Department of Surgery, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Burns. 2024 Nov;50(8):2013-2022. doi: 10.1016/j.burns.2024.05.023. Epub 2024 Jun 6.
A phase 3b, open-label, multicenter, expanded-access study (NCT04123548) evaluated safety and clinical outcomes of StrataGraft treatment in adults with deep partial-thickness thermal burns with intact dermal elements.
Adult patients with 3 % to < 50 % total body surface area burns were treated with a single application of ≤ 1:1 meshed StrataGraft and followed for 24 weeks. Primary endpoint was count and percentage of patients with treatment-emergent adverse events (TEAEs). Secondary endpoints included confirmed wound closure (WC) at Week 12, durable WC at Week 24, time to WC, scar evaluation, and wound infection-related events.
Fifty-two patients with 96 treatment sites were enrolled. Pruritus was the most common TEAE (22 patients [42.3 %]). Twenty serious TEAEs occurred in 10 patients (19.2 %); none were related to StrataGraft. There were 4 (7.7 %) deaths (aspiration, myocardial infarction, self-injury, Gram-negative rod sepsis); none were related to StrataGraft. Confirmed WC was achieved by Week 12 in 33 patients (63.5 %; 95 % CI: 50.4-76.5 %) and 69 treatment sites (71.9 %; 95 % CI: 62.9-80.9 %). Durable WC was achieved by Week 24 in 29 patients (55.8 %; 95 % CI: 42.3-69.3 %) and 58 treatment sites (60.4 %; 95 % CI: 50.6-70.2 %).
StrataGraft demonstrated clinical benefit. Safety data were consistent with previously reported findings.
一项 3b 期、开放性、多中心、扩大准入研究(NCT04123548)评估了 Stratagraft 在真皮完整的深部分度热烧伤成人患者中的安全性和临床结果。
3%至<50%总体表烧伤的成年患者接受了一次≤1:1 网孔 Stratagraft 的治疗,并随访 24 周。主要终点是治疗出现的不良事件(TEAE)的患者数量和百分比。次要终点包括第 12 周时的确认伤口闭合(WC)、第 24 周时的持久 WC、WC 时间、疤痕评估和伤口感染相关事件。
52 名患者(96 个治疗部位)入组。瘙痒是最常见的 TEAE(22 名患者[42.3%])。10 名患者(19.2%)发生了 20 例严重的 TEAEs;均与 Stratagraft 无关。4 例(7.7%)死亡(吸入性肺炎、心肌梗死、自残、革兰氏阴性杆菌败血症);均与 Stratagraft 无关。33 名患者(63.5%;95%CI:50.4-76.5%)和 69 个治疗部位(71.9%;95%CI:62.9-80.9%)在第 12 周时实现了确认的 WC。29 名患者(55.8%;95%CI:42.3-69.3%)和 58 个治疗部位(60.4%;95%CI:50.6-70.2%)在第 24 周时实现了持久的 WC。
Stratagraft 显示出临床益处。安全性数据与之前报道的结果一致。