AzTrials
AzTrials

Recalcitrant Lower Limb NonunionPhase 1/2NCT06335394

Prospective Study in Adults Evaluating Safety & Efficacy of NVD003 for Bone Reconstruction to Treat Lower Limb Nonunion

A Phase 1/2 study testing NVD003 in people with Recalcitrant Lower Limb Nonunion, run by Novadip Biosciences at 10 sites in 3 countries.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
Search all trials

Trial summary

The goal of this clinical trial is to evaluate the safety and preliminary efficacy of the autologous 3D osteogenic implant NVD-003 for bone reconstruction for the treatment of recalcitrant lower limb nonunion. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Recalcitrant Lower Limb Nonunion
What is being tested?
NVD003
Could I receive a placebo?
No, everyone receives an active treatment
How many people
11 participants
Where
10 sitesin 3 countries
Study dates
2 Aug 2018to 15 May 2028
Phase
Phase 1/2
Are there results?
Not yet: the study is under way

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 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male or female adult subject (≥18 years).
  • Radiographic images not older than 3 months, confirming lower limb nonunion, defined as the absence of clinical and radiographic progression towards healing over 3 consecutive months on serial radiographs and minimum 9 months after the first attempt of surgical bone repair, or minimum 6 months after the second (or any subsequent) attempt of surgical bone repair.
  • Radiologic single, meta- and/or diaphyseal bone defect with a maximum size of 4 cm (in case of a void that does not transverse the whole width of the bone, the total volume cannot exceed the volume corresponding to the 4 cm gap).
  • The impaired limb is salvageable, and the patient is eligible for the intended surgical procedure according to the standard hospital practice.
  • Documented normal or low bone density: Bone density scan determined by Dual Energy X-Ray Absorptiometry DEXA scan on lumbar spine and hip (bone mineral density T-scores above -2.5). An examination ≤ 1-year-old before screening is acceptable.
  • The subject is, in the Investigator's opinion, psychosocially, mentally, and physically able to fully comply with this protocol, including the postoperative regimen and follow-up visits.
Show all 12Show fewer
  • Use of an effective birth control method for 2 months prior to the date of the intended surgical intervention up to Visit V7 for women of childbearing potential.
  • Negative urinary pregnancy test for women of childbearing potential.
  • At screening, safety local laboratory test results are medically acceptable to undergo surgery (see Section 7.3.2) and serology results are in accordance with country specific requirements for donation of Human Body Material.
  • At time of adipose tissue collection, central laboratory serology and molecular tests panel for Human Immunodeficiency Virus (HIV), Hepatitis B Virus (HBV), Hepatitis C Virus (HCV), and syphilis are in accordance with Belgian specific requirements for release of Human Body Material.
  • The subject has understood the nature of the study, agrees to its provisions, and has accepted to participate in the study and to follow all study procedures. This is acknowledged by signing the informed consent as approved by the required Institutional Review Board/Ethics Committee and the national competent authorities.
  • Patient fulfils the criteria to donate his human body material (adipose tissue) and is suitable to undergo a liposuction.

Who cannot join

  • The subject has a Body Mass Index (BMI) ≤ 20 kg/m² or ≥ 40 kg/m², or of ≥35 kg/m² with obesity-related health conditions, such as high blood pressure or diabetes.
  • Multifocal or comminuted fractures.
  • A planned use of an external fixator is not allowed as of the grafting surgery (V1) until V7.
  • Documented osteoporosis: bone density determined using DEXA scan on lumbar spine and hip: bone mineral density T-scores of -2.5 and below. An examination ≤ 1-year-old before screening is acceptable.
  • Pregnant or breast-feeding woman.
  • The subject shows signs of an active drug or alcohol dependence, serious current illness, mental illness or any other factors which, in the opinion of the investigator, will interfere with study conduct or the interpretation of the results.
Show all 21Show fewer
  • The patient has a history of solid organ transplant at any point in the past or is on the waiting list for future organ transplantation.
  • The subject previously received a cellular therapy treatment at any point in time (as per protocol description).
  • Previous exposure to any experimental therapy with another investigational drug within 60 days prior to screening or enrolment in any concurrent study that may confound the results of this study.
  • Any signs or suspicion of an active local (area of the future surgical site), or systemic infection before the induced membrane surgery or the grafting surgery.
  • Known allergy to any antibiotics commonly used to treat Staphylococcus aureus (including methicillin-resistant Staphylococcus aureus) or coagulase-negative staphylococci.
  • Diagnosis of HIV, HBV (HBsAg or PCR positive), HCV, Human T-cell Lymphotropic Virus (HTLV) 1 or 2, or syphilis infection (as confirmed by serology and nucleic acid test (NAT) by Tissue Establishment).
  • Chronic use of immunosuppressive therapy (immunosuppressant/ immunotherapy) due to inflammatory or systemic disease.
  • Any clinically relevant chronic disease associated with renal or hepatic insufficiency or any chronic disease of such severity that surgery could be detrimental to the survival of the patient.
  • Subjects with poorly controlled diabetes mellitus type 2 as assessed by glycated haemoglobin (HbA1C) ≥ 10%.
  • Subjects with poorly controlled thyroid diseases (unstable despite proper medication).
  • Subjects with documented metabolic bone disease (based on the investigator judgment) such as, but not limited to, osteogenesis imperfecta or osteomalacia.
  • Chronic, current or planned during study use of any medications that might affect bone metabolism or the quality of bone formation such as, but not limited to, bisphosphonates, steroids, methotrexate, anticoagulant therapies, immunosuppressant therapy or immunotherapy. However, short lasting surgery-related prophylactic treatments such as antibiotics, analgesics and low molecular heparin drugs may be administered according to hospital recommendations.
  • Existing malignant tumour in the vicinity of the graft or a resected one not cured for more than 5 years.
  • Any other illness which might reduce life expectancy to less than 2 years from screening.
  • The subject is a prisoner.

Trial locations and contacts

10 sites in 3 countries.

10 sites in 3 countries

Belgium8 sites
  • Centre Hospitalier Interregional Edith Cavel (CHIREC) - Clinique Ste Anne-St Remi

    Anderlecht, 1070

  • Algemeen Ziekenhuis (AZ) Sint-Jan Brugge - Oostende AV - Campus Sint-Jan

    Bruges, 8000

  • Centre Hospitalier Universitaire CHU/UVC Brugmann (Site Horta)

    Brussels, 1020

  • Grand Hôpital De Charleroi

    Charleroi

  • Ziekenhuis Oost-Limburg (ZOL)

    Genk, 3600

  • Universitair Ziekenhuis Leuven, Campus Gasthuisberg

    Leuven, 3000

  • CHU Ambroise Paré

    Mons, 7000

  • Centre Hospitalier Regional De Namur

    Namur, 5000

Other trials in Belgium

Luxembourg1 site
  • Centre Hospitalier de Luxembourg

    Luxembourg, 1210

Other trials in Luxembourg

Switzerland1 site
  • University Hospital Basel

    Basel

Other trials in Switzerland

About this study

Official title: A Prospective Multicentre Single-arm Study in Adults to Evaluate the Safety and Preliminary Efficacy of the Autologous 3D Osteogenic Implant NVD-003 for Bone Reconstruction for the Treatment of Recalcitrant Lower Limb Nonunion

The goal of this clinical trial is to evaluate the safety and preliminary efficacy of the autologous 3D osteogenic implant NVD-003 for bone reconstruction for the treatment of recalcitrant lower limb nonunion.

Read the detailed description

This is a first in man study conducted as a prospective, single-arm, non-randomized clinical study. A sample of 5 to 10 patients will be enrolled in the study in order to assess the safety of the use of NVD-003 bone graft implantation in patients with recalcitrant lower limb nonunion.

The sample size of 5 to 10 patients was considered sufficient to give a preliminary indication on the safety of the ATMP.

Being tested
NVD003

What participants receive

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

  • NVD003Other

    Autologous osteogenic implant NVD-003 for bone reconstruction

Study groups in NCT06335394
Study groupRoleWhat they receive
Single-arm studyExperimentalNVD003
Receives: Other: NVD003

What is being measured

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

  1. Safety - Adverse Events

    All Adverse Events (AEs) including Serious Adverse Events (SAEs), Adverse Events of Special Interest (AESI) and Procedure Related AE's (PRAE).

    Measured: From graft implantation until completion of visit 24 months

  2. Safety - Abnormalities of vital signs

    Vital signs abnormalities: blood pressure

    Measured: At hospital discharge (1-2 weeks after grafting surgery), at visit 1,5 months, at visit 3 months, at visit 6 months, at visit 12 months and visit 24 months

  3. Safety - Abnormalities of vital signs

    Vital signs abnormalities: heart rate

    Measured: At hospital discharge (1-2 weeks after grafting surgery), at visit 1,5 months, at visit 3 months, at visit 6 months, at visit 12 months and visit 24 months

  4. Safety - Abnormalities of physical examination

    Physical examinations abnormalities: cardiovascular system

    Measured: At hospital discharge (1-2 weeks after grafting surgery), at visit 1,5 months, at visit 3 months, at visit 6 months, at visit 12 months and visit 24 months

  5. Safety - Abnormalities of physical examination

    Physical examinations abnormalities: respiratory system

    Measured: At hospital discharge (1-2 weeks after grafting surgery), at visit 1,5 months, at visit 3 months, at visit 6 months, at visit 12 months and visit 24 months

  6. Safety - Abnormalities of physical examination

    Physical examinations abnormalities: legs examination (inspection of both legs and extensive examination of the affected leg)

    Measured: At hospital discharge (1-2 weeks after grafting surgery), at visit 1,5 months, at visit 3 months, at visit 6 months, at visit 12 months and visit 24 months

  7. Safety - Abnormalities of laboratories

    Safety laboratories abnormalities: blood sampling: haematology (tests that yield information on the qualitative and quantitative composition of the cellular components of the blood)

    Measured: At hospital discharge (1-2 weeks after grafting surgery), at visit 1,5 months, at visit 3 months, at visit 6 months, at visit 12 months and visit 24 months

  8. Safety - Abnormalities of laboratories

    Safety laboratories abnormalities: blood sampling: coagulation (measure your blood's ability to clot, and how long it takes to clot)

    Measured: At hospital discharge (1-2 weeks after grafting surgery), at visit 1,5 months, at visit 3 months, at visit 6 months, at visit 12 months and visit 24 months

  9. Safety - Abnormalities of laboratories

    Safety laboratories abnormalities: blood sampling: biochemistry (tests to evaluate organ function, electrolyte status, hormone levels and more (calcium, vitamin D))

    Measured: At hospital discharge (1-2 weeks after grafting surgery), at visit 1,5 months, at visit 3 months, at visit 6 months, at visit 12 months and visit 24 months

Secondary outcomes (13)
  1. Healing efficacy: plain X-ray

    Plain X-ray healing defined as 3 united cortices (the strong type of bone on the outer layer) out of 4, on antero-posterior and lateral X-ray views

    Measured: At 6 weeks, 3 months, 6 months, 12 months, at additional visits (if no healing at 12 months after graft implant surgery) up to 24 months.

  2. Healing efficacy: CT-scan

    Computerized Tomography (CT)-scan healing defined as 3 united cortices out of 4

    Measured: At 6, 12 and 24 months

  3. Healing efficacy: average time from Investigational Medicinal Product grafting surgery till first observation of plain X-ray and CT-scan confirmed fracture healing

    The average time from IMP grafting surgery till first observation of plain X-ray and CT-scan confirmed fracture healing

    Measured: Average time from IMP grafting surgery till first observation of plain X-ray and CT-scan up to 24 months

  4. Healing efficacy: investigator assessed clinical healing

    Investigator assessed clinical healing based on the overall clinical evaluation of the patient: ability to bear weight (non-weight bearing, toe-touch weight bearing, partial weight bearing, full weight bearing and full weight bearing with walking), the pain score at palpation at the fracture site (patient to rate the pain from 0 to 10 with the understanding that 0 is equal to no pain and 10 is equal to worst possible pain) and the pain medication intake by the patient.

    Measured: From 6 weeks post-grafting onwards up to 24 months

  5. Healing efficacy: average time from IMP grafting surgery to Investigator assessed clinical healing

    The average time from IMP grafting surgery to Investigator assessed clinical healing

    Measured: Time from grafting surgery till first observation of investigator assessed clinical healing up to 24 months

  6. Grafting Surgery parameters

    Parameter 1: duration of grafting surgery

    Measured: Duration of grafting surgery (visit 1) and duration of hospitalization after grafting surgery (visit 2)

  7. Grafting Surgery parameters

    Parameter 2: duration of hospitalization

    Measured: Duration of grafting surgery (visit 1) and duration of hospitalization after grafting surgery (visit 2)

  8. Complications: rate of subsequent surgical interventions

    Rate of subsequent surgical interventions (e.g. revision, removal, reoperation and/or supplemental fixation)

    Measured: At 12 and 24 months post-implant surgery

  9. Quality of Life: pain evaluation

    Pain evaluation with the Brief Pain Inventory (Short Form) (BPI-SF) (pain severity and pain interference with function)

    Measured: At screening and at 6 weeks, 3, 6, 12 and 24 months post-graft

  10. Quality of Life: questionnaire EuroQol-5 Dimensions

    QoL questionnaire EuroQol-5 Dimensions (EQ-5D-5L)

    Measured: At screening and at 6 weeks, 3, 6, 12 and 24 months post-graft

  11. Quality of Life: overall treatment effect

    Overall Treatment Effect rating scale

    Measured: At 3, 6, 12 and 24 months post-graft

  12. General Pre-graft implantation safety: all SAEs, AESI and PRAE

    All AEs including Serious Adverse Events (SAEs), Adverse Events of Special Interest (AESI) and Procedure Related AE's (PRAE).

    Measured: Pre-graft implantation

  13. All SAEs during the extended safety follow-up period

    All Serious Adverse Events (SAEs).

    Measured: During the extended safety follow-up period (between 24 months FU visit and 5 years post-grafting surgery)

Timeline

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

  1. First posted28 Mar 2024
  2. Study start2 Aug 2018
  3. Primary completion27 Apr 2022
  4. Study completion15 May 2028 (estimated)

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
11 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06335394
Sponsor's protocol ID
NVD003-CLN01
Status last verified
Mar 2024
First submitted
21 Nov 2023
Last updated
28 Mar 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing NVD003 in people with Recalcitrant Lower Limb Nonunion, run by Novadip Biosciences at 10 sites in 3 countries.

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 12 inclusion and 21 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: under way, not looking for participants, as of the sponsor's last update on 28 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 10 sites in Belgium, Luxembourg, Switzerland. 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?

This study is still under way. Results are not available in the source record yet.

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 - Adverse Events (time frame: From graft implantation until completion of visit 24 months). The study lists 9 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 28 Mar 2024; AzTrials last refreshed its copy on 7 Nov 2026.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in