Evidence map›Paper›PMID 42153543›Full record

Trial reportJournal of burn care & research : official publication of the American Burn Association2026

An Expanded Access Program With NexoBrid for Treatment of Acute Deep Partial and Full Thickness Burn Injuries in Adult and Pediatric Patients.

Steven A Kahn, John Schulz, Tam Pham, Andrew Clinton Bright, Dhaval Bhavsar, Nicole Bernal, Steve Sandoval, Robert Bertellotti

Abstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Journal of burn care & research : official publication of the American Burn Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Steven A KahnBurn Surgery, Medical University of South Carolina, Charleston SC 29425,  United States.ORCID 0000-0003-1245-6577
John SchulzDivision of Burns, Massachusetts General Hospital, Boston, MA 02114,  United States.
Tam PhamUniversity of Washington Regional Burn Center, Seattle, WA 98104,  United States.
Andrew Clinton BrightDepartment of Surgery, USA Health University Hospital, Mobile, AL 36617,  United States.
Dhaval BhavsarDepartment of Plastic Surgery, University of Kansas Medical Center, Kansas City, KS 66160,  United States.
Nicole BernalWexner Medical Center, The Ohio State University, Columbus, OH 43210,  United States.
Steve SandovalBurn Unit, Renaissance School of Medicine, Stony Brook University, Stony Brook, NY 11794,  United States.
Robert BertellottiAcute Surgery, Carver College of Medicine, Iowa City, IA 52242,  United States.

Funding

Administration for Strategic Preparedness and ResponseBiomedical Advanced Research and Development AuthorityHHS HHSO100201500035C
6 · The paper itself

Abstract

Following global Phase III trials, a single-arm expanded access program at 23 burn centers in the United States (2019-2024) provided centers with additional experience in treating adult and pediatric burn patients with NexoBrid, and maintaining burn care preparedness for mass casualty incidents. Eligible patients included children (<18-years-old) and adults (≥18-years-old) with deep thermal burns covering up to 30% of the total body surface area. NexoBrid application was followed by standard care. Patients were monitored weekly until wound closure, and again after 3 and 12 months. Outcomes included incidence and time to eschar removal, need for surgical excision or escharotomy, length of hospital stay, wound closure, and Modified Vancouver Scar Scale. A total of 239 patients (215 adult, 24 pediatric) received NexoBrid, with 142 (131 adult, 11 pediatric) completing the 12-month follow-up. Mean ages were 41 and 11 years, respectively. The mean treated target wound area was approximately 6% of the total body surface area, with 38 circumferential burns. Eschar removal was achieved in 95% of adults and 100% of pediatric patients within 4 hours. Surgical excision was performed in 4% of adults, but not in pediatric cases. No escharotomies were needed. The median length of stay was 10 days. Wound closure occurred by 22 days (adults) and 28 days (pediatric). Safety data were consistent with previous trials. NexoBrid demonstrated comparable outcomes vs previous Phase III trials and potential efficacy in preventing burn-induced compartment syndrome.

Indexed as

BurnsCyanoacrylatesAdolescentAdultBurn UnitsChildChild, PreschoolDebridementFemaleHumansLength of StayMaleMiddle AgedUnited StatesWound HealingCyanoacrylatesburn mass casualty incident (BMCI)enzymatic debridementmodified Vancouver scar scale (MVSS)NexoBridNEXT

Identifiers

PMID42153543
PMCPMC13551608

What OpenQuestion holds

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Registered trials

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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.