UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000022186
Receipt number R000025536
Scientific Title Clinical outcome for a novel unidirectional porous tricalcium phosphate applied to bone defects after resection of bone tumor.
Date of disclosure of the study information 2016/06/06
Last modified on 2023/11/08 11:59:37

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Basic information

Public title

Clinical outcome for a novel unidirectional porous tricalcium phosphate applied to bone defects after resection of bone tumor.

Acronym

Clinical outcome of a novel unidirectional porous tricalcium phosphate

Scientific Title

Clinical outcome for a novel unidirectional porous tricalcium phosphate applied to bone defects after resection of bone tumor.

Scientific Title:Acronym

Clinical outcome of a novel unidirectional porous tricalcium phosphate

Region

Japan


Condition

Condition

benign bone tumor or bone disease

Classification by specialty

Orthopedics

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the clinical outcome of a novel unidirectional porous tricalcium phosphate applied to bone defects after resection of bone tumor.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Radiograhic evaluation at 4weeks, 8weeks, 3monts, 6months, 9months, 12months after surgery)

Key secondary outcomes



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

Device,equipment

Interventions/Control_1

1.Application of this material to bone defect after bone resection.
2.CT 3 times, laboratory examination 3 times

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


Not applicable

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1.Patients who diagnosed as benign bone tumor
2.Patients who applied this material to bone defect after bone resection.

3.Patients who gave written informed consent

Key exclusion criteria

Patients who do not consent to this study.

Target sample size

74


Research contact person

Name of lead principal investigator

1st name Yoshihiro
Middle name
Last name Nishida

Organization

Nagoya University Hospital

Division name

Department of Rehabilitation

Zip code

4668550

Address

Tsurumai-cho 65, Showa-ku, Nagoya city, Aichi

TEL

052-744-1908

Email

ynishida@med.nagoya-u.ac.jp


Public contact

Name of contact person

1st name Kunihiro
Middle name
Last name Ikuta

Organization

Nagoya University Graduate School of Medicine

Division name

Department of Orthopaedic Surgery

Zip code

4668550

Address

Tsurumai-cho 65, Showa-ku, Nagoya city, Aichi

TEL

052-744-1908

Homepage URL


Email

k-ikuta@med.nagoya-u.ac.jp


Sponsor or person

Institute

Nagoya University Graduate school of Medicine

Institute

Department

Personal name



Funding Source

Organization

Kuraray

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

iga-sou1@adm.med.nagoya-u.ac.jp

Address

IRB of Nagoya University Hospital

Tel

0527412111

Email

iga-sou1@adm.med.nagoya-u.ac.jp


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

2016 Year 06 Month 06 Day


Related information

URL releasing protocol

https://rctportal.niph.go.jp/detail/jr?trial_id=jRCTs041180171

Publication of results

Published


Result

URL related to results and publications

https://www.nature.com/articles/s41598-022-20359-5

Number of participants that the trial has enrolled

68

Results

The present study showed the usefulness of low-porous beta-TCP with a unidirectional porous structure for filling the defects after surgery for benign bone lesions. A combination of evaluation with radiographs and bone metabolism markers at an early stage postoperatively may help clinicians predict the clinical course of patients. Our results need to be confirmed in larger sample sizes and longer follow-up periods.

Results date posted

2023 Year 05 Month 08 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results

2022 Year 09 Month 26 Day

Baseline Characteristics

Cohort1: Age Median 17 years, Male 29 cases, Female 15 cases
The diagnoses were as follows: non ossifying fibroma 7 cases, osteoid ostoma 6 cases, simple bone cyst 4 cases, giant cell tumor of bone 2 cases.
The locations were as follows: tibia 16 cases, femur 10 cases, humerus 4 cases, radius 3 cases.
Cohort2: Age Median 39 years, Male 11 cases, Female 19 cases
The common diagnosis was enchondroma, 28 cases. The locations were phalanges of hands and metacarpal bones, 24 cases and phalanges of toes 6 cases.

Participant flow

(Plan) Cohort1: 30 cases, Cohort2: 30 cases
(Enrollment) Cohort1: 44 cases, Cohort2: 30 cases
(Analysis) Cohort1: 30 cases, Cohort2: 26 cases

Adverse events

No adverse events occurred with the use of Affinos. Although two patients discontinued this study due to recurrence, these were oncologic events and not related to Affinos.

Outcome measures

The results in cohort 1 are as follows.
The values of resorption and trabeculation 12 months after surgery were 82.5% (range, 25-100) and 94.2% (range, 25-100). The location of the diaphysis, smaller defect volume, and the increased values of resorption 3 months postoperatively were associated with the increased value of resorption 12 months after surgery. The variable associated with the values of trabeculation 12 months after surgery was the trabeculation value 2 months after surgery.

The results in cohort 2 are as follows.
The values of resorption and trabeculation 12 months after surgery were 89.0% (range, 75-100) and 98.1% (range, 75-100). The increased values of resorption 2 months after surgery and smaller defect volume significantly correlated with the increased values of resorption 12 months after surgery.

No significant differences were detected in the values of resorption or trabeculation between plain radiographs and CT images 3 months after surgery. At 9 months after surgery, the values of trabeculation were significantly lower in CT than in plain radiographic evaluation. There was no significant difference in the values of resorption between plain radiographs and CT images 9 months after surgery.

There was a negative correlation between the ratio of 1CTP 3 months after surgery and the values of trabeculation 12 months after surgery.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2016 Year 06 Month 29 Day

Date of IRB

2016 Year 07 Month 21 Day

Anticipated trial start date

2016 Year 07 Month 21 Day

Last follow-up date

2020 Year 03 Month 31 Day

Date of closure to data entry

2022 Year 03 Month 31 Day

Date trial data considered complete


Date analysis concluded

2022 Year 03 Month 31 Day


Other

Other related information



Management information

Registered date

2016 Year 05 Month 02 Day

Last modified on

2023 Year 11 Month 08 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000025536


Research Plan
Registered date File name
2022/11/19 研究計画書20210201.docx

Research case data specifications
Registered date File name

Research case data
Registered date File name