Freeze-dried Bovine Hydroxyapatite/Secretome Composite for Bone Defects

NCT ID: NCT04980261

Last Updated: 2021-07-28

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

32 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-07-01

Study Completion Date

2022-12-31

Brief Summary

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This clinical trial aims to investigate the efficacy of freeze-dried bovine hydroxyapatite/secretome composite application for the management of long bone defects and other bone healing disorders in the lower extremities.

Detailed Description

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The gold standard for treating bone defect conditions is autologous bone graft (autograft). Autograft promotes bone healing due to its osteoconductive (serving as a foundation that facilitates bone growth), osteoinductive (stimulates progenitor cells), and osteogenesis (acting as a precursor of osteoblasts and osteoclasts) properties. However, donor site morbidity and persisting pain following harvest remains a major problem. Hence, we attempt to investigate the efficacy of other bone substitutes, i.e., bovine hydroxyapatite/secretome composite, to treat long bone defects and other bone healing disorders in the lower extremities.

Bovine hydroxyapatite (BHA) is a xenograft (animal-derived graft) with osteoconductive properties. Simultaneously, the secretome of the mesenchymal stem cells contains cytokines, chemokines, and growth factors, which possess osteoinductive properties. Thus, we hypothesize that the combination (composite) of BHA/secretome (in the form of freeze-dried (FD) BHA/secretome composite) will promote bone healing ability that is equal to autografts while eliminating donor-site morbidity in the patient.

Conditions

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Bone Loss

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Control Group (ORIF + autograft)

The patients will receive the current gold standard to treat long bone defects.

Group Type ACTIVE_COMPARATOR

ORIF + autograft

Intervention Type PROCEDURE

Patients will undergo a standard open reduction internal fixation (ORIF) procedure with autograft implantation (from the iliac crest).

Treatment Group (ORIF + FD BHA/Secretome composite)

The patients will receive a novel bone substitute following the ORIF procedure.

Group Type EXPERIMENTAL

ORIF + FD BHA/Secretome

Intervention Type PROCEDURE

Patients will undergo an ORIF procedure and subsequently receive freeze-dried bovine hydroxyapatite/secretome composite implantation.

Interventions

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ORIF + autograft

Patients will undergo a standard open reduction internal fixation (ORIF) procedure with autograft implantation (from the iliac crest).

Intervention Type PROCEDURE

ORIF + FD BHA/Secretome

Patients will undergo an ORIF procedure and subsequently receive freeze-dried bovine hydroxyapatite/secretome composite implantation.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Patients presenting with bone defects (less than 5 cm) in the diaphysis of the long bones of the lower extremities due to trauma and other bone healing disorders
* No history of comorbid diseases
* Willing to be involved in the clinical trial

Exclusion Criteria

* Patients with bone defects or impaired bone healing caused by tumors, infections, and metabolic diseases
* Suffered from multiple fractures and multitrauma patients
* Loss to follow-up
Minimum Eligible Age

18 Years

Maximum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Dr. Ramelan Naval Hospital

UNKNOWN

Sponsor Role collaborator

Airlangga University Hospital

UNKNOWN

Sponsor Role collaborator

Sidoarjo General Hospital

UNKNOWN

Sponsor Role collaborator

Cell & Tissue Bank, Dr. Soetomo General Hospital

UNKNOWN

Sponsor Role collaborator

Dr. Soetomo General Hospital

OTHER_GOV

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Dr. Soetomo General Hospital

Surabaya, East Java, Indonesia

Site Status RECRUITING

Countries

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Indonesia

Central Contacts

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Ferdiansyah Mahyudin, MD, Ph.D

Role: CONTACT

+62811320635

Facility Contacts

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Ferdiansyah Mahyudin, MD, Ph.D

Role: primary

0811320635

Other Identifiers

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0045/KEPK/VIII/2020

Identifier Type: -

Identifier Source: org_study_id

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