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CompletedNCT02230514Updated Apr 12, 2021

Mesenchymal Stromal Cells for the Treatment of Non-union Fractures of Long Bones

A Phase 1/2 interventional study of XCEL-MT-OSTEO-ALPHA and autologous iliac crest in Atrophic Nonunion of Fracture, sponsored by Banc de Sang i Teixits. Completed at 1 site in Spain. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2021-04-12.

Sponsored by Banc de Sang i Teixits · Phase 1/2, Interventional, and Treatment

Phase
Phase 1/2
Study type
Interventional
Enrollment
19
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
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Study summary

The present study evaluates the effect of XCEL-MT-OSTEO-ALPHA in non-union fractures (pseudoarthrosis) of long bones in comparison to the standard treatment of autologous iliac crest.

XCEL-MT-OSTEO-ALPHA is a tissue engineering product composed by "ex-vivo" expanded autologous mesenchymal stromal cells fixed in allogenic bone tissue, produced by Xcelia (Blood and Tissue Bank of Catalonia).

The working hypothesis proposes that the tissue engineering is a valid and useful technique to achieve bone regeneration up to consolidation of non-union fractures.

Read the detailed description

A phase IIa, single center, prospective, randomized, parallel, two-arms, single-dose, open-label with blinded assessor pilot clinical trial to assess ex vivo expanded adult autologous mesenchymal stromal cells fixed in allogeneic bone tissue (XCEL-MT-OSTEO-ALPHA) in non hypertrophic pseudoarthrosis of long bones.

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Conditions studied

  • Atrophic Nonunion of Fracture

Keywords

  • Nonunion fracture
  • Long bones
  • Pseudoarthrosis
  • Cell therapy
  • Tissue engineering
  • Mesenchymal stromal cells
03

In context

Fractures, Bone

2,261 studies on the registry are indexed under Fractures, Bone; 325 are open to participants now.

This study's enrollment of 19 is below the median of 69 across 1,482 interventional studies indexed under Fractures, Bone.

Browse Fractures, Bone studies →

Lead sponsor

Banc de Sang i Teixits is the lead sponsor of 14 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • 18 to 85 years of age (male and female)
  • Atrophic or hypotrophic metaphyseal-diaphyseal pseudarthrosis of long bones, confirmed radiographically.
  • Signed Informed Consent Form
  • The patient is able to understand the nature of the study

Exclusion criteria

Exclusion Criteria:

  • Suspicious of pseudarthrosis focus infection diagnosed by clinical inspection and blood analysis.
  • Positive serology for HIV (Anti-HIV I/II-Ac), Hepatitis B (HBsAg, HBcAc), Hepatitis C (Anti-HCV-Ac) or Syphilis Lúes (TP-Ac).
  • Significant abnormal laboratory tests that contraindicates patient's participation in the study.
  • Pregnant woman or without proper anticonceptive measures according to the investigator, or breath feeding
  • Smoker of more than 15 cigarettes a day
  • Congenital disorders of bones (hypophosphatemia), bone metabolic disorders associated to primary or secondary hypoparathyroidism.
  • Badly managed diabetes mellitus.
  • Patients diagnosed with peripheral arterial disorders
  • Previous therapeutic radiation (5 previous years) of the affected bone.
  • Neoplasia within the previous 5 years, or without remission
  • The patient is legally dependent
  • Participation in another clinical trial or treated with an investigational medicinal product the previous 30 days
  • Other pathologic conditions or circumstances that difficult participation in the study according to medical criteria
  • The patient does not accept to be followed-up for a period that could exceed the clinical trial length
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Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
19 participants (actual)

Study arms

  • Experimental
    XCEL-MT-OSTEO-ALPHA and surgery

    "ex-vivo" expanded autologous mesenchymal stromal cells fixed in allogenic bone tissue

    Drug: XCEL-MT-OSTEO-ALPHA · Procedure: Surgery

  • Other
    Autologous iliac crest and surgery

    Standard treatment

    Other: autologous iliac crest · Procedure: Surgery

Interventions

  • DrugXCEL-MT-OSTEO-ALPHA

    "ex-vivo" expanded autologous mesenchymal stromal cells fixed in allogenic bone tissue in association with open surgery

  • Otherautologous iliac crest

    Autologous iliac crest in association with surgery

  • ProcedureSurgery

    Standard surgery for non-union fractures

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What researchers measure

Primary outcomes

  1. Efficacy assessment of XCEL-MT-OSTEO-ALPHA in non-union fractures by imaging procedures

    Hounsfield units quantification by tomography in both treatment arms

    Time frame: 12 month

Secondary outcomes

  1. Safety assessment of XCEL-MT-OSTEO-ALPHA in non-union fractures

    Safety will be assessed by collecting adverse events throughout the experimental phase which includes a follow-up of 12 month.

    Time frame: 12 month

  2. Efficacy assessment of XCEL-MT-OSTEO-ALPHA in non-union fractures by imaging procedures

    Characteristics of the callus by tomography and Characteristics of the callus by standard x-ray in both treatment arms

    Time frame: 6 month

  3. Efficacy assessment by quality of life test

    Quality of life will be measured by EUROQOL-5D test

    Time frame: 12 month

07

Study locations

1 site
  • Hospital ASEPEYO Sant Cugat
    Sant Cugat, Barcelona 08174, Spain
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References and documents

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 12, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02230514
Lead sponsor
Banc de Sang i Teixits
Collaborators
Hospital ASEPEYO Sant Cugat
Responsible party
Sponsor
First posted
Sep 3, 2014
Start date
Nov 20, 2014
Primary completion
Mar 5, 2019
Completion
Dec 20, 2019
Last update
Apr 12, 2021

Study contacts

Fernando Granell, MD, PhD
principal investigator · Hospital ASEPEYO Sant Cugat

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Apr 2021. You cannot join it, but the record below documents what was studied.

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