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Safety and Tolerability of I-040302 in Children and Young Adults With Solitary Bone Cysts

Primary Purpose

Bone Cysts

Status
Withdrawn
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
I-040302
Standard of Care
Sponsored by
Kuros Biosurgery AG
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Bone Cysts focused on measuring Osteogenic Gel, Solitary Bone Cysts

Eligibility Criteria

6 Years - 16 Years (Child)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Subjects 6 - 16 years of age
  2. Diagnostic evidence of unicameral bone cysts based on one or more of a combination of any of the following methods:

    • Cyst fluid examination
    • Plain radiographs
    • MRI
  3. Subjects with the following types of cysts:

    • Intact cysts that are either growing or at risk of fracture, requiring surgical intervention
    • Persistence of a cyst cavity following cyst fracture that has received conservative treatment/s to repair the fracture
    • Persistence of a cyst cavity despite repeated interventions
  4. Subjects with bone cyst volumes < 30 mL
  5. Subjects must be appropriately communicative to verbalise pain.
  6. Subjects must be able to understand and be willing to comply with the protocol procedures.
  7. Subjects who have provided written informed consent to participate in the study
  8. The legally authorised representative of the child must give written informed consent after the child has agreed to participate in the study.

Exclusion Criteria:

  1. A history of/or presence of active cancer
  2. Family history of retinoblastoma
  3. Indication of aneurysmal bone cyst on MRI, cyst aspiration or histology
  4. Possible presence of osteosarcoma or uncertain histology
  5. Systemic or localised infection at time of surgery
  6. Evidence of immune-suppression
  7. Evidence of hypercalcemia
  8. Cyst volume > 30 mL
  9. Fracture present in the cortical bone surrounding the cyst
  10. Evidence of rapid venous drainage from the cyst determined by rapid disappearance of X-ray contrast medium during the surgical process.
  11. Suspected or known evidence of allergic reactions towards any of the components of I-040302
  12. Known clinically significant organ or systemic diseases such that, in the opinion of the investigator, the significance of the disease will compromise the subject's participation in the study
  13. Pregnant or lactating females
  14. Participation in another clinical trial within 3 months prior to trial start

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Active Comparator

    Arm Label

    1

    2

    Arm Description

    I-040302 doses of up to 1 mg, 2 mg or 4 mg of TGplPTH1-34

    Standard of care (bone marrow aspirate or steroids)

    Outcomes

    Primary Outcome Measures

    Radiographic images

    Secondary Outcome Measures

    Blood parameters
    Vital signs
    Questionnaires of life questionnaire
    Pharmacoeconomic evaluation

    Full Information

    First Posted
    April 11, 2007
    Last Updated
    July 16, 2012
    Sponsor
    Kuros Biosurgery AG
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    1. Study Identification

    Unique Protocol Identification Number
    NCT00459641
    Brief Title
    Safety and Tolerability of I-040302 in Children and Young Adults With Solitary Bone Cysts
    Official Title
    A Phase 2 Randomised, Open-label, Multi-centre Ascending Dose Study of the Efficacy, Safety and Tolerability of I-040302 Versus Control Injection (Bone Marrow Aspirate or Steroids) in Children and Young Adults With Solitary Bone Cysts
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    July 2012
    Overall Recruitment Status
    Withdrawn
    Why Stopped
    Stopped before any site initiation or any recruitment due to change in overall product development plan
    Study Start Date
    December 2012 (undefined)
    Primary Completion Date
    June 2014 (Anticipated)
    Study Completion Date
    July 2019 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Kuros Biosurgery AG

    4. Oversight

    Data Monitoring Committee
    Yes

    5. Study Description

    Brief Summary
    This is a randomised, controlled, open-label study of a single intralesional administration of I-040302 or a single bone marrow aspirate or a single steroid injection (methylprednisolone). Subjects will undergo screening with X-ray and magnetic resonance imaging (MRI) in the diagnosis of a solitary bone cyst.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Bone Cysts
    Keywords
    Osteogenic Gel, Solitary Bone Cysts

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 2
    Interventional Study Model
    Parallel Assignment
    Masking
    None (Open Label)
    Allocation
    Randomized
    Enrollment
    0 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    1
    Arm Type
    Experimental
    Arm Description
    I-040302 doses of up to 1 mg, 2 mg or 4 mg of TGplPTH1-34
    Arm Title
    2
    Arm Type
    Active Comparator
    Arm Description
    Standard of care (bone marrow aspirate or steroids)
    Intervention Type
    Drug
    Intervention Name(s)
    I-040302
    Intervention Description
    doses of up to 1 mg, 2 mg or 4 mg of TGplPTH1-34
    Intervention Type
    Other
    Intervention Name(s)
    Standard of Care
    Other Intervention Name(s)
    Bone marrow aspirate or steroids
    Intervention Description
    Bone marrow aspirate or steroids
    Primary Outcome Measure Information:
    Title
    Radiographic images
    Time Frame
    At 6 months and throughout the study
    Secondary Outcome Measure Information:
    Title
    Blood parameters
    Time Frame
    At 6 months and throughout the study
    Title
    Vital signs
    Time Frame
    At 6 months and throughout the study
    Title
    Questionnaires of life questionnaire
    Time Frame
    At 6 months and throughout the study
    Title
    Pharmacoeconomic evaluation
    Time Frame
    At 6 months and throughout the study

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    6 Years
    Maximum Age & Unit of Time
    16 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Subjects 6 - 16 years of age Diagnostic evidence of unicameral bone cysts based on one or more of a combination of any of the following methods: Cyst fluid examination Plain radiographs MRI Subjects with the following types of cysts: Intact cysts that are either growing or at risk of fracture, requiring surgical intervention Persistence of a cyst cavity following cyst fracture that has received conservative treatment/s to repair the fracture Persistence of a cyst cavity despite repeated interventions Subjects with bone cyst volumes < 30 mL Subjects must be appropriately communicative to verbalise pain. Subjects must be able to understand and be willing to comply with the protocol procedures. Subjects who have provided written informed consent to participate in the study The legally authorised representative of the child must give written informed consent after the child has agreed to participate in the study. Exclusion Criteria: A history of/or presence of active cancer Family history of retinoblastoma Indication of aneurysmal bone cyst on MRI, cyst aspiration or histology Possible presence of osteosarcoma or uncertain histology Systemic or localised infection at time of surgery Evidence of immune-suppression Evidence of hypercalcemia Cyst volume > 30 mL Fracture present in the cortical bone surrounding the cyst Evidence of rapid venous drainage from the cyst determined by rapid disappearance of X-ray contrast medium during the surgical process. Suspected or known evidence of allergic reactions towards any of the components of I-040302 Known clinically significant organ or systemic diseases such that, in the opinion of the investigator, the significance of the disease will compromise the subject's participation in the study Pregnant or lactating females Participation in another clinical trial within 3 months prior to trial start
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Virginia Jamieson, MD
    Organizational Affiliation
    Kuros Biosurgery AG, Technoparkstrasse 1, CH-8005 Zurich
    Official's Role
    Study Director

    12. IPD Sharing Statement

    Learn more about this trial

    Safety and Tolerability of I-040302 in Children and Young Adults With Solitary Bone Cysts

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