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MicrotiaPhase 1/2NCT04399239

AuriNovo for Auricular Reconstruction

A Phase 1/2 study testing AuriNovo in people with Microtia, run by 3DBio Therapeutics at 2 sites in United States.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

AuriNovo provides a patient-specific, biological construct for use in the surgical reconstruction of the external ear in people born with microtia Grades II-IV. This Phase 1 / 2A study is being conducted to collect preliminary safety data on microtic ear reconstruction using AuriNovo, fine-tune technical, logistical… Read more about this study

Who is it for?
Ages 6 to 25 years
Conditions the study is for
Microtia
What is being tested?
AuriNovo
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
2 participants
Where
2 sitesUnited States
Study dates
9 Aug 2021to 18 May 2023
Phase
Phase 1/2
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 6 to 25 years
  • All sexes
  • No healthy volunteers
  • Child, Adult

Who may be able to join

  • Pediatric children 6-11, adolescents 12-16, or adults 17-25 years old
  • Born with unilateral microtia Grade II, III, or IV
  • No previous surgical procedure for auricular reconstruction
  • Have undergone an audiological assessment prior to enrollment and surgeon confirmation that study participation will not preclude future hearing correction options
  • Normal or near normal hairline position
  • Able to adhere to the follow-up schedule and post-surgery care instructions
  • Ability for the subject and/or guardian to understand and give informed consent
  • Healthy subjects with no history of cancer, problematic wound healing, or immune disorders

Who cannot join

  • Previous cochlear implant surgery
  • Patients with prior surgery in the temporal, parietal, or mastoid regions of the affected side that resulted in scarring that may affect the outcome of microtia reconstruction surgery.
  • Sensitivity to broad-spectrum aminoglycoside antibiotics containing any of the following: streptomycin, gentamycin tobramycin, amikacin, kanamycin, neomycin, or plazomicin.
  • Sensitivity to materials of porcine origin including pork products. For subjects with no known exposure to porcine materials including pork products, sensitivity as confirmed at baseline through a positive porcine skin sensitivity test.
  • Patients previously diagnosed/evaluated for any of the following syndromes:
  • CHARGE (Coloboma, Heart defect, choanal Atresia, Retarded growth and development, Genital hypoplasia, Ear anomalies) syndrome,
Show all 25Show fewer
  • Branchio-oto-renal (BOR) syndrome
  • Patients with renal dysfunction of any etiology
  • Patients with abnormal renal function determined at baseline with a blood test.
  • Patients with a history of keloid formation.
  • Patients with current skin infection.
  • Patients on immunosuppressants.
  • Any cognitive disorders where the patient would not be able to complete subject assessment questionnaires.
  • Lifestyle activities likely to affect healing or ability to adhere to the protocol (e.g., active contact sports and protective gear interferes with wearing post-operative ear protection)
  • Patients requiring chronic use of any headgear (e.g., CPAP) that would interfere with the ability to wear post-operative ear protection.
  • Pregnant females (a negative pregnancy test is required for females with reproductive potential)
  • Female patients who are nursing/lactating
  • Patients of reproductive potential (male and female) unwilling to use effective contraception during the first post-operative year.
  • For this first-in-human study, microtia patients with significant craniofacial asymmetries or deformities from other syndromes will be excluded in order to aid initial assessments of efficacy of AuriNovo. The following syndromes or conditions are additional exclusion factors:
  • Treacher-Collins Syndrome
  • Nager Syndrome
  • Goldenhar syndrome or hemifacial microsomia plus an occlusal cant of 20 degrees or greater
  • Absence of vertical ramus (as diagnosed on physical exam or CT)
  • Absence of zygoma (as diagnosed on physical exam or CT)
  • Significant orbital asymmetry or micro-ophthalmia (as diagnosed on physical exam or CT)

Trial locations and contacts

2 sites in 1 country.

United States2 sites
  • John Reinisch, MD

    Beverly Hills, California, 90211

  • Microtia-Congenital Ear Deformity Institute

    San Antonio, Texas, 78240

Other trials in United States

About this study

Official title: A Multicenter, Single Arm, Prospective, Open-Label, Staged Study of the Safety and Efficacy of the AuriNovo Construct for Auricular Reconstruction in Subjects With Unilateral Microtia

AuriNovo provides a patient-specific, biological construct for use in the surgical reconstruction of the external ear in people born with microtia Grades II-IV. This Phase 1 / 2A study is being conducted to collect preliminary safety data on microtic ear reconstruction using AuriNovo, fine-tune technical, logistical, surgical, and post-surgical care aspects related to implantation, and to gather preliminary efficacy data including short- and longer-term in vivo duration and biological status of the implant.

Conditions
Microtia
Being tested
AuriNovo
Keywords
ear reconstruction
Medical subject headings
Congenital Microtia

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • AuriNovoCombination product

    Also called AACC

    AuriNovo is a patient-specific, biologically natural, supportive base for surgical reconstruction of the external ear (auricle) in people born with microtia Grades II-IV. The construct is a 3D-bioprinted collagen hydrogel scaffold encapsulating the patient's own auricular cartilage cells (chondrocytes). The construct is printed in a size and shape that matches the contralateral ear for implantation into the patient.

Study groups in NCT04399239
Study groupRoleWhat they receive
AuriNovoExperimentalAuriNovo is a patient-specific, biologically natural, supportive base for surgical reconstruction of the external ear (auricle) in people born with microtia Grades II-IV. The construct is a 3D-bioprinted collagen hydrogel scaffold encapsulating the patient's own auricular cartilage cells (chondrocytes). The construct is printed in a size and shape that matches the contralateral ear for implantation into the patient.
Receives: Combination Product: AuriNovo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Safety through assessment of AEs

    Safety data will be collected on AE type, frequency and severity, treatment, and the time to resolution.

    Measured: 3 months

  2. Efficacy as measured through overall satisfaction scores

    Data will be collected to determine the suitability of the AACC to support reconstruction of the outer ear in microtia patients. The following will be used to determine satisfaction;

    • Surgical Outcomes Questionnaire (scores range from 15 (lowest satisfaction) to 75 (highest satisfaction))

    Measured: 3 months

  3. Efficacy as measured through overall satisfaction scores

    Data will be collected to determine the suitability of the AACC to support reconstruction of the outer ear in microtia patients. The following will be used to determine satisfaction;

    • FACE-Q Kids Questionnaire (scores range from 74 (lowest satisfaction) to 296 (highest satisfaction))

    Measured: 3 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted22 May 2020
  2. Study start9 Aug 2021
  3. Primary completion18 May 2023
  4. Study completion18 May 2023

Why it stopped: Company decision, not safety related.

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1/2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
2 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04399239
Sponsor's protocol ID
3DBio12A2020
Status last verified
May 2023
First submitted
19 May 2020
Last updated
4 Mar 2024
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
Yes
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing AuriNovo in people with Microtia, run by 3DBio Therapeutics at 2 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 8 inclusion and 25 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 4 Mar 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study was stopped early (reason given: Company decision, not safety related.). Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Safety through assessment of AEs (time frame: 3 months). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 4 Mar 2024.

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