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BonyPid-500TM Bone Graft Substitute Study

Primary Purpose

Peri Implantitis

Status
Completed
Phase
Not Applicable
Locations
Israel
Study Type
Interventional
Intervention
BonyPid 500TM implantation concomitantly to SOC treatment
SOC treatment only
Sponsored by
PolyPid Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Peri Implantitis

Eligibility Criteria

20 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Male and Female subjects, 20 - 80 years of age at screening.
  • Females of childbearing potential must have a negative urine pregnancy test before radiographs, dental hygienist cleaning, and surgical procedure (Note: Females of childbearing age must agree to use a highly effective method of contraception consistently and correctly for the duration of the study period).
  • Subjects with a minimum of one osseo-integrated implant with peri-implantitis.
  • Subjects with at least one eligible implant within the surgical area.
  • Subjects with bleeding on probing of selected implant with or without suppuration.
  • Subjects with selected implant(s) having radiographic evidence, according to X-rays, of:

    1. Intrabony defect
    2. Bone loss ≥ 3 mm
    3. Minimum of 2 mm of bone at implant apex.
  • Subjects must be willing and able to provide a written informed consent prior to any protocol specific procedures being performed and comply with protocol requirements.

Exclusion Criteria:

  • Subjects with hydroxyapatite (HA) coated implants, titanium plasma spray implants.
  • Subjects with a distance between implants < 3 mm, or < 2 mm between implant and tooth.
  • Subjects with implants supporting removable dentures.
  • Subjects presenting with severe active periodontitis.
  • Subjects with poor oral hygiene.
  • Subjects with selected implant(s) with radiographic evidence of horizontal bone loss only.
  • Subjects suffering from Type 1 (insulin dependent) diabetes; or uncontrolled Type 2 diabetes. Diabetic subjects must provide a statement from a physician regarding the status of diabetes, in addition to a recent (within 3 months) documented Hemoglobin (Hgb) A1c blood test of < 6.5%.
  • Pregnant women or women who intend to become pregnant during the study period, or breastfeeding women.
  • Subjects with known allergy or contraindication to tetracycline(s).
  • Subjects who are current smokers or who were smokers within 3 months prior to screening.
  • Subjects who were under oral or local antibiotic therapy in the last 4 weeks prior to study enrollment.
  • Subjects treated for at least 2 weeks with any medication known to affect soft tissue condition within one month prior to study enrollment (e.g., Phenytoin, Cyclosporine, Coumadin, and NSAIDs).
  • Subjects treated with Oral or IV use of doxycycline in the last four weeks prior to screening.
  • Subjects with presence of active systemic infectious diseases such as: hepatitis, HIV, or a history of tuberculosis.
  • Subjects with any condition, which in the opinion of the Investigator, would place the subject at risk or influence the conduct of the study or interpretation of results.
  • Subjects who are incapable of following the study schedule for any reason, per the Investigator's discretion.
  • Subjects who are currently enrolled, recently participated (within 30 days prior to screening), or planning to enroll in another study that may conflict with protocol requirements or may confound the subject results in this trial.

Sites / Locations

  • Rambam Health Care Campus
  • Hadassah Medical Center

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Other

Arm Label

BonyPid-500TM implantation

SOC treatment

Arm Description

Standard of care (SOC) treatment (Manual and ultrasonic debridement and surface decontamination) followed by BonyPid-500TM implantation.

Standard of care treatment (Manual and ultrasonic debridement and surface decontamination) only

Outcomes

Primary Outcome Measures

Safety: AEs (adverse events) as reported by the subject or observed by the Investigator,
All AEs including any change in medical or dental status.
Effectiveness: the change in Pocket Probing Depth (cPPD) from baseline to 6 months, measured in mm.
The primary effectiveness endpoint of the study is the change in Pocket Probing Depth (cPPD) from baseline to 6 months, measured in mm.

Secondary Outcome Measures

Full Information

First Posted
August 20, 2015
Last Updated
June 21, 2018
Sponsor
PolyPid Ltd.
Collaborators
MIS Implant Technologies, Ltd
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1. Study Identification

Unique Protocol Identification Number
NCT02531100
Brief Title
BonyPid-500TM Bone Graft Substitute Study
Official Title
PolyPid, Ltd. Pilot Study of the BonyPid-500TM Bone Graft Substitute
Study Type
Interventional

2. Study Status

Record Verification Date
June 2018
Overall Recruitment Status
Completed
Study Start Date
March 2016 (Actual)
Primary Completion Date
May 2018 (Actual)
Study Completion Date
June 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
PolyPid Ltd.
Collaborators
MIS Implant Technologies, Ltd

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This study is designed to assess the safety and effectiveness of BonyPid-500TM implantation for intrabony peri-implantitis defects. BonyPid-500™ is a bone graft substitute, which contains an antibiotic drug - doxycycline, and is intended for filling and reconstruction of bone defects caused by peri-implantitis.
Detailed Description
This is a pilot, randomized, single-blind, two arm controlled, multicenter study in subjects undergoing surgical treatment for peri-implantitis disease. Eligible subjects will undergo a surgical treatment and be randomly assigned during surgical intervention (after flap opening) in a 1:1 ratio to adjunct BonyPid-500TM implantation or no BonyPid-500TM implantation. Randomization will be stratified by site and number of eligible implants, i.e., single or multiple. The study population includes male and female subjects, 20 - 80 years of age at screening, diagnosed with peri-implantitis and recommended for surgical treatment of peri-implantitis disease. Up to 77 subjects will be enrolled to this study which will be conducted in two medical centers in Israel.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Peri Implantitis

7. Study Design

Primary Purpose
Prevention
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Participant
Allocation
Randomized
Enrollment
27 (Actual)

8. Arms, Groups, and Interventions

Arm Title
BonyPid-500TM implantation
Arm Type
Experimental
Arm Description
Standard of care (SOC) treatment (Manual and ultrasonic debridement and surface decontamination) followed by BonyPid-500TM implantation.
Arm Title
SOC treatment
Arm Type
Other
Arm Description
Standard of care treatment (Manual and ultrasonic debridement and surface decontamination) only
Intervention Type
Device
Intervention Name(s)
BonyPid 500TM implantation concomitantly to SOC treatment
Intervention Description
BonyPid 500TM implantation concomitantly to SOC treatment
Intervention Type
Other
Intervention Name(s)
SOC treatment only
Intervention Description
Standard of care treatment (Manual and ultrasonic debridement, and surface decontamination)
Primary Outcome Measure Information:
Title
Safety: AEs (adverse events) as reported by the subject or observed by the Investigator,
Description
All AEs including any change in medical or dental status.
Time Frame
12 months
Title
Effectiveness: the change in Pocket Probing Depth (cPPD) from baseline to 6 months, measured in mm.
Description
The primary effectiveness endpoint of the study is the change in Pocket Probing Depth (cPPD) from baseline to 6 months, measured in mm.
Time Frame
6 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
20 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male and Female subjects, 20 - 80 years of age at screening. Females of childbearing potential must have a negative urine pregnancy test before radiographs, dental hygienist cleaning, and surgical procedure (Note: Females of childbearing age must agree to use a highly effective method of contraception consistently and correctly for the duration of the study period). Subjects with a minimum of one osseo-integrated implant with peri-implantitis. Subjects with at least one eligible implant within the surgical area. Subjects with bleeding on probing of selected implant with or without suppuration. Subjects with selected implant(s) having radiographic evidence, according to X-rays, of: Intrabony defect Bone loss ≥ 3 mm Minimum of 2 mm of bone at implant apex. Subjects must be willing and able to provide a written informed consent prior to any protocol specific procedures being performed and comply with protocol requirements. Exclusion Criteria: Subjects with hydroxyapatite (HA) coated implants, titanium plasma spray implants. Subjects with a distance between implants < 3 mm, or < 2 mm between implant and tooth. Subjects with implants supporting removable dentures. Subjects presenting with severe active periodontitis. Subjects with poor oral hygiene. Subjects with selected implant(s) with radiographic evidence of horizontal bone loss only. Subjects suffering from Type 1 (insulin dependent) diabetes; or uncontrolled Type 2 diabetes. Diabetic subjects must provide a statement from a physician regarding the status of diabetes, in addition to a recent (within 3 months) documented Hemoglobin (Hgb) A1c blood test of < 6.5%. Pregnant women or women who intend to become pregnant during the study period, or breastfeeding women. Subjects with known allergy or contraindication to tetracycline(s). Subjects who are current smokers or who were smokers within 3 months prior to screening. Subjects who were under oral or local antibiotic therapy in the last 4 weeks prior to study enrollment. Subjects treated for at least 2 weeks with any medication known to affect soft tissue condition within one month prior to study enrollment (e.g., Phenytoin, Cyclosporine, Coumadin, and NSAIDs). Subjects treated with Oral or IV use of doxycycline in the last four weeks prior to screening. Subjects with presence of active systemic infectious diseases such as: hepatitis, HIV, or a history of tuberculosis. Subjects with any condition, which in the opinion of the Investigator, would place the subject at risk or influence the conduct of the study or interpretation of results. Subjects who are incapable of following the study schedule for any reason, per the Investigator's discretion. Subjects who are currently enrolled, recently participated (within 30 days prior to screening), or planning to enroll in another study that may conflict with protocol requirements or may confound the subject results in this trial.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Olga Belotserkovsky
Organizational Affiliation
Sponsor GmbH
Official's Role
Study Director
Facility Information:
Facility Name
Rambam Health Care Campus
City
Haifa
ZIP/Postal Code
3109601
Country
Israel
Facility Name
Hadassah Medical Center
City
Jerusalem
ZIP/Postal Code
91120
Country
Israel

12. IPD Sharing Statement

Plan to Share IPD
No

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BonyPid-500TM Bone Graft Substitute Study

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