NCT03861650

Brief Summary

Maxillofacial Distraction Osteogenesis (DO) has a lot of draw backs; mostly related to long distraction and consolidation time. Rapid rate DO was proposed to decrease the distraction time to avoid consequences of long procedure. The idea of the current study is to provide mesenchymal stem cells (MSCs) in form of Bone Marrow Aspirate Concentrate (BMAC) during rapid distraction to fasten and shorten consolidation. Methods: This trial was conducted on patients requiring mandibular DO. Patients were divided in two groups; control group in which distraction took place at a rate of 1.5 mm /day without any enhancement and study group in which distraction took place at rate of 1.5 mm /day and the distracted bone was enhanced by BMAC

Trial Health

100
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
12

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Dec 2015

Typical duration for not_applicable

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

December 30, 2015

Completed
3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 30, 2018

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 30, 2018

Completed
2 months until next milestone

First Submitted

Initial submission to the registry

February 27, 2019

Completed
5 days until next milestone

First Posted

Study publicly available on registry

March 4, 2019

Completed
Last Updated

March 4, 2019

Status Verified

March 1, 2019

Enrollment Period

3 years

First QC Date

February 27, 2019

Last Update Submit

March 1, 2019

Conditions

Keywords

bone marrow aspirate concentrateHemifacial MicrosomiaDistraction osteogenesis

Outcome Measures

Primary Outcomes (1)

  • Assessment of effect of BMAC on rapidly distracted bone quality

    radiographically the bone density was assessed using CBCT of the patients to evaluate the effect of BMAC on bone maturation in term of increased bone density measured in Hounsfield unit as the increase in bone density indicates better healing and more bone maturation and justify addition of BMAC

    6 months

Study Arms (2)

Bone Marrow Aspirate Concentrate

EXPERIMENTAL

Bone Marrow Aspirate Concentrate is prepared from bone marrow by aspiration by wide bore needle and then prepared by centrifugation to get rich mix of MSCs to improve healing

Other: Bone Marrow Aspirate Concentrate

Saline

SHAM COMPARATOR

Sham or placebo drug in the control group

Other: Saline

Interventions

A rich MSCs prepration made by centrifugation and concentration of aspirated bone marrow

Bone Marrow Aspirate Concentrate
SalineOTHER

Physiological saline is added in control group to act as placebo

Saline

Eligibility Criteria

Age6 Years - 25 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64)

You may qualify if:

  • Patients free from any disease affecting bone formation of both sexes was included in the study.
  • Patients younger than 25 years old.
  • Patients included in the study were post traumatic patients, hemifacial microsomia, Treacher Collins and post ankylotic mandibular deformity.
  • Distraction range was between 15-20 mm.

You may not qualify if:

  • The presence of uncontrolled systemic disease.
  • Previous radiotherapy on head and neck region.
  • Chemotherapy within the past 12-month period.
  • An active infection at the distraction site.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

Goldenhar SyndromeDiastasis, Bone

Interventions

Sodium Chloride

Condition Hierarchy (Ancestors)

Mandibulofacial DysostosisCraniofacial DysostosisDysostosesBone Diseases, DevelopmentalBone DiseasesMusculoskeletal DiseasesCraniofacial AbnormalitiesMusculoskeletal AbnormalitiesCongenital AbnormalitiesCongenital, Hereditary, and Neonatal Diseases and AbnormalitiesJoint DislocationsJoint DiseasesWounds and Injuries

Intervention Hierarchy (Ancestors)

ChloridesHydrochloric AcidChlorine CompoundsInorganic ChemicalsSodium Compounds

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, CARE PROVIDER
Masking Details
Single blinded
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: Case-control trial
Sponsor Type
OTHER
Responsible Party
SPONSOR INVESTIGATOR
PI Title
Assistant Lecturer

Study Record Dates

First Submitted

February 27, 2019

First Posted

March 4, 2019

Study Start

December 30, 2015

Primary Completion

December 30, 2018

Study Completion

December 30, 2018

Last Updated

March 4, 2019

Record last verified: 2019-03