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Active, not recruitingNCT02932501MRONJUpdated Mar 20, 2024

Medication-related Osteonecrosis of the Jaw (MRONJ) Registry

An observational study in Medication-related Osteonecrosis of the Jaw and Bisphosphonate-Associated Osteonecrosis of the Jaw, sponsored by AO Clinical Investigation and Publishing Documentation. Active, not recruiting at 14 sites in 10 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-03-20.

Sponsored by AO Clinical Investigation and Publishing Documentation · Observational

Study type
Observational
Model
Case-only
Time perspective
Prospective
Enrollment
518
Ages
18 Years and older
Sex
All
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Study summary

Approximately 500 patients will be included in this patient registry. Data collection includes demographics, clinical data of underlying disease and use of bisphosphonates, denosumab and antiangiogenic drugs , degree and extension of osteonecrosis, osteonecrosis-specific treatment, outcomes and complications within 1 year after treatment.

Read the detailed description

Approximately 500 patients diagnosed with medication-related osteonecrosis of the jaw will be enrolled in the study. Patients will undergo standard (routine) of care treatment, either conservative or surgical or both, and followed up during one year after the initiation of the treatment. Treatment outcome (development of the condition), pain and complications will be collected and documented over the duration of the registry.

02

Conditions studied

  • Medication-related Osteonecrosis of the Jaw
  • Bisphosphonate-Associated Osteonecrosis of the Jaw

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Keywords

  • Bisphosphonate
  • Jaw
  • Osteonecrosis
  • Antiresorptive drugs
  • Denosumab
03

In context

Osteonecrosis

286 studies on the registry are indexed under Osteonecrosis; 45 are open to participants now.

This study's enrollment of 518 is above the median of 121 across 127 observational studies indexed under Osteonecrosis.

Browse Osteonecrosis studies →

Lead sponsor

AO Clinical Investigation and Publishing Documentation is the lead sponsor of 50 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 and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

Patients diagnosed of medication-related osteonecrosis of the jaw (MRONJ)

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

  • Age > 18 years
  • Newly diagnosed patients with osteonecrosis in a facial bone other than the jaw, or
  • Newly diagnosed patients with non-exposed MRONJ (stage 0), or
  • Newly diagnosed patients with exposed MRONJ, i.e:

    • Current or previous treatment with antiresorptive or antiangiogenic agents.
    • Exposed bone or bone that can be probed through an intraoral or extraoral fistula(e) in the maxillofacial region that has persisted for more than 8 weeks
    • No history of radiation therapy to the jaws or obvious diseases of the jaw
  • Ability to understand the content of the patient information/ Form
  • Willingness and ability to participate in the clinical investigation according to the Registry Plan (RP)
  • Signed and dated IRB/EC-approved written informed consent
  • Mental capacity to comply with post-operative regimen, evaluation and data collection

Exclusion criteria

Exclusion Criteria:

  • Recent history of substance abuse (i. e., recreational drugs, alcohol) that would preclude reliable assessment
  • Pregnancy or women planning to conceive within the registry period
  • Prisoner
  • Participation in any other medical device or medicinal product study within the previous month that could influence the results of the present registry
Terms in these criteria, in plain language(2)

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.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

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.

05

Study design

Observational model
Case-only
Time perspective
Prospective
Enrollment
518 participants (actual)
Target follow-up
1 Year
Patient registry
Yes

Groups and cohorts

  • MRONJ

    Patients diagnosed of medication-related osteonecrosis of the jaw (MRONJ). Treatment strategies vary depending on the stage of MRONJ and can be of different nature as: Conservative treatment Surgical treatment Adjuvant non-surgical treatment

    Procedure: Conservative treatment · Procedure: Surgical treatment · Procedure: Adjuvant non-surgical treatment

Interventions

  • ProcedureConservative treatment

    Disinfectant mouth rinses, Antibiotic therapy, Antifungal therapy

  • ProcedureSurgical treatment

    Superficial debridement, Complete removal of necrotic bone, Complete bone resection, When applicable revision and soft tissue coverage

  • ProcedureAdjuvant non-surgical treatment

    Hyperbaric oxygen therapy Pentoxifylline and tocopherol Ozone therapy Low level laser therapy Pain relief Anti-inflammatory treatment Platelet rich plasma Parathyroid hormone and teriparatide Bone morphogenetic protein

06

What researchers measure

Primary outcomes

  1. Treatment outcome

    Compared to the baseline status of the patient's condition, the outcome will be evaluated as: * Worsening of the osteonecrosis (e.g. size of the lesion increased) * No change of the osteonecrosis * Reduction of the osteonecrosis (e.g. size of the lesion decrease) * Complete mucosa healing

    Time frame: 6 months / 1 year

Secondary outcomes

  1. Pain perception

    Numeric Rating Scale

    Time frame: 6 months / 1 year

  2. Staging of osteonecrosis

    Staging of osteonecrosis according to the American Association of Oral and Maxillofacial Surgeons

    Time frame: 6 months / 1 year

  3. Site and size of the lesion

    Site (single vs. multiple) and size of the lesion according to Weitzman et al.

    Time frame: 6 months / 1 year

07

Study locations

14 sites
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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Aug 2017 to primary completion in Oct 2023, 73 months.

Of 59 observational studies under Osteonecrosis, half reached primary completion within 141 months of starting (the median), counting those still running; a quarter within 93 and three quarters within 184. This study's 73 months is below that.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 12, 2016
First posted
Oct 13, 2016
StartActual
Aug 14, 2017
Primary completionActual
Oct 13, 2023
CompletionEst.
Apr 2024
Last update
Mar 20, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Mar 20, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02932501
Lead sponsor
AO Clinical Investigation and Publishing Documentation
Collaborators
AOCMF
Responsible party
Sponsor
First posted
Oct 13, 2016
Start date
Aug 14, 2017
Primary completion
Oct 13, 2023
Completion
Apr 2024 (estimated)
Last update
Mar 20, 2024

Study contacts

Risto Kontio, MD DDS PhD
principal investigator · Helsinki University Central Hospital

Oversight

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

Not currently enrolling

This study is active, not recruiting, as verified in Mar 2024. You cannot join it, but the record below documents what was studied.

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