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NCT Number: NCT06578650

A Prospective, Single-arm, Clinical Trial of Electrospun Fiber Matrix (Restrata) in the Treatment of Surgical Defects Secondary to Resection of Malignant Cutaneous Neoplasms

The goal of this observational prospective study is to evaluate wound healing outcomes in resection wounds resulting from surgical removal of cutaneous malignancies treated with a synthetic electrospun fiber matrix. This study intends to quantify the time from initial resection and product application to time of complete granulation of the wound bed in weeks.

Recruiting

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

University Nevada - Las Vegas

Las Vegas, Nevada, 89102, United States

Location status: Recruiting

Location contact

Brian Ward, MD, PhD, FACS

PRINCIPAL_INVESTIGATOR

Michelle Tomasino, CHPSE

CONTACT

[email protected]

702-895-4923

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Patient is at least 18 years old
  • Patient plans to undergo surgical resection of a cutaneous neoplasm
  • Patient is willing and capable of complying with all protocol requirements
  • Patient or legally authorized representative (LAR) is willing to provide written informed consent prior to participation in study
  • Post-resection surgical wound with a surface area of ≥4 cm2 and ≤ 36cm2

Exclusion criteria

  • Inability to give informed consent or to complete the procedures required for study completion
  • Patient has been previously enrolled into this study, or is currently participating in another drug or device study that has not reached its primary endpoint
  • Patient is pregnant, breast feeding or planning to become pregnant
  • Patient has a known allergy to resorbable suture materials, e.g. Polyglactin 910 (PGLA), Polydioxanone (PDS)
  • Patients receiving any immunotherapy, radiation, or chemotherapy within the past four weeks prior to resection surgery.
  • Patient has a life expectancy less than six months as assessed by the investigator
  • Patient has an additional non-study related wound within 3 cm of the study wound
  • Study wound is located on the hands or feet
  • Patient has been diagnosed with osteomalacia
  • Resection defect from a squamous cell carcinoma arising from a chronic wound
  • Patient has an uncontrolled thyroid disorder
  • Hgb A1c > 12% within 3 months prior to enrollment in patients with a known history of diabetes
  • Patient has a BMI > 34.9
  • Patient has used any tobacco product within the past 30 days prior to surgery
  • Patients with chronic kidney disease on peritoneal or hemodialysis, or with an estimated glomerular filtration rate less than 15mL/min
  • Patients with severe liver disease with active cirrhosis defined as a gross ascites upon clinical exam or a Model for End-stage Liver Disease (MELD)-Na score greater than 15
  • Patient not in reasonable metabolic control in the judgement of the investigator
  • Patient has a known history of poor compliance with medical treatment
  • Patient has a history of radiotherapy to wound bed of interest
  • Patient has been diagnosed with at least one of the following autoimmune connective tissue diseases: lupus, vasculitis, sickle cell, or uncontrolled rheumatoid arthritis
  • Active infection, undrained abscess, or critical colonization of the wound with bacteria in the judgement of the investigator

Treatment and study plan

Synthetic Electrospun Fiber Matrix

Device

Patients who are eligible for enrollment will be treated with Synthetic Electrospun Fiber Matrix immediately after surgical resection to the resulting wound

Primary outcomes

  1. Time to wound bed granulation

    Time frame: Weekly assessments until granulation achieved or up to 6 weeks following resection surgery

    Time from initial resection and product placement to the time of at least 75% wound bed granulation using a modified Bates-Jenson Scale. The Bates-Jenson Scale for Granulation Tissue ranges from: 1=Skin intact or partial thickness wound, to: 5=No granulation tissue present. Wounds are considered "granulated" upon receiving a rating of 2 (Bright, beefy red;75% to 100% of wound filled &/or tissue overgrowth) or less upon investigator assessment. Lower scores are indicative of better outcomes.

Secondary outcomes

  1. Time to complete wound healing

    Time frame: Until healed or until 16 weeks post resection

    Total healing time will be documented (in days) at the final follow-up appointment by calculating the difference using the resection visit and "healed" visit dates.

  2. Patient pain

    Time frame: Weekly for up to six weeks post resection

    Pain reported by patient on a Visual Analogue Scale (VAS), with 0 indicating no pain and 10 indicating worst pain possible. Lower scores are indicative of a better outcome

  3. Time to skin grafting

    Time frame: Weekly for up to 6 weeks post-resection

    Time from resection and product place until skin grafting (if patient elects to do so)

  4. Skin graft "take" rate

    Time frame: 1 week after skin graft application

    Percent of skin graft incorporation as assessed by the investigator, in patients who elect to undergo skin grafting

  5. Tissue flap take rate

    Time frame: 1 week after tissue flap procedure

    Percent of successful tissue graft incorporation as assessed by the investigator, in patients who elect to undergo tissue flap procedures

Other outcomes

  1. Scar quality

    Time frame: At the time of complete wound closure and at the 6 month post-resection follow up

    Scar quality using a Vancouver Scar Scale (VSS). The scale ranges from 0 (normal skin) to 13 (worst scar outcome). Lower scores are indicative of a better scar outcome

  2. Infection rate and severity

    Time frame: to be assessed at each visit for up to 6 months post resection

    Incidence and severity of wound bed infection (if one occurs) per CTCAE V5.0 definitions ranging from 1 (localized, local intervention indicated) to 5 (death). Lower scores are indicative of milder infections

  3. Skin Graft Failure

    Time frame: To be assessed at each post skin graft visit for up to 6 months post-resection

    Incidence of inadequate skin graft adherence to the underlying wound bed as assessed by the investigator in patients who have received a skin graft

  4. Tissue flap failure

    Time frame: Each post-flap follow up visit for up to 6 months post-resection

    Incidence of complete flap necrosis or need for total flap removal in patients who receive a tissue flap

  5. Incidence of local skin cancer recurrence

    Time frame: at the 6 month post-resection follow up

    local recurrence of skin cancer

Study contacts

Contact information is provided by the study sponsor or research team.

Matthew MacEwan, PhD

CONTACT

[email protected]

440-477-1890

Sponsors and collaborators

Lead sponsor

Acera Surgical, Inc.

Industry

Registry information

Important dates

Study start
2024
Primary completion
2027
Study completion
2027
First posted
Aug 29, 2024
Registry last updated
Jun 18, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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