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CompletedNCT04297813MaxiboneUpdated Jun 29, 2025

Efficacy in Alveolar Bone Regeneration With Autologous MSCs and Biomaterial in Comparison to Autologous Bone Grafting

A Phase 3 interventional study of Advanced medicinal Therapy (MSC combined with biomaterial) and Autologous bone graft in Alveolar Bone Atrophy, sponsored by University of Bergen. Completed at 6 sites in 4 countries. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-06-29.

Sponsored by University of Bergen · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
48
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

A randomized controlled clinical multi center trial to assess the efficacy of a combination of autologous mesenchymal stem cells and biomaterial in jaw bone regeneration prior to dental implant placement in comparison to standard autologous bone block grafting.

Read the detailed description

A phase III multi center clinical trial, randomized and controlled.The study subject is lacking one or more sheet behind the canine in the upper or lower jaw, and the alveolar ridge is too narrow to place a dental implant. The test objects will have augmentation using autologous mesenchymal stromal cells and a biomaterial, biphasic Calcium Phosphate. The control is the traditional bone block from the ramus.

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Conditions studied

  • Alveolar Bone Atrophy

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Keywords

  • Maxilla
  • mandible,
  • MSC
  • RCT
  • Bone regeneration
  • Multicenter
03

In context

Alveolar Bone Loss

297 studies on the registry are indexed under Alveolar Bone Loss; 76 are open to participants now.

This study's enrollment of 48 is above the median of 25 across 254 interventional studies indexed under Alveolar Bone Loss.

Browse Alveolar Bone Loss studies →

Lead sponsor

University of Bergen is the lead sponsor of 141 studies on the registry; 19 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 and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Healthy, non smoking patients in need of dental implants in the upper or lower jaw, with loss in vertical height and less that 4 mm in lateral width.

Exclusion criteria

Exclusion Criteria:

  • General contraindications for dental and/or surgical treatments
  • Contraindications for both bone marrow harvesting and bone grafts
  • History of any malignant diseases
  • Concurrent or previous radiotherapy of head and neck region
  • History of contagious diseases (HIV, HTLV and/or syphilis seropositivity, hepatitis B or C infection)
  • Uncontrolled diabetes mellitis, e.g. patients with diabetes not regulated with medications or diet. This will be verified based on patient's history and concurrent HbA1c levels (HbA1c > 53 mmol/mol).
  • Inflammatory and autoimmune disease of the oral cavity.
  • Concurrent or previous immunosuppressant, bisphosphonate or high dose corticosteroid therapy.
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Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
48 participants (actual)

Study arms

  • Active comparator
    Control

    The gold standard; Bone block from the ramus of the nation will be transplanted to the alveolar ridge.

    Procedure: Autologous bone graft

  • Experimental
    Test

    Expanded, autologous mesenchymal stem cells in combination with biphasic calcium phosphate

    Combination Product: Advanced medicinal Therapy (MSC combined with biomaterial)

Interventions

  • Combination productAdvanced medicinal Therapy (MSC combined with biomaterial)

    Augmentation of alveolar ridge with MSC and biomaterial

  • ProcedureAutologous bone graft

    Augmentation of the alveolar ridge with bone graft

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What researchers measure

Primary outcomes

  1. Change in bone width

    Changes in linear measurements of bone width measured by CBCT.Principal assessment is linear change in bone width 2 mm below alveolar crest measured by means of CBCT images from baseline to 5 months after the regenerative surgery, immediately prior to implant placement

    Time frame: 0-5 months

Secondary outcomes

  1. Pain postoperatively in the two different treatments

    Assessed by VAS scale, the scale goes from 0 to 100, 100-mm horizontal line on which the patient's pain intensity is represented by a point between the extremes of "no pain at all" and "worst pain imaginable."

    Time frame: 21 months

  2. Radiological examination of bone volume

    To evaluate the formation of the new bone by assessing if it is possible to insert an implant in the reconstructed area 5 months after the grafting procedure. This decision will be made based on radiological examination of bone volume by means of 3D CBCT images captured immediately prior to implant placement, 5-6 months after the regenerative surgery.

    Time frame: 21 months

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Study locations

6 sites
  • Syddansk Universitet SDU (University Hospital of Southern Denmark)
    Odense, 5230, Denmark
  • Assistance Publique - Hôpitaux De Paris
    Créteil, 94010, France
  • CHU Nantes, Centre de Soins Dentaires
    Nantes, 44000, France
  • University of Bergen, Institute of Clonical Dentistry
    Bergen, Hordaland 5009, Norway
  • Universidad Complutense De Madrid
    Madrid, Calle Fernando de Castro Rodriguez, 28040, Spain
  • Universitat Internacional De Catalunya
    Barcelona, 08195, Spain
08

References and documents

Publications

  • Gjerde C, Mustafa K, Hellem S, Rojewski M, Gjengedal H, Yassin MA, Feng X, Skaale S, Berge T, Rosen A, Shi XQ, Ahmed AB, Gjertsen BT, Schrezenmeier H, Layrolle P. Cell therapy induced regeneration of severely atrophied mandibular bone in a clinical trial. Stem Cell Res Ther. 2018 Aug 9;9(1):213. doi: 10.1186/s13287-018-0951-9. PubMed 30092840 ↗
  • Rojewski MT, Lotfi R, Gjerde C, Mustafa K, Veronesi E, Ahmed AB, Wiesneth M, Korper S, Sensebe L, Layrolle P, Hellem S, Schrezenmeier H. Translation of a standardized manufacturing protocol for mesenchymal stromal cells: A systematic comparison of validation and manufacturing data. Cytotherapy. 2019 Apr;21(4):468-482. doi: 10.1016/j.jcyt.2019.03.001. Epub 2019 Mar 27. PubMed 30926359 ↗
  • Sanz M, Gjerde C, Gjertsen BT, Ortiz-Vigon A, Sanchez N, Hoornaert A, Caballe-Serrano J, Giralt-Hernando M, Gaultier F, Reinald N, Pinholt EM, Rojewski M, Rouard H, Chevallier N, Mohamed-Ahmed S, Shi X, Shi TJ, Schrezenmeier H, Layrolle P, Mustafa K. Bone Augmentation of Atrophic Alveolar Ridges Using a Synthetic Bone Substitute With Mesenchymal Stem Cells: A Randomized, Controlled Clinical Trial. Clin Oral Implants Res. 2025 Aug 22. doi: 10.1111/clr.70025. Online ahead of print. PubMed 40844304 ↗

Individual participant data

Plan to share: Yes — De-identified individual participants data for all primary and secondary outcome measures will be made available

Supporting information: Study protocol, Sap, Icf, Csr

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 29, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04297813
Lead sponsor
University of Bergen
Collaborators
Université de Nantes, University of Ulm, Universidad Complutense de Madrid, University of Aarhus, Universitat Internacional de Catalunya, Assistance Publique - Hôpitaux de Paris, European Commission
Responsible party
Sponsor
First posted
Mar 6, 2020
Start date
Mar 12, 2020
Primary completion
Jul 31, 2023
Completion
Jul 31, 2024
Last update
Jun 29, 2025

Study contacts

Mariano Sanz, Professor
principal investigator · Universidad Complutense de Madrid
Else Marie Pinholt, Professor
principal investigator · Syddansk Universitet SDU (University Hospital of Southern Denmark)
Federico Hernandez-Alfaroo, Professor
principal investigator · Universitat Internacional de Catalunya
Alain Hoornaert, DDS
principal investigator · CHU Nantes, Centre de Soins Dentaires
Frederik Gaultier, PhD/DDS
principal investigator · Assistance Publique - Hôpitaux de Paris

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

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

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