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CTRI Number  CTRI/2020/11/029284 [Registered on: 20/11/2020] Trial Registered Prospectively
Last Modified On: 20/11/2020
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Medical Device 
Study Design  Single Arm Study 
Public Title of Study   Biocompatible & Biodegradable Polymeric Skin Grafts for Wounds 
Scientific Title of Study   A single center, open labeled, pilot study to evaluate the safety and efficacy of Poly(3-hydroxybutyrate-co-3-hydroxyvalerate) (PHBV) nanofibrous synthetic biodegradable skin graft for full-thickness wounds 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
SASTRA-PHBV-SKIN-01 Version 2 Dated 01/09/2018  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Binita Beck 
Designation  Consultant - Plastic Surgery 
Affiliation  Meenakshi Mission Hospital and Research Centre, Lake Area, Melur Road, Madurai 
Address  Department of Plastic Surgery, Meenakshi Mission Hospital and Research Centre, Lake Area, Melur Road, Madurai

Madurai
TAMIL NADU
625107
India 
Phone  04522588741  
Fax  04522586353  
Email  drbinita23@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr S Swaminathan 
Designation  Dean, Sponsored Research, Director, Centre for Nanotechnology & Advanced Biomaterials 
Affiliation  SASTRA Deemed University 
Address  Building Anusandhan Kendra 1, Floor 3, Department of Bioengineering, Room - ASK-1-403, Centre for Nanotechnology and Advanced Biomaterials (CeNTAB), Room 403

Thanjavur
TAMIL NADU
613401
India 
Phone  04362264220  
Fax  04362264265  
Email  swami@sastra.edu  
 
Details of Contact Person
Public Query
 
Name  Dr Binita Beck 
Designation  Consultant - Plastic Surgery 
Affiliation  Meenakshi Mission Hospital and Research Centre, Lake Area, Melur Road, Madurai 
Address  Department of Plastic Surgery, Meenakshi Mission Hospital and Research Centre, Lake Area, Melur Road, Madurai

Madurai
TAMIL NADU
625107
India 
Phone  04522588741  
Fax  04522586353  
Email  drbinita23@gmail.com  
 
Source of Monetary or Material Support  
SASTRA Deemed University, Tirumalaisamudram - 613401, Thanjavur, Tamil Nadu, India 
 
Primary Sponsor  
Name  SASTRA Deemed University 
Address  Tirumalaisamudram, Thanjavur - 613401 
Type of Sponsor  Research institution 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Binita Beck  Maduari Meenakshi Mission Hospital and Research Centre  Room 101, Department of Plastic Surgery, Madurai Meenakshi Mission Hospital and Research Centre, Lake Area, Melur Road, Madurai 625107
Madurai
TAMIL NADU 
04522588741
04522586353
drbinita23@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, Madurai Meenakshi Mission Hospital and Research Centre  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: T758||Other specified effects of external causes,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Poly(3-hydroxybutyrate-co-3-hydroxyvalerate) (PHBV) nanofibrous synthetic biodegradable skin graft for full-thickness wounds   The objective of the study is to investigate the safety and performance of Poly(3- hydroxybutyrate-co-3-hydroxyvalerate) (PHBV) nanofibrous skin graft (EnScaff) to aid wound healing. The treatment period of each subject will be 6 weeks and follow up period of 5 weeks. 
Comparator Agent  Single Arm Trial - Not Applicable  Single Arm Trial - Not Applicable 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  1. Males / females 18 or older
2. Patients with full-thickness traumatic wounds, surgical wounds, diabetic wounds, post-debridement wounds of 1 to 10 cm 2
3. Ulcer free of all necrotic and infected soft tissue (based on clinical investigator’s discretion).
4. Have no significant diseases or clinically significant abnormal laboratory values during screening
5. In case of diabetic subjects, with regular medical treatment for diabetes
6. Able to understand, communicate and sign the written informed consent form
7. Adequate hematology, biochemistry & urine laboratory values
 
 
ExclusionCriteria 
Details  Any of the following is regarded as a criterion for exclusion from the study:

1. Patients showing impaired blood coagulation
2. Patients with hematopoietic, renal, immunological and dermatological diseases/disorders
3. History of psychiatric disorders
4. Recent history (< 2 years) of alcoholism (alcohol abuse) or unlikely to refrain from excessive alcohol consumption during the study period
5. Smokers, who smoke more than 10 cigarettes per day and cannot refrain from smoking during the study period
6. Use of any recreational drugs or a history of drug addiction
7. Participation in another trial within 30 days of enrollment for this study
8. Women who are pregnant or are breast feeding
9. Subjects with positive HIV, HBV and HCV
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
The frequency and severity of all treatment-related adverse events, during and after use of PHBV nanofibrous scaffold will be examined throughout the follow-up period. Adverse events will be assessed on a continuous basis   1 week, 2 weeks, 3 weeks, 4, weeks, 5 weeks and 6 weeks post-implantation 
 
Secondary Outcome  
Outcome  TimePoints 
Wound closure  The treatment period of each subject will be 6 weeks and follow up period of 5 weeks 
 
Target Sample Size   Total Sample Size="30"
Sample Size from India="30" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 1/ Phase 2 
Date of First Enrollment (India)   01/12/2020 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="9"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   NIL 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

Traumatic wounds including surgical wounds and diabetic ulcers are chronic and it causes a significant number of morbidities worldwide. These wounds are often called as hard-to-heal wounds.  None of the currently available marketed biomaterials for skin replacements possess all the ideal requirements of a skin graft.  Despite the progress in wound management strategies over the years, clinically available dermal substitutes suffer from some pitfalls like undesirable wound contraction, scar formation, poor angiogenesis and poor engraftment.  This fact necessitates the development of a safe, easy to handle and cost-effective skin graft with better therapeutic efficacy.  Biodegradable polymeric nanofibrous scaffolds have been shown to be effective in accelerating full-thickness wounds. In this proposed study, the potential of EnScaff in healing full-thickness wounds is to be tested for the first time in a clinical setting. Participants in this study will receive PHBV nanofibrous scaffolds (EnScaff) followed by regular observation for a period of 11 weeks.

 
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