Unique ID issued by UMIN | UMIN000022479 |
---|---|
Receipt number | R000025900 |
Scientific Title | Efficacy of platelet rich fibrin (PRF)for the prevention and the treatment of Medication Related Osteonecrosis of the Jaw(MRONJ) |
Date of disclosure of the study information | 2016/06/01 |
Last modified on | 2019/02/10 14:00:06 |
Efficacy of platelet rich fibrin (PRF)for the prevention and the treatment of Medication Related Osteonecrosis of the Jaw(MRONJ)
Efficacy of PRF for prevention/treatment of MRONJ
Efficacy of platelet rich fibrin (PRF)for the prevention and the treatment of Medication Related Osteonecrosis of the Jaw(MRONJ)
Efficacy of PRF for prevention/treatment of MRONJ
Japan |
Medication Related Osteonecrosis of the Jaw
Dental medicine |
Others
NO
To establish preventive method and surgecal management protocol for medication related osteonectoris of the jaw.
Safety,Efficacy
Exploratory
Pragmatic
Not applicable
Presence of bone exposure. (For preventive and surgical treatment studies, the result will be evaluated at three and twelve months after surgery, respectively).
Presence of inflammation
Presence and level of pain
Presence of pus discharge
Presence of external fistula
(For preventive and surgical treatment studies, the result will be evaluated at three and twelve months after surgery, respectively).
Interventional
Single arm
Non-randomized
Open -no one is blinded
Historical
NO
NO
Institution is not considered as adjustment factor.
NO
No need to know
1
Treatment
Other |
PRF is placed at bone exposure area and the wound will be closed with a nylon suture.
20 | years-old | <= |
Not applicable |
Male and Female
1. Preventive treatment protocol
Patients, who subscribed medications which affect bone metabolism, for the treatment of malignant tumor (ex. bisphosphonate, anti-RANKL ab) but not having MRONJ and need to have an oral surgery (ex. tooth extraction).
Age 20 or older.
Patients with good oral hygene.
Patients who can obtain written informed consent.
2. Surgical treatment protocol
MRONJ patients who require surgical treatment (ex. removal of necrotic bone).
Diagnosis of MRONJ should be based on the position paper by AAMOS (2014) as follows:
(Definition:
Patients may be considered to have MRONJ if all of the following characteristics are present:
1. Current or previous treatment with antiresorptive or antiangiogenic agents;
2. Exposed bone or bone that can be probed through an intraoral or extraoral fistula(e) in the maxillofacial region that has persisted for more than eight weeks; and
3. No history of radiation therapy to the jaws or obvious metastatic disease to the jaws.)
Age 20 or older.
Patients with good oral hygene.
Patients who can obtain written informed consent.
Patients with serious endocrine metabolic diseases and autoimmune diseases.
Patients with sepsis or potential sepsis.
Patients with hematologic diseases, blood disorders, blood coagulation disorders and liver diseases and having difficulty of transplantation.
Positive for any of syphilis, HBV antibody, HCV antibody, HIV antibody and HTLV-1 antibody.
Patients with transmissible spongiform encephalopathy, potent transmissible spongiform encephalopathy or dementia.
Patients with genetic diseases including sclerosing lesion of bone.
Any other conditions that the dentists in charge consider inappropriate.
10
1st name | |
Middle name | |
Last name | Hideaki Kagami |
Matsumoto Dental University
Department of Oral and Maxillofacial Surgery
1780 Gobara, Hirooka, Shiojiri, Nagano, 399-0781 Japan
0263-51-2066
hideaki.kagami@mdu.ac.jp
1st name | |
Middle name | |
Last name | Hideaki Kagami |
Matsumoto Dental University
Department of Oral and Maxillofacial Surgery
1780 Gobara, Hirooka, Shiojiri, Nagano, 399-0781 Japan
0263-51-2066
hideaki.kagami@mdu.ac.jp
Matsumoto Dental University
Matsumoto Dental University
Other
NO
2016 | Year | 06 | Month | 01 | Day |
Unpublished
So far, two patients were enrolled in this clinical study and PRF was administered sumultaneously at the time of necrotic bone removal (preventive purpose). In both patients, the region was healed and no recurrence was observed during the observation period.
Terminated
2016 | Year | 02 | Month | 01 | Day |
2016 | Year | 06 | Month | 01 | Day |
2019 | Year | 01 | Month | 31 | Day |
2019 | Year | 03 | Month | 31 | Day |
2019 | Year | 03 | Month | 31 | Day |
2019 | Year | 03 | Month | 31 | Day |
2016 | Year | 05 | Month | 26 | Day |
2019 | Year | 02 | Month | 10 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000025900