PMID- 31637101 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20191024 IS - 2162-1918 (Print) IS - 2162-1934 (Electronic) IS - 2162-1918 (Linking) VI - 8 IP - 11 DP - 2019 Nov 1 TI - Wound Closure Outcomes Suggest Clinical Equivalency Between Lyopreserved and Cryopreserved Placental Membranes Containing Viable Cells. PG - 546-554 LID - 10.1089/wound.2019.1028 [doi] AB - Objective: To evaluate the clinical outcomes of lyopreserved placental membrane containing viable cells (vLPM) in the treatment of nonhealing wounds of various etiologies, and to compare them to those previously reported for cryopreserved placental membrane containing viable cells (vCPM). Approach: Patients with nonhealing wounds who qualified to receive advanced wound therapies were consecutively enrolled and treated weekly with vLPM plus standard of care (SOC) at five centers. Data were de-identified and retrospectively analyzed. Outcomes included closure, time to closure, number of vLPM applications, and adverse events (AEs). Results: Seventy-eight patients with 98 wounds (41 diabetic foot ulcers [DFUs], 19 venous leg ulcers [VLUs], 10 surgical, and 28 others) with an average size of 13.3 cm(2) and 8.7 months duration were treated. Fifty-eight of the 98 wounds (59.2%) achieved complete closure with median time to closure of 63 days and 6 vLPM applications. The closure by wound etiology was 63% for DFUs, 47% for VLUs, 70% for surgical wounds, and 57% for other types of wounds. Similar closure rates have been previously demonstrated for vCPM. Wound duration was the main predictor of closure: 65.8% versus 30.0% (p = 0.004) closure was achieved for wounds of 12 months duration, respectively. There were no AEs related to vLPM application. Innovation: This is the first multicenter case series evaluating the clinical outcomes of vLPM in a real-world setting. Conclusion: These results support clinical equivalency between the two placental membrane formulations with the added convenience of room-temperature storage for vLPM, allowing it to be used in any wound-care setting. CI - (c) Charles E. Ananian, et al. 2019; Published by Mary Ann Liebert, Inc. FAU - Ananian, Charles E AU - Ananian CE AD - New Hope Podiatry, Los Angeles, California. FAU - Davis, R Daniel AU - Davis RD AD - Family Podiatry Center, Bridgeport, Connecticut. FAU - Johnson, Eric L AU - Johnson EL AD - Bozeman Health Deaconess Hospital, Wound and Hyperbaric Center, Bozeman, Montana. FAU - Regulski, Matthew J AU - Regulski MJ AD - Ocean County Foot & Ankle Surgical Associates, P.C., Forked River, New Jersey. FAU - Reyzelman, Alexander M AU - Reyzelman AM AD - California School of Podiatric Medicine at Samuel Merritt University, Oakland, California. FAU - Saunders, Molly C AU - Saunders MC AD - Osiris Therapeutics, Inc., Columbia, Maryland. FAU - Danilkovitch, Alla AU - Danilkovitch A AD - Osiris Therapeutics, Inc., Columbia, Maryland. LA - eng PT - Journal Article DEP - 20191016 PL - United States TA - Adv Wound Care (New Rochelle) JT - Advances in wound care JID - 101590593 PMC - PMC6798798 OTO - NOTNLM OT - lyopreserved OT - nonhealing OT - placental membrane OT - viable OT - wound EDAT- 2019/10/23 06:00 MHDA- 2019/10/23 06:01 PMCR- 2019/10/16 CRDT- 2019/10/23 06:00 PHST- 2019/05/23 00:00 [received] PHST- 2019/07/03 00:00 [accepted] PHST- 2019/10/23 06:00 [entrez] PHST- 2019/10/23 06:00 [pubmed] PHST- 2019/10/23 06:01 [medline] PHST- 2019/10/16 00:00 [pmc-release] AID - 10.1089/wound.2019.1028 [pii] AID - 10.1089/wound.2019.1028 [doi] PST - ppublish SO - Adv Wound Care (New Rochelle). 2019 Nov 1;8(11):546-554. doi: 10.1089/wound.2019.1028. Epub 2019 Oct 16.