CONFIRM - Study of AGN1 LOEP in Patients With Osteoporosis
Primary Purpose
Osteoporosis
Status
Completed
Phase
Not Applicable
Locations
International
Study Type
Interventional
Intervention
AGN1 Femoral Local Osteo-Enhancement Procedure
Sponsored by
About this trial
This is an interventional treatment trial for Osteoporosis
Eligibility Criteria
Inclusion Criteria:
- Subject is postmenopausal female (at least 1-year post menses).
- Subject has osteoporosis as defined by a documented DXA scan T score of ≤ -2.5 in the femoral neck of at least one hip within the last year. If no documented T-score, then a DXA scan will be performed during eligibility screening.
- Subject has one hip without previous surgery or fracture.
- Subject is medically stable from any previous treatment or medical procedure in the opinion of the investigator and with an ASA score of I or II.
- Subject has willingness, ability, and commitment to participate in baseline and follow-up evaluations for the full length of the study.
- Subject is capable of giving written informed consent to participate in the study.
Exclusion Criteria:
- Subject is less than six (6) months removed from having a hip fracture repair or prosthesis, or less than three (3) months removed from an elective THA.
- Subject has progressive increase in undiagnosed hip pain over the previous six months that in the opinion of the Investigator may suggest other underlying bone or joint pathology (e.g. rheumatoid arthritis, fracture, etc.).
- Subject is dependent on the use of a wheel-chair or is bed-ridden.
- Subject has albumin corrected serum calcium levels outside the normal lab range or has a pre-existing calcium metabolism disorder (e.g. hypercalcemia).
- Subject has severe renal insufficiency defined as an estimated glomerular filtration rate (eGFR) ≤ 30 mL/min or is being treated with dialysis.
- Subject has insulin-dependent diabetes mellitus (IDDM).
- Subject has Body Mass Index (BMI) > 35.
- Subject exhibits excessive smokeless tobacco use or excessive smoking as determined by the principal investigator*.
- Subject exhibits excessive alcohol consumption as determined by the principal investigator*.
- Subject has radiological evidence of gross bony or joint pathology, including signs predictive of atypical femoral fractures (e.g. Cortical beaking) or has been diagnosed and/or treated for atypical femoral fractures.
- Subject treated with corticosteroids or systemic glucocorticoids for ten (10) days in the previous six (6) months.
- Subject has history of oral or parenteral use of immune-suppressive drugs in the previous twelve months.
- Subject has history of metabolic bone disease other than osteoporosis (ex. Paget's disease).
- Subject has a history of auto-immune arthritic diseases including rheumatoid, psoriatic, or those associated with systemic lupus erythematosus, spondyloarthropathy, Reiter's Syndrome or Crohn's Disease.
- Subject has a history of radiation therapy to the hip or pelvic region.
- Subject has a history of any invasive malignancy (except basal cell carcinoma), unless treated and with no clinical signs of symptoms of malignancy for five (5) years.
- Subject has known allergies to implanted device.
- Subject has severe comorbidity or poor general physical/mental health that, in the opinion of the Investigator, will not allow the subject to be a good study candidate.
- Subject is currently enrolled in another clinical study. *AgNovos's recommendation is >1 pack per day smoking and >3 alcoholic drinks per day
Sites / Locations
- AZ Sint-Blasius
- AZ Maria Middelares
- AZ Groeninge - Campus Kennedylaan
- AZ Sint-Nikolaas
- Maastricht UMC
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
Treatment
Arm Description
All subjects who meet the inclusion and exclusion criteria will receive the AGN1 Femoral Local Osteo-Enhancement Procedure (LOEP™) treatment
Outcomes
Primary Outcome Measures
Number of participants with procedure-related or device-related adverse events
Adverse Events and Serious Adverse Events related to either the treatment or device.
The incidence of all adverse events occurring during the first forty-two (42) day follow-up period determined to be at least possibly related to the procedure and/or device for the local treatment of osteoporosis.
Secondary Outcome Measures
Full Information
NCT ID
NCT02916953
First Posted
September 26, 2016
Last Updated
November 28, 2022
Sponsor
AgNovos Healthcare, LLC
Collaborators
KCR S.A., genae Group
1. Study Identification
Unique Protocol Identification Number
NCT02916953
Brief Title
CONFIRM - Study of AGN1 LOEP in Patients With Osteoporosis
Official Title
Clinical Evaluation of the Safety of a Local Osteo-Enhancement Procedure (LOEP™) Intended to Increase Bone Strength in the Proximal Femur of Women in Europe With Osteoporosis
Study Type
Interventional
2. Study Status
Record Verification Date
November 2022
Overall Recruitment Status
Completed
Study Start Date
December 17, 2016 (Actual)
Primary Completion Date
June 2021 (Actual)
Study Completion Date
April 2022 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
AgNovos Healthcare, LLC
Collaborators
KCR S.A., genae Group
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
Yes
Device Product Not Approved or Cleared by U.S. FDA
Yes
Product Manufactured in and Exported from the U.S.
Yes
Data Monitoring Committee
No
5. Study Description
Brief Summary
The study will evaluate the immediate procedure and post-procedure profile of the AGN1 Femoral LOEP™ Kit. All subjects will receive the treatment and be evaluated for any adverse or serious adverse events that could occur during the procedure or immediately post-procedure.
Detailed Description
This research study will be conducted as a post-CE Mark prospective multi-center study within Europe. In total 60 patients will be treated with the OSSURE LOEP kit.
Follow-up visits will be conducted ten (10) and forty-two (42) days after the procedure. In addition, all subjects will have the option to consent for a long term follow-up evaluation at twelve (12) months post-procedure.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Osteoporosis
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
60 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Treatment
Arm Type
Experimental
Arm Description
All subjects who meet the inclusion and exclusion criteria will receive the AGN1 Femoral Local Osteo-Enhancement Procedure (LOEP™) treatment
Intervention Type
Device
Intervention Name(s)
AGN1 Femoral Local Osteo-Enhancement Procedure
Other Intervention Name(s)
AGN1 Femoral LOEP™
Intervention Description
A procedure that is intended to increase the strength of the proximal femur in individuals with osteoporosis of the femoral neck. Local treatment of the proximal femur with AGN1 is intended to be adjunctive to appropriate systemic therapy and overall osteoporosis management as directed by the patient's treating physicians.
Primary Outcome Measure Information:
Title
Number of participants with procedure-related or device-related adverse events
Description
Adverse Events and Serious Adverse Events related to either the treatment or device.
The incidence of all adverse events occurring during the first forty-two (42) day follow-up period determined to be at least possibly related to the procedure and/or device for the local treatment of osteoporosis.
Time Frame
42 Days
10. Eligibility
Sex
Female
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Subject is postmenopausal female (at least 1-year post menses).
Subject has osteoporosis as defined by a documented DXA scan T score of ≤ -2.5 in the femoral neck of at least one hip within the last year. If no documented T-score, then a DXA scan will be performed during eligibility screening.
Subject has one hip without previous surgery or fracture.
Subject is medically stable from any previous treatment or medical procedure in the opinion of the investigator and with an ASA score of I or II.
Subject has willingness, ability, and commitment to participate in baseline and follow-up evaluations for the full length of the study.
Subject is capable of giving written informed consent to participate in the study.
Exclusion Criteria:
Subject is less than six (6) months removed from having a hip fracture repair or prosthesis, or less than three (3) months removed from an elective THA.
Subject has progressive increase in undiagnosed hip pain over the previous six months that in the opinion of the Investigator may suggest other underlying bone or joint pathology (e.g. rheumatoid arthritis, fracture, etc.).
Subject is dependent on the use of a wheel-chair or is bed-ridden.
Subject has albumin corrected serum calcium levels outside the normal lab range or has a pre-existing calcium metabolism disorder (e.g. hypercalcemia).
Subject has severe renal insufficiency defined as an estimated glomerular filtration rate (eGFR) ≤ 30 mL/min or is being treated with dialysis.
Subject has insulin-dependent diabetes mellitus (IDDM).
Subject has Body Mass Index (BMI) > 35.
Subject exhibits excessive smokeless tobacco use or excessive smoking as determined by the principal investigator*.
Subject exhibits excessive alcohol consumption as determined by the principal investigator*.
Subject has radiological evidence of gross bony or joint pathology, including signs predictive of atypical femoral fractures (e.g. Cortical beaking) or has been diagnosed and/or treated for atypical femoral fractures.
Subject treated with corticosteroids or systemic glucocorticoids for ten (10) days in the previous six (6) months.
Subject has history of oral or parenteral use of immune-suppressive drugs in the previous twelve months.
Subject has history of metabolic bone disease other than osteoporosis (ex. Paget's disease).
Subject has a history of auto-immune arthritic diseases including rheumatoid, psoriatic, or those associated with systemic lupus erythematosus, spondyloarthropathy, Reiter's Syndrome or Crohn's Disease.
Subject has a history of radiation therapy to the hip or pelvic region.
Subject has a history of any invasive malignancy (except basal cell carcinoma), unless treated and with no clinical signs of symptoms of malignancy for five (5) years.
Subject has known allergies to implanted device.
Subject has severe comorbidity or poor general physical/mental health that, in the opinion of the Investigator, will not allow the subject to be a good study candidate.
Subject is currently enrolled in another clinical study. *AgNovos's recommendation is >1 pack per day smoking and >3 alcoholic drinks per day
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jo De Schepper, MD
Organizational Affiliation
AZ Nikolaas
Official's Role
Principal Investigator
Facility Information:
Facility Name
AZ Sint-Blasius
City
Dendermonde
ZIP/Postal Code
9200
Country
Belgium
Facility Name
AZ Maria Middelares
City
Ghent
ZIP/Postal Code
9000
Country
Belgium
Facility Name
AZ Groeninge - Campus Kennedylaan
City
Kortrijk
ZIP/Postal Code
8500
Country
Belgium
Facility Name
AZ Sint-Nikolaas
City
Sint-Niklaas
ZIP/Postal Code
9110
Country
Belgium
Facility Name
Maastricht UMC
City
Maastricht
ZIP/Postal Code
6229
Country
Netherlands
12. IPD Sharing Statement
Plan to Share IPD
Undecided
IPD Sharing Plan Description
Decision on what data to share has not yet been determined.
Citations:
Citation
International Osteoporosis Foundation. Facts and Statistics. 2013: http://www.iofbonehealth.org/facts-statistics.
Results Reference
background
PubMed Identifier
18087050
Citation
MacLean C, Newberry S, Maglione M, McMahon M, Ranganath V, Suttorp M, Mojica W, Timmer M, Alexander A, McNamara M, Desai SB, Zhou A, Chen S, Carter J, Tringale C, Valentine D, Johnsen B, Grossman J. Systematic review: comparative effectiveness of treatments to prevent fractures in men and women with low bone density or osteoporosis. Ann Intern Med. 2008 Feb 5;148(3):197-213. doi: 10.7326/0003-4819-148-3-200802050-00198. Epub 2007 Dec 17.
Results Reference
background
PubMed Identifier
19421703
Citation
Abrahamsen B, van Staa T, Ariely R, Olson M, Cooper C. Excess mortality following hip fracture: a systematic epidemiological review. Osteoporos Int. 2009 Oct;20(10):1633-50. doi: 10.1007/s00198-009-0920-3. Epub 2009 May 7.
Results Reference
background
PubMed Identifier
19195497
Citation
Kanis JA, Oden A, Johansson H, Borgstrom F, Strom O, McCloskey E. FRAX and its applications to clinical practice. Bone. 2009 May;44(5):734-43. doi: 10.1016/j.bone.2009.01.373. Epub 2009 Feb 3.
Results Reference
background
Links:
URL
http://www.agnovos.com
Description
Company website
Learn more about this trial
CONFIRM - Study of AGN1 LOEP in Patients With Osteoporosis
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