A Single-Center, Single-Cohort Study of FF-37101 for Bone Formation in the Maxillomandibular Regio

Recruitment & Eligibility

Status: Recruiting

Sex: Not specified

Target Recruitment: 30

Inclusion Criteria

•Ability to understand the purpose and risks of the study and provide signed and dated informed consent and authorization.
•18 year or older at time of informed consent.
•Have 1 tooth (front, pre-molar or molar) of poor prognosis diagnosed for tooth extraction.
•Have 1 or more healthy tooth/teeth immediately adjacent to the tooth that is to be extracted.
•Have a type I or type II socket of the buccal alveolar bone of the tooth to be extracted.
•Absence of pockets of 5mm or more in the full dentition, with exception of the pocket of the tooth to be extracted.
•Able to return for follow-up visits, as defined in this clinical investigation plan, after tooth extraction.
•Scheduled to have an implant placed 6 months after tooth extraction and FF-37101 implantation.

Exclusion Criteria

•Signs of active inflammation, i.e. presence of inflammatory fluid during tooth extraction.
•Active generalized periodontal disease; evident periapical radiolucencies or abscesses; autoimmune disorders; taking or having a history of bisphosphonate medications or Denosumab (history of MRONJ (medication-related osteonecrosis of the jaw)/BRONJ (bisphosphonate-related osteonecrosis of the jaw)); congenital or metabolic bone disorders; or uncontrolled diabetes.
•Full coverage restoration or large metallic restoration work including dental implant completed on any tooth adjacent to the tooth to be extracted in this clinical investigation.
•Current or former smoker or user of chewing tobacco or nicotine-containing products. Former smokers or users are defined as subjects who smoked 10 cigarettes or more (or an equivalent amount of other tobacco products) per day in the 5 years prior to screening.
•Females who are pregnant, breastfeeding, or are planning to conceive during their enrollment in the clinical investigation.
•History of any clinically significant mental and/or psychological, or other major disease, as determined by the investigator that would prevent dental treatment.
•Inability to effectively communicate with study staff during the clinical investigation.
•History of any severe allergic or anaphylactic reactions to collagen or gelatin, or current sensitivity to collagen or gelatin.
•Unwillingness or inability to comply with the requirements of this clinical investigation plan.
•Previous head and neck radiation- or chemo-therapy.
•Other reasons that, in the opinion of the investigator, will make the subject unsuitable for enrollment.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Primary performance endpoint: The proportion of patients that has bone formation assessed based on bone height measurements, in the grafted site after 6 months, as identified by CBCT imaging.

Secondary Outcome Measures

Name	Time	Method
Secondary performance endpoint:<br>1)The evidence of newly formed bone and its individual components, bone maturity, and soft tissue/marrow space, at 6 months post-treatment, identified by histologic analysis of biopsies of the pre-molar and molar teeth.<br><br>Exploratory performance endpoints:<br>1)The amount of bone that has been formed in the extraction socket assessed based on bone height measurements, at 3 months post-treatment, identified by CBCT evaluation.<br>2)The amount of FF-37101 at 6 months post-treatment, identified by histologic analysis of biopsies of the pre-molar and molar teeth.<br>3)The implant stability quotient (ISQ) that is measured after placing the implant, identified by ISQ measurement devices.<br>4)The bone volume that has been formed in the extraction socket at 3 and 6 months post-treatment, identified by CBCT evaluation.<br>