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EU funding (€5,999,151): ORTHOpedic randomized clinical trial with expanded bone marrow MSC and bioceramics versus autograft in long bone nonUNIONs Hor19 Dec 2016 EU Research and Innovation programme "Horizon"

Overview

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ORTHOpedic randomized clinical trial with expanded bone marrow MSC and bioceramics versus autograft in long bone nonUNIONs

Current orthopaedic treatments permit spontaneous bone regeneration to unite and heal 90% bone injuries. Non-union associates pain and disability, often requiring biological enhancement. Regenerative medicine research suggests to the general public that alternative treatments based on advanced therapy medicinal products (ATMP) are already available. However, early clinical trials only explore its potential benefit. Underreported results and absence of early trial confirmation in adequately powered prospective randomized clinical trials (RCT) indicate that evidence is not available to transfer any technique into routine clinical application. This ORTHOUNION Project was developed from FP7-Project (REBORNE). Its results confirmed 92% bone healing rate (Gómez-Barrena et al, 2016 submitted manuscript) with an autologous ATMP of GMP expanded bone marrow derived human MSC in non-unions, where the reported bone healing rate after surgery with standard bone autograft is 74%. Any further development requires adequately powered prospective RCTs. This will be the main aim of ORTHOUNION: to assess clinically relevant efficacy of an autologous ATMP with GMP multicentric production in a well-designed, randomized, controlled, three-arm clinical trial under GCP, versus bone autograft, gold-standard in fracture non-unions. A non-inferiority analysis will evaluate if cell dose can be lowered. ATMP has been authorized by the National Competent Authorities of the participating countries in 3 previous trials (REBORNE) and will be monitored by ECRIN-ERIC to ensure quality and credibility of RCT results. Secondary aims include innovative strategies to increase manufacturing capacity and lower costs to pave translation into routine clinical treatments, biomaterial refinement to facilitate surgery, personalized medicine supportive instruments for patient selection and monitoring, and health economic evaluation. Results in this project may help define the future of bone regenerative medicin


Funded Companies:

Company name Funding amount
Alma Mater Studiorum - Universita Di Bologna €0.00
Biomatlante €277,063
Centre Hospitalier Regional Universitaire de Tours €193,125
Ecrin European Clinical Research Infrastructure Network €573,694
Etablissement Francais du Sang €394,743
Fondazione Irccs CA' Granda - Ospedale Maggiore Policlinico €420,950
Fundacio de Recerca Clinic Barcelona-Institut D Investigacions Biomediques August Pi i Sunyer €0.00
Fundacion para La Investigacion Biomedica del Hospital Universiatrio La Paz €0.00
Fundacion para La Investigacion Biomedica del Hospital Universitario Puerta de Hierro-Majadahonda €0.00
HEINRICH-HEINE-UNIVERSITAET DUESSELDORF €0.00
Institut National de la Sante et de la Recherche Medicale €221,230
Istituto Ortopedico Rizzoli €449,923
Servicio Madrileno de Salud €1,352,056
Universidad Autonoma de Madrid €824,210
Universita Degli Studi Di Modena E Reggio Emilia €293,680
UNIVERSITAETSKLINIKUM FREIBURG €0.00
UNIVERSITAET ULM €998,477

Source: https://cordis.europa.eu/project/id/733288

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