus (n = 31; 30.7%), and blister, hypertension, and hypertrophic scar (n = 11 each; 10.9%); the most common AR was pruritus (n = 13; 12.9%). One patient discontinued the study; 2 patients experienced SAEs (unrelated to StrataGraft) leading to death. PRA and HLA allele reactivity was ≤ 25% at Month 3, with no persistent allogeneic DNA from StrataGraft.
StrataGraft was well tolerated by patients, with a safety profile similar to autograft. StrataGraft may offer a safe alternative to autograft for DPT burns.
本分析纳入了两项临床试验(NCT01437852;NCT03005106)的安全性汇总数据,这些试验评估了 StrataGraft 在深度部分厚度(DPT)烧伤患者中的安全性和疗效。
该研究纳入了 101 名成人热烧伤患者,烧伤面积占总体表面积的 3-49%。患者随访时间长达 1 年。汇总的安全性事件包括:不良事件(AE)、不良反应(AR)、严重不良事件(SAE)、停药和死亡;免疫反应(针对 panel reactive antibodies [PRA] 和人类白细胞抗原 [HLA] 第 1 类等位基因的反应性);以及 StrataGraft 异源 DNA 的持续存在。
87 名(86.1%)患者发生了 397 次 AE。30 名(29.7%)患者发生了 AR;16 名(15.8%)患者发生了 SAE。最常见的 AE 是瘙痒(n=31;30.7%),水疱、高血压和肥厚性瘢痕(n=11;10.9%);最常见的 AR 是瘙痒(n=13;12.9%)。1 名患者退出了研究;2 名患者发生了与 StrataGraft 无关的 SAE,导致死亡。PRA 和 HLA 等位基因反应性在 3 个月时≤25%,没有 StrataGraft 的异源 DNA 持续存在。
StrataGraft 被患者耐受良好,安全性与自体移植物相似。StrataGraft 可能为 DPT 烧伤提供一种安全的自体移植物替代方法。