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Completed

NCT Number: NCT02230514

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

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.

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Key information

Age range

18 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1 / Phase 2

Primary location

Hospital ASEPEYO Sant Cugat

Sant Cugat del Vallès, Barcelona, 08174, Spain

About this study

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.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

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

Treatment and study plan

XCEL-MT-OSTEO-ALPHA

Drug

"ex-vivo" expanded autologous mesenchymal stromal cells fixed in allogenic bone tissue in association with open surgery

autologous iliac crest

Other

Autologous iliac crest in association with surgery

Surgery

Procedure

Standard surgery for non-union fractures

Primary outcomes

  1. Efficacy assessment of XCEL-MT-OSTEO-ALPHA in non-union fractures by imaging procedures

    Time frame: 12 month

    Hounsfield units quantification by tomography in both treatment arms

Secondary outcomes

  1. Safety assessment of XCEL-MT-OSTEO-ALPHA in non-union fractures

    Time frame: 12 month

    Safety will be assessed by collecting adverse events throughout the experimental phase which includes a follow-up of 12 month.

  2. Efficacy assessment of XCEL-MT-OSTEO-ALPHA in non-union fractures by imaging procedures

    Time frame: 6 month

    Characteristics of the callus by tomography and Characteristics of the callus by standard x-ray in both treatment arms

  3. Efficacy assessment by quality of life test

    Time frame: 12 month

    Quality of life will be measured by EUROQOL-5D test

Sponsors and collaborators

Lead sponsor

Banc de Sang i Teixits

Other

Collaborators

  • Hospital ASEPEYO Sant Cugat

Registry information

Official study 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

Important dates

Study start
2014
Primary completion
2019
Study completion
2019
First posted
Sep 3, 2014
Registry last updated
Apr 12, 2021

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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