Comparison of Bioactive Glass and Beta-Tricalcium Phosphate as Bone Graft Substitute

NCT ID: NCT00841152

Last Updated: 2021-03-16

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

120 participants

Study Classification

OBSERVATIONAL

Study Start Date

2009-03-31

Study Completion Date

2018-12-31

Brief Summary

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This study is designed to perform a head-to-head comparison of two synthetic ceramic bone graft substitutes, bioactive glass (BAG) and beta-tricalcium phosphate (TCP), in filling of contained bone defects following surgical evacuation of benign bone tumor or tumor-like conditions. Based on the investigators' previous preclinical research and an ongoing single-center randomized clinical trial on bioactive glass filling, the investigators expect BAG filling to be more efficient compared to TCP in promotion of defect healing and functional recovery after surgery.

Detailed Description

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This study is designed to perform a head-to-head comparison of two synthetic ceramic bone graft substitutes, bioactive glass (BAG) and beta-tricalcium phosphate (TCP), in filling of contained bone defects following surgical evacuation of benign bone tumor or tumor-like conditions. Small metacarpal and phalangeal enchondromas (Stratum I) and large long-bone lesions (Stratum II) will be evaluated separately. Aside with the head-to-head comparison of the two synthetic bone graft substitutes, autologous bone graft (Stratum I) and allogeneic bone graft (Stratum II) will be used as the standard of care controls.

Conditions

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Bone Neoplasm

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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Hand lesions

Stratum I: comparison of three interventions (autograft, bioactive glass and beta-tricalcium phosphate)

Bioactive glass

Intervention Type DEVICE

Surgical implantation

Beta-tricalcium phosphate (ChronOs)

Intervention Type DEVICE

Surgical implantation

Autograft

Intervention Type PROCEDURE

Surgical transplantation from iliac crest

Long-bone lesions

Stratum II: comparison of three interventions (bioactive glass, beta-tricalcium phosphate, allograft)

Bioactive glass

Intervention Type DEVICE

Surgical implantation

Beta-tricalcium phosphate (ChronOs)

Intervention Type DEVICE

Surgical implantation

Allograft (frozen femoral head)

Intervention Type PROCEDURE

Surgical transplantation

Interventions

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Bioactive glass

Surgical implantation

Intervention Type DEVICE

Beta-tricalcium phosphate (ChronOs)

Surgical implantation

Intervention Type DEVICE

Autograft

Surgical transplantation from iliac crest

Intervention Type PROCEDURE

Allograft (frozen femoral head)

Surgical transplantation

Intervention Type PROCEDURE

Other Intervention Names

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Bonalive (Vivoxid Ltd, Turku, Finland) ChronOs (Synthes, Solothurn, Switzerland)

Eligibility Criteria

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Inclusion Criteria

* Patients with primary or recurrent benign bone tumor or tumor-like condition that requires operative treatment by means of tumor evacuation and defect filling
* Pathological fractures of patients in Stratum I are treated by means of conservative treatment for three months before tumor surgery

Exclusion Criteria

* History of acute or chronic local infection
* History of malignancy (excluding carcinoma basocellular) within past 5 years
* A history of local radiotherapy
* A known metabolic skeletal disease (such as osteoporosis, Paget's disease or osteomalacia)
* Medication affecting bone turnover (oral bisphosphonates, PTH, sodium fluoride, strontium ranelate, calcitonin, testosterone, systemic cortico- or anabolic steroids)
* Any plans to use phenol or other chemical/thermal method of local tumor control
* Pregnancy
* Any other condition that in the judgment of the investigator, would prohibit the subject from participating in the study or may hinder the collection of data and interpretation of the results
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Turku University Hospital

OTHER_GOV

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Hannu T Aro, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Turku University Central Hospital and University of Turku

Locations

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Helsinki University Hospital

Helsinki, , Finland

Site Status

Kuopio University Hospital

Kuopio, , Finland

Site Status

Oulu University Hospital

Oulu, , Finland

Site Status

Tampere University Hsopital

Tampere, , Finland

Site Status

Turku University Central Hospital

Turku, , Finland

Site Status

Countries

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Finland

References

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Keranen P, Itala A, Koort J, Kohonen I, Dalstra M, Kommonen B, Aro HT. Bioactive glass granules as extender of autogenous bone grafting in cementless intercalary implant of the canine femur. Scand J Surg. 2007;96(3):243-51. doi: 10.1177/145749690709600310.

Reference Type BACKGROUND
PMID: 17966751 (View on PubMed)

Valimaki VV, Aro HT. Molecular basis for action of bioactive glasses as bone graft substitute. Scand J Surg. 2006;95(2):95-102. doi: 10.1177/145749690609500204.

Reference Type BACKGROUND
PMID: 16821652 (View on PubMed)

Valimaki VV, Moritz N, Yrjans JJ, Vuorio E, Aro HT. Effect of zoledronic acid on incorporation of a bioceramic bone graft substitute. Bone. 2006 Mar;38(3):432-43. doi: 10.1016/j.bone.2005.09.016. Epub 2005 Dec 9.

Reference Type BACKGROUND
PMID: 16338190 (View on PubMed)

Valimaki VV, Yrjans JJ, Vuorio E, Aro HT. Combined effect of BMP-2 gene transfer and bioactive glass microspheres on enhancement of new bone formation. J Biomed Mater Res A. 2005 Dec 1;75(3):501-9. doi: 10.1002/jbm.a.30236.

Reference Type BACKGROUND
PMID: 16116592 (View on PubMed)

Valimaki VV, Moritz N, Yrjans JJ, Dalstra M, Aro HT. Peripheral quantitative computed tomography in evaluation of bioactive glass incorporation with bone. Biomaterials. 2005 Nov;26(33):6693-703. doi: 10.1016/j.biomaterials.2005.04.033.

Reference Type BACKGROUND
PMID: 15941582 (View on PubMed)

Koort JK, Makinen TJ, Suokas E, Veiranto M, Jalava J, Knuuti J, Tormala P, Aro HT. Efficacy of ciprofloxacin-releasing bioabsorbable osteoconductive bone defect filler for treatment of experimental osteomyelitis due to Staphylococcus aureus. Antimicrob Agents Chemother. 2005 Apr;49(4):1502-8. doi: 10.1128/AAC.49.4.1502-1508.2005.

Reference Type BACKGROUND
PMID: 15793132 (View on PubMed)

Itala A, Koort J, Ylanen HO, Hupa M, Aro HT. Biologic significance of surface microroughing in bone incorporation of porous bioactive glass implants. J Biomed Mater Res A. 2003 Nov 1;67(2):496-503. doi: 10.1002/jbm.a.10501.

Reference Type BACKGROUND
PMID: 14566790 (View on PubMed)

Itala A, Valimaki VV, Kiviranta R, Ylanen HO, Hupa M, Vuorio E, Aro HT. Molecular biologic comparison of new bone formation and resorption on microrough and smooth bioactive glass microspheres. J Biomed Mater Res B Appl Biomater. 2003 Apr 15;65(1):163-70. doi: 10.1002/jbm.b.10529.

Reference Type BACKGROUND
PMID: 12632386 (View on PubMed)

Itala A, Ylanen HO, Yrjans J, Heino T, Hentunen T, Hupa M, Aro HT. Characterization of microrough bioactive glass surface: surface reactions and osteoblast responses in vitro. J Biomed Mater Res. 2002 Dec 5;62(3):404-11. doi: 10.1002/jbm.10273.

Reference Type BACKGROUND
PMID: 12209926 (View on PubMed)

Gao T, Aro HT, Ylanen H, Vuorio E. Silica-based bioactive glasses modulate expression of bone morphogenetic protein-2 mRNA in Saos-2 osteoblasts in vitro. Biomaterials. 2001 Jun;22(12):1475-83. doi: 10.1016/s0142-9612(00)00288-x.

Reference Type BACKGROUND
PMID: 11374446 (View on PubMed)

Itala A, Nordstrom EG, Ylanen H, Aro HT, Hupa M. Creation of microrough surface on sintered bioactive glass microspheres. J Biomed Mater Res. 2001 Aug;56(2):282-8. doi: 10.1002/1097-4636(200108)56:23.0.co;2-5.

Reference Type BACKGROUND
PMID: 11340600 (View on PubMed)

Ylanen HO, Helminen T, Helminen A, Rantakokko J, Karlsson KH, Aro HT. Porous bioactive glass matrix in reconstruction of articular osteochondral defects. Ann Chir Gynaecol. 1999;88(3):237-45.

Reference Type BACKGROUND
PMID: 10532567 (View on PubMed)

Virolainen P, Heikkila J, Yli-Urpo A, Vuorio E, Aro HT. Histomorphometric and molecular biologic comparison of bioactive glass granules and autogenous bone grafts in augmentation of bone defect healing. J Biomed Mater Res. 1997 Apr;35(1):9-17. doi: 10.1002/(sici)1097-4636(199704)35:13.0.co;2-s.

Reference Type BACKGROUND
PMID: 9104694 (View on PubMed)

Related Links

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http://www.orthopaedics.utu.fi

Home site of the principal research center

Other Identifiers

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139/180/2008

Identifier Type: -

Identifier Source: org_study_id

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