ClinicalTrials.gg
Not yet recruitingNCT06326827Updated Sep 24, 2026

X-BS Ortho Bone Graft Study

An interventional study of FDBS (GraftR3®) and IBS (MBCP® Putty) in Orthopedic Disorder, Trauma Injury and Extremity Injury, sponsored by Advanced Medical Solutions Ltd.. Not yet recruiting. Open to participants aged 18 Years to 85 Years. Per ClinicalTrials.gov, last updated 2026-09-24.

Sponsored by Advanced Medical Solutions Ltd. · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
200
Allocation
Randomized
Ages
18 Years to 85 Years
Sex
All
01

Study summary

Randomised investigation of the osteoconductive performance and safety of CE-marked FDBS bone graft (GraftR3®), with contextual reference to CE-marked IBS (MBCP® Putty), in the filling of orthopaedic bone defects.

Read the detailed description

The primary purpose of this study is to collect clinical investigation data on the performance and safety of the CE-marked FDBS bone graft (GraftR3®) for the reconstruction of bony voids or bone gaps, in orthopaedic applications that are not intrinsic to the stability of the bone structure. It acts as a bone void filler by occupying the defect and supporting bone ingrowth from the surrounding viable tissue.

The study is sponsored by Advanced Medical Solutions (Nantes) and will provide essential clinical evidence to support the clinical evaluation of FDBS (GraftR3®).

For contextual interpretation, a reference arm including IBS (MBCP® Putty), a CE-marked bone substitute with established conformity to the relevant essential requirements, has been incorporated. This will allow descriptive comparison with a marketed product while maintaining the primary focus on the CE-marked device FDBS.

02

Conditions studied

  • Orthopedic Disorder
  • Trauma Injury
  • Extremity Injury

Keywords

  • Proximal humerus
  • Distal radius
  • Distal femur
  • Proximal tibia
  • Distal tibia
  • Fracture
  • MBCP Putty
  • Bone defect reconstruction
  • GraftR3
03

In context

Musculoskeletal Diseases

752 studies on the registry are indexed under Musculoskeletal Diseases; 164 are open to participants now.

This study's planned enrollment of 200 is above the median of 76 across 518 interventional studies indexed under Musculoskeletal Diseases.

Browse Musculoskeletal Diseases studies →

Lead sponsor

Advanced Medical Solutions Ltd. is the lead sponsor of 14 studies on the registry; 2 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 85 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. Patient is male or female, 18 - 85 years old;
  2. Patient is willing and able to give written ;
  3. Patient is able to comply with a prior medical examination;
  4. Patient is or has been scheduled for a surgical procedure to correct epiphyso-metaphyseal and/or metaphyso-diaphyseal bone void in one of the following anatomical locations either after traumatic injury or elective surgical reconstruction:

    • Proximal humerus ▪ Distal radius
    • Distal femur ▪ Proximal tibia ▪ Distal tibia
  5. Patient is willing and able to comply with the study procedures during surgery and the post-surgical follow up period, up to 12 months.

Exclusion criteria

Exclusion Criteria:

  1. Patient has had an infection in the same extremity within last 24 months;
  2. Patient has bone necrosis either after traumatic injury or elective surgical reconstruction at the surgical site;
  3. Patient has cellulitis;
  4. Patient has granuloma or non-curetted cyst;
  5. Patient has a current or previous diagnosis of osteomyelitis;
  6. Patient has a degenerative bone disease;
  7. Patient has an history of uncontrolled diabetes;
  8. Patient is alcoholic and/or heavy smoker (> 20 cigarettes per day);
  9. Patient has a congenital or acquired immunodeficiency;
  10. Patient has severe bone loss (≥ 40cm3);
  11. Patient is on long-term steroidal therapy or treatment acting on the calcium or phosphorus metabolism;
  12. Patient is or has been scheduled for surgery that would involve intra-articular implantation of the study device;
  13. Patient who has or had an uncontained bone void (cavity) created as a result of trauma injury or surgically created;
  14. Patient was exposed to any radiation (e.g. X-Rays, handling of radiolabelled materials) other than the normal background radiation within the 12 months before the screening visit;
  15. Patient is pregnant or breastfeeding;
  16. Patient who is an employee at the study site;
  17. Patient is known to be non-compliant with medical treatment or follow-up
  18. Patient has any significant or unstable medical/psychiatric condition that, in the opinion of the Investigator, would interfere with their ability to participate in the study;
  19. Patient is currently enrolled or planning to enrol in another clinical study or treatment with another drug/device that may interfere with the assessments, visits or outcomes of this study.
Terms in these criteria, in plain language(3)

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.

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
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Outcomes assessor)
Enrollment
200 participants (estimated)

Study arms

  • Active comparator
    FDBS (GraftR3®)

    The CE-marked device FDBS (GraftR3®) is a powder that presents an interconnected network that enables the colonization of bone cells and biological fluid uniformly within the matrix required for the biological exchanges particularly for bone ingrowth. It is intended for the reconstruction of bony voids or bone gaps in orthopaedic applications that are not intrinsic to the stability of the bone structure. It acts as a bone void filler by occupying the defect and supporting bone ingrowth from the surrounding viable tissue. The clinical investigation is designed to generate data on the performance and safety of FDBS in orthopaedic trauma surgery.

    Device: FDBS (GraftR3®)

  • Active comparator
    IBS (MBCP® Putty)

    The CE-marked device IBS (MBCP® Putty) is an injectable bone substitute to fill and reconstruct bone voids or bone gaps of the skeletal system (e.g. extremities, spine and pelvis). It acts as a bone void filler by occupying the defect and supporting bone ingrowth from the surrounding viable tissue. For contextual interpretation, the study will include patients treated with this technology, as published data remain limited for certain indications such as surgically created bone defects (e.g. post cyst removal) or bone gaps due to traumatic injury

    Device: IBS (MBCP® Putty)

Interventions

  • DeviceFDBS (GraftR3®)

    Use of FDBS (GraftR3®) in surgical procedure to correct epiphyso-metaphyseal and/or metaphyso-diaphyseal bone defect in one of the following anatomical locations: Proximal humerus, Distal radius, Distal femur, Proximal tibia, Distal tibia.

  • DeviceIBS (MBCP® Putty)

    Use of IBS (MBCP® Putty) in surgical procedure to correct epiphyso-metaphyseal and/or metaphyso-diaphyseal bone defect in one of the following anatomical locations: Proximal humerus, Distal radius, Distal femur, Proximal tibia, Distal tibia.

06

What researchers measure

Primary outcomes

  1. Evaluation of performance and safety of FDBS and IBS in the reconstruction of bone voids in the extremities

    Achievement of successful bone integration (without occurrence of Major Adverse Events) through radiological evaluation within 12 months by assessing interdigitation in 3 out of 4 anatomical planes (anterior/posterior/lateral/medial)

    Time frame: At 12 months post-surgery

Secondary outcomes

  1. Evaluation of device-related Adverse Events associated with FDBS and IBS in the reconstruction of bone voids in the extremities

    Incidence of device related Adverse Events

    Time frame: Within 12 months post-surgery

  2. Functional evaluation after use of FDBS and IBS in the reconstruction of bone voids in the upper extremities

    Functional mobility restoration by scoring patient's physical disability and symptoms through QuickDASH outcome measure

    Time frame: Within 12 months post-surgery

  3. Functional evaluation after use of FDBS and IBS in the reconstruction of bone voids in the lower extremities

    Functional mobility restoration by scoring patient's physical disability and symptoms through LEFS outcome measure

    Time frame: Within 12 months post-surgery

  4. Evaluation of subject's pain after use of FDBS and IBS in the reconstruction of bone voids in the extremities

    Patient's pain intensity at trauma/surgical site 0 = no pain; 10 = worst pain imagineable

    Time frame: Within 12 months post-surgery

  5. Evaluation of usability of FDBS and IBS in the reconstruction of bone voids in the extremities

    Clinician satisfaction with use of FDBS and IBS as per IFU

    Time frame: Within 12 months post-surgery

  6. Evaluation of the difference in performance of FDBS versus IBS in the reconstruction of bone defects in the extremities

    Difference between FDBS and IBS in successful rates of bone integration through radiological evaluation at 12 months

    Time frame: At 12 months post-surgery

07

Study locations

No study locations are listed for this record.

08

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

Start is estimated for Oct 2026; primary completion for Oct 2027, 12 months later.

Of 266 interventional studies with no phase under Musculoskeletal Diseases, half reached primary completion within 16 months of starting (the median), counting those still running; a quarter within 6 and three quarters within 36. This study's planned 12 months is below that.

Musculoskeletal Diseases covers many different conditions, not one, so the studies compared here vary widely. Read these figures as a rough guide.

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

Registered
Mar 18, 2024
First posted
Mar 22, 2024
StartEst.
Oct 2026
Primary completionEst.
Oct 2027
CompletionEst.
Oct 2028
Last update
Sep 24, 2026
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 Sep 24, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06326827
Lead sponsor
Advanced Medical Solutions Ltd.
Collaborators
Advanced Medical Solutions (Nantes)
Responsible party
Sponsor
First posted
Mar 22, 2024
Start date
Oct 2026 (estimated)
Primary completion
Oct 2027 (estimated)
Completion
Oct 2028 (estimated)
Last update
Sep 24, 2026

Study contacts

Loïc Limon-Duparcmeur
Contact
loiclimonduparcmeur@admedsol.com
01606863500
Susan Clark
Contact
susan.clark@admedsol.com
01606863500
Peter Giannoudis
principal investigator · Leeds General Infirmary, Great George Street Leeds LS1 3EX, United Kingdom

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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