ClinicalTrials.gg
Status unknownNCT04432389ALLOB-TF2Updated Jun 7, 2021

Study to Assess the Efficacy and Safety of Allogeneic Osteoblastic Cells (ALLOB®) Single Implantation in Tibial Fracture

A Phase 2 interventional study of ALLOB and placebo in Tibial Fracture, sponsored by Bone Therapeutics S.A. Status unknown at 39 sites in 7 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-06-07.

Sponsored by Bone Therapeutics S.A · Phase 2, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Jun 2021), so the status shown — last known as Recruiting — may be out of date.
Phase
Phase 2
Study type
Interventional
Enrollment
178
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Although the majority of tibial fractures heal normally, some fractures may not heal within the usual time frame and is known as delayed bone healing within 4 to 6 months and absence of bone healing within 9 to 12 months in the most severe case of. Several factors can increase the risks of delayed healing complications like, for example, smoking, violent shocks (for example, due to a road accident) or even the type of fracture (an open fracture). The location of the fracture is also an important factor: among the bones of the arms and legs, the tibia is known for being the most at risk for complications. At tibial fracture with several risk factors could lead to delayed complications and interfere with patient daily life and reduce the quality of life.

The study drug, ALLOB®, is constituted of bone cells produced from the bone marrow of healthy adult donors. Preclinical studies have shown that ALLOB® cells are capable of forming bone and repairing fractures. When directly injected into a fracture, ALLOB® should therefore promote the healing of the fracture by re-establishing a healthy environment and stimulating bone production. To date, there is no treatment for fractures considered at risk of delayed complications. The current practice on diagnosis of complications is to wait at least 6-12 months before considering alternative interventions to promote fracture healing. The injection of ALLOB® quickly after the fracture should stimulate bone healing, reduce healing time, reduce complications, and improve the quality of life for the patient. ALLOB® has already shown preliminary evidence of effectiveness in the treatment of delayed bone healing fractures (ALLOB-DU1 clinical trial), including tibial fractures (8 patients). With this study, the Sponsor will evaluate whether ALLOB® promotes the healing of tibial fractures compared with placebo.

02

Conditions studied

  • Tibial Fracture

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03

In context

Tibial Fractures

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

This study's planned enrollment of 178 is above the median of 65 across 91 interventional studies indexed under Tibial Fractures.

Browse Tibial Fractures studies →

Lead sponsor

Bone Therapeutics S.A is the lead sponsor of 10 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

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. Men and women at least 18 years of age
  2. Subject diagnosed with a fresh proximal, midshaft or distal tibial fracture with definitive reduction performed with nail(s) and wound closure within 1 week of fracture occurrence
  3. Mechanism of injury at risk of DU/NU: fracture occurring because of a high energy impact
  4. At increased risk of DU/NU defined by:

    • Severe open fracture (Gustilo-Anderson grade IIIa and IIIb) OR
    • Open (Gustilo-Anderson grade I-II) or closed (Tscherne grade II-III) fracture with at least one additional risk factor among smoking , comminuted fracture or cortical continuity (0-50%)
  5. Ability to obtain a written, dated, and signed prior to any study related procedures and ability to understand and comply with study requirements

Exclusion criteria

Exclusion Criteria:

  1. Definitive reduction at the fracture site under investigation performed with plate, screw or external fixator
  2. Subjects who did not receive a standard antibiotic prophylaxis before definitive reduction at the fracture site under investigation
  3. Intra-articular tibial pilon and/or plateau fracture at the site under investigation
  4. Known osteomyelitis at the fracture site under investigation
  5. Bone defect post-definitive reduction greater than 1cm at least on 2 cortices at the fracture site under investigation
  6. Fracture requiring vascular surgery at the site under investigation
  7. Pathological fractures as judged by the Investigator, such as tumor or metabolic bone disease
  8. Bifocal or multifocal fracture at the site under investigation
  9. Presence of fever (defined as body temperature ≥ 38°C) or other signs/symptoms suggestive of active infection before randomization
  10. Severe brain trauma with a Glasgow Coma Scale (GCS) [3 - 8] or severe spinal cord injury with impossibility of weight-bearing
  11. Current or history (within 5 years) of any neoplasia (except for basal cell carcinoma of the skin and for carcinoma in situ of the cervix that has been treated with no evidence of recurrence)
  12. Known metabolic diseases potentially interfering with bone healing as judged by the Investigator, such as thyroid dysfunction, Paget disease or severe osteoporosis
  13. Planned or history of solid organ transplantation or bone marrow transplantation
  14. Known disease, including genetic disease, that may possibly need solid organ transplantation
  15. Subject with renal impairment requiring dialysis or with renal impairment defined as serum creatinine >2.0 x
  16. Clinically significant hepatic function impairment defined as /AST levels > 3x ULN or total levels > 2 x ULN
  17. Known hematologic disease as evidenced by hematocrit \< 25%, white blood cell \< 2,500/ul or values \< 100,000/ul without another explanation
  18. Subject with an history of long standing poorly controlled chronic hypertension or diabetes that could put him at risk of needing a kidney transplant later on according to the Investigator
  19. History of to human biological material including blood and blood derived products
  20. Known allergy to DMSO, dextran, gentamicin and any other aminoglycosides
  21. Participation in another interventional clinical study within 3 months prior to screening
  22. Any chronic intake of medication within one month that might affect bone metabolism or the quality of bone formation such as but not limited to bisphosphonates, teriparatide, systemic , anticoagulant therapies, methotrexate and other drugs or related immunotherapy
  23. Previous (within 10 years) treatment with bisphosphonates
  24. Current treatment with bone morphogenic protein or any other osteo-biologic intervention at the site of the tibial fracture
Terms in these criteria, in plain language(9)

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.

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.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

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.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
178 participants (estimated)

Study arms

  • Experimental
    ALLOB

    Single injection of ALLOB at fracture site (4 ml)

    Biological: ALLOB

  • Placebo comparator
    placebo

    Single injection of Placebo at fracture site (4 ml)

    Other: placebo

Interventions

  • BiologicalALLOB

    After thawing, ALLOB® is a ready-to-use product for local administration at fracture site.

  • Otherplacebo

    Placebo injected is a saline solution injectable grade (4 mL of 0.9% NaCl) filled in single-dose vial

06

What researchers measure

Primary outcomes

  1. proportion of subjects with a radiological success at Week 12

    A radiological success is defined as a subject with a Radiological Union Score for Tibia (RUST) above the threshold value predictive of a normal bone healing.

    Time frame: 12 weeks

Secondary outcomes

  1. Proportion of subjects with radiological success at Week 16, Week 20 and Month 6

    A radiological success is defined as a subject with a Radiological Union Score for Tibia (RUST) above the threshold value predictive of a normal bone healing.

    Time frame: 16 weeks - 20 weeks - 6 months

  2. Change in Radiographic Union Score for Tibia (RUST) at Week 12, Week 16, Week 20 and Month 6 compared to baseline visit

    Radiological fracture healing is defined by a radiological fracture union evaluated and adjudicated by Independent Radiologists.

    Time frame: weeks 12 - 16 - 20 - 6 months

07

Study locations

4 of 39 sites recruiting
  • Tf2-Be-05
    Anderlecht, 1070, Belgium
    Active, not recruiting
  • Tf2-Be-03
    Genk, 3600, Belgium
    Active, not recruiting
  • Tf2-Be-04
    Leuven, Belgium
    Active, not recruiting
  • Tf2-Be-01
    Lodelinsart, Belgium
    Not yet recruiting
    • Study Coordinator · Contact
  • Tf2-Cz-05
    Jindřichův Hradec, Czechia
    Active, not recruiting
  • Tf2-Cz-03
    Kladno, Czechia
    Active, not recruiting
  • Tf2-Cz-04
    Nový Jičín, Czechia
    Not yet recruiting
    • Study Coordinator · Contact
  • Tf2-Cz-02
    Praha, Czechia
    Not yet recruiting
    • Study Coordinator · Contact
  • Tf2-Cz-06
    Praha, Czechia
    Not yet recruiting
    • Study Coordinator · Contact
  • Tf2-Cz-01
    České Budějovice, Czechia
    Not yet recruiting
    • Study Coordinator · Contact
  • Tf2-Fr-06
    Amiens, 80000, France
    Not yet recruiting
    • study coordinator · Contact
  • Tf2-Fr-04
    Amiens, France
    Active, not recruiting
  • Tf2-Fr-01
    Brest, France
    Active, not recruiting
  • Tf2-Fr-02
    Chambray-lès-Tours, France
    Active, not recruiting
  • Tf2-Fr-06
    Poitiers, France
    Active, not recruiting
  • Tf2-de-04
    Gießen, Germany
    Not yet recruiting
    • Study Coordinator · Contact
  • Tf2-de-06
    Luebeck, Germany
    Not yet recruiting
    • Study Coordinator · Contact
  • Tf2-de-02
    Mannheim, Germany
    Active, not recruiting
  • Tf2-de-01
    Münster, Germany
    Not yet recruiting
    • Study Coordinator · Contact
  • Tf2-Hu-01
    Budapest, Hungary
    Not yet recruiting
    • Study coordinator · Contact
  • Tf2-Hu-06
    Eger, 3300, Hungary
    Active, not recruiting
  • Tf2-Hu-05
    Kaposvár, Hungary
    Active, not recruiting
  • Tf2-Hu-02
    Pécs, Hungary
    Active, not recruiting
  • Tf2-Hu-04
    Szolnok, Hungary
    Recruiting
    • Study coordinator · Contact
  • Tf2-Hu-03
    Székesfehérvár, Hungary
    Recruiting
    • Study Coordinator · Contact
  • Tf2-Pl-12
    Kielce, Poland
    Active, not recruiting
  • Tf2-Pl-08
    Kraków, Poland
    Active, not recruiting
  • Tf2-Pl-01
    Szczecin, Poland
    Not yet recruiting
    • Study Coordinator · Contact
  • Ft2-Pl-07
    Warszawa, Poland
    Active, not recruiting
  • Tf2-Pl-06
    Warszawa, Poland
    Recruiting
    • Study coordinator · Contact
  • Tf2-Pl-02
    Łódź, Poland
    Active, not recruiting
  • Tf2-Es-09
    Badalona, Spain
    Active, not recruiting
  • Tf2-Es-08
    Barcelona, 08036, Spain
    Active, not recruiting
  • Tf2-Es-02
    Barcelona, Spain
    Recruiting
    • Study Coordinator · Contact
  • Tf2-Es-03
    Barcelona, Spain
    Active, not recruiting
  • Tf2-Es-07
    Barcelona, Spain
    Active, not recruiting
  • Tf2-Es-06
    Málaga, Spain
    Active, not recruiting
  • Tf2-Es-05
    Pontevedra, Spain
    Active, not recruiting
  • Tf2-Es-01
    Terrassa, Spain
    Active, not recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 7, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT04432389
Lead sponsor
Bone Therapeutics S.A
Collaborators
ICON plc
Responsible party
Sponsor
First posted
Jun 16, 2020
Start date
Jan 8, 2021
Primary completion
Jul 31, 2022 (estimated)
Completion
Mar 31, 2024 (estimated)
Last update
Jun 7, 2021

Study contacts

Olivier Godeaux, MD
Contact
clinicaltrials@bonetherapeutics.com
+32 (0)71 121000

Oversight

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

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

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