Status:

UNKNOWN

Comparative Study of Gene-activated Bone Substitute and Autobone in Treatment of Long Bone Nonunions

Lead Sponsor:

Histograft Co., Ltd.

Collaborating Sponsors:

S. M. Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation

Conditions:

Non Union Fracture

Non-Union of Ankle Joint Without Infection

Eligibility:

All Genders

18-70 years

Brief Summary

The study is aimed to compare the effectiveness of "Histograft" bone substitute (gene-activated bone substitute based on octacalcium phosphate and plasmid DNA encoding VEGFA gene) mixed with shredded ...

Detailed Description

An open-label randomized controlled clinical trial, two cohorts. Patients who met the inclusion criteria are planned to be enrolled into the trial. Upon enrollment, all patients will undergo screening...

Eligibility Criteria

Inclusion

  • traumatic isolated closed or open Gustilo I and II, IIIA and IIIB humerus, tibial or femur diaphyseal or metaphysodiaphyseal fracture with a status of atrophic, oligotrophic or normotrophic non-union;
  • signed voluntary informed consent

Exclusion

  • hypertrophic non-union;
  • disability or unwillingness to give a voluntary informed consent or follow requirements of the clinical trial;
  • segmental bone loss requiring specific therapy (bone transport, vascularized graft, large structural allograft, megaprosthesis, etc);
  • other fractures causing interference with weight bearing;
  • visceral injuries or diseases interfering with callus formation (severe cranioencephalic trauma, etc.);
  • unrecovered vascular or neural injury;
  • infection of any location and aetiology;
  • pregnancy, breast feeding women and women who are of childbearing age and not practicing adequate birth control;
  • malignant tumour (past history or concurrent disease);
  • history of bone harvesting on iliac crest contraindicating new iliac crest bone graft harvesting or bone marrow collection;
  • conditions limiting study compliance (e.g., dementia, psycho-neurological diseases, drug addiction, and alcoholism);
  • medication affecting bone turnover (oral bisphosphonates, PTH, sodium fluoride, strontium ranelate, calcitonin, testosterone, systemic cortico- or anabolic steroids)

Key Trial Info

Start Date :

August 1 2020

Trial Type :

OBSERVATIONAL

Allocation :

ESTIMATED

End Date :

September 1 2022

Estimated Enrollment :

20 Patients enrolled

Trial Details

Trial ID

NCT04705857

Start Date

August 1 2020

End Date

September 1 2022

Last Update

January 13 2021

Active Locations (1)

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S.M. Kirov Military Medical Academy, Department of Traumatology and Orthopaedics

Saint Petersburg, Russia, 194044