ObesityNCT02845180
In-Vivo Assessment of Adipose Allograft Extracellular Matrix in Abdominoplasty Patients
A study testing Adipose Allograft Extracellular Matrix (AAM) Injection in people with Obesity, run by Musculoskeletal Transplant Foundation at 1 site in United States.
Trial summary
The purpose of this study is to assess local tissue reaction and retention of an adipose allograft extracellular matrix at 3 or 6 months post-injection into the subcutaneous abdominal tissue of healthy volunteers scheduled to undergo elective panniculectomy. Read more about this study
- Who is it for?
- Ages 18 years and olderHealthy volunteers can take part
- Conditions the study is for
- Obesity
- What is being tested?
- Adipose Allograft Extracellular Matrix (AAM) Injection
- Type of treatment
- Injection or infusion, Surgery or procedure
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 10 participants
- Where
- 1 siteUnited States
- Study dates
- Nov 2016to 15 Jun 2018
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- Scheduled to undergo elective abdominoplasty.
- Able to provide informed consent.
- Able to understand and comply with the study design and are willing to return for all of the research required follow-up visits.
- BMI great than or equal to 23 and less than or equal to 35.
- Thickness of subcutaneous tissue on abdominal wall is at least 2cm thick.
- If a female, must test negative on a urine pregnancy test.
- If a female, must be willing to utilize an acceptable method of birth control (i.e., oral contraceptives, condom with spermicide, etc.) for the duration of the study.
Who cannot join
- Thickness of subcutaneous tissue on abdominal wall is less than 2cm thick.
- Previous liposuction at intended sites of treatment.
- Actively taking immunosuppressive therapy including systemic steroids (intranasal/inhaled steroids are acceptable).
- Actively receiving chemotherapy or radiation treatment.
- Subjects with a life expectancy of less than 9 months, terminal conditions or factors making follow-up difficult (e.g.; no fixed address, telephone, etc.)
- Subjects with intolerance to additional study-associated drugs/therapies (e.g.; lidocaine, etc.).
Show all 15Show fewer
- Subjects with known coagulopathy.
- Subjects on chronic anticoagulants (e.g. Coumadin, etc.).
- Subjects who are pregnant, lactating or planning pregnancy during the study period.
- Subjects with abnormal blood chemistry or any abnormal laboratory finding considered clinically significant in that it would deem the subject inappropriate for surgical procedures, as determined by the Investigator (i.e., CBC with Differential, platelets, comprehensive metabolic panel to include electrolytes, bun/creatinine, liver function test and coagulation tests).
- Subjects who have, as determined by the investigator, a history or clinical manifestations of significant renal, hepatic, cardiovascular, metabolic, neurologic, psychiatric, or other condition that would preclude participation in the study (e.g.; Type I and II diabetic patients).
- Subjects with known alcohol or narcotic drug dependency that is deemed to impact compliance.
- Subjects with diagnosed autoimmune disorders known to affect wound healing, such as Systemic Lupus Erythematosis (SLE), psoriasis, infection and inflammation (seborrheic dermatitis).
- Subjects currently enrolled in another investigational study.
- Study Population Description: Patients scheduled to undergo elective abdominoplasty Sampling Method: Invitation to volunteer
Trial locations and contacts
1 site in 1 country.
United States1 site
University of Pittsburgh
Philadelphia, Pennsylvania, 15261
About this study
The purpose of this study is to assess local tissue reaction and retention of an adipose allograft extracellular matrix at 3 or 6 months post-injection into the subcutaneous abdominal tissue of healthy volunteers scheduled to undergo elective panniculectomy.
Read the detailed description
This is a prospective, randomized, two arm, single center study to assess adipose tissue development and retention when an implantable allograft adipose matrix ('AAM') is injected in the abdominal subcutaneous tissue of healthy volunteers undergoing elective standard-of-care panniculectomy. This study will enroll ten (10) subjects. These subjects will be randomized to one of two study arms. Arm 1 will consist of five (5) subjects who will receive injections of AAM to be followed clinically for three (3) months duration, and arm 2 will consist of five (5) subjects who will receive injections of AAM to be followed clinically for six (6) months duration. At the point of completion of each arm, 3 or 6 months, the injected tissue will be surgically removed as part of the panniculectomy procedure. Samples of the AAM injected tissue areas and surrounding tissue will be obtained and processed for histologic evaluation.
- Conditions
- Obesity
- Being tested
- Adipose Allograft Extracellular Matrix (AAM) Injection
- Keywords
- lipectomy, panniculectomy
- Medical subject headings
- Obesity
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Adipose Allograft Extracellular Matrix (AAM) InjectionProcedure or surgery
Injection followed by surgery
| Study group | Role | What they receive |
|---|---|---|
| 3 Mo. Post AAM Injection | Experimental | Injection. Adipose Allograft Extracellular Matrix (AAM). Panniculectomy post injection, 3 months. Receives: Procedure: Adipose Allograft Extracellular Matrix (AAM) Injection |
| 6 Month Post AAM Injection | Experimental | Injection. Adipose Allograft Extracellular Matrix (AAM). Panniculectomy post injection, 6 months. Receives: Procedure: Adipose Allograft Extracellular Matrix (AAM) Injection |
What is being measured
The primary outcome is the main question the study is designed to answer.
Histopathology evaluation for number of mature adipocytes via haematoxylin and eosin staining.
Change from baseline to 6 months in abdominal tissue samples using H \& E staining
Measured: 6 months
Secondary outcomes (1)
Safety of allograft adipose matrix (AAM) injections as determined by the incidence of adverse events.
Ongoing analysis of adverse events collected for the duration of a subject's participation and ongoing aggregate analysis of all subjects' adverse events. These endpoints will not be tested statistically unless unusual or unexpected results are obtained.
Measured: 6 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted27 Jul 2016 (estimated)
- Study startNov 2016
- Primary completion15 Jun 2018
- Study completion15 Jun 2018
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (4)Papers the sponsor has linked to this study.
- Other trials for ObesityStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 10 participants (actual)
Sponsor and investigators
- Lead sponsor
- Musculoskeletal Transplant Foundation
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02845180
- Sponsor's protocol ID
- MTF 16-02-02
- Status last verified
- Jul 2016
- First submitted
- 3 Mar 2016
- Last updated
- 19 Sep 2018
- Results posted
- No
- Data monitoring committee
- Yes
- Individual data sharing
- Undecided: Decision to be made at study site appointment
Publications
Flynn LE. The use of decellularized adipose tissue to provide an inductive microenvironment for the adipogenic differentiation of human adipose-derived stem cells. Biomaterials. 2010 Jun;31(17):4715-24. doi: 10.1016/j.biomaterials.2010.02.046. Epub 2010 Mar 20.
PubMed 20304481Brown BN, Freund JM, Han L, Rubin JP, Reing JE, Jeffries EM, Wolf MT, Tottey S, Barnes CA, Ratner BD, Badylak SF. Comparison of three methods for the derivation of a biologic scaffold composed of adipose tissue extracellular matrix. Tissue Eng Part C Methods. 2011 Apr;17(4):411-21. doi: 10.1089/ten.TEC.2010.0342. Epub 2011 Feb 5.
PubMed 21043998Wu I, Nahas Z, Kimmerling KA, Rosson GD, Elisseeff JH. An injectable adipose matrix for soft-tissue reconstruction. Plast Reconstr Surg. 2012 Jun;129(6):1247-1257. doi: 10.1097/PRS.0b013e31824ec3dc.
PubMed 22327888Omidi E, Fuetterer L, Reza Mousavi S, Armstrong RC, Flynn LE, Samani A. Characterization and assessment of hyperelastic and elastic properties of decellularized human adipose tissues. J Biomech. 2014 Nov 28;47(15):3657-63. doi: 10.1016/j.jbiomech.2014.09.035. Epub 2014 Oct 7.
PubMed 25446266
Study at a glance
From the registry record, last updated by the sponsor on 19 Sep 2018. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- In-Vivo Assessment of Adipose Allograft Extracellular Matrix in Abdominoplasty Patients
- ClinicalTrials.gov ID
- NCT02845180
- Acronym / sponsor ID
- MTF 16-02-02
- Conditions
- Obesity
- Keywords
- lipectomy, panniculectomy
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 10 participants (actual)
- Lead sponsor
- Musculoskeletal Transplant FoundationUniversity, hospital or other
- Study start
- Nov 2016 (actual)
- Primary completion
- 15 Jun 2018 (actual)
- Study completion
- 15 Jun 2018 (actual)
- First posted
- 27 Jul 2016 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to assess local tissue reaction and retention of an adipose allograft extracellular matrix at 3 or 6 months post-injection into the subcutaneous abdominal tissue of healthy volunteers scheduled to undergo elective panniculectomy.
Detailed description
This is a prospective, randomized, two arm, single center study to assess adipose tissue development and retention when an implantable allograft adipose matrix ('AAM') is injected in the abdominal subcutaneous tissue of healthy volunteers undergoing elective standard-of-care panniculectomy. This study will enroll ten (10) subjects. These subjects will be randomized to one of two study arms. Arm 1 will consist of five (5) subjects who will receive injections of AAM to be followed clinically for three (3) months duration, and arm 2 will consist of five (5) subjects who will receive injections of AAM to be followed clinically for six (6) months duration. At the point of completion of each arm, 3 or 6 months, the injected tissue will be surgically removed as part of the panniculectomy procedure. Samples of the AAM injected tissue areas and surrounding tissue will be obtained and processed for histologic evaluation.
Study design
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| 3 Mo. Post AAM Injection | Experimental | Procedure: Adipose Allograft Extracellular Matrix (AAM) InjectionInjection. Adipose Allograft Extracellular Matrix (AAM). Panniculectomy post injection, 3 months. |
| 6 Month Post AAM Injection | Experimental | Procedure: Adipose Allograft Extracellular Matrix (AAM) InjectionInjection. Adipose Allograft Extracellular Matrix (AAM). Panniculectomy post injection, 6 months. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- Scheduled to undergo elective abdominoplasty.
- Able to provide informed consent.
- Able to understand and comply with the study design and are willing to return for all of the research required follow-up visits.
- BMI great than or equal to 23 and less than or equal to 35.
- Thickness of subcutaneous tissue on abdominal wall is at least 2cm thick.
Key exclusion criteria (15 listed)
- Thickness of subcutaneous tissue on abdominal wall is less than 2cm thick.
- Previous liposuction at intended sites of treatment.
- Actively taking immunosuppressive therapy including systemic steroids (intranasal/inhaled steroids are acceptable).
- Actively receiving chemotherapy or radiation treatment.
- Subjects with a life expectancy of less than 9 months, terminal conditions or factors making follow-up difficult (e.g.; no fixed address, telephone, etc.)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Adipose Allograft Extracellular Matrix (AAM) InjectionInjection followed by surgery | Procedure or surgery | 3 Mo. Post AAM Injection, 6 Month Post AAM Injection |
Primary outcome
Histopathology evaluation for number of mature adipocytes via haematoxylin and eosin staining.
Time frame: 6 months
Change from baseline to 6 months in abdominal tissue samples using H \& E staining
1 secondary outcome
Safety of allograft adipose matrix (AAM) injections as determined by the incidence of adverse events.
Time frame: 6 months
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 19 Sep 2018.
- Background: PubMed 20304481Flynn LE. The use of decellularized adipose tissue to provide an inductive microenvironment for the adipogenic differentiation of human adipose-derived stem cells. Biomaterials. 2010 Jun;31(17):4715-24. doi: 10.1016/j.biomaterials.2010.02.046. Epub 2010 Mar 20.
- Background: PubMed 21043998Brown BN, Freund JM, Han L, Rubin JP, Reing JE, Jeffries EM, Wolf MT, Tottey S, Barnes CA, Ratner BD, Badylak SF. Comparison of three methods for the derivation of a biologic scaffold composed of adipose tissue extracellular matrix. Tissue Eng Part C Methods. 2011 Apr;17(4):411-21. doi: 10.1089/ten.TEC.2010.0342. Epub 2011 Feb 5.
- Background: PubMed 22327888Wu I, Nahas Z, Kimmerling KA, Rosson GD, Elisseeff JH. An injectable adipose matrix for soft-tissue reconstruction. Plast Reconstr Surg. 2012 Jun;129(6):1247-1257. doi: 10.1097/PRS.0b013e31824ec3dc.
- Background: PubMed 25446266Omidi E, Fuetterer L, Reza Mousavi S, Armstrong RC, Flynn LE, Samani A. Characterization and assessment of hyperelastic and elastic properties of decellularized human adipose tissues. J Biomech. 2014 Nov 28;47(15):3657-63. doi: 10.1016/j.jbiomech.2014.09.035. Epub 2014 Oct 7.
- Individual participant dataSharing planned: Undecided. Decision to be made at study site appointment
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Adipose Allograft Extracellular Matrix (AAM) Injection in people with Obesity, run by Musculoskeletal Transplant Foundation at 1 site in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 7 inclusion and 15 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 19 Sep 2018. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Histopathology evaluation for number of mature adipocytes via haematoxylin and eosin staining. (time frame: 6 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT02845180, which also lists 4 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 19 Sep 2018.