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Clinical Trials/NCT04880603
NCT04880603
Terminated
Phase 2

Utility of Restrata With Split-thickness Skin Graft to Reconstruct the Forearm Donor Site

Nebraska Methodist Health System1 site in 1 country5 target enrollmentApril 5, 2021

Overview

Phase
Phase 2
Intervention
Not specified
Conditions
Head and Neck Cancer
Sponsor
Nebraska Methodist Health System
Enrollment
5
Locations
1
Primary Endpoint
Tendon exposure
Status
Terminated
Last Updated
3 years ago

Overview

Brief Summary

Adult patients undergoing a radial forearm free flap or ulnar forearm free flap will be randomized to the use of the Restrata graft in combination with split-thickness skin graft for reconstruction. Photos will document whether the Restata graft aids in the healing.

Registry
clinicaltrials.gov
Start Date
April 5, 2021
End Date
April 25, 2022
Last Updated
3 years ago
Study Type
Interventional
Study Design
Parallel
Sex
All

Investigators

Sponsor
Nebraska Methodist Health System
Responsible Party
Sponsor

Eligibility Criteria

Inclusion Criteria

  • All patients age 19 or greater that will undergo radial forearm free flap or ulnar free flap.
  • Photo documentation of wound bed at two weeks and four weeks must be obtainable either by physician or patient.

Exclusion Criteria

  • Active systemic immunosuppression (active use of high-dose steroids (≥40mg prednisone daily or equivalent) or other immunosuppressive medications OR medical conditions causing immunosuppression, i.e. human immunodeficiency virus etc).
  • Diabetes mellitus with most recent Hemoglobin A1c ≥10.0 within 30 days prior to surgery.
  • Morbid obesity (BMI \>40).
  • Inability to maintain wrist immobilization for full planned period.
  • Severe malnutrition (prealbumin levels \<10 mg per dL within 30 days prior to surgery OR BMI \<15 (very severely underweight).
  • Other conditions felt to significantly impair wound healing per surgeon discretion

Outcomes

Primary Outcomes

Tendon exposure

Time Frame: 4 weeks post-operation

Tendon exposure at four weeks post-operatively (Yes/No).

Percentage of surface area

Time Frame: 4 weeks post operation

Percentage of surface area of split-thickness skin graft incorporation at four weeks postoperatively.

Study Sites (1)

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