ClinicalTrials.gg
CompletedNCT02491047Updated May 19, 2020

Safety and Performance of BonyPid-1000™ in the Treatment of Gustilo I, II, IIIA and IIIB Tibial Open Fractures

An interventional study of BonyPid-1000 and Standard of Care (SOC) treatment in Tibial Fractures and Open Fractures, sponsored by PolyPid Ltd.. Completed at 9 sites in 2 countries. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2020-05-19.

Sponsored by PolyPid Ltd. · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
51
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
All
01

Study summary

This is a prospective, multi-national, multicenter, randomized, two arms, single blind, Standard of Care (SOC) controlled, with blinded central reading center study. This study will assess the safety and performance of BonyPid-1000™ in severe open tibial fractures (Gustilo IIIA and IIIB) when implanted as adjunct to SOC and compared to SOC alone.

Read the detailed description

The study population include subjects with a classification of Gustilo I, II, IIIA or IIIB of tibial open fractures, assigned for surgical procedure, who meet eligibility criteria and provide signed informed consent.

Subjects will be randomized into either Study investigational arm or Study control arm, using a 1:1 ratio. Randomization will be stratified by Gustilo classification (I and II; IIIA ; IIIB).

Total duration of the study is expected to be approximately 32 months from first subject enrolled until last subject completed.

It is expected that each subject will be in the study for approximately 52 weeks

Subjects will be followed at the following time points:

  • Immediately post index procedure
  • During hospitalization
  • Discharge visit
  • 4 weeks and then monthly up to 24 weeks, 36 and at 52 weeks.

This is a single blind clinical trial. Subjects and their family members will be blinded to the treatment arms assignment. The study site personnel present at the baseline procedure as well as the physician performing the procedure will be trained not to disclose the treatment arm to the subject, his/her family, and to health care providers outside of the Orthopedic department.

An independent X-ray reading center assessing all subjects' images will be blinded to the treatment arms assignments, for the entire trial period. However, due to the radiographic appearance of the BonyPid-1000 as compared to SOC may differ, it is not entirely possible to blind the evaluating radiologists.

02

Conditions studied

  • Tibial Fractures
  • Open Fractures
03

In context

Tibial Fractures

135 studies on the registry are indexed under Tibial Fractures; 37 are open to participants now.

This study's enrollment of 51 is below the median of 65 across 91 interventional studies indexed under Tibial Fractures.

Browse Tibial Fractures studies →

Lead sponsor

PolyPid Ltd. is the lead sponsor of 7 studies on the registry; none are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Male or non-pregnant female aged between 18 to 70 years of age.
  2. Female of should have a negative urine pregnancy test prior to index procedure Note: All female of childbearing potential must agree to use a highly effective method of consistently and correctly for the duration of the study.
  3. Subjects with tibia open fractures of Gustilo grade I, II, IIIA or IIIB, who are assigned for surgery and are suitable for bone filler implantation, are eligible to participate in the study.
  4. Single or multi-injured subjects who are hemodynamically and physiologically stable.

    Note: A multi-injured subject is defined as one who sustains ≥2 injuries, each injury requiring hospitalization, independently of the presence of other injuries.

  5. Subjects who are able and willing to sign an form, prior to any protocol-specific procedures being performed and accept to comply with protocol requirements for the duration of the study. In specific cases, due to medical condition (e.g. a medical condition which necessitate an immediate medical treatment), a shortened consenting process may take place in accordance with local regulations.

Exclusion criteria

Exclusion Criteria:

  1. Female who is pregnant or breastfeeding.
  2. Subjects with known current disseminated , active cancer or diseases. Note: active cancer defined as - cancer for which therapeutic or palliative treatment is either ongoing at the time of enrolment or has stopped less than six (6) months before enrolment.
  3. Subjects with fractures due to known medical history of Osteoporosis.
  4. Subject with known medical history of Diabetes.
  5. Heavy smokers (a smoker with a daily cigarettes consumption of more than 20 pieces) in the last 6 months.
  6. Drug/alcohol abusers
  7. Acute infection in another sites/organs.
  8. Non-ambulating subjects prior to the trauma.
  9. More than 24 hours between injury and systemic antibiotic treatment initiation
  10. Subjects with bone fracture due to known medical history of metabolic bone diseases.
  11. Subjects with high velocity gunshot bone fractures.
  12. Subjects with major intra-articular fractures
  13. Subjects with to doxycycline and or tetracycline family of drugs.
  14. Subjects treated with systemic doxycycline during the last 4 weeks prior to screening.
  15. Previous surgical intervention in the target tibia
  16. Subject with previous open fractures within one year in the target tibia
  17. Subjects currently receiving or have received an product in the last 30 days and/or participate in another clinical trial.
Terms in these criteria, in plain language(7)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
51 participants (actual)

Study arms

  • Experimental
    BonyPid-1000

    Implantation of BonyPid-1000 medical device, constructed of bone filler coated with controlled release antibiotic formulation, concomitantly with standard of care treatment (SOC)

    Device: BonyPid-1000 · Other: Standard of Care (SOC) treatment

  • Other
    Study control arm

    Standard of care treatment (SOC) only

    Other: Standard of Care (SOC) treatment

Interventions

  • DeviceBonyPid-1000

    BonyPid-1000 implantation concomitantly to standard of care (SOC) treatment

  • OtherStandard of Care (SOC) treatment

    Standard of Care (SOC) treatment only

06

What researchers measure

Primary outcomes

  1. Safety: Deep Infection in the target fracture site

    Deep Infection in the target fracture site during the 4 weeks post index procedure. The endpoint will be assessed by calculating the rate /percent per group.

    Time frame: During the 4 weeks post index procedure

  2. Performance: Radiographic-assessed bone healing

    Radiographic-assessed bone healing during the 24-week follow-up period, based on independent blinded central radio-graphic evaluations of the target fracture's X-rays.

    Time frame: During the 24-week follow-up period

Secondary outcomes

  1. Performance: Time to Radiographic-assessed bone healing

    Time to radiographic-assessed bone healing, based on independent blinded central radio-graphic evaluations of the target fracture's X-rays.

    Time frame: During the 24-week follow-up period

07

Study locations

9 sites
  • Rabin Medical Center
    Petah Tiqva, Merkaz, Israel
  • Soroka Medical Center
    Be'er Sheva', Israel
  • Rambam Health Care Campus
    Haifa, 31096, Israel
  • Hadassah University Hospital
    Jerusalem, Israel
  • The Tel Aviv Sourasky Medical Center
    Tel Aviv, 64239, Israel
  • The Chaim Sheba Medical Center
    Tel Hashomer, 5262100, Israel
  • De La Salle HSI
    Cavite, Philippines
  • Philippines General Hospital
    Manila City, Philippines
  • Philippine Orthopedic Center
    Quezon City, Philippines
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 19, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT02491047
Lead sponsor
PolyPid Ltd.
Responsible party
Sponsor
First posted
Jul 7, 2015
Start date
Oct 2015
Primary completion
Sep 2018
Completion
Sep 2018
Last update
May 19, 2020

Study contacts

Shany Blum, Dr.
study director · PolyPid Ltd.

Oversight

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

Not currently enrolling

This study is completed, as verified in May 2020. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion