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Pooled safety analysis of STRATA2011 and STRATA2016 clinical trials evaluating the use of StrataGraft® in patients with deep partialthickness thermal burns
Journal article   Peer reviewed

Pooled safety analysis of STRATA2011 and STRATA2016 clinical trials evaluating the use of StrataGraft® in patients with deep partialthickness thermal burns

James H. Holmes, Leopoldo C. Cancio, Jeffrey E. Carter, Lee D. Faucher, Kevin Foster, Helen D. Hahn, Booker T. King, Randi Rutan, Janice M. Smiell, Richard Wu, …
BURNS, Vol.48(8), pp.1816-1824
12/01/2022
PMID: 35941023

Abstract

Critical Care Medicine Dermatology General & Internal Medicine Life Sciences & Biomedicine Science & Technology Surgery
Objective: This analysis includes pooled safety data from 2 clinical trials (NCT01437852; NCT03005106) that evaluated the safety and efficacy of StrataGraft in patients with deep partial-thickness (DPT) burns. Methods: The study enrolled 101 adult patients with thermal burns covering 3-49% of total body surface area. Patients were followed for up to 1 year. The pooled safety events included: adverse events (AEs), adverse reactions (ARs), serious AEs (SAEs), discontinuation, and deaths; immunological responses (reactivity to panel reactive antibodies [PRA] and human leukocyte antigen [HLA] class 1 alleles); and persistence of allogeneic DNA from StrataGraft. Results: Eighty-seven (86.1%) patients experienced 397 AEs. Thirty patients (29.7%) experienced ARs; 16 patients (15.8%) experienced SAEs. The most frequent AEs were pruritus (n = 31; 30.7%), and blister, hypertension, and hypertrophic scar (n = 11 each; 10.9%); the most common AR was pruritus (n = 13; 12.9%). One patient discontinued the study; 2 patients experienced SAEs (unrelated to StrataGraft) leading to death. PRA and HLA allele reactivity was = 25% at Month 3, with no persistent allogeneic DNA from StrataGraft. Conclusions: StrataGraft was well tolerated by patients, with a safety profile similar to autograft. StrataGraft may offer a safe alternative to autograft for DPT burns. (c) 2022 The Authors. Published by Elsevier Ltd. This is an open access article under the CC
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https://doi.org/10.1016/j.burns.2022.07.013View
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