UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000002993
Receipt number R000003627
Scientific Title A Phase I/ II Clinical Trial: Autologous CD34+ Cell Transplantation for Bone and Vascular Healing in Patients with Non-Union Fracture
Date of disclosure of the study information 2010/01/08
Last modified on 2013/07/08 10:18:25

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Basic information

Public title

A Phase I/ II Clinical Trial: Autologous CD34+ Cell Transplantation for Bone and Vascular Healing in Patients with Non-Union Fracture

Acronym

Cellular Therapy for Patients with Non-Union Fracture

Scientific Title

A Phase I/ II Clinical Trial: Autologous CD34+ Cell Transplantation for Bone and Vascular Healing in Patients with Non-Union Fracture

Scientific Title:Acronym

Cellular Therapy for Patients with Non-Union Fracture

Region

Japan


Condition

Condition

Non-Union Fracture

Classification by specialty

Orthopedics

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To investigate efficacy and safety of autologous CD34+ cell transplantation for bone healing in patients with non-union fracture

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Explanatory

Developmental phase

Phase I,II


Assessment

Primary outcomes

radiological fracture healing at week 12

Key secondary outcomes

1) clinical fracture healing at weeks 8, 12, 24 and year 1
2) period until clinical fracture healing
3) radiological fracture healing at week 8, 24 and year 1
4) fracture healing score of at weeks 8, 12, 24 and year 1
5) period until radiological fracture healing


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Maneuver

Interventions/Control_1

Operation for non-union fracture (re-fixation) and transplantation of CD34+ cells with atelocollagen as a scaffold

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

70 years-old >

Gender

Male and Female

Key inclusion criteria

1) Patients with femoral or tibial fracture
2) Patients with fractures which are not healed 9 months after the first treatment (external or internal fixation)
3) Patients with non-union fractures which belong to the noninfected pseudoarthrosis or septic pseudarthrosis without pus discharge / silent infection type by Muller's classification
4) Patients who can give informed consent themselves in writing

Key exclusion criteria

1) Patients (Pts) with congenital femoral or tibial fracture
2) Pts with multiple pseudoarthrosis
3) Pts with radiation therapy, chemotherapy, steroid therapy or immunosuppressant
4) Pts with limb paralysis due to cerebral infarction or spinal cord injury
5) Pts with a history of severe allergic reactions or side effects to G-CSF, collagen products or apheresis
6) Pts with malignant tumor or with a history of malignant tumor in last 5 years
7) Pts with diabetic proliferating retinopathy
8) Pts with unstable angina
9) Less than 6 months since last episode of myocardial/cerebral infarction
10) Pts with leukemia, myeloproliferative disease, or myelodysplastic syndromes
11) Pts with allergic reaction to atelocollagen
12) Pts or their family currently suffering from or having a history of autoimmune disease
13) Pts with end stage renal disease on maintenance hemodialysis
14) Pts with cirrhosis of the liver
15) Pts currently suffering from or having a history of interstitial pneumonitis
16) Pts with cerebral aneurysm indicative for surgical/endovascular treatment by neurosurgeon
17) Leukocytes less than 4,000/uL or exceeding 10,000/uL
18) Platelets less than 100,000/uL
19) Hemoglobin less than 8g/uL
20) AST exceeding 100 IU/uL or ALT exceeding 100 IU/uL
21) Pts with splenomegaly
22) Pts with severe ulcer/ gangrene in the legs with pseudoarthrosis
23) Pts with an operative treatment for the pseudoarthrosis performed in the last 9 months
24) Pts having a plan of another operative treatment in the period of current clinical research
25) Pts infected with HBV, HCV, HIV or HTLV
26) Pts with infectious diseases accompanied by fever over 38 C
27) Pts with uncontrollable mental diseases
28) Pts participating in other clinical trials
29) Pregnant or nursing patients, those who may be pregnant or plan on becoming pregnant before the end of the study period
30) Any other reason that the Clinical Supervisors or Clinical Researchers may have for considering a case unsuitable for the study

Target sample size

17


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Ryosuke Kuroda, M.D., Ph.D.

Organization

Kobe University School of Medicine

Division name

Department of Orthopaedeic Surgery

Zip code


Address

7-5-1, Kusunoki-cho, Chuo-ku, Kobe

TEL

078-382-5985

Email



Public contact

Name of contact person

1st name
Middle name
Last name Ryosuke Kuroda, M.D., Ph.D.

Organization

Kobe University School of Medicine

Division name

Department of Orthopaedic Surgery

Zip code


Address


TEL

078-382-5985

Homepage URL


Email



Sponsor or person

Institute

Ryosuke Kuroda, M.D., Ph.D.

Institute

Department

Personal name



Funding Source

Organization

Coordination, Support and Training Program for Translational Research

Organization

Division

Category of Funding Organization

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor

Foundation for Biomedical Research and Innovation, Institute of Biomedical Research and Innovation Hospital

Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2010 Year 01 Month 08 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2009 Year 09 Month 09 Day

Date of IRB


Anticipated trial start date

2009 Year 11 Month 01 Day

Last follow-up date

2012 Year 07 Month 01 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2010 Year 01 Month 07 Day

Last modified on

2013 Year 07 Month 08 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000003627