OsteoarthritisNCT02480868
ARTEBONE Bone Void Filler in Arthrodesis Procedure of the Ankle
A study testing ARTEBONE in people with Osteoarthritis, run by BBS-Bioactive Bone Substitutes Oy at 5 sites in 2 countries.
Trial summary
The purpose of this investigation is to assess safety and performance of ARTEBONE Bone Void Filler in the single arthrodesis procedure. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Osteoarthritis
- What is being tested?
- ARTEBONE
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 34 participants
- Where
- 5 sitesin 2 countries
- Study dates
- Jan 2014to 14 Dec 2017
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- The patient has signed the independent ethics committee approved informed consent form specific to this investigation prior to enrollment.
- The patient is diagnosed with primary or secondary osteoarthritis requiring fusion of the ankle joint (tibiotalar) or the subtalar joint.
- The fusion site should be able to be rigidly stabilized with two or three screws across the fusion site.
- The patient is independent, ambulatory, and could comply with all post-operative evaluations and visits.
- The patient is at least 18 years of age and considered to be skeletally mature.
Who cannot join
- The patient has undergone previous fusion surgery of the proposed fusion site.
- The fusion site requires other than screw fixation, more than three screws across the fusion site to achieve rigid fixation, or more than one kit (3 cc) of graft material.
- There is radiographic evidence of bone cysts, segmental defects or growth plate fracture around the fusion site that may negatively impact bony fusion.
- The patient currently has untreated malignant neoplasm(s) at the surgical site, or is currently undergoing radio- or chemotherapy.
- The patient has severe diabetes with neuropathy.
- The patient has a metabolic disorder known to adversely affect the skeleton, other than primary osteoporosis or diabetes (e.g., renal osteodystrophy or hypercalcemia).
Show all 17Show fewer
- The patient uses chronic medications known to affect the skeleton (e.g., glucocorticoid usage > 10 mg/day).
- The patient uses immunosuppressive treatment or medication for osteoporosis.
- The patient has systemic or severe local inflammation or infections.
- The patient has a pre-fracture neuromuscular or musculoskeletal deficiency which might limit the ability to perform objective functional measurements.
- The patient is physically or mentally compromised (e.g., currently being treated for a psychiatric disorder, senile dementia, Alzheimer's disease, etc.) to the extent that the investigator judges the patient to be unable or unlikely to remain compliant.
- The patient has an allergy to reindeer protein.
- The patient has received an investigational therapy or approved therapy for investigational use within 30 days of surgery.
- The patient is a prisoner, known or suspected to be transient, or has a history of drug/alcohol abuse within the 12 months prior to screening for study entry.
- The patient is pregnant or a female intending to become pregnant during the study period.
- The patient is deemed morbidly obese (body mass index [BMI] > 45 kg/m2).
- The patient has a recent history of smoking during the past six months prior to screening for study entry.
Trial locations and contacts
5 sites in 2 countries.
5 sites in 2 countries
Finland4 sites
Central Hospital of Central Finland
Jyväskylä, 40620
South Karelia Central Hospital
Lappeenranta, 53101
Oulu University Hospital
Oulu, 90220
Helsinki University Central Hospital Peijas
Vantaa, 00029
Poland1 site
Autonomous Public Clinical Hospital No. 1 of Pomeranian Medical University in Szczecin named after professor Tadeusz Sokołowski
Szczecin, 71252
About this study
Official title: A Prospective Clinical Investigation to Assess Safety and Performance of ARTEBONE as Bone Void Filler in a Single Arthrodesis Procedure of the Ankle (Ankle Joint or Subtalar Joint)
The purpose of this investigation is to assess safety and performance of ARTEBONE Bone Void Filler in the single arthrodesis procedure.
Read the detailed description
This is a multi-centre, prospective clinical investigation in subjects in need of a single arthrodesis procedure of the ankle (ankle joint or subtalar joint) to relieve persistent pain due to primary or secondary osteoarthritis.
The objectives of the study are to assess safety and performance of ARTEBONE as Bone Void Filler in the single arthrodesis procedure of the ankle (ankle joint or subtalar joint).
The study will be monitored regularly by Clinical Research Associates (CRAs). Monitoring procedures include one or more visits designed to clarify all prerequisites before the study commences. Interim monitoring visits will take place on a regular basis according to a schedule fixed by mutual agreement. During these visits, the CRA will check for completion of the entries on the Case Report Forms (CRFs), their compliance with the Clinical Investigation Plan (CIP), the standard operating procedures (SOP), Good Clinical Practice and International Organization for Standardization 14155 (ISO 14155), and will compare the CRF entries with the source data, as well as update the Investigator´s File (IF).
Source data verification will be performed in an unassisted way (direct access to source documents), unless otherwise required by the local ethics committee.
The sample size of 30 subjects was considered adequate for the safety and performance evaluation in this indication based on earlier discussions with the authorities.
An interim analyses will be performed for 6 months data. There will be descriptive analysis only and comparison to literature. Literature search has been done according to European Union (EU) guidelines.
- Conditions
- Osteoarthritis
- Being tested
- ARTEBONE
- Keywords
- Primary or secondary osteoarthritis, fusion of the ankle
- Medical subject headings
- Osteoarthritis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
ARTEBONEDevice
4,3 g Bone Void Filler
| Study group | Role | What they receive |
|---|---|---|
| ARTEBONE | Experimental | Bone Void Filler Receives: Device: ARTEBONE |
What is being measured
The primary outcome is the main question the study is designed to answer.
The incidence of unanticipated serious adverse device effects
Measured: Before or at 12 months
Bone fusion rates
Bone fusion rates assessed by sequential post-operative radiographs and Computer tomography at 6 months (both evaluated by two independent radiologists).
Measured: At 6 months (plus or minus 2 weeks)
Bone fusion rates
Bone fusion rates assessed by sequential post-operative radiographs at 12 months (evaluated by two independent radiologists).
Measured: At 12 months (plus or minus 2 weeks)
Secondary outcomes (7)
Adverse events
Adverse events recorded either voluntarily by the subject in response to a non-leading question (i.e. "how have you been feeling?") or following a clinical observation.
All adverse events will be assessed by the investigator according to their severity, relationship to the investigational product, action taken, and outcome status as defined in the ISO14155 guideline.
Measured: Within 12 months
Time-points for returning to work
Secondary performance endpoint
Measured: Within 12 months
Functional performance (Scores of American Orthopaedic Foot and Ankle Society (AOFAS) Ankle-Hindfoot Scale)
Functional performance at 6 months, secondary performance endpoint
Measured: 6 months (plus or minus 2 weeks)
Functional performance (Scores of American Orthopaedic Foot and Ankle Society (AOFAS) Ankle-Hindfoot Scale)
Functional performance at 12 months, secondary performance endpoint
Measured: 12 months (plus or minus 2 weeks)
Subjective pain evaluation (VAS) for fusion site and at weight bearing
Secondary performance endpoint
Measured: 12 weeks (plus or minus 1 week)
Subjective pain evaluation (VAS) for fusion site and at weight bearing
Secondary performance endpoint
Measured: 6 months (plus or minus 2 weeks)
Subjective pain evaluation (VAS) for fusion site and at weight bearing
Secondary performance endpoint
Measured: 12 months (plus or minus 2 weeks)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted25 Jun 2015 (estimated)
- Study startJan 2014
- Primary completion14 Dec 2017
- Study completion14 Dec 2017
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for OsteoarthritisStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 34 participants (actual)
Sponsor and investigators
- Lead sponsor
- BBS-Bioactive Bone Substitutes Oy
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Juhana Leppilahti, Professor, Principal investigator, Oulu University Hospital
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02480868
- Sponsor's protocol ID
- ARTEBONE 01
- Status last verified
- Dec 2017
- First submitted
- 9 Apr 2015
- Last updated
- 20 Dec 2017
- Results posted
- No
- Data monitoring committee
- No
Study at a glance
From the registry record, last updated by the sponsor on 20 Dec 2017. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Prospective Clinical Investigation to Assess Safety and Performance of ARTEBONE as Bone Void Filler in a Single Arthrodesis Procedure of the Ankle (Ankle Joint or Subtalar Joint)
- ClinicalTrials.gov ID
- NCT02480868
- Acronym / sponsor ID
- ARTEBONE 01
- Conditions
- Osteoarthritis
- Keywords
- Primary or secondary osteoarthritis, fusion of the ankle
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 34 participants (actual)
- Lead sponsor
- BBS-Bioactive Bone Substitutes OyIndustry (pharma, biotech, devices)
- Study start
- Jan 2014 (actual)
- Primary completion
- 14 Dec 2017 (actual)
- Study completion
- 14 Dec 2017 (actual)
- First posted
- 25 Jun 2015 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this investigation is to assess safety and performance of ARTEBONE Bone Void Filler in the single arthrodesis procedure.
Detailed description
This is a multi-centre, prospective clinical investigation in subjects in need of a single arthrodesis procedure of the ankle (ankle joint or subtalar joint) to relieve persistent pain due to primary or secondary osteoarthritis.
The objectives of the study are to assess safety and performance of ARTEBONE as Bone Void Filler in the single arthrodesis procedure of the ankle (ankle joint or subtalar joint).
The study will be monitored regularly by Clinical Research Associates (CRAs). Monitoring procedures include one or more visits designed to clarify all prerequisites before the study commences. Interim monitoring visits will take place on a regular basis according to a schedule fixed by mutual agreement. During these visits, the CRA will check for completion of the entries on the Case Report Forms (CRFs), their compliance with the Clinical Investigation Plan (CIP), the standard operating procedures (SOP), Good Clinical Practice and International Organization for Standardization 14155 (ISO 14155), and will compare the CRF entries with the source data, as well as update the Investigator´s File (IF).
Source data verification will be performed in an unassisted way (direct access to source documents), unless otherwise required by the local ethics committee.
The sample size of 30 subjects was considered adequate for the safety and performance evaluation in this indication based on earlier discussions with the authorities.
An interim analyses will be performed for 6 months data. There will be descriptive analysis only and comparison to literature. Literature search has been done according to European Union (EU) guidelines.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| ARTEBONE | Experimental | Device: ARTEBONEBone Void Filler |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- The patient has signed the independent ethics committee approved informed consent form specific to this investigation prior to enrollment.
- The patient is diagnosed with primary or secondary osteoarthritis requiring fusion of the ankle joint (tibiotalar) or the subtalar joint.
- The fusion site should be able to be rigidly stabilized with two or three screws across the fusion site.
- The patient is independent, ambulatory, and could comply with all post-operative evaluations and visits.
- The patient is at least 18 years of age and considered to be skeletally mature.
Key exclusion criteria (17 listed)
- The patient has undergone previous fusion surgery of the proposed fusion site.
- The fusion site requires other than screw fixation, more than three screws across the fusion site to achieve rigid fixation, or more than one kit (3 cc) of graft material.
- There is radiographic evidence of bone cysts, segmental defects or growth plate fracture around the fusion site that may negatively impact bony fusion.
- The patient currently has untreated malignant neoplasm(s) at the surgical site, or is currently undergoing radio- or chemotherapy.
- The patient has severe diabetes with neuropathy.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| ARTEBONE4,3 g Bone Void Filler | Device | ARTEBONE |
Primary outcome
The incidence of unanticipated serious adverse device effects
Time frame: Before or at 12 months
Bone fusion rates
Time frame: At 6 months (plus or minus 2 weeks)
Bone fusion rates assessed by sequential post-operative radiographs and Computer tomography at 6 months (both evaluated by two independent radiologists).
Bone fusion rates
Time frame: At 12 months (plus or minus 2 weeks)
Bone fusion rates assessed by sequential post-operative radiographs at 12 months (evaluated by two independent radiologists).
7 secondary outcomes
Adverse events
Time frame: Within 12 months
Time-points for returning to work
Time frame: Within 12 months
Functional performance (Scores of American Orthopaedic Foot and Ankle Society (AOFAS) Ankle-Hindfoot Scale)
Time frame: 6 months (plus or minus 2 weeks)
Functional performance (Scores of American Orthopaedic Foot and Ankle Society (AOFAS) Ankle-Hindfoot Scale)
Time frame: 12 months (plus or minus 2 weeks)
Subjective pain evaluation (VAS) for fusion site and at weight bearing
Time frame: 12 weeks (plus or minus 1 week)
Subjective pain evaluation (VAS) for fusion site and at weight bearing
Time frame: 6 months (plus or minus 2 weeks)
Subjective pain evaluation (VAS) for fusion site and at weight bearing
Time frame: 12 months (plus or minus 2 weeks)
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 20 Dec 2017.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Juhana Leppilahti, Professor principal investigator
Oulu University Hospital
5 sites in 2 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing ARTEBONE in people with Osteoarthritis, run by BBS-Bioactive Bone Substitutes Oy at 5 sites in 2 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 17 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 20 Dec 2017. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 5 sites in Finland, Poland. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
The incidence of unanticipated serious adverse device effects (time frame: Before or at 12 months). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 20 Dec 2017.