Study to Assess the Efficacy and Safety of Allogeneic Osteoblastic Cells (ALLOB ) Single Implantation in Tibial Fracture

  • STATUS
    Recruiting
  • End date
    Mar 31, 2024
  • participants needed
    178
  • sponsor
    Bone Therapeutics S.A
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Updated on 14 June 2021
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Summary

Although the majority of tibial fractures heal normally, some fractures may not heal within the usual time frame and is known as delayed bone healing within 4 to 6 months and absence of bone healing within 9 to 12 months in the most severe case of. Several factors can increase the risks of delayed healing complications like, for example, smoking, violent shocks (for example, due to a road accident) or even the type of fracture (an open fracture). The location of the fracture is also an important factor: among the bones of the arms and legs, the tibia is known for being the most at risk for complications. At tibial fracture with several risk factors could lead to delayed complications and interfere with patient daily life and reduce the quality of life.

The study drug, ALLOB, is constituted of bone cells produced from the bone marrow of healthy adult donors. Preclinical studies have shown that ALLOB cells are capable of forming bone and repairing fractures. When directly injected into a fracture, ALLOB should therefore promote the healing of the fracture by re-establishing a healthy environment and stimulating bone production. To date, there is no treatment for fractures considered at risk of delayed complications. The current practice on diagnosis of complications is to wait at least 6-12 months before considering alternative interventions to promote fracture healing. The injection of ALLOB quickly after the fracture should stimulate bone healing, reduce healing time, reduce complications, and improve the quality of life for the patient. ALLOB has already shown preliminary evidence of effectiveness in the treatment of delayed bone healing fractures (ALLOB-DU1 clinical trial), including tibial fractures (8 patients). With this study, the Sponsor will evaluate whether ALLOB promotes the healing of tibial fractures compared with placebo.

Details
Condition Fracture of tibia
Treatment Placebo, ALLOB
Clinical Study IdentifierNCT04432389
SponsorBone Therapeutics S.A
Last Modified on14 June 2021

Eligibility

 Yes No Not Sure

Inclusion Criteria

Men and women at least 18 years of age
Subject diagnosed with a fresh proximal, midshaft or distal tibial fracture with definitive reduction performed with nail(s) and wound closure within 1 week of fracture occurrence
Mechanism of injury at risk of DU/NU: fracture occurring because of a high energy impact
At increased risk of DU/NU defined by
Severe open fracture (Gustilo-Anderson grade IIIa and IIIb) OR
Open (Gustilo-Anderson grade I-II) or closed (Tscherne grade II-III) fracture with at least one additional risk factor among smoking , comminuted fracture or cortical continuity (0-50%)
Ability to obtain a written, dated, and signed informed consent prior to any study related procedures and ability to understand and comply with study requirements

Exclusion Criteria

Definitive reduction at the fracture site under investigation performed with plate, screw or external fixator
Subjects who did not receive a standard antibiotic prophylaxis before definitive reduction at the fracture site under investigation
Intra-articular tibial pilon and/or plateau fracture at the site under investigation
Known osteomyelitis at the fracture site under investigation
Bone defect post-definitive reduction greater than 1cm at least on 2 cortices at the fracture site under investigation
Fracture requiring vascular surgery at the site under investigation
Pathological fractures as judged by the Investigator, such as tumor or metabolic bone disease
Bifocal or multifocal fracture at the site under investigation
Presence of fever (defined as body temperature 38C) or other signs/symptoms suggestive of active infection before randomization
Severe brain trauma with a Glasgow Coma Scale (GCS) [3 - 8] or severe spinal cord injury with impossibility of weight-bearing
Current or history (within 5 years) of any neoplasia (except for basal cell carcinoma of the skin and for carcinoma in situ of the cervix that has been treated with no evidence of recurrence)
Known metabolic diseases potentially interfering with bone healing as judged by the Investigator, such as thyroid dysfunction, Paget disease or severe osteoporosis
Planned or history of solid organ transplantation or bone marrow transplantation
Known disease, including genetic disease, that may possibly need solid organ transplantation
Subject with renal impairment requiring dialysis or with clinically significant renal impairment defined as serum creatinine >2.0 x ULN
Clinically significant hepatic function impairment defined as ALT/AST levels > 3x ULN or total bilirubin levels > 2 x ULN
Known hematologic disease as evidenced by hematocrit < 25%, white blood cell < 2,500/ul or platelet values < 100,000/ul without another explanation
Subject with an history of long standing poorly controlled chronic hypertension or diabetes that could put him at risk of needing a kidney transplant later on according to the Investigator
History of hypersensitivity to human biological material including blood and blood derived products
Known allergy to DMSO, dextran, gentamicin and any other aminoglycosides
Participation in another interventional clinical study within 3 months prior to screening
Any chronic intake of medication within one month that might affect bone metabolism or the quality of bone formation such as but not limited to bisphosphonates, teriparatide, systemic steroids, anticoagulant therapies, methotrexate and other immunosuppressant drugs or related immunotherapy
Previous (within 10 years) treatment with bisphosphonates
Current treatment with bone morphogenic protein or any other osteo-biologic intervention at the site of the tibial fracture
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