SkinPhase 1/22ABCNCT03887208
Therapy of Scars and Cutis Laxa With Autologous Adipose Derived Mesenchymal Stem Cells
A Phase 1/2 study testing Laser therapy, Autologous ADSC injection and Normal saline injection in people with Skin and Scar, run by Medical University of Warsaw at 3 sites in Poland.
Trial summary
The aim of this study is to compare clinical outcomes of patients with large scars or Cutis laxa treated with injections of autologous stromal vascular fraction cells (SVF) and adipose-derived mesenchymal stem cells (ADSC). Read more about this study
- Who is it for?
- Ages 18 to 75 yearsHealthy volunteers can take part
- Conditions the study is for
- Skin, Scar, Cutis Laxa
- What is being tested?
- Laser therapy, Autologous ADSC injection and Normal saline injection
- Type of treatment
- Injection or infusion, Surgery or procedure
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 100 participants
- Where
- 3 sitesPoland
- Study dates
- 31 Jan 2018to 18 Jan 2020
- Phase
- Phase 1/2
- 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 to 75 years
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- Age 18 - 75 years at the time of qualification to the study
- Signing informed consent form
- Women / men
- Scar or cutis laxa
- Scar eligibility conditions:
- Area:
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- Stomach
- Limbs
- Face
- Back
- Chest and neck
- Onset time: over 6 months
- Scars previously untreated
- Atrophic and hypertrophic scars
- Two scars in close location, each from 2 to 6 cm long and a total surface area of 1 sq. cm to 5 sq. cm or single scar
- Etiology
- traumatic
- burns
- surgical
- Cutis laxa eligibility conditions:
- Sun discoloration
- Pigmentation changes
- Solar stains
- Pigment changes also called age spots.
- Erythema
- Cracked blood vessels
- Ruby nevus
- Atrophic changes of the skin and subcutaneous tissue
- Changes symmetrically present on both hands
- Without previous aesthetic treatment in this area, previous standard care.
- Patient's health which allows anesthesia for liposuction.
- Ready for follow-up visits
Who cannot join
- Active cancer (diagnosed during past 5 years), excluding cured nonmelanoma skin cancer or other non-invasive or in situ cancer (eg. cervical cancer)
- Active chronic infection
- Chronic use of NSAIDs
- Taking any anticoagulant by the patient during 1 hour prior to surgery (excluding prophylactic heparin before liposuction).
- Coagulation disorders in medical history and actual test results out of normal ranges.
- Skin infections.
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- Allergies to medications used during liposuction (eg. Lidocaine and derivatives).
- Status post radiotherapy or chemotherapy
- Any other disease or condition that may change the evaluation of skin condition (eg. autoimmune disease of the connective tissue)
- Taking the corticosteroid drugs or cytotoxic medications during the past 30 days
- Allergy to materials of animal origin
- Diagnosis of diabetes Type I
- Diagnosis of AIDS, hepatitis B virus (HBV) or hepatitis C virus (HCV) (positive laboratory test result)
- Hirsutism or a tattoo at the treatment site
- Insufficient fat tissue for fat donation
- Scar after removal of cancer.
- The patient does not qualify to participate in this study in the opinion of the investigator
- Pregnancy, breast feeding.
- Photoallergy or using the drugs causing photoallergy.
- Active herpes
- Idiopathic keloids
- Esthetic or medicinal treatments done previously at the treatment site
- The use of derivatives of vitamin A during 6 months before the treatment
- Fitzpatrick phototype V and VI
- Patients with mental disorders or addicted to drugs and/or alcohol.
- Participation in other clinical study during the past 6 months.
- Reactive result of serological and viral tests (ie. HIV-1 and 2 (HIV Ag/ Ab)
- Hepatitis B Virus Infection, - HbsAg and Anti-hepatitis B core antigen (Anti-HBc);
- Hepatitis C Virus Infection, Anti-HCV;
- Syphilis specific tests
Trial locations and contacts
3 sites in 1 country.
Poland3 sites
Laboratory for Cell Research and Application, Medical University of Warsaw
Warsaw
Melitus sp. z o.o.
Warsaw
Timeless Chirurgia Plastyczna Sp. z o. o.
Warsaw
About this study
Official title: Evaluation the Safety and Efficacy of the Treatment of Scars and Cutis Laxa Syndrome With the Use of Autologous (Fresh and Stored) Stem Cells Isolated From Adipose Tissue.
The aim of this study is to compare clinical outcomes of patients with large scars or Cutis laxa treated with injections of autologous stromal vascular fraction cells (SVF) and adipose-derived mesenchymal stem cells (ADSC).
Read the detailed description
Patients suffering from cutis laxa senilis and scars (atrophic, hypertrophic, developed due to surgery, trauma, diseases such as acne vulgaris, post-burn scars) will be treated with product containing - human autologous stromal vascular fraction (SVF) cells and human autologous adipose-derived mesenchymal stem cells (ADSC)
- Conditions
- Skin, Scar, Cutis Laxa, Keloid, Cicatrix
- Being tested
- Laser therapy, Autologous ADSC injection, Normal saline injection
- Keywords
- scar treatment, cutis laxa treatment, stromal vascular fraction, adipose-derived mesenchymal stem cells
- Medical subject headings
- Cicatrix, Cutis Laxa, Keloid
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Laser therapyProcedure or surgery
non-ablative fractional laser therapy of skin
Autologous ADSC injectionBiological
Subcutaneous injection of autologous ADSC
Normal saline injectionProcedure or surgery
Subcutaneous Normal saline injection
| Study group | Role | What they receive |
|---|---|---|
| Autologous adipose derived stem cells | Experimental | Autologous ADSC injection combined with laser therapy of the skin. Receives: Procedure: Laser therapy; Biological: Autologous ADSC injection |
| Placebo - Normal saline injection | Placebo comparator | Normal sline injection combined with laser therapy of the skin. Receives: Procedure: Laser therapy; Procedure: Normal saline injection |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in patient's skin condition
Evaluation of the effectiveness of the method of application of stem cells in the described indications by evaluating the time after which there will be an improvement of 50% in the point evaluation scale of the quality of life of the patient in relation to the baseline values.
Scale 1: Impact of skin problems on the quality of life. The aim is to assess to what extent skin ailments have affected the patient's life in the last 2 weeks.
A five-level scale of evaluation (from 'very strong' to 'not applicable') .The "very strong" value means the worst result, while the "not applicable" value is the best result.
Measured: 0-27 weeks
Evaluation of skin problems. Assessment of skin related complaints since the last visit.
Scale 2: A seven-level grading scale (from "0" to "6").The value "0" means the best result, while "6" is the worst result.
Measured: 0-27 weeks
The assessment of the scar by the patient.
Scale 3: Six-point scale (from '1' to '6'). The value "1" means the best result, while "6" is the worst result.
Measured: 0-27 weeks
Secondary outcomes (3)
Changes in volume of the skin (USG)
Changes in the volume of the fat layer at the application site assessed by skin (USG) thickness.
Measured: 0-27 weeks
Changes in skin surface morphology (digital imagining)
Changes in skin surface morphology assessed by digital imaging.
Measured: 0-27 weeks
Record of adverse events
Evaluation of safety of the method of cells' application assessed by adverse events
Measured: 0-27 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted22 Mar 2019
- Study start31 Jan 2018
- Primary completion18 Jan 2020
- Study completion18 Jan 2020
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for SkinStudies of the same condition, open and under way.
- More trials run by Medical University of WarsawThe sponsor's other registered studies.
- 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 1/2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- Patients receive injections of autologous SVF or ADSC cells isolated in the laboratory from adipose tissue.
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 100 participants (actual)
Sponsor and investigators
- Lead sponsor
- Medical University of Warsaw
- Sponsor type
- University, hospital or other
- Collaborators
- Timeless Chirurgia Plastyczna-Janusz Jaworowski, Melitus sp. z o.o., Polish Stem Cells Bank S.A.
- Responsible party
- Sponsor
- Investigators
- Maria Noszczyk-Kostrzewa, PhD, Study chair, Melitus LtdJanusz R Jaworowski, PhD, Principal investigator, Timeless Ltd
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03887208
- Sponsor's protocol ID
- 2ABC Therapy
- Other IDs
- 2016-004110-10, 267976/13/NCBR/2015, PL008125, Z4217, 2016
- Acronym
- 2ABC
- Status last verified
- Jan 2023
- First submitted
- 30 Oct 2018
- Last updated
- 1 Feb 2023
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 1 Feb 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Evaluation the Safety and Efficacy of the Treatment of Scars and Cutis Laxa Syndrome With the Use of Autologous (Fresh and Stored) Stem Cells Isolated From Adipose Tissue.
- ClinicalTrials.gov ID
- NCT03887208
- Acronym / sponsor ID
- 2ABC / 2ABC Therapy
- Conditions
- Skin, Scar, Cutis Laxa, Keloid, Cicatrix
- Keywords
- scar treatment, cutis laxa treatment, stromal vascular fraction, adipose-derived mesenchymal stem cells
- Phase
- Phase 1/2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 100 participants (actual)
- Lead sponsor
- Medical University of WarsawUniversity, hospital or other
- Collaborators
- Timeless Chirurgia Plastyczna-Janusz Jaworowski, Melitus sp. z o.o., Polish Stem Cells Bank S.A.
- Study start
- 31 Jan 2018 (actual)
- Primary completion
- 18 Jan 2020 (actual)
- Study completion
- 18 Jan 2020 (actual)
- First posted
- 22 Mar 2019 (actual)
- 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 aim of this study is to compare clinical outcomes of patients with large scars or Cutis laxa treated with injections of autologous stromal vascular fraction cells (SVF) and adipose-derived mesenchymal stem cells (ADSC).
Detailed description
Patients suffering from cutis laxa senilis and scars (atrophic, hypertrophic, developed due to surgery, trauma, diseases such as acne vulgaris, post-burn scars) will be treated with product containing - human autologous stromal vascular fraction (SVF) cells and human autologous adipose-derived mesenchymal stem cells (ADSC)
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
- Model description
- Patients receive injections of autologous SVF or ADSC cells isolated in the laboratory from adipose tissue.
| Arm | Type | Receives |
|---|---|---|
| Autologous adipose derived stem cells | Experimental | Procedure: Laser therapy, Biological: Autologous ADSC injectionAutologous ADSC injection combined with laser therapy of the skin. |
| Placebo - Normal saline injection | Placebo comparator | Procedure: Laser therapy, Procedure: Normal saline injectionNormal sline injection combined with laser therapy of the skin. |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (32 listed)
- Age 18 - 75 years at the time of qualification to the study
- Signing informed consent form
- Women / men
- Scar or cutis laxa
- Without previous aesthetic treatment in this area, previous standard care.
Key exclusion criteria (30 listed)
- Active cancer (diagnosed during past 5 years), excluding cured nonmelanoma skin cancer or other non-invasive or in situ cancer (eg. cervical cancer)
- Active chronic infection
- Chronic use of NSAIDs
- Taking any anticoagulant by the patient during 1 hour prior to surgery (excluding prophylactic heparin before liposuction).
- Coagulation disorders in medical history and actual test results out of normal ranges.
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 |
|---|---|---|
| Laser therapynon-ablative fractional laser therapy of skin | Procedure or surgery | Autologous adipose derived stem cells, Placebo - Normal saline injection |
| Autologous ADSC injectionSubcutaneous injection of autologous ADSC | Biological | Autologous adipose derived stem cells |
| Normal saline injectionSubcutaneous Normal saline injection | Procedure or surgery | Placebo - Normal saline injection |
Primary outcome
Change in patient's skin condition
Time frame: 0-27 weeks
Evaluation of the effectiveness of the method of application of stem cells in the described indications by evaluating the time after which there will be an improvement of 50% in the point evaluation scale of the quality of life of the patient in relation to the baseline values. Scale 1: Impact of skin problems on the quality of life. The aim is to assess to what extent skin ailments have affected the patient's life in the last 2 weeks. A five-level scale of evaluation (from 'very strong' to 'not applicable') .The "very strong" value means the worst result, while the "not applicable" value is the best result.
Evaluation of skin problems. Assessment of skin related complaints since the last visit.
Time frame: 0-27 weeks
Scale 2: A seven-level grading scale (from "0" to "6").The value "0" means the best result, while "6" is the worst result.
The assessment of the scar by the patient.
Time frame: 0-27 weeks
Scale 3: Six-point scale (from '1' to '6'). The value "1" means the best result, while "6" is the worst result.
3 secondary outcomes
Changes in volume of the skin (USG)
Time frame: 0-27 weeks
Changes in skin surface morphology (digital imagining)
Time frame: 0-27 weeks
Record of adverse events
Time frame: 0-27 weeks
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 1 Feb 2023.
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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.
Maria Noszczyk-Kostrzewa, PhD study chair
Melitus Ltd
Janusz R Jaworowski, PhD principal investigator
Timeless Ltd
3 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1/2 study testing Laser therapy, Autologous ADSC injection and Normal saline injection in people with Skin and Scar, run by Medical University of Warsaw at 3 sites in Poland.
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 32 inclusion and 30 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 1 Feb 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 3 sites in Poland. 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. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this combined phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
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?
Change in patient's skin condition (time frame: 0-27 weeks). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 1 Feb 2023.