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Mesenchymal Stromal Cells for the Treatment of Non-union Fractures of Long Bones

Primary Purpose

Atrophic Nonunion of Fracture

Status
Completed
Phase
Phase 1
Locations
Spain
Study Type
Interventional
Intervention
XCEL-MT-OSTEO-ALPHA
autologous iliac crest
Surgery
Sponsored by
Banc de Sang i Teixits
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Atrophic Nonunion of Fracture focused on measuring Nonunion fracture, Long bones, Pseudoarthrosis, Cell therapy, Tissue engineering, Mesenchymal stromal cells

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • 18 to 85 years of age (male and female)
  • Atrophic or hypotrophic metaphyseal-diaphyseal pseudarthrosis of long bones, confirmed radiographically.
  • Signed Informed Consent Form
  • The patient is able to understand the nature of the study

Exclusion Criteria:

  • Suspicious of pseudarthrosis focus infection diagnosed by clinical inspection and blood analysis.
  • Positive serology for HIV (Anti-HIV I/II-Ac), Hepatitis B (HBsAg, HBcAc), Hepatitis C (Anti-HCV-Ac) or Syphilis Lúes (TP-Ac).
  • Significant abnormal laboratory tests that contraindicates patient's participation in the study.
  • Pregnant woman or without proper anticonceptive measures according to the investigator, or breath feeding
  • Smoker of more than 15 cigarettes a day
  • Congenital disorders of bones (hypophosphatemia), bone metabolic disorders associated to primary or secondary hypoparathyroidism.
  • Badly managed diabetes mellitus.
  • Patients diagnosed with peripheral arterial disorders
  • Previous therapeutic radiation (5 previous years) of the affected bone.
  • Neoplasia within the previous 5 years, or without remission
  • The patient is legally dependent
  • Participation in another clinical trial or treated with an investigational medicinal product the previous 30 days
  • Other pathologic conditions or circumstances that difficult participation in the study according to medical criteria
  • The patient does not accept to be followed-up for a period that could exceed the clinical trial length

Sites / Locations

  • Hospital ASEPEYO Sant Cugat

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Other

Arm Label

XCEL-MT-OSTEO-ALPHA and surgery

Autologous iliac crest and surgery

Arm Description

"ex-vivo" expanded autologous mesenchymal stromal cells fixed in allogenic bone tissue

Standard treatment

Outcomes

Primary Outcome Measures

Efficacy assessment of XCEL-MT-OSTEO-ALPHA in non-union fractures by imaging procedures
Hounsfield units quantification by tomography in both treatment arms

Secondary Outcome Measures

Safety assessment of XCEL-MT-OSTEO-ALPHA in non-union fractures
Safety will be assessed by collecting adverse events throughout the experimental phase which includes a follow-up of 12 month.
Efficacy assessment of XCEL-MT-OSTEO-ALPHA in non-union fractures by imaging procedures
Characteristics of the callus by tomography and Characteristics of the callus by standard x-ray in both treatment arms
Efficacy assessment by quality of life test
Quality of life will be measured by EUROQOL-5D test

Full Information

First Posted
July 17, 2014
Last Updated
April 7, 2021
Sponsor
Banc de Sang i Teixits
Collaborators
Hospital ASEPEYO Sant Cugat
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1. Study Identification

Unique Protocol Identification Number
NCT02230514
Brief Title
Mesenchymal Stromal Cells for the Treatment of Non-union Fractures of Long Bones
Official Title
A Phase IIa, Single Center, Prospective, Randomized, Parallel, Two-arms, Single-dose, Open-label With Blinded Assessor Pilot Clinical Trial to Assess ex Vivo Expanded Adult Autologous Mesenchymal Stromal Cells Fixed in Allogeneic Bone Tissue (XCEL-MT-OSTEO-ALPHA) in Non Hypertrophic Pseudoarthrosis of Long Bones
Study Type
Interventional

2. Study Status

Record Verification Date
April 2021
Overall Recruitment Status
Completed
Study Start Date
November 20, 2014 (Actual)
Primary Completion Date
March 5, 2019 (Actual)
Study Completion Date
December 20, 2019 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Banc de Sang i Teixits
Collaborators
Hospital ASEPEYO Sant Cugat

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The present study evaluates the effect of XCEL-MT-OSTEO-ALPHA in non-union fractures (pseudoarthrosis) of long bones in comparison to the standard treatment of autologous iliac crest. XCEL-MT-OSTEO-ALPHA is a tissue engineering product composed by "ex-vivo" expanded autologous mesenchymal stromal cells fixed in allogenic bone tissue, produced by Xcelia (Blood and Tissue Bank of Catalonia). The working hypothesis proposes that the tissue engineering is a valid and useful technique to achieve bone regeneration up to consolidation of non-union fractures.
Detailed Description
A phase IIa, single center, prospective, randomized, parallel, two-arms, single-dose, open-label with blinded assessor pilot clinical trial to assess ex vivo expanded adult autologous mesenchymal stromal cells fixed in allogeneic bone tissue (XCEL-MT-OSTEO-ALPHA) in non hypertrophic pseudoarthrosis of long bones.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Atrophic Nonunion of Fracture
Keywords
Nonunion fracture, Long bones, Pseudoarthrosis, Cell therapy, Tissue engineering, Mesenchymal stromal cells

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Masking
Outcomes Assessor
Masking Description
Radiologist will assess images in a blinded manner
Allocation
Randomized
Enrollment
19 (Actual)

8. Arms, Groups, and Interventions

Arm Title
XCEL-MT-OSTEO-ALPHA and surgery
Arm Type
Experimental
Arm Description
"ex-vivo" expanded autologous mesenchymal stromal cells fixed in allogenic bone tissue
Arm Title
Autologous iliac crest and surgery
Arm Type
Other
Arm Description
Standard treatment
Intervention Type
Drug
Intervention Name(s)
XCEL-MT-OSTEO-ALPHA
Intervention Description
"ex-vivo" expanded autologous mesenchymal stromal cells fixed in allogenic bone tissue in association with open surgery
Intervention Type
Other
Intervention Name(s)
autologous iliac crest
Intervention Description
Autologous iliac crest in association with surgery
Intervention Type
Procedure
Intervention Name(s)
Surgery
Intervention Description
Standard surgery for non-union fractures
Primary Outcome Measure Information:
Title
Efficacy assessment of XCEL-MT-OSTEO-ALPHA in non-union fractures by imaging procedures
Description
Hounsfield units quantification by tomography in both treatment arms
Time Frame
12 month
Secondary Outcome Measure Information:
Title
Safety assessment of XCEL-MT-OSTEO-ALPHA in non-union fractures
Description
Safety will be assessed by collecting adverse events throughout the experimental phase which includes a follow-up of 12 month.
Time Frame
12 month
Title
Efficacy assessment of XCEL-MT-OSTEO-ALPHA in non-union fractures by imaging procedures
Description
Characteristics of the callus by tomography and Characteristics of the callus by standard x-ray in both treatment arms
Time Frame
6 month
Title
Efficacy assessment by quality of life test
Description
Quality of life will be measured by EUROQOL-5D test
Time Frame
12 month

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: 18 to 85 years of age (male and female) Atrophic or hypotrophic metaphyseal-diaphyseal pseudarthrosis of long bones, confirmed radiographically. Signed Informed Consent Form The patient is able to understand the nature of the study Exclusion Criteria: Suspicious of pseudarthrosis focus infection diagnosed by clinical inspection and blood analysis. Positive serology for HIV (Anti-HIV I/II-Ac), Hepatitis B (HBsAg, HBcAc), Hepatitis C (Anti-HCV-Ac) or Syphilis Lúes (TP-Ac). Significant abnormal laboratory tests that contraindicates patient's participation in the study. Pregnant woman or without proper anticonceptive measures according to the investigator, or breath feeding Smoker of more than 15 cigarettes a day Congenital disorders of bones (hypophosphatemia), bone metabolic disorders associated to primary or secondary hypoparathyroidism. Badly managed diabetes mellitus. Patients diagnosed with peripheral arterial disorders Previous therapeutic radiation (5 previous years) of the affected bone. Neoplasia within the previous 5 years, or without remission The patient is legally dependent Participation in another clinical trial or treated with an investigational medicinal product the previous 30 days Other pathologic conditions or circumstances that difficult participation in the study according to medical criteria The patient does not accept to be followed-up for a period that could exceed the clinical trial length
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Fernando Granell, MD, PhD
Organizational Affiliation
Hospital ASEPEYO Sant Cugat
Official's Role
Principal Investigator
Facility Information:
Facility Name
Hospital ASEPEYO Sant Cugat
City
Sant Cugat
State/Province
Barcelona
ZIP/Postal Code
08174
Country
Spain

12. IPD Sharing Statement

Links:
URL
http://www.bancsang.net/
Description
Banc de Sang i Teixits (Blood and Tissue Bank of Catalonia)
URL
http://www.asepeyo.es/hospital-sant-cugat
Description
Hospital ASEPEYO Sant Cugat

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Mesenchymal Stromal Cells for the Treatment of Non-union Fractures of Long Bones

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