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ORN Study: Curative Treatment of Osteoradionecrosis (ORN) With Hybrid Bone Substitution (ORN)

This study has been completed.
Information provided by (Responsible Party):
Nantes University Hospital Identifier:
First received: June 17, 2010
Last updated: May 22, 2017
Last verified: May 2017
The main objective of the study is the cure of osteoradionecrosis (ORN) at 12 months.

Condition Intervention
Mandible Osteoradionecrosis Procedure: Hybrid bone substitution

Study Type: Interventional
Study Design: Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: 10 Patients Bicentric Prospective Study of Hybrid Bone Substitution With Calcium-phosphate Ceramic Biomaterial and Autologous Bone Marrow for Mandibular Osteoradionecrosis (ORN) Treatment

Resource links provided by NLM:

Further study details as provided by Nantes University Hospital:

Primary Outcome Measures:
  • The cure of ORN [ Time Frame: 12 months ]

Secondary Outcome Measures:
  • Evaluation of post operative pain at mandibular and bone marrow sampling site
  • Quality of life
  • Possibility of secondary dental prosthetic devices
  • CT semiology description of the treated area
  • Bone regeneration
    Bone regeneration: kinetics of formation of new bone and biomaterial resorption

  • Number of hospital days
  • Safety of hybrid bone substitution

Enrollment: 13
Study Start Date: November 18, 2009
Study Completion Date: November 16, 2016
Primary Completion Date: November 16, 2016 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Hybrid bone substitution
Hybrid bone substitution with calcium-phosphate ceramic biomaterial and autologous bone marrow
Procedure: Hybrid bone substitution
The patient will be treated by hybrid bone substitution with calcium-phosphate ceramic biomaterial and autologous bone marrow after necrosis exeresis


Ages Eligible for Study:   18 Years to 75 Years   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Adult patients (between 18 and 75 years) affiliated with an appropriate social security system, diagnosed as suffering from symptomatic ORN, radiologically confirmed, for which surgery is indicated
  • Presence maximum of 2 outbreaks of ORN
  • Oncological remission of the original tumor site for 1 year and for 3 years if the ORN is in the contact or close to the initial tumoral site
  • ECOG performance status 0, 1 or 2
  • ORN symptomatic accessible to the conservation of at least one cortical mandibular basilar
  • Signed informed consent

Exclusion Criteria:

  • Oncological treatment
  • Haematologic background
  • Current bone necrosis consecutive or concurrent to taking bisphosphonates
  • Extension of ORN does not allow the retention of a mandibular rod (bicortical form)
  • Presence of fracture complicating ORN
  • Bisphosphonates during the last year
  • Contraindications to the removal of iliac or sternum bone marrow
  • Contraindication for general anesthesia
  Contacts and Locations
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Please refer to this study by its identifier: NCT01147315

Nantes University Hospital
Nantes, France, 44093
Rennes University Hospital
Rennes, France, 35000
Sponsors and Collaborators
Nantes University Hospital
Principal Investigator: Olivier Malard, Pr Nantes University Hospital
  More Information

Responsible Party: Nantes University Hospital Identifier: NCT01147315     History of Changes
Other Study ID Numbers: BRD/08/10-H
Study First Received: June 17, 2010
Last Updated: May 22, 2017

Keywords provided by Nantes University Hospital:
mandibular osteoradionecrosis
hybrid bone substitution
calcium-phosphate ceramic biomaterial
autologous bone marrow

Additional relevant MeSH terms:
Radiation Injuries
Wounds and Injuries
Calcium, Dietary
Bone Density Conservation Agents
Physiological Effects of Drugs processed this record on September 21, 2017