Mesenchymal Stromal Cells for the Treatment of Non-union Fractures of Long Bones

NCT ID: NCT02230514

Last Updated: 2021-04-12

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

Clinical Phase

PHASE1/PHASE2

Total Enrollment

19 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-11-20

Study Completion Date

2019-12-20

Brief Summary

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The present study evaluates the effect of XCEL-MT-OSTEO-ALPHA in non-union fractures (pseudoarthrosis) of long bones in comparison to the standard treatment of autologous iliac crest.

XCEL-MT-OSTEO-ALPHA is a tissue engineering product composed by "ex-vivo" expanded autologous mesenchymal stromal cells fixed in allogenic bone tissue, produced by Xcelia (Blood and Tissue Bank of Catalonia).

The working hypothesis proposes that the tissue engineering is a valid and useful technique to achieve bone regeneration up to consolidation of non-union fractures.

Detailed Description

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A phase IIa, single center, prospective, randomized, parallel, two-arms, single-dose, open-label with blinded assessor pilot clinical trial to assess ex vivo expanded adult autologous mesenchymal stromal cells fixed in allogeneic bone tissue (XCEL-MT-OSTEO-ALPHA) in non hypertrophic pseudoarthrosis of long bones.

Conditions

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Atrophic Nonunion of Fracture

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors
Radiologist will assess images in a blinded manner

Study Groups

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XCEL-MT-OSTEO-ALPHA and surgery

"ex-vivo" expanded autologous mesenchymal stromal cells fixed in allogenic bone tissue

Group Type EXPERIMENTAL

XCEL-MT-OSTEO-ALPHA

Intervention Type DRUG

"ex-vivo" expanded autologous mesenchymal stromal cells fixed in allogenic bone tissue in association with open surgery

Surgery

Intervention Type PROCEDURE

Standard surgery for non-union fractures

Autologous iliac crest and surgery

Standard treatment

Group Type OTHER

autologous iliac crest

Intervention Type OTHER

Autologous iliac crest in association with surgery

Surgery

Intervention Type PROCEDURE

Standard surgery for non-union fractures

Interventions

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XCEL-MT-OSTEO-ALPHA

"ex-vivo" expanded autologous mesenchymal stromal cells fixed in allogenic bone tissue in association with open surgery

Intervention Type DRUG

autologous iliac crest

Autologous iliac crest in association with surgery

Intervention Type OTHER

Surgery

Standard surgery for non-union fractures

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* 18 to 85 years of age (male and female)
* Atrophic or hypotrophic metaphyseal-diaphyseal pseudarthrosis of long bones, confirmed radiographically.
* Signed Informed Consent Form
* The patient is able to understand the nature of the study

Exclusion Criteria

* Suspicious of pseudarthrosis focus infection diagnosed by clinical inspection and blood analysis.
* Positive serology for HIV (Anti-HIV I/II-Ac), Hepatitis B (HBsAg, HBcAc), Hepatitis C (Anti-HCV-Ac) or Syphilis Lúes (TP-Ac).
* Significant abnormal laboratory tests that contraindicates patient's participation in the study.
* Pregnant woman or without proper anticonceptive measures according to the investigator, or breath feeding
* Smoker of more than 15 cigarettes a day
* Congenital disorders of bones (hypophosphatemia), bone metabolic disorders associated to primary or secondary hypoparathyroidism.
* Badly managed diabetes mellitus.
* Patients diagnosed with peripheral arterial disorders
* Previous therapeutic radiation (5 previous years) of the affected bone.
* Neoplasia within the previous 5 years, or without remission
* The patient is legally dependent
* Participation in another clinical trial or treated with an investigational medicinal product the previous 30 days
* Other pathologic conditions or circumstances that difficult participation in the study according to medical criteria
* The patient does not accept to be followed-up for a period that could exceed the clinical trial length
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hospital ASEPEYO Sant Cugat

UNKNOWN

Sponsor Role collaborator

Banc de Sang i Teixits

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Fernando Granell, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Hospital ASEPEYO Sant Cugat

Locations

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Hospital ASEPEYO Sant Cugat

Sant Cugat del Vallès, Barcelona, Spain

Site Status

Countries

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Spain

Related Links

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http://www.bancsang.net/

Banc de Sang i Teixits (Blood and Tissue Bank of Catalonia)

Other Identifiers

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2013-005025-23

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

XCEL-PSART-01

Identifier Type: -

Identifier Source: org_study_id

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