Alveolar Cleft Repair Using Osteoinductive Ceramics

NCT ID: NCT05331456

Last Updated: 2023-12-06

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

RECRUITING

Clinical Phase

NA

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-06-01

Study Completion Date

2025-02-01

Brief Summary

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In this study, patients with unilateral cleft lip and palate are enrolled in a multicenter stepped wedge randomized trial ithat compares alveolar cleft closure using autologous bone harvested form the mandibular symphysis with an osteoinductive biphasic calcium phosphate putty.

Detailed Description

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Rationale: Patients who undergo alveolar cleft grafting have to deal with postoperative pain and comorbidity due to harvesting of autologous bone.

Objective: To evaluate if using calcium phosphate based scaffolds for alveolar cleft grafting is as effective as the use of an autologous bone graft.

Study design: A 'stepped wedge' randomized controlled trial will be conducted by four centres.

Study population: Children between the ages of 8 to 12 years with a unilateral alveolar cleft.

Intervention: Study group undergoes alveolar cleft grafting with the use of a calcium phosphate based scaffold, the control group undergoes the same procedure, but with the use of an autologous chin bone graft.

Main study parameters/endpoints: Main study outcome is one year postoperative residual bone volume in the reconstructed alveolar cleft. Secondary objectives of importance are postoperative pain and eruption of the tooth adjacent to the cleft through the reconstructed area.

Nature and extent of the burden and risks associated with participation, benefit and group relatedness: Patients in the control group will undergo a procedure that is currently seen as the gold standard. Patients in the study group will undergo the exact same risks as the control group, except there is no risk for donor site morbidity and postoperative pain is significantly less. Postoperative clinical and radiological evaluation of both groups is according to current treatment standards.

Conditions

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Cleft Palate Children Cleft Alveolar Ridge Cleft Lip and Palate

Keywords

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cleft palate cleft lip alveolar cleft calcium phosphate ceramics bone graft

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Stepped wedge cluster randomized trial
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Alveolar cleft repair using autologous bone from the mandibular symphysis

Control group

Group Type OTHER

Unilateral alveolar cleft repair

Intervention Type DEVICE

Early secondary alveolar cleft repair is performed in children with a unilateral alveolar cleft using eirther autologous bone or a calcium phosphate based putty

Alveolar cleft repair using a biphasic clacium phosphate putty

Study group

Group Type OTHER

Unilateral alveolar cleft repair

Intervention Type DEVICE

Early secondary alveolar cleft repair is performed in children with a unilateral alveolar cleft using eirther autologous bone or a calcium phosphate based putty

Interventions

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Unilateral alveolar cleft repair

Early secondary alveolar cleft repair is performed in children with a unilateral alveolar cleft using eirther autologous bone or a calcium phosphate based putty

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* unilateral alveolar cleft, early secondary alveolar cleft closure

Exclusion Criteria

* cleft lip and palate in a syndromic context
Minimum Eligible Age

8 Years

Maximum Eligible Age

12 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Radboud University Medical Center

OTHER

Sponsor Role collaborator

Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)

OTHER

Sponsor Role collaborator

Academisch Ziekenhuis Groningen

OTHER

Sponsor Role collaborator

Medisch Centrum Leeuwarden

UNKNOWN

Sponsor Role collaborator

UMC Utrecht

OTHER

Sponsor Role lead

Responsible Party

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Nard Janssen

N.G. Janssen, Prinicpal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Nard Janssen, MD, DDS, PhD

Role: PRINCIPAL_INVESTIGATOR

UMC Utrecht

Locations

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Amsterdam UMC

Amsterdam, , Netherlands

Site Status RECRUITING

UMC Groningen

Groningen, , Netherlands

Site Status RECRUITING

Radboud UMC

Nijmegen, , Netherlands

Site Status RECRUITING

UMC Utrecht

Utrecht, , Netherlands

Site Status RECRUITING

Countries

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Netherlands

Central Contacts

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Nard Janssen, MD, DDS, PhD

Role: CONTACT

Phone: 0887574560

Email: [email protected]

Facility Contacts

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Jitske Nolte, MD, DDS, PhD

Role: primary

Johan Jansma, MD, DDS, PhD

Role: primary

Rutger Schepers, MD, DDS, PhD

Role: backup

Marloes Nienhuijs, MD, DDS, PhD

Role: primary

Nard Janssen, MD, DDS, PhD

Role: primary

Other Identifiers

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NL75562.041.21

Identifier Type: -

Identifier Source: org_study_id