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Study Assessing the Safety and Performance of Smart Matrix®

Not Applicable
Conditions
Basal Cell Carcinoma
Squamous Cell Carcinoma
Interventions
Device: Smart Matrix scaffold
Registration Number
NCT03742726
Lead Sponsor
Smart Matrix Limited
Brief Summary

Smart Matrix is a sterile, single layer dermal replacement scaffold. The scaffold consists of a porous matrix of cross-linked human fibrin plus alginate that has been designed and optimised to facilitate wound closure and healing through cellular invasion.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
32
Inclusion Criteria
  • Male or female, between 18 years and 90 years of age, inclusive
  • Suspected or histologically proven BCC or SCC, where treatment with a skin graft would be considered following excision of the lesion
  • Expected wound following excision surgery between 2 cm and 5 cm in diameter, inclusive
  • Negative urine or serum pregnancy test in females of childbearing potential who do not plan to become pregnant during the study
  • Able and willing to comply with the protocol and necessary wound care/follow-up
  • Patient or legally authorised representative (LAR) able to comprehend and sign informed consent prior to enrolment in the study
Exclusion Criteria
  • Aged <18 years or >90 years of age
  • Body mass index >=35 kg/m2
  • Patients who are pregnant or breastfeeding females, or female patients who plan to become pregnant during the study
  • Patients with Stage 3 or higher BCC or SCC
  • Skin lesion of a size that will result in an expected post-surgical wound >5 cm in diameter
  • Lesion located over a joint
  • Lesion located in an area in which scarring is already present
  • Lesion located on the face
  • Patients with a chronically inflammatory dermatological condition
  • History of smoking within 1 year prior to Screening
  • Use of any nicotine-containing product during the study, from Screening and through the last follow-up visit
  • Patients with Type 1 diabetes mellitus, newly diagnosed diabetes mellitus (within 3 months prior to Screening), or poorly controlled Type 2 diabetes mellitus
  • Diagnosis of peripheral vascular disease or venous stasis in proximity to the lesion to be treated
  • Presence of significant immunodeficiency or an immunocompromised condition
  • Patients who are currently receiving systemic steroid medications or other medications that might impede wound healing
  • Patients on anti-coagulants
  • Known history of human immunodeficiency virus infection, Hepatitis B, Hepatitis C, or human papillomavirus
  • Known coagulopathy (either acquired or congenital) but not including patients on aspirin or other anti-platelet therapy
  • Patients who have received radiotherapy treatment to the area to be treated with Smart Matrix
  • Patients who have acute or active Charcot's disease or a significant neuropathic disease
  • Patients who have suspected signs of systemic or local infection, as determined by the Investigator based on clinical parameters
  • History of hypersensitivity or allergic reaction to any of the constituents of Smart Matrix
  • History of hypersensitivity or allergic reaction to unknown allergens
  • Patients who have been treated with tissue engineered skin or a biological therapy within 30 days (or as described on labelling) of Screening
  • Patients who, in the opinion of the Investigator, have co-morbidities and/or an underlying condition that would impact wound healing
  • Participation in a clinical study involving an investigational medication or investigational device within the last 30 days or 5 half-lives
  • Unwilling or unable, in the opinion of the Investigator, to comply with the protocol
  • Unwilling or unable to provide informed consent

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Smart Matrix scaffoldSmart Matrix scaffoldSmart Matrix dermal replacement scaffold
Primary Outcome Measures
NameTimeMethod
Incidence of infection and device-related adverse events24 weeks

Safety

Secondary Outcome Measures
NameTimeMethod
Complete wound healing24 weeks, 52 weeks

Measurement of time to \>95% re-epithelisiation of wound

Pain at dressing change24 weeks, 52 weeks

Pain at dressing change assessed using a 10 cm VAS

Dressing change24 weeks, 52 weeks

Number of dressing changes will be recorded

Cosmesis24 weeks, 52 weeks

Assessment of scar formation and development using the Vancouver Scar Scale (VSS)

Trial Locations

Locations (4)

Poole General Hospital

🇬🇧

Poole, Dorset, United Kingdom

The Queen Victoria Hospital NHS Foundation Trust

🇬🇧

East Grinstead, West Sussex, United Kingdom

Broomfield Hospital

🇬🇧

Chelmsford, Essex, United Kingdom

Wythenshawe Hospital, Manchester University NHS Foundation Trust

🇬🇧

Manchester, Greater Manchester, United Kingdom

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