• James H Holmes Iv, Angela L F Gibson, Tracee Short, Victor C Joe, Jeffrey Litt, Joshua Carson, Jeffrey E Carter, Lucy Wibbenmeyer, Helen Hahn, Janice M Smiell, Randi Rutan, Richard Wu, and Jeffrey W Shupp.
• Department of Surgery, Wake Forest University School of Medicine, Winston-Salem, NC, USA. Electronic address: jholmes@wakehealth.edu.
• Burns. 2024 Nov 1; 50 (8): 201320222013-2022.

BackgroundA phase 3b, open-label, multicenter, expanded-access study (NCT04123548) evaluated safety and clinical outcomes of StrataGraft treatment in adults with deep partial-thickness thermal burns with intact dermal elements.MethodsAdult patients with 3 % to < 50 % total body surface area burns were treated with a single application of ≤ 1:1 meshed StrataGraft and followed for 24 weeks. Primary endpoint was count and percentage of patients with treatment-emergent adverse events (TEAEs). Secondary endpoints included confirmed wound closure (WC) at Week 12, durable WC at Week 24, time to WC, scar evaluation, and wound infection-related events.ResultsFifty-two patients with 96 treatment sites were enrolled. Pruritus was the most common TEAE (22 patients [42.3 %]). Twenty serious TEAEs occurred in 10 patients (19.2 %); none were related to StrataGraft. There were 4 (7.7 %) deaths (aspiration, myocardial infarction, self-injury, Gram-negative rod sepsis); none were related to StrataGraft. Confirmed WC was achieved by Week 12 in 33 patients (63.5 %; 95 % CI: 50.4-76.5 %) and 69 treatment sites (71.9 %; 95 % CI: 62.9-80.9 %). Durable WC was achieved by Week 24 in 29 patients (55.8 %; 95 % CI: 42.3-69.3 %) and 58 treatment sites (60.4 %; 95 % CI: 50.6-70.2 %).ConclusionsStrataGraft demonstrated clinical benefit. Safety data were consistent with previously reported findings.Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved.

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