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Phase 2 N=40 Randomized Triple-blind Treatment

TWB-103 for Adult Patients With Split-Thickness Skin Graft Donor Site Wounds

Donor Site Complication

Enrolled (actual)
40
Serious AEs
0.0%
Results posted
Jul 2023
Primary outcome: Primary: Number of Participants With Treatment-related AEs and SAEs (Including Infections and Bleeding) — 0; 0; 0; 0 Participants

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
TWB-103 Group (Drug); Placebo Group (Drug)
Age
Adult, Older Adult · 20+ yrs
Sex
All
Sponsor
Transwell Biotech Co., Ltd.
Primary completion
May 2021

Outcome Measures

OutcomeResultp-value
PRIMARY
Number of Participants With Treatment-related AEs and SAEs (Including Infections and Bleeding)
0; 0; 0; 0
PRIMARY
The Healing Time From DSW Creation to the First 100% Re-epithelialization With Confirmation for at Least 10 Days Apart Assessed by the Investigator
9; 10 0.2217
PRIMARY
Number of Participants Reached Confirmed Healing Within 28 Days.
19; 14 0.0324 sig
SECONDARY
The Healing Time From DSW Creation to the First 100% Re-epithelialization With Confirmation for at Least 10 Days Apart, Assessed by the First Additional Evaluator
20; 13 0.3975
SECONDARY
Number of Participants With Complete Wound Closure at Day 7, 10 and 14 After DSW Creation.
9; 11; 15; 15; 18; 18
SECONDARY
The Healing Percentage of Wounds (Ratio of Healing Area and Original Area) at Days 7, 10 and 14 After DSW Creation
65.36; 62.60; 89.20; 83.74; 88.56; 83.51
SECONDARY
The Pain Change From Baseline to Post-wound Creation Visits Based on Short-form McGill Pain Questionnaire Score
1.89; 1.06; 1.79; 1.58; 0.82; 0.40
SECONDARY
Number of Participants With AEs and SAEs
7; 10; 0; 0; 0; 0
SECONDARY
Changes in Post-treatment Physical Examination Compared to Baseline
1; 0; 1; 0; 0; 0
SECONDARY
Changes in Post-treatment Vital Signs-pulse Rate Compared to Baseline
71.95; 73.90; 74.25; 78.20; 74.70; 73.55
SECONDARY
Changes in Post-treatment Vital Signs-body Temperature Compared to Baseline
36.29; 36.21; 36.54; 36.33; 36.47; 36.52
SECONDARY
Changes in Post-treatment Vital Signs-systolic Blood Pressure Compared to Baseline
116.80; 116.65; 123.45; 120.30; 118.85; 121.95
SECONDARY
Changes in Post-treatment Vital Signs-diastolic Blood Pressure Compared to Baseline
71.25; 69.90; 71.50; 69.15; 69.10; 76.15
SECONDARY
Changes in Post-treatment General Laboratory Assessment-hematology-white Blood Cells Compared to Baseline
7.93; 7.40; 7.00; 7.44; 7.20; 7.26
SECONDARY
Changes in Post-treatment General Laboratory Assessment-hematology-neutrophils Compared to Baseline
5.36; 4.65; 4.61; 4.71; 4.54; 4.37
SECONDARY
Changes in Post-treatment General Laboratory Assessment-hematology-Hemoglobin Compared to Baseline
13.47; 13.84; 13.28; 13.79; 13.38; 13.69
SECONDARY
Changes in Post-treatment General Laboratory Assessment-hematology-Hematocrit Compared to Baseline
40.60; 42.00; 40.01; 41.57; 40.35; 41.34
SECONDARY
Changes in Post-treatment General Laboratory Assessment-hematology-platelets Compared to Baseline
298.95; 284.60; 290.95; 278.70; 308.50; 279.10
SECONDARY
Changes in Post-treatment General Laboratory Assessment-hematology-red Blood Cells Compared to Baseline
4.61; 4.86; 4.54; 4.82; 4.59; 4.83
SECONDARY
Changes in Post-treatment General Laboratory Assessment-biochemistry-aspartate Aminotransferase Compared to Baseline
22.55; 21.85; 33.37; 20.00; 24.75; 24.40
SECONDARY
Changes in Post-treatment General Laboratory Assessment-biochemistry-alanine Aminotransferase Compared to Baseline
25.30; 28.20; 32.79; 22.95; 29.25; 27.15
SECONDARY
Changes in Post-treatment General Laboratory Assessment-biochemistry-serum Creatinine Compared to Baseline
62.68; 62.01; 58.39; 61.75; 60.51; 63.78
SECONDARY
Changes in Post-treatment General Laboratory Assessment-biochemistry-blood Urea Nitrogen Compared to Baseline
13.59; 14.06; 11.58; 13.23; 14.46; 14.72
SECONDARY
Changes in Post-treatment General Laboratory Assessment-biochemistry-Albumin Compared to Baseline
4.24; 4.08; 3.99; 3.87; 4.12; 4.09
SECONDARY
Changes in Post-treatment General Laboratory Assessment-biochemistry-bilirubin Compared to Baseline
9.63; 8.10; 7.44; 8.92; 8.39; 8.73
SECONDARY
Changes in Post-treatment General Laboratory Assessment-biochemistry-gamma-glutamyl Transferase Compared to Baseline
37.65; 38.75; 37.16; 37.25; 37.60; 39.65
SECONDARY
Changes in Post-treatment General Laboratory Assessment-biochemistry-alkaline Phosphatase Compared to Baseline
102.65; 107.65; 97.95; 101.35; 104.63; 102.85
SECONDARY
Number of Participants With Treatment-related AEs and SAEs (Including Infections and Bleeding)
0; 0; 0; 0
SECONDARY
The Number of Censored Subjects Assessed by the Investigator and the First Additional Evaluator
1; 6; 10; 13

Summary

Primary objective: 1. To evaluate the safety of TWB-103 in split-thickness skin graft donor site wounds (DSW) for Phase I in terms of Incidence of treatment-related AEs and SAEs (including infections and bleeding) 2. To evaluate the efficacy for Phase I+II of TWB-103 in split-thickness skin graft donor site wounds (DSW) in terms of The healing time from DSW creation to 100% re-epithelialization Secondary objective: 1. To evaluate the efficacy of TWB-103 in split-thickness skin graft donor site wounds (DSW) in secondary efficacy endpoints 2. To evaluate the safety of TWB-103 in split-thickness skin graft donor site wounds (DSW) in secondary safety endpoints

Eligibility Criteria

Inclusion Criteria

  • Female/male patients, aged 20-65 years old
  • Presenting a split-thickness skin graft donor site wound with a minimum size of 15 cm2 but no more than 100 cm2, with a minimum width of 3 cm and with an approximate thickness of 0.010~0.012 inches. The graft cannot be harvested from a site from which a skin graft was previously obtained.
  • If the primary wound is a result of a thermal or chemical burn, the total body surface area of the said wound must be less than 15%.
  • Females of childbearing potential must have a documented negative serum pregnancy test done at the screening visit, which is within 2 weeks prior the DSW creation and the treatment
  • Both male and female patients must agree to use highly effective contraceptives from signing informed consent to 30 days after the last dose administration.
  • Willing to comply with the study protocol and to sign the Informed Consent Form

Exclusion Criteria

  • Female patients who are pregnant or lactating or planning a pregnancy and any male patient whose partner (wife) planning a pregnancy from signing informed consent to 30 days after the last dose administration.
  • Clinically significant disease or condition that may compromise graft take and/or donor site healing (e.g. the presence of a bleeding disorder, capillary fragility, venous or arterial disorder directly affecting the donor site to be treated, known or suspected systemic malignancies, human immunodeficiency virus infection, renal or liver disease, uncontrolled diabetes mellitus, thrombocytopenia, vasculitis, poor nutritional status).
  • Patients who are currently receiving or have received the following treatments within 4 weeks prior to study entry are excluded from the study:
  • systemic or inhaled corticosteroids or immunosuppressant agents; or
  • therapeutic doses of anticoagulants (e.g. Coumadin, Heparin, low molecular weight Heparin) for pre-existing medical conditions, for whom a dose interruption from Screening through the end of the study period is contraindicated.
  • Autoimmune disease, e.g. lupus erythematosus, multiple sclerosis.
  • Hematologic disease, malignancy or hypo-immunity.
  • History of HIV or congenital immunodeficiency.
  • History of alcoholism or drug abuse.
  • Have used any tobacco product within 1 week prior to Day 0.
  • Patients previously treated with any cell-based product, including autologous tissue at the treatment site.
  • Received an investigational drug, device or biological/bioactive treatment within 30 days prior to Screening Visit.
  • Any clinical condition or significant concurrent disease judged by the investigator to complicate the evaluation of the trial treatment.
  • History of sensitivity to bovine or porcine origin materials, or human serum albumin.
  • DSWs located in the face, over joints, lower legs or the buttocks
  • Any of the following hematologic abnormalities: (Hemoglobin 1.5 × ULN, AST or ALT > 3 × ULN, gamma-GT > 2.5 x ULN, Alk-P > 2.5 x ULN, serum albumin 1.5 x ULN, any other ≥ Grade 2 laboratory abnormality (based on CTCAE) at baseline (other than those listed above)
  • DSWs in area with active skin infection or with skin condition that is considered highly susceptible to infection judged by the investigator
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02737748). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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