Trial Outcomes & Findings for Bone Tissue Engineering Using Autologous Bone Repair Cell (BRC) Therapy for Sinus Floor Bone Augmentation (NCT NCT00980278)

NCT ID: NCT00980278

Last Updated: 2015-12-23

Results Overview

Bone mineral density of bone core was measured by histological and µCT analyses

Recruitment status

COMPLETED

Study phase

PHASE1/PHASE2

Target enrollment

26 participants

Primary outcome timeframe

4 months

Results posted on

2015-12-23

Participant Flow

Participant milestones

Participant milestones
Measure
Sinus Lift Plus Dental Implant
Transalveolar sinus augmentation will be performed. After 4 months dental implants will be delivered only if primary stability can be achieved. Intervention (Procedure/Surgery): Sinus lift augmentation and dental implant transalveolar sinus augmentation will be performed. After 4 months, dental implants will be delivered only if primary stability can be achieved. Biological/Vaccine: N/A; only sinus augmentation and dental implant Sinus lift augmentation and dental implant: transalveolar sinus augmentation will be performed. After 4 months, dental implants will be delivered only if primary stability can be achieved.
Sinus Lift Plus BRCs and Dental Implant
transalveolar sinus augmentation will be performed. A unit dose of BRC (10 ml) will be mixed with a commercially available β-TCP (Cerasorb), which will be used as a carrier to deliver the cells. Intervention (Procedure/Surgery): Sinus lift augmentation and dental implant transalveolar sinus augmentation will be performed. After 4 months, dental implants will be delivered only if primary stability can be achieved. Biological/Vaccine: Aastrom BRCs, sinus augmentation, BRC application, dental implant Aastrom BRCs: sinus augmentation, BRC application, dental implant
Overall Study
STARTED
13
13
Overall Study
COMPLETED
11
13
Overall Study
NOT COMPLETED
2
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Bone Tissue Engineering Using Autologous Bone Repair Cell (BRC) Therapy for Sinus Floor Bone Augmentation

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Sinus Lift Plus Dental Implant
n=13 Participants
Transalveolar sinus augmentation will be performed. After 4 months dental implants will be delivered only if primary stability can be achieved. Intervention (Procedure/Surgery): Sinus lift augmentation and dental implant transalveolar sinus augmentation will be performed. After 4 months, dental implants will be delivered only if primary stability can be achieved. Biological/Vaccine: N/A; only sinus augmentation and dental implant Sinus lift augmentation and dental implant: transalveolar sinus augmentation will be performed. After 4 months, dental implants will be delivered only if primary stability can be achieved.
Sinus Lift Plus BRCs and Dental Implant
n=13 Participants
transalveolar sinus augmentation will be performed. A unit dose of BRC (10 ml) will be mixed with a commercially available β-TCP (Cerasorb), which will be used as a carrier to deliver the cells. Intervention (Procedure/Surgery): Sinus lift augmentation and dental implant transalveolar sinus augmentation will be performed. After 4 months, dental implants will be delivered only if primary stability can be achieved. Biological/Vaccine: Aastrom BRCs, sinus augmentation, BRC application, dental implant Aastrom BRCs: sinus augmentation, BRC application, dental implant
Total
n=26 Participants
Total of all reporting groups
Age, Customized
>20 and <70
13 participants
n=5 Participants
13 participants
n=7 Participants
26 participants
n=5 Participants
Sex: Female, Male
Female
10 Participants
n=5 Participants
10 Participants
n=7 Participants
20 Participants
n=5 Participants
Sex: Female, Male
Male
3 Participants
n=5 Participants
3 Participants
n=7 Participants
6 Participants
n=5 Participants
Region of Enrollment
United States
13 participants
n=5 Participants
13 participants
n=7 Participants
26 participants
n=5 Participants

PRIMARY outcome

Timeframe: 4 months

Bone mineral density of bone core was measured by histological and µCT analyses

Outcome measures

Outcome measures
Measure
Sinus Lift Plus Dental Implant
n=11 Participants
Transalveolar sinus augmentation will be performed. After 4 months dental implants will be delivered only if primary stability can be achieved. Intervention (Procedure/Surgery): Sinus lift augmentation and dental implant transalveolar sinus augmentation will be performed. After 4 months, dental implants will be delivered only if primary stability can be achieved. Biological/Vaccine: N/A; only sinus augmentation and dental implant Sinus lift augmentation and dental implant: transalveolar sinus augmentation will be performed. After 4 months, dental implants will be delivered only if primary stability can be achieved.
Sinus Lift Plus BRCs and Dental Implant
n=13 Participants
transalveolar sinus augmentation will be performed. A unit dose of BRC (10 ml) will be mixed with a commercially available β-TCP (Cerasorb), which will be used as a carrier to deliver the cells. Intervention (Procedure/Surgery): Sinus lift augmentation and dental implant transalveolar sinus augmentation will be performed. After 4 months, dental implants will be delivered only if primary stability can be achieved. Biological/Vaccine: Aastrom BRCs, sinus augmentation, BRC application, dental implant Aastrom BRCs: sinus augmentation, BRC application, dental implant
Bone Mineral Density of Bone Core
.79 mg/mm^3
Standard Deviation .05
.78 mg/mm^3
Standard Deviation .02

PRIMARY outcome

Timeframe: 4 months

Bone volume fraction of bone core histological and µCT analyses

Outcome measures

Outcome measures
Measure
Sinus Lift Plus Dental Implant
n=11 Participants
Transalveolar sinus augmentation will be performed. After 4 months dental implants will be delivered only if primary stability can be achieved. Intervention (Procedure/Surgery): Sinus lift augmentation and dental implant transalveolar sinus augmentation will be performed. After 4 months, dental implants will be delivered only if primary stability can be achieved. Biological/Vaccine: N/A; only sinus augmentation and dental implant Sinus lift augmentation and dental implant: transalveolar sinus augmentation will be performed. After 4 months, dental implants will be delivered only if primary stability can be achieved.
Sinus Lift Plus BRCs and Dental Implant
n=13 Participants
transalveolar sinus augmentation will be performed. A unit dose of BRC (10 ml) will be mixed with a commercially available β-TCP (Cerasorb), which will be used as a carrier to deliver the cells. Intervention (Procedure/Surgery): Sinus lift augmentation and dental implant transalveolar sinus augmentation will be performed. After 4 months, dental implants will be delivered only if primary stability can be achieved. Biological/Vaccine: Aastrom BRCs, sinus augmentation, BRC application, dental implant Aastrom BRCs: sinus augmentation, BRC application, dental implant
Bone Volume Fraction of Bone Core
.43 ratio
Standard Deviation 8.1
.49 ratio
Standard Deviation 7.2

SECONDARY outcome

Timeframe: Screening and 1 week post-op from baseline

Change in linear radiographic bone heights were measured before and after bone graft reconstruction

Outcome measures

Outcome measures
Measure
Sinus Lift Plus Dental Implant
n=11 Participants
Transalveolar sinus augmentation will be performed. After 4 months dental implants will be delivered only if primary stability can be achieved. Intervention (Procedure/Surgery): Sinus lift augmentation and dental implant transalveolar sinus augmentation will be performed. After 4 months, dental implants will be delivered only if primary stability can be achieved. Biological/Vaccine: N/A; only sinus augmentation and dental implant Sinus lift augmentation and dental implant: transalveolar sinus augmentation will be performed. After 4 months, dental implants will be delivered only if primary stability can be achieved.
Sinus Lift Plus BRCs and Dental Implant
n=13 Participants
transalveolar sinus augmentation will be performed. A unit dose of BRC (10 ml) will be mixed with a commercially available β-TCP (Cerasorb), which will be used as a carrier to deliver the cells. Intervention (Procedure/Surgery): Sinus lift augmentation and dental implant transalveolar sinus augmentation will be performed. After 4 months, dental implants will be delivered only if primary stability can be achieved. Biological/Vaccine: Aastrom BRCs, sinus augmentation, BRC application, dental implant Aastrom BRCs: sinus augmentation, BRC application, dental implant
Change in Linear Radiographic Bone Height
12.8 mm
Standard Deviation 2.8
12.2 mm
Standard Deviation 3.3

SECONDARY outcome

Timeframe: Pre-baseline and within 2 weeks of 4 Month visit

CBCT was used to evaluated 3-D changes in the bone volume within the treated areas of the sinus cavity

Outcome measures

Outcome measures
Measure
Sinus Lift Plus Dental Implant
n=11 Participants
Transalveolar sinus augmentation will be performed. After 4 months dental implants will be delivered only if primary stability can be achieved. Intervention (Procedure/Surgery): Sinus lift augmentation and dental implant transalveolar sinus augmentation will be performed. After 4 months, dental implants will be delivered only if primary stability can be achieved. Biological/Vaccine: N/A; only sinus augmentation and dental implant Sinus lift augmentation and dental implant: transalveolar sinus augmentation will be performed. After 4 months, dental implants will be delivered only if primary stability can be achieved.
Sinus Lift Plus BRCs and Dental Implant
n=13 Participants
transalveolar sinus augmentation will be performed. A unit dose of BRC (10 ml) will be mixed with a commercially available β-TCP (Cerasorb), which will be used as a carrier to deliver the cells. Intervention (Procedure/Surgery): Sinus lift augmentation and dental implant transalveolar sinus augmentation will be performed. After 4 months, dental implants will be delivered only if primary stability can be achieved. Biological/Vaccine: Aastrom BRCs, sinus augmentation, BRC application, dental implant Aastrom BRCs: sinus augmentation, BRC application, dental implant
Change in Sinus Bone Volume
2.1 cm3
Standard Deviation .9
1.8 cm3
Standard Deviation 1.0

SECONDARY outcome

Timeframe: 4 months

Bone volume fraction of bone core histological and µCT analyses

Outcome measures

Outcome measures
Measure
Sinus Lift Plus Dental Implant
n=11 Participants
Transalveolar sinus augmentation will be performed. After 4 months dental implants will be delivered only if primary stability can be achieved. Intervention (Procedure/Surgery): Sinus lift augmentation and dental implant transalveolar sinus augmentation will be performed. After 4 months, dental implants will be delivered only if primary stability can be achieved. Biological/Vaccine: N/A; only sinus augmentation and dental implant Sinus lift augmentation and dental implant: transalveolar sinus augmentation will be performed. After 4 months, dental implants will be delivered only if primary stability can be achieved.
Sinus Lift Plus BRCs and Dental Implant
n=13 Participants
transalveolar sinus augmentation will be performed. A unit dose of BRC (10 ml) will be mixed with a commercially available β-TCP (Cerasorb), which will be used as a carrier to deliver the cells. Intervention (Procedure/Surgery): Sinus lift augmentation and dental implant transalveolar sinus augmentation will be performed. After 4 months, dental implants will be delivered only if primary stability can be achieved. Biological/Vaccine: Aastrom BRCs, sinus augmentation, BRC application, dental implant Aastrom BRCs: sinus augmentation, BRC application, dental implant
Final Bone Volume: Initial Graft Volume Ratio
.64 ratio
Standard Deviation .2
.51 ratio
Standard Deviation .3

Adverse Events

Sinus Lift Plus Dental Implant

Serious events: 1 serious events
Other events: 9 other events
Deaths: 0 deaths

Sinus Lift Plus BRCs and Dental Implant

Serious events: 1 serious events
Other events: 9 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Sinus Lift Plus Dental Implant
n=13 participants at risk
Transalveolar sinus augmentation will be performed. After 4 months dental implants will be delivered only if primary stability can be achieved. Intervention (Procedure/Surgery): Sinus lift augmentation and dental implant transalveolar sinus augmentation will be performed. After 4 months, dental implants will be delivered only if primary stability can be achieved. Biological/Vaccine: N/A; only sinus augmentation and dental implant Sinus lift augmentation and dental implant: transalveolar sinus augmentation will be performed. After 4 months, dental implants will be delivered only if primary stability can be achieved.
Sinus Lift Plus BRCs and Dental Implant
n=13 participants at risk
transalveolar sinus augmentation will be performed. A unit dose of BRC (10 ml) will be mixed with a commercially available β-TCP (Cerasorb), which will be used as a carrier to deliver the cells. Intervention (Procedure/Surgery): Sinus lift augmentation and dental implant transalveolar sinus augmentation will be performed. After 4 months, dental implants will be delivered only if primary stability can be achieved. Biological/Vaccine: Aastrom BRCs, sinus augmentation, BRC application, dental implant Aastrom BRCs: sinus augmentation, BRC application, dental implant
Infections and infestations
Sinus
0.00%
0/13 • 4 years
7.7%
1/13 • Number of events 13 • 4 years
Surgical and medical procedures
Surgery
7.7%
1/13 • Number of events 13 • 4 years
0.00%
0/13 • 4 years

Other adverse events

Other adverse events
Measure
Sinus Lift Plus Dental Implant
n=13 participants at risk
Transalveolar sinus augmentation will be performed. After 4 months dental implants will be delivered only if primary stability can be achieved. Intervention (Procedure/Surgery): Sinus lift augmentation and dental implant transalveolar sinus augmentation will be performed. After 4 months, dental implants will be delivered only if primary stability can be achieved. Biological/Vaccine: N/A; only sinus augmentation and dental implant Sinus lift augmentation and dental implant: transalveolar sinus augmentation will be performed. After 4 months, dental implants will be delivered only if primary stability can be achieved.
Sinus Lift Plus BRCs and Dental Implant
n=13 participants at risk
transalveolar sinus augmentation will be performed. A unit dose of BRC (10 ml) will be mixed with a commercially available β-TCP (Cerasorb), which will be used as a carrier to deliver the cells. Intervention (Procedure/Surgery): Sinus lift augmentation and dental implant transalveolar sinus augmentation will be performed. After 4 months, dental implants will be delivered only if primary stability can be achieved. Biological/Vaccine: Aastrom BRCs, sinus augmentation, BRC application, dental implant Aastrom BRCs: sinus augmentation, BRC application, dental implant
General disorders
Lesion
7.7%
1/13 • Number of events 1 • 4 years
0.00%
0/13 • 4 years
General disorders
Bleeding
0.00%
0/13 • 4 years
7.7%
1/13 • Number of events 1 • 4 years
Infections and infestations
Infection
7.7%
1/13 • Number of events 1 • 4 years
0.00%
0/13 • 4 years
Injury, poisoning and procedural complications
Soft Tissue Opening
15.4%
2/13 • Number of events 2 • 4 years
0.00%
0/13 • 4 years
General disorders
Broken Tooth
15.4%
2/13 • Number of events 2 • 4 years
0.00%
0/13 • 4 years
General disorders
Suture Loss
0.00%
0/13 • 4 years
7.7%
1/13 • Number of events 1 • 4 years
Gastrointestinal disorders
Vomitting
7.7%
1/13 • Number of events 1 • 4 years
15.4%
2/13 • Number of events 2 • 4 years
Skin and subcutaneous tissue disorders
Shingles
7.7%
1/13 • Number of events 1 • 4 years
0.00%
0/13 • 4 years
General disorders
Pain and Swelling
0.00%
0/13 • 4 years
15.4%
2/13 • Number of events 2 • 4 years
General disorders
Flap Mobility
7.7%
1/13 • Number of events 1 • 4 years
0.00%
0/13 • 4 years
General disorders
Sore Throat
0.00%
0/13 • 4 years
7.7%
1/13 • Number of events 1 • 4 years
General disorders
Non-restoreable Tooth
0.00%
0/13 • 4 years
7.7%
1/13 • Number of events 1 • 4 years
Injury, poisoning and procedural complications
Injury
0.00%
0/13 • 4 years
23.1%
3/13 • Number of events 3 • 4 years
General disorders
Headaches
0.00%
0/13 • 4 years
7.7%
1/13 • Number of events 1 • 4 years
General disorders
Oral Ulcer
7.7%
1/13 • Number of events 1 • 4 years
0.00%
0/13 • 4 years
General disorders
Tingling
0.00%
0/13 • 4 years
7.7%
1/13 • Number of events 1 • 4 years
General disorders
Lack of Bone
7.7%
1/13 • Number of events 1 • 4 years
7.7%
1/13 • Number of events 1 • 4 years
General disorders
Rash
7.7%
1/13 • Number of events 1 • 4 years
0.00%
0/13 • 4 years
General disorders
Pain
15.4%
2/13 • Number of events 2 • 4 years
7.7%
1/13 • Number of events 1 • 4 years
General disorders
Discomfort
0.00%
0/13 • 4 years
7.7%
1/13 • Number of events 1 • 4 years
General disorders
Prosthesis Came Off
46.2%
6/13 • Number of events 6 • 4 years
15.4%
2/13 • Number of events 2 • 4 years
Injury, poisoning and procedural complications
Swelling
0.00%
0/13 • 4 years
7.7%
1/13 • Number of events 1 • 4 years
General disorders
Sensitivity
0.00%
0/13 • 4 years
7.7%
1/13 • Number of events 1 • 4 years
General disorders
Tenderness
0.00%
0/13 • 4 years
7.7%
1/13 • Number of events 1 • 4 years
General disorders
Ovarian Ulcer Rupture
7.7%
1/13 • Number of events 1 • 4 years
0.00%
0/13 • 4 years
Injury, poisoning and procedural complications
Exostosis
0.00%
0/13 • 4 years
7.7%
1/13 • Number of events 1 • 4 years
Injury, poisoning and procedural complications
Perforations
0.00%
0/13 • 4 years
7.7%
1/13 • Number of events 1 • 4 years

Additional Information

Dr. William Giannobile, Chair Department of Periodontics and Oral Medicine

University of Michigan School of Dentistry

Phone: 734-763-2105

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place