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Publications library Consensus or guideline

IJTR · 2025

Clinical trials for cellular, acellular and matrix-like products (CAMPs): an evidence consensus

Serena, T.E. (Chair), Andersen, C., Bohn, G., Cosentino, G., Davis, M., Desvigne, M., Kaur, A., Low, M., Oropallo, A., Roselli, L., Sabatino, C., Simman, R., Slade, B., Tunyiswa, Z., & Wahab, N.

International Journal of Tissue Repair (IJTR)

In brief

This expert consensus document provides recommendations for designing and reporting randomized controlled trials of cellular, acellular, and matrix-like products (CAMPs) intended to support Medicare coverage. Drawing on a hierarchical Bayesian meta-analysis of 35 randomized controlled trials cited in Medicare's 2024 Local Coverage Determinations and an expert panel meeting held August 1, 2025, the panel recommends a documented run-in period with consistent standard of care, complete reporting of intent-to-treat and per-protocol data, a statistical analysis plan that justifies trial power, independent validation of primary endpoints, standardized wound-closure endpoints, patient-centered outcomes, racially diverse enrollment, nutritional screening, and evaluation in Medicare beneficiaries. The document also encourages master trial designs, research involving pressure injuries, and long-term follow-up studies.

Dr. Thomas Serena, SerenaGroup's founder, chaired the consensus panel.

Plain-language summary by SerenaGroup. See the full text for complete methods and results.

No abstract is published for this item. Use the full text link for the complete document.

Keywords

CAMPscellular acellular and matrix-like productsCenters for Medicare and Medicaid Servicesclinical trialswound healingevidence consensus