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Thermal Injury ResponseTHERM-BIOPOLNCT07765576

Ex Vivo Thermal Damage Assessment During Electrocautery Cutting of Explanted Biopolymer-Infiltrated Tissue

An observational study of Thermal Injury Response and Soft Tissue Disease, run by Research Inc at 1 site in Colombia.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

This prospective ex vivo study will evaluate thermal damage produced during electrocautery cutting of explanted tissue from patients undergoing clinically indicated surgical removal of gluteal biopolymers. The study will focus on three tissue types: fat flap tissue, fibrotic tissue, and muscular tissue. Read more about this study

Who is it for?
Ages 18 to 55 years
How many people
50 participants
Where
1 siteColombia
Study dates
16 Aug 2026to 1 Nov 2026
How long will I take part?
1 Day
Phase
Observational
Are there results?
Not yet: the study is under way

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 55 years
  • All sexes
  • No healthy volunteers
  • Adult

Study population: The study population will be drawn from patients treated at Clínica Bioderma in Medellín, Colombia, who are scheduled to undergo clinically indicated surgical removal of gluteal tissue affected by prior biopolymer injection. Participants will represent the clinical population managed by the principal investigator for surgical treatment of gluteal biopolymer infiltration. The ex vivo thermal and histopathological assessments will be performed only on tissue already removed during the planned surgical procedure.

Who may be able to join

  • Patients with clinical and/or imaging diagnosis of gluteal soft tissue infiltration by biopolymers or alloplastic filler material.
  • Patients scheduled for clinically indicated surgical removal of gluteal biopolymer-infiltrated tissue.
  • Ability to understand the study and provide written informed consent.
  • Availability of explanted tissue suitable for ex vivo thermal and histopathological assessment.

Who cannot join

  • Refusal or inability to provide informed consent.
  • Intraoperative finding that explanted tissue is insufficient for ex vivo thermal assessment.
  • Active severe infection requiring urgent deviation from the planned surgical protocol.
  • Extensive tissue necrosis or contamination preventing standardized ex vivo thermal assessment.
  • Specimens that cannot be processed within the predefined time window after explantation.
  • Any situation in which the surgeon determines that research handling of the specimen could interfere with clinical care, pathology required for patient management, or institutional tissue handling policies.
  • Lack of adequate thermographic recording due to technical failure.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Edison Osorio, MD, Plastic surgeon contact

+57 314 8644099

info@edisonosorio.com

Colombia1 site
  • Clinica Bioderma

    Medellín, Antioquia, 050022

    Edison Osorio, MD, Plastic surgeon, +57 314 8644099, info@edisonosorio.com

    Edison Osorio, MD, plastic surgery

Other trials in Colombia

About this study

Official title: Prospective Ex Vivo Evaluation of Thermal Damage in Explanted Fat, Fibrotic, and Muscular Tissue From Patients Undergoing Surgical Removal of Gluteal Biopolymers Using Blunt Versus Utah Electrocautery Tips

This prospective ex vivo study will evaluate thermal damage produced during electrocautery cutting of explanted tissue from patients undergoing clinically indicated surgical removal of gluteal biopolymers. The study will focus on three tissue types: fat flap tissue, fibrotic tissue, and muscular tissue.

The clinical surgical procedure will not be modified by study participation. All experimental thermal measurements will be performed on tissue that has already been removed from the patient as part of standard surgical care.

Read more

In fat tissue, standardized blocks measuring 1.25 cm × 1 cm × 1 cm will be prepared from the explanted specimen. Thermal measurements will be performed for each combination of electrocautery tip, power setting, and electrosurgical mode. The evaluated tips will be a blunt electrocautery tip and a Utah electrocautery tip. The evaluated power settings will be 25 watts and 50 watts. The evaluated modes will be cut Blend 2 and coagulation. For each combination, three thermal measurements will be obtained.

In fibrotic and muscular tissue, due to limited tissue availability, the evaluation will be restricted to 25 watts using the blunt and Utah tips in cut Blend 2 and coagulation modes. Thermal measurements will be obtained from electrocautery cuts performed during removal of the clinically indicated specimen.

Thermal measurements will be recorded using a FLIR C3-X thermal camera. The camera settings will include emissivity of 0.95, reflected temperature of 20°C, operating room humidity of 57%, operating room temperature of 22°C, and a fixed measurement distance of 50 cm.

Histopathological evaluation will be performed on one representative sample per experimental combination. The pathology assessor will be blinded to the electrocautery tip, power setting, and mode used for each coded sample. The primary outcome will be maximum histological depth of thermal damage.

Read the detailed description

Injection of biopolymers or alloplastic filler materials into soft tissues may result in chronic inflammation, fibrosis, foreign body reaction, granuloma formation, migration, pain, deformity, and functional impairment. In selected patients, surgical removal of affected tissue is clinically indicated.

Electrocautery is commonly used during surgical dissection and tissue handling. However, the thermal behavior of biopolymer-infiltrated tissues and the relative thermal damage produced by different electrocautery tips, power settings, and electrosurgical modes have not been adequately characterized.

This study is designed as a prospective ex vivo evaluation of thermal damage in tissue already removed from patients undergoing clinically indicated surgical removal of gluteal biopolymers. The study does not alter the surgical indication, surgical approach, extent of resection, intraoperative dissection strategy, anesthesia, hemostasis, or postoperative care.

The study will evaluate three tissue types:

Fat flap tissue. Fibrotic tissue. Muscular tissue.

Fat tissue will be evaluated using standardized blocks measuring 1.25 cm × 1 cm × 1 cm, obtained from the surgically removed specimen. For fat tissue, the experimental design will include two electrocautery tips, two power settings, and two electrosurgical modes:

Blunt tip, 25 watts, cut Blend 2. Blunt tip, 25 watts, coagulation. Blunt tip, 50 watts, cut Blend 2. Blunt tip, 50 watts, coagulation. Utah tip, 25 watts, cut Blend 2. Utah tip, 25 watts, coagulation. Utah tip, 50 watts, cut Blend 2. Utah tip, 50 watts, coagulation.

For each of the eight fat-tissue combinations, three thermal measurements will be performed. Therefore, each participant may contribute up to 24 fat-tissue thermal measurements when sufficient fat tissue is available.

Histopathological samples will not be repeated for each thermal repetition. Instead, one representative histopathology sample will be submitted for each experimental combination, resulting in up to eight fat-tissue pathology samples per participant.

Fibrotic and muscular tissue will be evaluated only when included in the clinically indicated surgical specimen. Because these tissues are more limited, the experimental assessment will be restricted to 25 watts. For each tissue type, the following four combinations will be evaluated when tissue availability allows:

Blunt tip, 25 watts, cut Blend 2. Blunt tip, 25 watts, coagulation. Utah tip, 25 watts, cut Blend 2. Utah tip, 25 watts, coagulation.

For fibrotic and muscular tissue, three thermal measurements per combination will be performed when feasible. One representative pathology sample per combination will be submitted. These specimens will not be prepared as standardized small blocks; instead, pathology will assess thermal damage from the electrocautery cut margins or surfaces of the tissue removed from the patient during the clinically indicated procedure.

All thermal measurements will include:

Baseline temperature before electrocautery activation. Maximum temperature during electrocautery cutting. Temperature 10 seconds after cutting. Temperature 30 seconds after cutting.

Thermal measurements will be obtained using a FLIR C3-X thermal camera under standardized conditions. The thermal camera will be positioned at a fixed distance of 50 cm from the tissue. The emissivity setting will be 0.95. Reflected temperature will be set at 20°C. Operating room humidity will be recorded as 57%, and operating room temperature will be recorded as 22°C.

All pathology samples will be coded alphabetically before submission to the pathology assessor. The pathology assessor will remain blinded to the electrocautery tip, power setting, and electrosurgical mode used for each sample. The coding key will be stored separately by the principal investigator or study coordinator and will not be provided to the pathology assessor.

The primary objective is to determine which electrocautery tip, power setting, and electrosurgical mode are associated with lower thermal damage in explanted biopolymer-infiltrated tissue.

Keywords
Biopolymer removal, Foreign body reaction, Electrocautery, Thermal injury, Histopathology, Ex vivo study
Medical subject headings
Granuloma, Foreign-Body, Foreign-Body Reaction, Foreign Bodies

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

Study groups in NCT07765576
Study groupRoleWhat they receive
Patients Undergoing Clinically Indicated Gluteal Biopolymer RemovalParticipants will be patients scheduled for clinically indicated surgical removal of gluteal biopolymer-infiltrated tissue. The surgical procedure will not be modified by study participation. Experimental thermal and histopathological assessments will be performed only on tissue already removed from the patient.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Maximum Histological Depth of Thermal Damage

    Maximum depth of thermal tissue damage measured from the electrocautery cut margin to viable tissue on histopathological examination. The measurement will be recorded in micrometers or millimeters. Thermal damage may include coagulative necrosis, carbonization, collagen retraction, architectural distortion, vascular wall injury, and loss of tissue architecture.

    Measured: At histopathological assessment after ex vivo electrocautery cutting, day 0, the same day that the surgery

Secondary outcomes (11)
  1. Maximum Temperature During Electrocautery Cutting

    Highest temperature recorded during each ex vivo electrocautery cut using the FLIR C3-X thermal camera.

    Measured: During each ex vivo electrocautery cut. Day 0, during the surgical procedure

  2. Temperature 10 Seconds After Electrocautery Cutting

    Tissue temperature recorded 10 seconds after completion of each ex vivo electrocautery cut.

    Measured: 10 seconds after each ex vivo electrocautery cut. Day 0, during the surgical procedure

  3. Temperature 30 Seconds After Electrocautery Cutting

    Tissue temperature recorded 30 seconds after completion of each ex vivo electrocautery cut.

    Measured: 30 seconds after each ex vivo electrocautery cut. Day 0, during the surgical procedure

  4. Histological Carbonization Score

    Degree of carbonization at the electrocautery cut margin, classified as absent, mild, moderate, or severe by histopathological assessment.

    Measured: At histopathological assessment after ex vivo electrocautery cutting. day 0, the same day that the surgery

  5. Histological Coagulative Necrosis

    Presence and extent of coagulative necrosis adjacent to the electrocautery cut margin, assessed histologically and classified as absent, mild, moderate, or severe.

    Measured: At histopathological assessment after ex vivo electrocautery cutting. day 0, the same day that the surgery

  6. Collagen Retraction Score

    Histological degree of collagen retraction adjacent to the electrocautery cut margin, classified as absent, mild, moderate, or severe.

    Measured: At histopathological assessment after ex vivo electrocautery cutting. day 0, the same day that the surgery

  7. Tissue Calcification Grade

    Histological grade of tissue calcification, classified as absent, mild, moderate, or severe.

    Measured: At histopathological assessment after ex vivo electrocautery cuttin. day 0, the same day that the surgery

  8. Thermal Damage According to Electrocautery Tip

    Comparison of thermographic and histological thermal damage between blunt and Utah electrocautery tips

    Measured: During ex vivo testing and at histopathological assessment. day 0, the same day that the surgery

  9. Thermal Damage According to Power Setting

    Comparison of thermographic and histological thermal damage between 25-watt and 50-watt power settings in fat tissue.

    Measured: During ex vivo testing and at histopathological assessment. day 0, the same day that the surgery

  10. Thermal Damage According to Electrosurgical Mode

    Comparison of thermographic and histological thermal damage between cut Blend 2 and coagulation modes.

    Measured: During ex vivo testing and at histopathological assessment. day 0, the same day that the surgery

  11. Correlation Between Thermographic Measurements and Histological Thermal Damage

    Correlation between thermal measurements, including baseline temperature, maximum temperature during cutting, temperature at 10 seconds, and temperature at 30 seconds, and maximum histological depth of thermal damage.

    Measured: From ex vivo thermal assessment to histopathological assessmen. day 0, the same day that the surgery

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted14 Aug 2026
  2. Study start16 Aug 2026 (estimated)
  3. Primary completion1 Oct 2026 (estimated)
  4. Study completion1 Nov 2026 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Other
Time perspective
Prospective
Enrolment
50 participants (estimated)
Target duration
1 Day
IDs, dates and publications
ClinicalTrials.gov ID
NCT07765576
Sponsor's protocol ID
003
Acronym
THERM-BIOPOL
Status last verified
Aug 2026
First submitted
11 Jun 2026
Last updated
14 Aug 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • OSORIO LONDOÑO E, MUÑOZ RÍOS M. Redistribución de biopolímeros en glúteos según hallazgos imagenológicos en resonancia magnética. Cirugía Plástica Ibero-Latinoamericana. 2025;51:415-21. doi:10.4321/s0376-78922025000400010

  • Lukas SE, Mendelson JH, Benedikt RA, Jones B. EEG alpha activity increases during transient episodes of ethanol-induced euphoria. Pharmacol Biochem Behav. 1986 Oct;25(4):889-95. doi: 10.1016/0091-3057(86)90403-x.

    PubMed 3786347
  • Eslami-Kaliji F, Hedayat Nia N, Lakey JRT, Smink AM, Mohammadi M. Mechanisms of Foreign Body Giant Cell Formation in Response to Implantable Biomaterials. Polymers (Basel). 2023 Mar 6;15(5):1313. doi: 10.3390/polym15051313.

    PubMed 36904554
  • Chu C, Liu L, Rung S, Wang Y, Ma Y, Hu C, Zhao X, Man Y, Qu Y. Modulation of foreign body reaction and macrophage phenotypes concerning microenvironment. J Biomed Mater Res A. 2020 Jan;108(1):127-135. doi: 10.1002/jbm.a.36798. Epub 2019 Oct 6.

    PubMed 31515867
  • Contreras-Díaz BR, Córdova-Gómez A, Rubio-Gómez L, Contreras-Ruiz Velasco R. Enfermedad por modelantes, síndrome autoinmune inducido por adyuvantes y otras enfermedades de la vanidad. Cirujano General. 2021;43(4). doi:10.35366/109126

  • Broder KW, Cohen SR. An overview of permanent and semipermanent fillers. Plast Reconstr Surg. 2006 Sep;118(3 Suppl):7S-14S. doi: 10.1097/01.prs.0000234900.26676.0b.

    PubMed 16936539
  • Coiffman F. Alogenosis iatrogénica. Una nueva enfermedad. Cirugia Plastica Ibero-Latinoamericana. 2008;34(1). doi:10.4321/s0376-78922008000100002

  • Oliveros C, Pérez Rivera F, Betti Kraemer G, Cordero De Oliveros MD, Fernández Romero J, Medrano Ramírez G, et al. Disease caused by permanent synthetic fillers FILACP Biomaterials Committee expert group recomendations. Cirugia Plastica Ibero-Latinoamericana. 2022 Jan 1;48(3):287-303. doi:10.4321/S0376-78922022000300006

  • Castro CM, Rios CA, Lopez CA, Ospina ML, Ortiz Y. Adverse effects of modeling substances in Cali, Colombia. Biomedica. 2021 Mar 19;41(1):123-130. doi: 10.7705/biomedica.5707. English, Spanish.

    PubMed 33761195

Questions about this trial

What is this clinical trial studying?

An observational study of Thermal Injury Response and Soft Tissue Disease, run by Research Inc at 1 site in Colombia.

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 4 inclusion and 7 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: opening soon, as of the sponsor's last update on 14 Aug 2026. 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 Colombia. 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?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Edison Osorio, MD, Plastic surgeon (+57 314 8644099, info@edisonosorio.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Maximum Histological Depth of Thermal Damage (time frame: At histopathological assessment after ex vivo electrocautery cutting, day 0, the same day that the surgery). 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 NCT07765576, which also lists 9 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 14 Aug 2026.

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