Phase 1/2a Study on Allogeneic Osteoblastic Cells Implantation in Delayed-Union Fractures

NCT ID: NCT02020590

Last Updated: 2021-11-10

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: PHASE1/PHASE2
• Total Enrollment: 25 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2014-02-28
• Study Completion Date: 2020-01-30

Brief Summary

Fracture healing is a complex physiological process caused by interaction of cellular elements, cytokines and signaling proteins, which results in the formation of new bone. There is for now no universally accepted approach to evaluate the progression of fracture healing. Typically, a fracture is considered as a delayed-union when the bone has not united within a period of time that would be considered adequate for bone healing. Delayed-union suggests that union is slow but will eventually occur without additional surgical or non-surgical intervention, whereas non-union is defined as the cessation of all reparative process of healing.

The incidence of impaired healing is estimated to range from 5 to 10% of all long bone fractures, depending on the fracture site, the type and degree of injury, among other factors. Currently the treatment of choice remains bone allograft or autograft. This procedure shows in general good results but requires an invasive surgery of several hours under general anesthesia, followed by a few days of hospitalization. Because of this, major complications have been reported in up to 20-30% of patients.

The present Phase 1/2a study aims at demonstrating the safety and efficacy of ALLOB®, a proprietary population of allogeneic osteoblastic cells, in the treatment of delayed-union fractures of long bones. In this study, delayed-union is defined at the time of screening as an absence of healing of minimum 3 months and maximum 7 months (+/- 2 weeks) after the onset of the fracture.

Conditions

Long Bone Delayed-Union Fracture

Keywords

Delayed-Union Fractures; Impaired Healing; Fractures; Orthopedics; Bone; Musculoskeletal Disorders

Study Design

• Allocation Method: NA
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

ALLOB® Implantation

One arm: ALLOB® Implantation

Group Type: EXPERIMENTAL

ALLOB® implantation

Intervention Type: DRUG

Each patient will undergo a single administration of ALLOB® into the delayed-union site under anesthesia.

Interventions

ALLOB® implantation

Each patient will undergo a single administration of ALLOB® into the delayed-union site under anesthesia.

Intervention Type: DRUG

Eligibility Criteria

Inclusion Criteria

• Patient (or patient's legally acceptable representative) capable to provide a written, dated, and signed informed consent prior to any study related procedure
• Non-infected delayed-union fracture of a long bone of minimum 3 months and maximum 7 months (+/- 2 weeks)

Exclusion Criteria

• Fracture interline larger than 2.5 cm
• Insufficient fracture stability
• Multifocal fracture
• Positive serology for hepatitis B, hepatitis C, Human Immunodeficiency Virus (HIV)
• Current or past medical disease that could interfere with the evaluation of the safety and efficacy, as judged by the investigator
• Severe renal or hepatic impairment

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 80 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Bone Therapeutics S.A

INDUSTRY

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Countries

Belgium; Germany; United Kingdom

References

Jayankura M, Schulz AP, Delahaut O, Witvrouw R, Seefried L, Berg BV, Heynen G, Sonnet W. Percutaneous administration of allogeneic bone-forming cells for the treatment of delayed unions of fractures: a pilot study. Stem Cell Res Ther. 2021 Jun 26;12(1):363. doi: 10.1186/s13287-021-02432-4.

Reference Type: DERIVED

PMID: 34174963 (View on PubMed)

Provided Documents

Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

ALLOB-DU1

Identifier Type: -

Identifier Source: org_study_id