3D Tissue Engineered Bone Equivalent for Treatment of Traumatic Bone Defects (3-D-TEBE)
Safety and Efficacy Study of Traumatic Bone Defects Treatment With Use of 3D Tissue Engineered Equivalent.
This study investigates safety and efficacy of traumatic bone defects treatment with use of 3D tissue engineered bone equivalent (3D-TEBE).
The aim of this study is to evaluate 3D-TEBE transplantation as a safe and efficient treatment for patients with traumatic long bone defects of critical size.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
This new method of critical sized long bone defects treatment is under clinical development. Treatment of critical sized bone defects is an actual clinical challenge. The "gold standard" in this case is autologous bone grafting. The method disadvantage is associated with limited donor bone resources. Based on our preliminary clinical trial positive results on use of autologous cultured bone marrow-derived multipotent mesenchymal stromal cells (BM-MSCs) in traumatology, our aim was to develop 3D tissue-engineered bone equivalent transplantation technology for restoration of critical sized bone defects. The proposed 3D-TEBE transplantation for bone defects of critical size treatment expecting to restore the bone integrity, form new bone tissue in a site of bone defect, and reduce the rehabilitation period of a patient.
The data obtained from this study will have practical implications for the treatment of reparative osteogenesis alterations and will be based on the principles of evidence-based medicine
Study Type
Study Type
Enrollment (Anticipated)
Enrollment
Phase
Phase
- Phase 2
- Phase 1
Contacts and Locations
Study Locations
-
-
-
Kiev, Ukraine, 03115, 9, I. Kramskogo Str.
- LIMITED LIABILITY COMPANY "A.A. PARTNERS" (Medical company ilaya®)
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Age 18 to 60 years
- Patients with long bone defects of critical size of the traumatic genesis;
- Lack of consolidation of bone fragments for at least 9 months;
- At least two attempts to achieve bone consolidation using traditional methods of treatment;
- A negative pregnancy test at women of childbearing age;
- Confirmation of participation in the study by signing The Written Informed Consent, personally or through a responsible caretaker;
Exclusion Criteria:
- The infection in the area of bone defect;
- History of prior cancer;
- Diabetes;
- Severe chronic liver diseases or kidneys disease in history
- Pregnancy;
- The presence of vascular, endocrine and somatic pathology which has a direct impact on the osteoreparation;
- Any other physical diseases in decompensation or subcompensation, or those that are rated as severe or moderate;
- Therapeutic issues or psychiatric disorders of a patient which would make the subject unsuitable to participate in this study or to complete it;
- Participation in another clinical trial.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: NA
- Interventional Model: SINGLE_GROUP
- Masking: NONE
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
EXPERIMENTAL: 3D-Tissue Engineered Bone Equivalent
Patients with bone defects of critical size of long bones 3D Tissue Engineered Bone Equivalent: allogeneic or xenogeneic partially demineralized bone matrix (DBM) and plasma-derived fibrin gel seeded with autologous cultured bone marrow-derived multipotent mesenchymal stromal cells (BM-MSCs), periosteal progenitor cells (PPCs), peripheral blood-derived endothelial progenitor cells (PB-EPCs). |
Administrated for operative delivery of 3D-Tissue Engineered Bone Equivalent
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Radiographic and MRI assessment in progression
Time Frame: 12 months +3 years following 3D Tissue Engineered Bone Equivalent grafting
|
Radiological and MRI progression of consolidation of bone fragments
|
12 months +3 years following 3D Tissue Engineered Bone Equivalent grafting
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Reduction of pain using VAS
Time Frame: 6 months
|
Patients feel less pain during use of fractured limb
|
6 months
|
|
Cost analysis based on length of hospital stay
Time Frame: 6 months
|
Cost benefit of 3D-TEBE transplantation by reduction of hospital admission time
|
6 months
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Volodymyr M. Oksymets, MD,PhD,DSci, LIMITED LIABILITY COMPANY "A.A. PARTNERS" (Medical company ilaya® ),
Publications and helpful links
Helpful Links
- RG Vasyliev, DO Zubov, AE Rodnichenko, OS Gubar, AV Zlatska, VM Oksymets. Bone tissue engineering for critical sized bone defects// European Cells and Materials Vol. 31. Suppl. 1, 2016. - Page P410
- Volodymyr Oksymets, Dmytro Zubov, Roman Vasyliev, Anzhela Rodnichenko, Olga Gubar, Alena Zlatska, Vitaliy Oksymets. Tissue-engineered bone for traumatology and orthopedics: biotechnology aspects and clinical outcomes.//Absract book. Posters. 37th SICOT
Study record dates
Study Major Dates
Study Start (ACTUAL)
Study Start
Primary Completion (ANTICIPATED)
Primary Completion
Study Completion (ANTICIPATED)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (ACTUAL)
First Posted
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
Other Study ID Numbers
- MSC-P2-14
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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