Trial record 1 of 1 for:    NCT01308996
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Clinical Study of INFUSE® Bone Graft Compared to Autogenous Bone Graft for Vertical Ridge Augmentation

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01308996
Recruitment Status : Withdrawn
First Posted : March 4, 2011
Last Update Posted : March 13, 2015
Averion International Corporation
Baim Institute for Clinical Research
Information provided by (Responsible Party):
Medtronic Spinal and Biologics

Brief Summary:
The purpose of this study is to evaluate the INFUSE® Bone Graft as an alternative to autograft for bone formation in the back of the mandible (lower jaw) prior to placing dental implants.

Condition or disease Intervention/treatment Phase
Alveolar Bone Loss in Mandible Edentulous Alveolar Ridge In Mandible Device: INFUSE® Bone Graft Procedure: Autogenous bone graft from tibia or iliac crest Phase 3

Detailed Description:
The purpose of this study is to evaluate INFUSE® Bone Graft as an alternative to autograft for alveolar ridge bone formation in the posterior mandible prior to dental implants. A subject must have a defect behind the canine of 2-4 teeth for at least 2 months and be a candidate for dental implants.

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 0 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: A Prospective, Open Label, Randomized, Multicenter, Controlled Clinical Study of INFUSE® Bone Graft Used as an Alternative to Autogenous Bone Graft for Vertical Alveolar Ridge Augmentation
Study Start Date : April 2012
Estimated Primary Completion Date : July 2017
Estimated Study Completion Date : September 2017

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Bone Grafts

Arm Intervention/treatment
Experimental: INFUSE® Bone Graft Device: INFUSE® Bone Graft
Implantation of INFUSE® Bone Graft [recombinant human Bone Morphogenetic Protein-2 (rhBMP-2)] and absorbable collagen sponge (ACS) carrier at 1.50 mg/cc with space maintenance device

Active Comparator: Autogenous bone graft Procedure: Autogenous bone graft from tibia or iliac crest
Implantation of autogenous bone graft from iliac crest or tibia with titanium mesh space maintenance device

Primary Outcome Measures :
  1. Osseous volumetric fill underneath the titanium mesh of edentulous sites in the posterior mandible. [ Time Frame: 210 days ]

Secondary Outcome Measures :
  1. Pain level at the surgical site, as well as at the donor site (if applicable). [ Time Frame: 210 days ]
    Numerical rating scales used to evaluate pain intensity and frequency.

  2. Ability to place dental implants [ Time Frame: 210 days ]
  3. Histological evaluation (percent vital bone) [ Time Frame: 210 days ]
  4. Surgical failure rate [ Time Frame: 210 days ]
  5. Adverse Events [ Time Frame: 210 Days ]

Information from the National Library of Medicine

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Ages Eligible for Study:   21 Years to 75 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  1. Has been edentulous for at least 2 months with an alveolar ridge defect affecting 2-4 teeth in the posterior mandible, posterior to the canine.
  2. Has an alveolar ridge defect with a minimum starting height of 5 mm above the superior cortex of the inferior alveolar canal in the posterior mandible.
  3. Is a candidate for dental implants (2-4 teeth) in the affected posterior mandibular alveolar ridge area.
  4. Has a prosthodontic treatment plan in place.
  5. Has no known condition that would interfere with collecting autogenous bone at either the tibia or the iliac crest for a bone grafting procedure.
  6. Is 21-75 years of age (inclusive).
  7. If female of childbearing potential, has a negative urine pregnancy test, is not lactating, and agrees not to become pregnant for at least 12 months after surgery.
  8. Is able to comply with all study-related procedures, including exercising good oral hygiene.
  9. Is able to provide written informed consent.

Exclusion Criteria:

  1. Has bilateral alveolar ridge defects requiring simultaneous augmentation or a second augmentation planned during the course of the study.
  2. Has an active infection at the planned augmentation site.
  3. Has active periodontal disease of Grade III or higher.
  4. Has had a dental extraction procedure at the planned augmentation site within the 2 months prior to Day 0.
  5. Has had a soft tissue graft at the planned augmentation site within less than 2 weeks of Screening.
  6. Is expected to require any additional bone graft material (e.g., allograft and xenograft) at the planned augmentation site in addition to the investigative treatment or autogenous bone, as determined by the investigator prior to surgery.
  7. Has a history of a failed alveolar ridge augmentation procedure.
  8. Has a pathology finding that would either compromise a bone grafting procedure or interfere with obtaining quantitative measurements from postoperative CT scans.
  9. Is an insulin-dependent diabetic.
  10. Has an overt or active systemic infection, such as human immunodeficiency virus (HIV), bacteremia, or hepatitis C virus (HCV).
  11. Has a planned augmentation site in the area of a resected or extant tumor.
  12. Has presence of an active malignancy or prior history of malignancy (except for basal cell carcinoma of the skin).
  13. Is actively using any nicotine-containing products such as, but not limited to, smoking and chewing tobacco, nicotine patch, nicotine gum, etc. within 2 weeks prior to Screening.
  14. Is alcohol or drug dependent, as determined by the investigator.
  15. Is taking medications or having treatment known to have an effect on bone metabolism, such as, but not limited to:

    • calcitonin within the past 6 months;
    • fluorides for 30 days or more within the past 12 months;
    • cumulative use of oral bisphosphonates for less than 5 years within the past 6 months;
    • cumulative use of oral bisphosphonates for 5 years or more;
    • any previous use of intravenous bisphosphonates;
    • chronic tetracycline (e.g., ongoing within the past month) or tetracycline analogs within the past 12 months;
    • estrogen replacement therapy within the past 2 months; or
    • methotrexate within the past 12 months.
  16. Has a disease that affects bone metabolism, such as:

    • congenital connective tissue disease (e.g., Ehlers-Danlos syndrome, osteogenesis imperfecta);
    • hyperthyroidism; or
    • hyperparathyroidism.
  17. Has a history of autoimmune disease (e.g., systemic lupus erythematosus, dermatomyositis, rheumatoid arthritis, etc.).
  18. Has any previous exposure to any recombinant BMPs of either human or animal extraction.
  19. Has a known history of prior exposure to silicone or injectable collagen implants.
  20. Has a known hypersensitivity or allergy to collagen or protein pharmaceuticals (e.g., monoclonal antibodies or gamma globulins).
  21. Has a known hypersensitivity or allergy to titanium.
  22. Has a history of allergy to bovine collagen products.
  23. Has chronic or acute renal failure
  24. Has chronic or acute liver failure.
  25. Has received treatment with an investigational therapy (drug, device, and/or biologic) within 30 days prior to bone graft implantation surgery or such treatment is planned during the 12-month period following the study surgery.
  26. Has any condition that in the judgment of the investigator would place the subject at undue risk or interfere with the results of the study.

Responsible Party: Medtronic Spinal and Biologics Identifier: NCT01308996     History of Changes
Other Study ID Numbers: G100313
First Posted: March 4, 2011    Key Record Dates
Last Update Posted: March 13, 2015
Last Verified: August 2012

Keywords provided by Medtronic Spinal and Biologics:
alveolar ridge augmentation
edentulous ridge
alveolar ridge defect
posterior mandible defect
bone morphogenic protein

Additional relevant MeSH terms:
Mouth, Edentulous
Alveolar Bone Loss
Mouth Diseases
Stomatognathic Diseases
Tooth Diseases
Bone Resorption
Bone Diseases
Musculoskeletal Diseases
Periodontal Atrophy
Periodontal Diseases