Ablative Fractional Laser for Sclerotic GVHD-Associated Joint Contractures
NCT02881047 · Status: TERMINATED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 8
Last updated 2020-04-16
Summary
Graft versus host disease (GVHD) is a common complication of allogeneic stem cell transplant.Chronic GVHD is characterized by skin thickening and tightening. Advanced sclerosis can lead to reduced range of motion and incapacitating joint contractures. Once present, there are few therapeutic options. We will treat sclerosis and limb contractures with an ablative fractional laser, a device FDA-approved for scar treatment. This approach has successfully treated contracturesdue to burn scars.
Conditions
- Subjects With Severe, Refractory Sclerotic Skin Changes
Interventions
- DEVICE
-
CO2 Laser
Perform ablative fractional resurfacing using a 10,600nm carbon dioxide (CO2) laser targeted to thickened, sclerotic plaques causing range of motion limitation and contracture across joints.
- RADIATION
-
Ultrasound
Patients will undergo ultrasound of the planned treatment site to measure skin thickness and blood flow via Doppler ultrasound.
- DIAGNOSTIC_TEST
-
Skin Biopsy
standard 4mm punch biopsy of the skin at the planned treatment site for histologic assessment of skin thickness and sclerosis.
Sponsors & Collaborators
-
Abramson Cancer Center at Penn Medicine
lead OTHER
Principal Investigators
-
Robert Micheletti, MD · Abramson Cancer Center at Penn Medicine
Study Design
- Allocation
- NA
- Purpose
- SUPPORTIVE_CARE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2013-11-11
- Primary Completion
- 2016-08-31
- Completion
- 2016-08-19
Countries
- United States
Study Locations
More Related Trials
-
In-vivo Analysis of a Fractional CO2 Laser System (eMatrixCO2) Intended for Treatment of Soft Tissue
NCT01026662 ·Status: UNKNOWN
-
StrataGraft™ Skin Tissue (Human Donor Skin) In The Surgical Management Of Complex Skin Defects
NCT00618839 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Dermabrasion for Free Flap Aesthetic Enhancement
NCT07233200 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Evaluating rhPDGF-BB-Enhanced Wound Matrix for Head and Neck Reconstruction
NCT06634030 ·Status: RECRUITING ·Phase: PHASE2
-
CO2 Laser Revision for Burn Related Donor Site Scars
NCT04456127 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Fractional Ablative Laser Treatment for Skin Grafts
NCT04176705 ·Status: COMPLETED ·Phase: NA
-
Comparison of Lasers in the Treatment of Scars
NCT02988622 ·Status: COMPLETED ·Phase: NA
-
Treatment of Hypertrophic Scars Using Fractional Laser and Fractional Laser-assisted Topical Corticosteroid Delivery
NCT02487212 ·Status: COMPLETED ·Phase: PHASE4
-
Ablative 10600 nm Fractional Laser Therapy for the Treatment of Scars
NCT01358838 ·Status: COMPLETED ·Phase: NA
-
StrataGraft® Skin Tissue in the Promotion of Autologous Skin Regeneration of Complex Skin Defects Due to Thermal Burns That Contain Intact Dermal Elements
NCT03005106 ·Status: COMPLETED ·Phase: PHASE3
-
StrataGraft® Skin Tissue as an Alternative to Autografting Full-thickness Complex Skin Defects
NCT03005054 ·Status: TERMINATED ·Phase: PHASE2
-
Fractional Radiofrequency for Reduction of Surgical Scar Formation
NCT05897723 ·Status: RECRUITING ·Phase: NA
-
A Clinical Study of Allogeneic Human Dermal Fibroblasts for Remodeling Scar Contractures
NCT01564407 ·Status: TERMINATED ·Phase: PHASE1/PHASE2
-
The Use of Integra in Coverage of Radial Forearm Free Flap Donor Site Defect
NCT02980601 ·Status: TERMINATED ·Phase: NA
-
Donor Site Healing Response to Low Level Laser Therapy Following Skin Graft Surgery
NCT05907915 ·Status: COMPLETED ·Phase: NA
-
Efficacy of PRP With Er-YAG Laser Versus With Microneedling in Localized Stable Vitiligo
NCT05511493 ·Status: UNKNOWN ·Phase: NA
-
Pilot Study of the Effect of Laser on Reversing Chronic Radiation Injury
NCT01910818 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Efficacy of Application of Myriad Matrix to Split Thickness Skin Graft Sites
NCT06647394 ·Status: WITHDRAWN
-
Fractional Laser Therapy and Dermabrasion for Scar Revision
NCT01409863 ·Status: WITHDRAWN ·Phase: NA
-
Hyaluronidase Via LADD Scleroderma-induced Microstomia
NCT05995626 ·Status: COMPLETED ·Phase: EARLY_PHASE1
-
Autologous Point-of-Care Adipose Therapy: Delayed Injury/Scar
NCT06857435 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Combined Intense Pulsed Light (IPL) With Fractional Erbium:YAG Laser Ablation in Scar Prevention
NCT04722705 ·Status: UNKNOWN ·Phase: NA
-
StrataGraft Overlay of Meshed Autograft in Full-thickness Thermal Burns
NCT04765202 ·Status: TERMINATED ·Phase: PHASE1/PHASE2
-
A Comparative Clinical Study to Assess Pain Score and Wound Healing Following Fractional Ablation With a DFG Laser and CO2 Laser
NCT06295471 ·Status: RECRUITING ·Phase: NA
-
Autologous Cell Suspension Grafting Using ReCell in Vitiligo and Piebaldism Patients
NCT02458417 ·Status: COMPLETED ·Phase: PHASE4