Actively Recruiting
A Prospective, Randomized Controlled Trial of Miro3D Wound Matrix With Standard of Care Versus Standard of Care Alone in Treating Acute Soft Tissue Wounds and Chronic Pressure Ulcerations
Led by Washington University School of Medicine · Updated on 2026-01-20
70
Participants Needed
1
Research Sites
30 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
Researchers are evaluating the outcomes of patients with complex wounds managed with standard treatments alone versus standard treatments combined with Miro3D, a tissue scaffold designed to support wound healing. This prospective randomized controlled trial focuses on two types of wounds: acute soft tissue wounds from conditions like fasciotomy or serious infections, and chronic pressure ulcers that have not improved after standard care. The study seeks to provide real-world data on healing quality, cost-effectiveness, and resource use over a 12-week period. Participants will be randomly assigned to receive either standard of care (SOC) wound treatment alone or SOC plus the Miro3D tissue scaffold. The trial includes two groups: one for acute soft tissue wounds and another for chronic pressure ulcers. Outcomes will be assessed over 12 weeks, with some participants crossing over to different treatments to evaluate delayed wound preparation and scaffold application. Treatments will be delivered according to wound type and healing stage, with care including surgical debridement and offloading or compression as appropriate. During the study, participants will undergo regular assessments including digital wound photography and analysis of wound redness to monitor healing. Researchers will also track time to hospital discharge, use of antibiotics and negative pressure wound therapy, pain levels, tissue sampling, and patient-reported ability to care for themselves. The primary outcome is the percentage area reduction of wounds at 4 weeks. Safety and healing progress will be monitored throughout the 12-week treatment period and beyond until study completion in 2028.
CONDITIONS
Brief Title
Miro3D Randomized Controlled Trial (RCT)
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Men or women aged 18 to 90 years
- Ability to sign informed consent personally or via a legal representative
- Presence of either soft tissue wounds (1 cm x 1 cm to 40 cm x 20 cm x 5 cm) from post-fasciotomy or post-serious infection, or chronic pressure ulcers (Stage III or higher) in the decubitus or ischial area
- Chronic pressure ulcers must have received standard care for at least 4 weeks without at least 50% area reduction and with confirmed patient compliance
- Agreement to proper offloading or compression of the wound during the trial
- Written consent for digital wound photography
- For the Miro3D group, wounds must have a clean base free of dead tissue at scaffold placement
- Use of negative pressure wound therapy at baseline allowed; continued use based on provider discretion
You will not qualify if you...
- Pressure ulcers that have reduced in area by 50% or more after 4 weeks of standard care
- Wounds with active invasive infection not controlled
- Wounds requiring vascular revascularization
- Subjects with no meaningful wound healing potential or serious conditions compromising trial completion
- Undergoing chemotherapy
- History of radiation to the wound area
- Use of investigational drugs or therapies within 30 days before screening
- On dialysis
- Allergy or contraindication to Miro3D or negative pressure wound therapy components
- Presence of third-degree burns
- Wounds with worsening ischemia or gangrene at screening
- Subjects moving toward palliative or comfort care
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Your Study Journey
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - 12 weeks
Participants receive either standard of care treatment alone or standard of care plus Miro3D wound matrix to manage their acute soft tissue wounds or chronic pressure ulcers.
Visits as needed for treatment application and wound assessment over 12 weeks
Duration - Up to 12 weeks including treatment period
Participants are monitored for healing progress, pain, use of negative pressure wound therapy, and functional ability during and after treatment.
Regular follow-up visits during the 12-week treatment period
Trial Site Locations
Total: 1 location
1
Washington University School of Medicine
St Louis, Missouri, United States, 63110
Actively Recruiting
Research Team
A
Aaron Day, RN
S
Stacey Reese, RN, BSN
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2