A Multicenter, Randomized, Controlled, Blinded Study of the Safety and Efficacy of Bone Healing Accelerant Versus Autologous Bone Grafting in Subjects Undergoing Hindfoot or Ankle Arthrodesis and Who Require Supplementary Grafting
Overview
- Phase
- Phase 2
- Intervention
- Not specified
- Conditions
- Foot Deformities
- Sponsor
- Carmell Therapeutics Corporation
- Primary Endpoint
- Successful Radiographic Fusion
- Status
- Withdrawn
- Last Updated
- 2 years ago
Overview
Brief Summary
This study is being conducted to demonstrate the safety and effectiveness of Bone Healing Accelerant (BHA) product when applied to the joint space of the ankle of hindfoot (the section of the foot immediately below the ankle joint) during fusion surgery. It is hypothesized that by 6 months, the number of subjects with successful bone fusion will be greater in the BHA-treated group compared to subjects treated with standard of care alone.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Patient has pain with weight-bearing in the joint(s) below that, in the opinion of the Investigator, warrants arthrodesis:
- •Tibiotalar (ankle)
- •Talocalcaneal (subtalar)
- •Talonavicular
- •Calcaneocuboid
- •Double hindfoot (e.g., talonavicular and talocalcaneal joints)
- •Triple hindfoot (subtalar, talonavicular and calcaneocuboid joints
- •Joint space(s) can, in the opinion of the Investigator, be adequately filled with no more than 9 cc of graft material (BHA or ABG)
- •Each fused joint can be adequately compressed and rigidly stabilized with plates, screws, staples or a combination thereof. External fixation, percutaneous Kirschner wires or intramedullary rods may not be used.
- •Patient is willing and able to comply with all study requirements including all postoperative clinical and radiographic evaluations.
Exclusion Criteria
- •Skeletally immature patients (i.e., radiographic evidence of open physes), regardless of age
- •Bone deficit, defect or void requiring a structural graft
- •Condition requiring intramedullary nailing or external fixation for the arthrodesis
- •Condition requiring osteotomy or fusion of any midfoot joints.
- •Prior arthroplasty, arthrodesis, major surgical repair or reconstruction of the index ankle or hindfoot joints.
Outcomes
Primary Outcomes
Successful Radiographic Fusion
Time Frame: 24 weeks
Greater than or equal to 50% bone bridging across joint space for the full complement of joints fused as determined by CT in the absence of secondary surgical or nonsurgical interventions intended to promote fusion.