Evidence map›Paper›PMID 19276766›Full record

Trial reportThe Journal of trauma2009

Phase I/II clinical evaluation of StrataGraft: a consistent, pathogen-free human skin substitute.

Michael J Schurr, Kevin N Foster, John M Centanni, Allen R Comer, April Wicks, Angela L Gibson, Christina L Thomas-Virnig, Sandy J Schlosser, Lee D Faucher, Mary A Lokuta and 1 more

Registry-linked trialAbstract readClinical Trial, Phase IClinical Trial, Phase IIComparative Study
In one paragraph

Trial report in The Journal of trauma, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00618839 (Open-Label, Controlled, Randomized, Comparative, Dose Escalation Study Of The Safety, Human Immunology, And Efficacy Of StrataGraft™ Skin Tissue), which is not on this map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00618839 phase1 / phase2completednot on this map

Open-Label, Controlled, Randomized, Comparative, Dose Escalation Study Of The Safety, Human Immunology, And Efficacy Of StrataGraft™ Skin Tissue (Human Donor Skin) In The Surgical Management Of Complex Skin Defects In Patients Undergoing Sequential Skin Reconstruction Procedures

TypeinterventionalSponsorStratatech, a Mallinckrodt CompanyRan2006 to 2008Enrolled15ConditionsThird Degree Burn, Burns, Wound Infection, Degloving InjuryArmsStrataGraft Skin Tissue, Cadaver allograft
3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Review
  7. Cell Immortality:Life (Basel, Switzerland) · 2024
    Review
  8. Review
  9. Article
  10. Review
  11. Polymeric biomaterials for wound healing.Frontiers in bioengineering and biotechnology · 2023
    Review
  12. Review
  13. Indeterminate-Depth Burn Injury-Exploring the Uncertainty.The Journal of surgical research · 2020
    Review
  14. Article
  15. Review
  16. Review
  17. Advances in Skin Regeneration Using Tissue Engineering.International journal of molecular sciences · 2017
    Review
  18. Article
  19. Review
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Michael J SchurrDepartment of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA. schurr@ surgery.wisc.edu
Kevin N Foster
John M Centanni
Allen R Comer
April Wicks
Angela L Gibson
Christina L Thomas-Virnig
Sandy J Schlosser
Lee D Faucher
Mary A Lokuta
B Lynn Allen-Hoffmann

Funding

Development of a Cell-Derived Human Skin Substitute for Acute and Chronic WoundsR44AR047499 · NIAMS · STRATATECH CORPORATION · PI COMER, ALLEN R. · 2005 to 2012
$3.0M
Innovative Bioengineering for Cutaneous WoundsR01HL074284 · NHLBI · UNIVERSITY OF WISCONSIN-MADISON · PI ALLEN-HOFFMANN, B LYNN · 2005 to 2008
$1.4M
Therapeutic Antimicrobial Human Skin SubstituteR42AR050349 · NIAMS · STRATATECH CORPORATION · PI ALLEN-HOFFMANN, B LYNN · 2003 to 2005
$928k
BARRIER FUNCTION IN NORMAL IMMORTALIZED KERATINOCYTER43AR047499 · NIAMS · STRATATECH CORPORATION · PI COMER, ALLEN R · 2001 to 2001
$100k
Howard Hughes Medical InstituteNHLBI NIH HHS R01 HL074284NHLBI NIH HHS R01-HL74284NIAMS NIH HHS R41-AR050349NIAMS NIH HHS R42 AR050349NIAMS NIH HHS R42-AR050349NIAMS NIH HHS R43 AR047499NIAMS NIH HHS R43-AR47499NIAMS NIH HHS R44 AR047499NIAMS NIH HHS R44-AR47499
6 · The paper itself

Abstract

backgroundLarge wounds often require temporary allograft placement to optimize the wound bed and prevent infection until permanent closure is feasible. We developed and clinically tested a second-generation living human skin substitute (StrataGraft). StrataGraft provides both a dermis and a fully-stratified, biologically-functional epidermis generated from a pathogen-free, long-lived human keratinocyte progenitor cell line, Neonatal Immortalized KeratinocyteS (NIKS).

methodsHistology, electron microscopy, quantitative polymerase chain reaction, and bacterial growth in vitro were used to analyze human skin substitutes generated from primary human keratinocytes or NIKS cells. A phase I/II, National Institute of Health-funded, randomized, safety, and dose escalation trial was performed to assess autograft take in 15 patients 2 weeks after coverage with StrataGraft skin substitute or cryopreserved cadaver allograft.

resultsStrataGraft skin substitute exhibited a fully stratified epidermis with multilamellar lipid sheets and barrier function as well as robust human beta defensin-3 mRNA levels. Analysis of the primary endpoint in the clinical study revealed no differences in autograft take between wound sites pretreated with StrataGraft skin substitute or cadaver allograft. No StrataGraft-related adverse events or serious adverse events were observed.

conclusionsThe major finding of this phase I/II clinical study is that performance of StrataGraft skin substitute was comparable to cadaver allograft for the temporary management of complex skin defects. StrataGraft skin substitute may also eliminate the risk for disease transmission associated with allograft tissue and offer additional protection to the wound bed through inherent antimicrobial properties. StrataGraft is a pathogen-free human skin substitute that is ideal for the management of severe skin wounds before autografting.

Indexed as

Skin, ArtificialSkin TransplantationAdultCadaverDebridementFemaleFollow-Up StudiesHumansMaleMiddle AgedSoft Tissue InjuriesStaphylococcusWound Healing

Identifiers

PMID19276766
PMCPMC2679581

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.