Actively Recruiting
A Multi-center Study Evaluating Genex G, an Antibiotic Bone Void Filler, for Surgical Treatment of Osteomyelitis in the Extremities
Led by Biocomposites Ltd · Updated on 2026-07-28
139
Participants Needed
4
Research Sites
52 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
This trial investigates the use of genex with gentamicin genex G, an antibiotic-loaded bone void filler, as part of the surgical treatment for osteomyelitis in the extremities. It is a multi-center, single-arm pivotal device study focusing on patients diagnosed with osteomyelitis classified by the Cierny-Mader system grades I-IV. The goal is to evaluate the safety and effectiveness of genex G in supporting bone healing and treating the infection. Participants will undergo surgical debridement followed by implantation of genex with gentamicin into the bone void as part of their treatment. They will also receive antibiotics according to clinical needs determined by their treatment site. The study involves a single treatment group where all participants receive genex G during surgery, and they will be monitored for 24 months after treatment to assess outcomes. During the study, participants will have regular follow-up visits to monitor infection resolution, bone healing, and any adverse events. Assessments include clinical evaluations, radiographic imaging, and quality of life questionnaires over a 24-month period. Researchers will measure the need for additional antibiotics or surgery, recurrence of infection signs, bone healing progress, and safety related to the device. The total participation time extends up to 24 months after surgery.
CONDITIONS
Brief Title
Antibiotic Device for Osteomyelitis of the Extremities Pivotal Trial - Genex With Gentamicin.
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Patient with osteomyelitis of the extremities, grades I-IV by Cierny-Mader classification, requiring surgical intervention
- Patients with grades I-II must have a defect created during debridement surgery
- At least 18 years old; ages 18-22 require confirmation of skeletal maturity
- Willing and able to provide written informed consent
- Geographically stable and able to comply with follow-up visits and testing schedule
- Able to achieve adequate surgical soft tissue coverage of the wound (primary closure or reconstruction)
You will not qualify if you...
- Acute osteomyelitis diagnosis
- Grades I-II unable to have defect created during surgery
- Renal failure or chronic kidney disease with serum creatinine ≥3.5 mg/dL or on dialysis
- Terminal or palliative diagnosis with life expectancy under 1 year
- Uncontrolled diabetes mellitus (hemoglobin A1c >10%)
- Pre-existing calcium metabolism disorder
- Pregnant, breastfeeding, or planning pregnancy during study
- Hypersensitivity or contraindication to device components
- Participation in another investigational study within last 60 days or prior enrolment in ADOPT GG study
- Clinically significant or unstable medical/surgical condition precluding safe participation
- Current untreated cancer or undergoing radiation/chemotherapy
- Active substance abuse within last 2 years meeting severe criteria
- Current user of nicotine products
- Currently incarcerated
Research Team
K
Keira Watts, PHD
S
Simal Trikam
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