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Tissue Engineered Constructs for Alveolar Cleft Repair

Primary Purpose

Cleft Lip and Palate

Status
Completed
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
tissue engineered group
autogenous bone graft group
Sponsored by
Cairo University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Cleft Lip and Palate focused on measuring tissue engineering., stem cells., autogenous grafts.

Eligibility Criteria

8 Years - 14 Years (Child)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Children with maxillary unilateral alveolar clefts requiring reconstruction
  • Children free from any systemic disease that may affect normal healing of bone
  • Children in an age range (8-14) year.

Exclusion criteria

  • Bilateral alveolar clefts.
  • Cleft lip or palate not including the alveolus.
  • Immunocompromized patients.
  • Children who undergone previous bone grafting procedure for the alveolar cleft

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Active Comparator

    Active Comparator

    Arm Label

    tissue engineered group

    autogenous bone graft group

    Arm Description

    autogenous bone marrow derived and cultured stem cells loaded on collagen matrix was implanted in the alveolar cleft in the study group (1st arm)

    autogenous cortico-cancellous bone graft harvested from the anterior iliac crest was implanted in the alveolar cleft of the control group (2nd arm)

    Outcomes

    Primary Outcome Measures

    Assessment of changes in the bone volume at the grafted alveolar cleft site from the immediate postoperative to 6 months
    Measuring the bone volume on CT scan

    Secondary Outcome Measures

    Assessment of changes in the bone density at the grafted alveolar cleft site from the immediate postoperative to 6 months
    Measuring the bone density on CT scan

    Full Information

    First Posted
    May 26, 2018
    Last Updated
    June 19, 2018
    Sponsor
    Cairo University
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    1. Study Identification

    Unique Protocol Identification Number
    NCT03563495
    Brief Title
    Tissue Engineered Constructs for Alveolar Cleft Repair
    Official Title
    Clinical, Volumetric and Densitometric Evaluation of Tissue Engineered (TE) Constructs for Secondary Alveolar Cleft Reconstruction (Short Term Randomized Controlled Clinical Trial)
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    June 2018
    Overall Recruitment Status
    Completed
    Study Start Date
    February 2015 (Actual)
    Primary Completion Date
    July 2017 (Actual)
    Study Completion Date
    September 2017 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    Cairo University

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No

    5. Study Description

    Brief Summary
    Description of the research question In children undergoing unilateral alveolar cleft reconstruction, would stem cells carried on collagen scaffold provide bone of a good quality and quantity if compared to autogenous bone grafting? Objective of the study: • Research hypothesis The tissue engineered constructs will provide sufficient bone of a good quality and quantity if compared to autogenous bone graft in children undergoing unilateral alveolar cleft reconstruction. The objectives The primary objective: Assessment of bone volume (quantity) which will be provided by tissue engineered constructs compared to that provided by autogenous bone for maxillary alveolar cleft reconstruction. The secondary objective: Assessment of bone density (quality) which will be provided by tissue engineered constructs compared to that provided by autogenous bone for maxillary alveolar cleft reconstruction.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Cleft Lip and Palate
    Keywords
    tissue engineering., stem cells., autogenous grafts.

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Not Applicable
    Interventional Study Model
    Parallel Assignment
    Allocation
    Randomized
    Enrollment
    10 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    tissue engineered group
    Arm Type
    Active Comparator
    Arm Description
    autogenous bone marrow derived and cultured stem cells loaded on collagen matrix was implanted in the alveolar cleft in the study group (1st arm)
    Arm Title
    autogenous bone graft group
    Arm Type
    Active Comparator
    Arm Description
    autogenous cortico-cancellous bone graft harvested from the anterior iliac crest was implanted in the alveolar cleft of the control group (2nd arm)
    Intervention Type
    Other
    Intervention Name(s)
    tissue engineered group
    Other Intervention Name(s)
    BM-MSCs on collagen matrix (Osteovit)
    Intervention Description
    cultured and bone marrow derived autologous mesenchymal stem cells, loaded on collagen matrix (Osteovit)
    Intervention Type
    Procedure
    Intervention Name(s)
    autogenous bone graft group
    Primary Outcome Measure Information:
    Title
    Assessment of changes in the bone volume at the grafted alveolar cleft site from the immediate postoperative to 6 months
    Description
    Measuring the bone volume on CT scan
    Time Frame
    Immediate postoperative and after 6 months
    Secondary Outcome Measure Information:
    Title
    Assessment of changes in the bone density at the grafted alveolar cleft site from the immediate postoperative to 6 months
    Description
    Measuring the bone density on CT scan
    Time Frame
    Immediate postoperative and after 6 months

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    8 Years
    Maximum Age & Unit of Time
    14 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Children with maxillary unilateral alveolar clefts requiring reconstruction Children free from any systemic disease that may affect normal healing of bone Children in an age range (8-14) year. Exclusion criteria Bilateral alveolar clefts. Cleft lip or palate not including the alveolus. Immunocompromized patients. Children who undergone previous bone grafting procedure for the alveolar cleft

    12. IPD Sharing Statement

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    Tissue Engineered Constructs for Alveolar Cleft Repair

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