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Not yet recruitingNCT06984107REG-MRONJ-1Updated May 29, 2025

MRONJ and Polynucleotides-Hyaluronic Acid Hydrogel (Regenfast®)

An interventional study of MRONJ resection plus PN+HA in Medication Related Osteonecrosis of the Jaw, sponsored by Fondazione Policlinico Universitario Agostino Gemelli IRCCS. Not yet recruiting. Per ClinicalTrials.gov, last updated 2025-05-29.

Sponsored by Fondazione Policlinico Universitario Agostino Gemelli IRCCS · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
10
Allocation
Not applicable
Sex
All
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Study summary

Several circumstances or conditions, such as wound extension or disease, can affect the hard and soft tissue healing after surgical treatment of MRONJ. Supportive therapies are therefore needed to help tissues wound healing. The primary objective of this pilot clinical case series is to evaluate the post-operative wound healing in a group of patients undergoing surgical therapy for MRONJ with intraoperative application of a gel based on polynucleotides and hyaluronic acid (PN+HA) (Regenfast®)

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Conditions studied

  • Medication Related Osteonecrosis of the Jaw

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03

In context

Osteonecrosis

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

This study's planned enrollment of 10 is below the median of 68 across 151 interventional studies indexed under Osteonecrosis.

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Lead sponsor

Fondazione Policlinico Universitario Agostino Gemelli IRCCS is the lead sponsor of 952 studies on the registry; 541 are open to participants now.

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

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Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
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

  • Patients older than 18 years
  • Provided
  • MRONJ stage 1 and stage 2 diagnosis, in accordance to SICMF-SIPMO classification
  • Need to undergo surgical treatment of MRONJ

Exclusion criteria

Exclusion criteria:

  • Patients with history of head and neck radiotherapy
  • Neurological and psychiatric conditions
  • Pregnancy
  • MRONJ stage 3 diagnosis
  • Patients who will receive a re-treatment for MRONJ
  • Patients with general for oral surgery
  • Patients unable to attend the out-patients visits scheduled by the protocol
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.

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.

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Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
10 participants (estimated)

Study arms

  • Experimental
    Surgical resection plus polynucleotides and hyaluronic acid (PN+HA)

    Surgical management will be performed by reflecting a full-thick flap to expose the entire affected area, followed by removal of necrotic bone until a vital, unaffected bony margin will be obtained. After bone resection, the PN+HA (Regenfast®) will be applied on the residual bone surface. Wound management will be done via primary closure.

    Device: MRONJ resection plus PN+HA

Interventions

  • DeviceMRONJ resection plus PN+HA

    Surgical management will be performed by reflecting a full-thick flap to expose the entire affected area, followed by removal of necrotic bone until a vital, unaffected bony margin will be obtained. After bone resection, the PN+HA (Regenfast®) will be applied on the residual bone surface. Wound management will be done via primary closure.

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What researchers measure

Primary outcomes

  1. Clinical wound healing (modified Landry Healing Index)

    The clinical wound healing of the site will be assessed throughout the modified Landry Healing Index

    Time frame: 7 days after surgical treatment

  2. Clinical wound healing (modified Landry Healing Index)

    The clinical wound healing of the site will be assessed throughout the modified Landry Healing Index

    Time frame: 14 days after surgical treatment

  3. Clinical wound healing (modified Landry Healing Index)

    The clinical wound healing of the site will be assessed throughout the modified Landry Healing Index

    Time frame: 21 days after surgical treatment

  4. Clinical wound healing (modified Landry Healing Index)

    The clinical wound healing of the site will be assessed throughout the modified Landry Healing Index

    Time frame: 3 months after surgical treatment

  5. Clinical wound healing (modified Landry Healing Index)

    The clinical wound healing of the site will be assessed throughout the modified Landry Healing Index

    Time frame: 6 months after surgical treatment

  6. Clinical wound healing (modified Landry Healing Index)

    The clinical wound healing of the site will be assessed throughout the modified Landry Healing Index

    Time frame: 12 months after surgical treatment

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Study locations

No study locations are listed for this record.

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Updates

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

Key details

Study ID
NCT06984107
Responsible party
Sponsor
First posted
May 22, 2025
Start date
Sep 1, 2025 (estimated)
Primary completion
Sep 1, 2026 (estimated)
Completion
Mar 1, 2027 (estimated)
Last update
May 29, 2025

Study contacts

Carlo Lajolo
Contact
carlo.lajolo@policlinicogemelli.it
+393401004585
Carlo Lajolo
principal investigator · Fondazione Policlinico Universitario A. Gemelli, IRCCS

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 May 2025. You cannot join it, but the record below documents what was studied.

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Discussion

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