Autologous Fibroblast Transplantation in Facial Deformities
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Purpose
Beautiful skin requires maintenance of proper care. Skin exercise, protections from direct sunlight or harsh wind, and maintaining a healthy diet are some of the ways of having a good and radiant skin. However despite all the care taken passage of time will bring about conditions that will automatically lead to skin aging, which may require certain therapeutic, care. Fibroblasts are cells that synthesize the extracellular matrix and collagen and play a critical role in wound healing and maintenance of healthy skin. Loosing of fibroblast cell is the main problem in aging and wrinkles and non-healed skin wounds. Therefore proliferation of skin fibroblast along with differentiation of stem cells in the skin tissue is the best method for healing.
| Condition | Intervention | Phase |
|---|---|---|
|
Nasolabial Folds Glabellar Crease Deep Wrinkles of the Forehead Acne Scars |
Biological: Fibroblast Biological: fibroblast and gel Biological: Placebo |
Phase 2 Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator) Primary Purpose: Treatment |
| Official Title: | Autologous Transplantation of Cultured Fibroblast for Facial Contour Deformities |
- 2-point shift in at least one treated area using a standardized 7-point photoguide [ Time Frame: 6 months ] [ Designated as safety issue: Yes ]
| Enrollment: | 40 |
| Study Start Date: | September 2008 |
| Study Completion Date: | November 2010 |
| Primary Completion Date: | September 2010 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Fibroblast
Injection of autologous cultured fibroblast
|
Biological: Fibroblast
20 million cell in three injection
Other Name: cell alone
|
|
Experimental: Fibroblast and gel
Injection of autologous cultured fibroblast and filler
|
Biological: fibroblast and gel
20 million cell in three injection plus filler
Other Name: cell and gel
|
|
Placebo Comparator: Plasebo
Injection of filler alone
|
Biological: Placebo
Injection of filler and cell carrier media
Other Name: Control
|
Detailed Description:
Autologous cultured fibroblast is derived from in vitro expansion of fibroblasts harvested from the patient's normal skin. Biopsies from behind a patient's ear are the source of fibroblasts, which are isolated, expanded through cell culture, and used for the correction of facial contour deformities such as nasolabial folds, glabellar crease, deep wrinkles of the forehead, and acne scars. Prior to final packaging, cell viability is assessed to be at least 85%.
Each single use container of autologous cultured fibroblasts has approximately 20 million cells aseptically processed and suspended in 1 mL of sterile, buffered Dulbecco's Modified Eagles Medium (DMEM). Both the biopsy transport media and the cell culture media contain gentamicin. Residual quantities of gentamicin up to 5 µg/mL may be present in the Cell product
Eligibility| Ages Eligible for Study: | 18 Years to 50 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Available and willing to attend all follow-up visits.
- Age > 18 years.
- Able and willing to give informed consent.
Exclusion Criteria:
- Known allergy or sensitivity to collagen fillers
- The subject has received a soft tissue augmentation to the area to be treated within the last 6 months.
- Subject is unwilling to forgo any cosmetic augmentation procedures for the duration of the study.
- The subject has received autologous fat transfer in the last 6 months.
- Subject is suffering from facial Kaposi's sarcoma.
- The subject has active skin diseases or inflammation on or near the area of injection
- positive HIV, HBV, HCV
Contacts and Locations| Iran, Islamic Republic of | |
| Royan Institute | |
| Tehran, Iran, Islamic Republic of | |
| Principal Investigator: | Saeed Shafiyan, MD | Royan Institute |
| Study Director: | Nasser Aghdami, MD., PhD | Royan Institute |
More Information
Additional Information:
No publications provided
| Responsible Party: | Hamid Gourabi, Royan institute |
| ClinicalTrials.gov Identifier: | NCT01115634 History of Changes |
| Other Study ID Numbers: | Royan-skin-002 |
| Study First Received: | May 1, 2010 |
| Last Updated: | July 14, 2011 |
| Health Authority: | Iran: Ethics Committee Iran: Ministry of Health |
Keywords provided by Royan Institute:
|
Fibroblast Cell transplantation Facial deformities |
Additional relevant MeSH terms:
|
Congenital Abnormalities |
ClinicalTrials.gov processed this record on May 19, 2013