Augment® Injectable Bone Graft Compared to Autologous Bone Graft as a Bone Regeneration Device in Hindfoot Fusions

Sponsor
BioMimetic Therapeutics (Industry)
Overall Status
Completed
CT.gov ID
NCT01305356
Collaborator
(none)
299
25
2
37
12
0.3

Study Details

Study Description

Brief Summary

STUDY OBJECTIVES:

To demonstrate equivalent clinical and radiologic outcomes as "gold standard" (Autologous Bone Graft) in a representative clinical model (hindfoot fusions)

STUDY HYPOTHESIS:

Augment® Injectable is an equivalent bone grafting substitute to autologous bone graft in applications as shown by superiority analysis for safety and non-inferiority analysis for effectiveness

STUDY RATIONALE:

To evaluate a fully synthetic bone graft material to facilitate fusion in conditions or injuries requiring bone graft in a representative clinical fusion model and thus the opportunity to provide equivalent union rates as Autologous Bone Graft without necessitating an additional invasive procedure to harvest the graft

Condition or Disease Intervention/Treatment Phase
  • Device: Augment® Injectable Bone Graft
  • Procedure: Autologous bone graft
N/A

Detailed Description

STUDY DESIGN:

Prospective, randomized, controlled, non-inferiority, multi-center trial

NUMBER OF STUDY CENTERS:

25

NUMBER OF SUBJECTS:

299 Subjects (see "Study Population"). The subject population included subjects enrolled in 3 separate Clinical Trials. (BMTI-2006-01, BMTI-2009-01, and BMTI-2010-01)

STUDY POPULATION:

Male and female subjects 18 years of age or older requiring a hindfoot fusion procedure involving a bone grafting procedure.

TREATMENT GROUPS:

Group I: Standard Rigid Fixation + Autologous Bone Graft Group II: Standard Rigid Fixation + Augment® Injectable Bone Graft

Subjects will be randomized in a 2:1 ratio (Augment® Injectable:Autologous Bone Graft).

ROUTE OF ADMINISTRATION:

Investigational device is manually implanted inside and around the fusion space to ensure Augment® Injectable Bone Graft (beta-TCP/bovine collagen matrix +rhPDGF-BB) or autologous bone graft is contained within the joint space

STUDY DURATION:

Twenty-four month follow-up post-surgery

Study Design

Study Type:
Interventional
Actual Enrollment :
299 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Single (Outcomes Assessor)
Primary Purpose:
Treatment
Official Title:
A Prospective, Randomized, Controlled, Multi-Center, Pivotal Human Clinical Trial to Evaluate the Safety and Effectiveness of Augment® Injectable Bone Graft Compared to Autologous Bone Graft as a Bone Regeneration Device in Hindfoot Fusions
Actual Study Start Date :
Mar 1, 2011
Actual Primary Completion Date :
Apr 1, 2013
Actual Study Completion Date :
Apr 1, 2014

Arms and Interventions

Arm Intervention/Treatment
Experimental: Augment® Injectable Bone Graft

Standard rigid fixation + Augment® Injectable Bone Graft (beta-TCP/bovine collagen matrix + rhPDGF-BB)

Device: Augment® Injectable Bone Graft
Implantation of up to 9cc of Augment® Injectable Bone Graft

Active Comparator: Autologous bone graft

Standard Rigid Fixation + Autologous bone graft

Procedure: Autologous bone graft
Implantation of up to 9cc of autologous bone graft

Outcome Measures

Primary Outcome Measures

  1. Pain on Weight Bearing [Baseline, 9, 12, 16, 24, 36, and 52 weeks]

    Subjects were asked to stand and report pain on a 100 mm Visual Analog Scale (with 0 being no pain and 100 being worst pain imaginable).

Secondary Outcome Measures

  1. Foot Function Index (FFI) [Baseline, 9, 12, 16, 24, 36, and 52 weeks]

    The Foot Function Index (FFI) measures the impact of foot pathology on function in terms of pain, disability and activity restriction. The FFI is a self-administered index consisting of 23 items divided into 3 sub-scales all ranging from 0-100. To obtain a sub-scale score, the item scores for a sub-scale are totaled and then divided by the maximum total possible for all of the sub-scale items which the subject indicated were applicable. Any item marked as not applicable is excluded from the total possible. Sub-scales are an average of the completed ratings within that sub-scale. The total foot function score is an average of the three sub-scale scores and ranges from 0-100. Lower scores are indicative of better outcomes whereas higher scores indicate greater impairment.

  2. AOFAS Hindfoot and Ankle Score [Baseline, 9, 12, 16, 24, 36, and 52 weeks]

    Subjects were asked to report pain, functionality and ability levels while the physician performed assessments based on alignment, abnormality, motion, and stability. The total score ranges from a low of zero to a high of 100, with subscales measuring pain (40 points), function (50 points), and alignment (10 points), with higher scores showing better outcomes.

  3. Fusion Site Pain [Baseline, 9, 12, 16, 24, 36, and 52 weeks]

    Subjects were asked to report current pain level at the fusion site on a 100 mm Visual Analog Scale (with 0 being no pain and 100 being worst pain imaginable).

  4. SF-12 Physical Component Score [Baseline, 9, 12, 16, 24, 36, and 52 weeks]

    The SF-12 Physical Component Score is a validated quality of life metric with a minimum of zero and a maximum of 100, with higher scores denoting higher quality of life.

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
KEY INCLUSION CRITERIA:
  • at least 18 years old and considered skeletally mature

  • diagnosed with degenerative joint disease (DJD) affecting the hindfoot due to a congenital or acquired deformity, osteoarthritis, rheumatoid arthritis, post- traumatic arthritis or ankylosing spondylitis of the ankle, subtalar, calcaneocuboid, and/or talonavicular joints

  • requires one of the following hindfoot fusion proceduress with supplemental bone graft/substitute: ankle fusion (tibiotalar), subtalar fusion (talocalcaneal), calcaneocuboid fusion, talonavicular fusion, triple arthrodesis (subtalar, talonavicular and calcaneocuboid joints) OR double fusions (any combination of any two of the following: subtalar, talonavicular and calcaneocuboid joints)

  • fusion site able to be rigidly stabilized with no more than 3 screws across the fusion site

  • supplemental pins or staples allowed

  • supplemental screws external to the fusion site(s) allowed

  • signed informed consent document, independent, ambulatory, and can comply with all post-operative evaluations and visits

KEY EXCLUSION CRITERIA:
  • undergone previous fusion surgery at the proposed location, i.e., revision of a failed fusion

  • more than one previous procedure at the involved joints

  • retained hardware spanning the joint(s) intended for fusion

  • procedure anticipated to require plate fixation (including claw plates), IM nails or more than 3 screws to achieve rigid fixation based on pre-op planning

  • procedure expected to require more than 9cc of graft material based on pre-op planning

  • procedure expected to require structural bone graft, allograft, bone graft substitute, platelet rich plasma (PRP) or bone marrow aspirate

  • procedure expected to require a pantalar fusion, i.e., fusion of ankle plus all hindfoot joints (talonavicular, subtalar, and calcaneocuboid) or an ankle fusion in combination with any hindfoot fusion

  • radiographic evidence of bone cysts, segmental defects or growth plate fracture near the fusion site that could negatively impact the proposed fusion procedure

  • tested positive or been treated for a malignancy in the past or is suspected of having a malignancy or currently undergoing radio- or chemotherapy treatment for a malignancy anywhere in the body, whether adjacent to or distant from the proposed surgical site

  • pre-existing sensory impairment, e.g., diabetics with baseline sensory impairment, which limits ability to perform objective functional measurements and may be at risk for complications

  • diabetics not sensitive to the 5.07 monofilament (Semmes-Weinstein) are to be excluded

  • metabolic disorder known to adversely affect the skeleton other than primary osteoporosis or diabetes, e.g., renal osteodystrophy or hypercalcemia

  • use of chronic medications known to affect the skeleton, e.g., glucocorticoid usage > 10mg/day

  • pre-fracture neuromuscular or musculoskeletal deficiency which limits the ability to perform objective functional measurements

  • physically or mentally compromised, e.g., current treatment for a psychiatric disorder, senile dementia, Alzheimer's disease, etc., to the extent that the Investigator judges the subject to be unable or unlikely to remain compliant

  • allergic to yeast-derived products or bovine collagen or other bovine-sourced products

  • received an investigational therapy within 30 days of proposed surgery or during the follow-up phase of the study

  • is a prisoner, known or suspected transient or a history of drug/alcohol abuse within the 12 months prior to screening

  • pregnant or intending to become pregnant within 12 months of the study procedure

  • morbidly obese defined as BMI > 45 kg/m2

  • currently has an acute infection at the surgical site

Contacts and Locations

Locations

Site City State Country Postal Code
1 Tucson Orthopaedic Research Center Tucson Arizona United States 85712
2 University of Arizona Tucson Arizona United States 85724
3 California Pacific Medical Center San Francisco California United States 94118
4 Illinois Bone & Joint Institute, Ltd. Glenview Illinois United States 60025
5 Loyola University Medical Center Maywood Illinois United States 60153
6 Union Memorial Hospital Baltimore Maryland United States 21218
7 Mid Michigan Orthopaedic Institute East Lansing Michigan United States 48823
8 Orthopaedic Associates of Michigan, PC Grand Rapids Michigan United States 49525
9 Desert Orthopaedic Center Las Vegas Nevada United States 89121
10 University of Medicine & Dentistry of New Jersey Newark New Jersey United States 07101
11 Hospital for Special Surgery New York New York United States 10021
12 University of Rochester Medical Center Rochester New York United States 14642
13 OrthoCarolina, PA Charlotte North Carolina United States 28207
14 Cleveland Clinic Orthopaedic Cleveland Ohio United States 44195
15 Orthopedic Foot & Ankle Center Columbus Ohio United States 43231
16 Health Research Institute, Inc. Oklahoma City Oklahoma United States 73109
17 The Rothman Institute Philadelphia Pennsylvania United States 19107
18 Campbell Clinic / InMotion Orthopaedic Research Center Memphis Tennessee United States 38138
19 Texas Health Research & Education Institute Dallas Texas United States 75231
20 St. Luke's Episcopal Hospital Houston Texas United States 77030
21 Life Mark Health Centre Calgary Alberta Canada
22 St. Paul's Hospital Vancouver British Columbia Canada V6Z1Y6
23 Queen Elizabeth II Health Services Halifax Nova Scotia Canada B3H3A7
24 The Ottawa Hospital Ottawa Ontario Canada K1H8L6
25 St. Michael's Hospital Toronto Ontario Canada M5C1R6

Sponsors and Collaborators

  • BioMimetic Therapeutics

Investigators

  • Study Director: Stephen Roach, Stryker Trauma GmbH
  • Principal Investigator: Christopher DiGiovanni, MD, University Orthopaedics, Inc.

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
BioMimetic Therapeutics
ClinicalTrials.gov Identifier:
NCT01305356
Other Study ID Numbers:
  • BMTI-2010-01
  • NCT01008891
First Posted:
Feb 28, 2011
Last Update Posted:
Dec 26, 2018
Last Verified:
Dec 1, 2018

Study Results

Participant Flow

Recruitment Details
Pre-assignment Detail A propensity score matching analysis was performed in order to identify a single set of investigational and control subjects derived from the datasets (BMTI-2006-01, BMTI-2009-01, BMTI-2010-01) that were comparable and could be evaluated for the purpose of assessing the safety and effectiveness of AUGMENT® Injectable.
Arm/Group Title Augment® Injectable Bone Graft Autologous Bone Graft
Arm/Group Description Standard rigid fixation + Augment® Injectable Bone Graft (beta-TCP/bovine collagen matrix + rhPDGF-BB) Standard Rigid Fixation + Autologous bone graft
Period Title: Overall Study
STARTED 132 167
COMPLETED 132 167
NOT COMPLETED 0 0

Baseline Characteristics

Arm/Group Title Augment® Injectable Bone Graft Autologous Bone Graft Total
Arm/Group Description Standard rigid fixation + Augment® Injectable Bone Graft (beta-TCP/bovine collagen matrix + rhPDGF-BB) Augment® Injectable Bone Graft: Implantation of up to 9cc of Augment® Injectable Bone Graft Standard Rigid Fixation + Autologous bone graft Autologous bone graft: Implantation of up to 9cc of autologous bone graft Total of all reporting groups
Overall Participants 132 167 299
Age (Count of Participants)
<=18 years
0
0%
0
0%
0
0%
Between 18 and 65 years
97
73.5%
109
65.3%
206
68.9%
>=65 years
35
26.5%
58
34.7%
93
31.1%
Sex: Female, Male (Count of Participants)
Female
62
47%
81
48.5%
143
47.8%
Male
70
53%
86
51.5%
156
52.2%
Affected Foot/Ankle (Count of Participants)
Ankle fusion
31
23.5%
46
27.5%
77
25.8%
Subtalar fusion
52
39.4%
59
35.3%
111
37.1%
Calcaneocuboid fusion
3
2.3%
0
0%
3
1%
Talonavicular fusion
6
4.5%
9
5.4%
15
5%
Double fusion
21
15.9%
17
10.2%
38
12.7%
Triple arthordesis
19
14.4%
36
21.6%
55
18.4%
Ever smoked (Count of Participants)
No
61
46.2%
83
49.7%
144
48.2%
Yes
71
53.8%
84
50.3%
155
51.8%

Outcome Measures

1. Primary Outcome
Title Pain on Weight Bearing
Description Subjects were asked to stand and report pain on a 100 mm Visual Analog Scale (with 0 being no pain and 100 being worst pain imaginable).
Time Frame Baseline, 9, 12, 16, 24, 36, and 52 weeks

Outcome Measure Data

Analysis Population Description
Analysis conducted on patients at Baseline, 9, 12, 16, 24, 36, and 52 weeks time points.
Arm/Group Title Augment® Injectable Bone Graft Autologous Bone Graft
Arm/Group Description Standard rigid fixation + Augment® Injectable Bone Graft (beta-TCP/bovine collagen matrix + rhPDGF-BB) Standard Rigid Fixation + Autologous bone graft
Measure Participants 132 167
Baseline
71.0
(2.0)
70.7
(1.8)
Week 9
29.5
(2.9)
28.2
(2.5)
Week 12
26.8
(2.5)
24.6
(2.2)
Week 16
26.4
(2.4)
24.4
(2.1)
Week 24
25.1
(2.4)
18.3
(2.1)
Week 36
18.7
(2.3)
15.8
(2.0)
Week 52
16.6
(2.4)
15.9
(2.1)
2. Secondary Outcome
Title Foot Function Index (FFI)
Description The Foot Function Index (FFI) measures the impact of foot pathology on function in terms of pain, disability and activity restriction. The FFI is a self-administered index consisting of 23 items divided into 3 sub-scales all ranging from 0-100. To obtain a sub-scale score, the item scores for a sub-scale are totaled and then divided by the maximum total possible for all of the sub-scale items which the subject indicated were applicable. Any item marked as not applicable is excluded from the total possible. Sub-scales are an average of the completed ratings within that sub-scale. The total foot function score is an average of the three sub-scale scores and ranges from 0-100. Lower scores are indicative of better outcomes whereas higher scores indicate greater impairment.
Time Frame Baseline, 9, 12, 16, 24, 36, and 52 weeks

Outcome Measure Data

Analysis Population Description
Analysis conducted on patients at Baseline, 9, 12, 16, 24, 36, and 52 weeks time points.
Arm/Group Title Augment® Injectable Bone Graft Autologous Bone Graft
Arm/Group Description Standard rigid fixation + Augment® Injectable Bone Graft (beta-TCP/bovine collagen matrix + rhPDGF-BB) Standard Rigid Fixation + Autologous bone graft
Measure Participants 132 167
Baseline
50.6
(1.6)
50.0
(1.4)
9 Weeks
41.8
(1.7)
45.0
(1.5)
12 Weeks
33.3
(1.8)
34.5
(1.6)
16 Weeks
29.7
(2.0)
28.0
(1.7)
24 Weeks
26.3
(1.8)
19.8
(1.6)
36 Weeks
21.8
(1.8)
16.7
(1.6)
52 Weeks
19.6
(1.9)
16.9
(1.6)
3. Secondary Outcome
Title AOFAS Hindfoot and Ankle Score
Description Subjects were asked to report pain, functionality and ability levels while the physician performed assessments based on alignment, abnormality, motion, and stability. The total score ranges from a low of zero to a high of 100, with subscales measuring pain (40 points), function (50 points), and alignment (10 points), with higher scores showing better outcomes.
Time Frame Baseline, 9, 12, 16, 24, 36, and 52 weeks

Outcome Measure Data

Analysis Population Description
Analysis conducted on patients at Baseline, 9, 12, 16, 24, 36, and 52 weeks time points.
Arm/Group Title Augment® Injectable Bone Graft Autologous Bone Graft
Arm/Group Description Standard rigid fixation + Augment® Injectable Bone Graft (beta-TCP/bovine collagen matrix + rhPDGF-BB) Standard Rigid Fixation + Autologous bone graft
Measure Participants 132 167
Baseline
43.3
(1.5)
43.6
(1.3)
9 Weeks
61.5
(1.1)
61.5
(1.0)
12 Weeks
66.9
(1.3)
66.6
(1.1)
16 Weeks
69.9
(1.3)
71.2
(1.1)
24 Weeks
73.4
(1.5)
75.5
(1.3)
36 Weeks
77.5
(1.5)
78.9
(1.3)
52 Weeks
79.5
(1.6)
79.3
(1.4)
4. Secondary Outcome
Title Fusion Site Pain
Description Subjects were asked to report current pain level at the fusion site on a 100 mm Visual Analog Scale (with 0 being no pain and 100 being worst pain imaginable).
Time Frame Baseline, 9, 12, 16, 24, 36, and 52 weeks

Outcome Measure Data

Analysis Population Description
Analysis conducted on patients at Baseline, 9, 12, 16, 24, 36, and 52 weeks time points.
Arm/Group Title Augment® Injectable Bone Graft Autologous Bone Graft
Arm/Group Description Standard rigid fixation + Augment® Injectable Bone Graft (beta-TCP/bovine collagen matrix + rhPDGF-BB) Standard Rigid Fixation + Autologous bone graft
Measure Participants 132 167
Baseline
51.4
(2.4)
50.4
(2.1)
Week 9
20.5
(2.1)
15.4
(1.8)
Week 12
18.9
(2.1)
17.8
(1.8)
Week 16
21.7
(2.2)
18.9
(2.0)
Week 24
20.9
(2.2)
15.3
(1.9)
Week 36
17.4
(2.1)
12.4
(1.8)
Week 52
15.8
(2.2)
12.6
(1.9)
5. Secondary Outcome
Title SF-12 Physical Component Score
Description The SF-12 Physical Component Score is a validated quality of life metric with a minimum of zero and a maximum of 100, with higher scores denoting higher quality of life.
Time Frame Baseline, 9, 12, 16, 24, 36, and 52 weeks

Outcome Measure Data

Analysis Population Description
Analysis conducted on patients at Baseline, 12, 16, 24, 36, and 52 weeks time points.
Arm/Group Title Augment® Injectable Bone Graft Autologous Bone Graft
Arm/Group Description Standard rigid fixation + Augment® Injectable Bone Graft (beta-TCP/bovine collagen matrix + rhPDGF-BB) Standard Rigid Fixation + Autologous bone graft
Measure Participants 132 167
Baseline
30.8
(0.8)
30.8
(0.7)
Week 12
36.9
(0.8)
36.3
(0.7)
Week 16
37.9
(0.8)
39.0
(0.7)
Week 24
40.3
(0.9)
42.2
(0.7)
Week 36
42.1
(0.9)
44.5
(0.8)
Week 52
42.9
(0.9)
45.5
(0.8)

Adverse Events

Time Frame Patients were assessed through study completion scheduled at 52 weeks following surgery.
Adverse Event Reporting Description
Arm/Group Title Augment® Injectable Bone Graft Autologous Bone Graft
Arm/Group Description Standard rigid fixation + Augment® Injectable Bone Graft (beta-TCP/bovine collagen matrix + rhPDGF-BB) Standard Rigid Fixation + Autologous bone graft
All Cause Mortality
Augment® Injectable Bone Graft Autologous Bone Graft
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 0/132 (0%) 0/167 (0%)
Serious Adverse Events
Augment® Injectable Bone Graft Autologous Bone Graft
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 20/132 (15.2%) 35/167 (21%)
Blood and lymphatic system disorders
Anemia 1/132 (0.8%) 0/167 (0%)
Cardiac disorders
Acute myocardial infarction 0/132 (0%) 1/167 (0.6%)
Arrhythmia 1/132 (0.8%) 0/167 (0%)
Atrial fibrillation 0/132 (0%) 1/167 (0.6%)
Atrioventricular block complete 0/132 (0%) 1/167 (0.6%)
Cardiac failure congestive 0/132 (0%) 1/167 (0.6%)
Myocardial infarction 0/132 (0%) 1/167 (0.6%)
Congenital, familial and genetic disorders
Congenital foot malformation 0/132 (0%) 1/167 (0.6%)
Gastrointestinal disorders
gastrointestinal hemorrhage 0/132 (0%) 2/167 (1.2%)
Megacolon 0/132 (0%) 1/167 (0.6%)
General disorders
Impaired healing 1/132 (0.8%) 0/167 (0%)
Hepatobiliary disorders
Gallbladder pain 1/132 (0.8%) 0/167 (0%)
Immune system disorders
Hypersensitivity 1/132 (0.8%) 0/167 (0%)
Infections and infestations
Clostridium difficile colitis 0/132 (0%) 1/167 (0.6%)
Infection 1/132 (0.8%) 1/167 (0.6%)
Osteomyelitis 0/132 (0%) 1/167 (0.6%)
Pneumonia 1/132 (0.8%) 0/167 (0%)
Postoperative wound infection 0/132 (0%) 1/167 (0.6%)
Staphylococcal infection 0/132 (0%) 1/167 (0.6%)
Urinary tract infection 1/132 (0.8%) 0/167 (0%)
Wound infection 0/132 (0%) 1/167 (0.6%)
Injury, poisoning and procedural complications
Device related infection 0/132 (0%) 1/167 (0.6%)
Overdose 0/132 (0%) 1/167 (0.6%)
Wound infection 0/132 (0%) 1/167 (0.6%)
Musculoskeletal and connective tissue disorders
Arthralgia 1/132 (0.8%) 0/167 (0%)
Osteoarthritis 1/132 (0.8%) 1/167 (0.6%)
Osteoporosis 0/132 (0%) 1/167 (0.6%)
Pain in extremity 1/132 (0.8%) 1/167 (0.6%)
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Endometrial cancer 0/132 (0%) 1/167 (0.6%)
Renal cell carcinoma stage unspecified 0/132 (0%) 1/167 (0.6%)
Pregnancy, puerperium and perinatal conditions
Pregnancy 0/132 (0%) 1/167 (0.6%)
Psychiatric disorders
Alcohol withdrawal syndrome 0/132 (0%) 1/167 (0.6%)
Suicidal ideation 1/132 (0.8%) 0/167 (0%)
Renal and urinary disorders
Ureteric injury 0/132 (0%) 1/167 (0.6%)
Urinary tract infection 1/132 (0.8%) 0/167 (0%)
Respiratory, thoracic and mediastinal disorders
Chronic obstructive pulmonary disease 0/132 (0%) 2/167 (1.2%)
Pneumonia 1/132 (0.8%) 0/167 (0%)
Pulmonary embolism 1/132 (0.8%) 1/167 (0.6%)
Skin and subcutaneous tissue disorders
Cellulitis 1/132 (0.8%) 0/167 (0%)
Vascular disorders
Aneurysm 1/132 (0.8%) 0/167 (0%)
Aortic stenosis 0/132 (0%) 2/167 (1.2%)
Deep vein thrombosis 2/132 (1.5%) 3/167 (1.8%)
Hematoma 1/132 (0.8%) 0/167 (0%)
Pulmonary embolism 0/132 (0%) 1/167 (0.6%)
Other (Not Including Serious) Adverse Events
Augment® Injectable Bone Graft Autologous Bone Graft
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 116/132 (87.9%) 135/167 (80.8%)
Blood and lymphatic system disorders
Anemia 1/132 (0.8%) 2/167 (1.2%)
Myelodysplastic syndrome 1/132 (0.8%) 0/167 (0%)
Cardiac disorders
Acute myocardial infarction 0/132 (0%) 1/167 (0.6%)
Arrhythmia 4/132 (3%) 0/167 (0%)
Arrhythmia supraventricular 0/132 (0%) 1/167 (0.6%)
Atrial fibrillation 2/132 (1.5%) 2/167 (1.2%)
Atrioventricular block complete 0/132 (0%) 1/167 (0.6%)
Bradycardia 0/132 (0%) 1/167 (0.6%)
Cardiac failure congestive 0/132 (0%) 1/167 (0.6%)
Chest discomfort 1/132 (0.8%) 0/167 (0%)
Myocardial infarction 0/132 (0%) 1/167 (0.6%)
Syncope 1/132 (0.8%) 0/167 (0%)
Congenital, familial and genetic disorders
Congenital foot malformation 0/132 (0%) 1/167 (0.6%)
Talipes 0/132 (0%) 1/167 (0.6%)
Ear and labyrinth disorders
Labyrinthitis 1/132 (0.8%) 0/167 (0%)
Otitis media 0/132 (0%) 1/167 (0.6%)
Vertigo 3/132 (2.3%) 1/167 (0.6%)
Endocrine disorders
Diabetes mellitus 1/132 (0.8%) 0/167 (0%)
Diabetic neuropathy 1/132 (0.8%) 0/167 (0%)
Hypothyroidism 2/132 (1.5%) 0/167 (0%)
Eye disorders
Cataract 0/132 (0%) 1/167 (0.6%)
Chalazion 1/132 (0.8%) 0/167 (0%)
Eye pain 1/132 (0.8%) 0/167 (0%)
Optic disc disorder 0/132 (0%) 1/167 (0.6%)
Gastrointestinal disorders
Nausea 20/132 (15.2%) 12/167 (7.2%)
Abdominal pain 1/132 (0.8%) 0/167 (0%)
Constipation 5/132 (3.8%) 4/167 (2.4%)
Diarrhea 1/132 (0.8%) 2/167 (1.2%)
Dyspepsia 1/132 (0.8%) 0/167 (0%)
Flatulence 1/132 (0.8%) 0/167 (0%)
Gastric ulcer 1/132 (0.8%) 0/167 (0%)
Gastric ulcer haemorrhage 1/132 (0.8%) 0/167 (0%)
Gastroenteritis 0/132 (0%) 1/167 (0.6%)
Gastrointestinal haemorrhage 0/132 (0%) 2/167 (1.2%)
Gastroesophageal reflux disease 1/132 (0.8%) 1/167 (0.6%)
Hiatus hernia 1/132 (0.8%) 0/167 (0%)
Megacolon 0/132 (0%) 1/167 (0.6%)
Mouth ulceration 0/132 (0%) 1/167 (0.6%)
Procedural nausea 0/132 (0%) 1/167 (0.6%)
Tooth infection 1/132 (0.8%) 0/167 (0%)
Toothache 1/132 (0.8%) 1/167 (0.6%)
Vomiting 4/132 (3%) 8/167 (4.8%)
General disorders
Feeling Hot 16/132 (12.1%) 6/167 (3.6%)
Local Swelling 27/132 (20.5%) 13/167 (7.8%)
Medical Device Discomfort 7/132 (5.3%) 3/167 (1.8%)
Pyrexia 7/132 (5.3%) 2/167 (1.2%)
Tenderness 22/132 (16.7%) 8/167 (4.8%)
Administration site pain 1/132 (0.8%) 0/167 (0%)
Chills 4/132 (3%) 1/167 (0.6%)
Drug withdrawal syndrome 0/132 (0%) 1/167 (0.6%)
Impaired healing 6/132 (4.5%) 5/167 (3%)
Inflammation 1/132 (0.8%) 1/167 (0.6%)
Necrosis 1/132 (0.8%) 0/167 (0%)
Non-cardiac chest pain 1/132 (0.8%) 0/167 (0%)
Oedema 0/132 (0%) 2/167 (1.2%)
Oedema peripheral 1/132 (0.8%) 6/167 (3.6%)
Pain 2/132 (1.5%) 1/167 (0.6%)
Soft tissue inflammation 0/132 (0%) 1/167 (0.6%)
Swelling 1/132 (0.8%) 1/167 (0.6%)
Ulcer 0/132 (0%) 1/167 (0.6%)
Hepatobiliary disorders
Gallbladder pain 1/132 (0.8%) 0/167 (0%)
Immune system disorders
Drug hypersensitivity 0/132 (0%) 1/167 (0.6%)
Hypersensitivity 1/132 (0.8%) 0/167 (0%)
Infections and infestations
Bronchitis 1/132 (0.8%) 5/167 (3%)
Cellulitis 2/132 (1.5%) 3/167 (1.8%)
Clostridium difficile colitis 1/132 (0.8%) 1/167 (0.6%)
Cystitis 0/132 (0%) 1/167 (0.6%)
Ear infection 1/132 (0.8%) 0/167 (0%)
Fungal skin infection 1/132 (0.8%) 0/167 (0%)
Herpes zoster 1/132 (0.8%) 0/167 (0%)
Infected skin ulcer 0/132 (0%) 1/167 (0.6%)
Infection 4/132 (3%) 3/167 (1.8%)
Influenza 1/132 (0.8%) 2/167 (1.2%)
Kidney infection 0/132 (0%) 2/167 (1.2%)
Localised infection 0/132 (0%) 1/167 (0.6%)
Lower respiratory tract infection 0/132 (0%) 1/167 (0.6%)
Nasopharyngitis 3/132 (2.3%) 6/167 (3.6%)
Onychomycosis 1/132 (0.8%) 0/167 (0%)
Osteomyelitis 0/132 (0%) 1/167 (0.6%)
Pharyngitis streptococcal 0/132 (0%) 2/167 (1.2%)
Pneumonia 1/132 (0.8%) 1/167 (0.6%)
Postoperative wound infection 0/132 (0%) 5/167 (3%)
Respiratory tract infection 0/132 (0%) 1/167 (0.6%)
Sinusitis 3/132 (2.3%) 2/167 (1.2%)
Staphylococcal infection 3/132 (2.3%) 2/167 (1.2%)
Tooth abscess 2/132 (1.5%) 0/167 (0%)
Upper respiratory tract infection 0/132 (0%) 1/167 (0.6%)
Urinary tract infection 3/132 (2.3%) 2/167 (1.2%)
Viral labyrinthitis 0/132 (0%) 1/167 (0.6%)
Wound infection 1/132 (0.8%) 2/167 (1.2%)
Injury, poisoning and procedural complications
Arteriovenous graft site haematoma 0/132 (0%) 1/167 (0.6%)
Avulsion fracture 0/132 (0%) 1/167 (0.6%)
Blister 0/132 (0%) 1/167 (0.6%)
Burns second degree 0/132 (0%) 1/167 (0.6%)
Burns third degree 0/132 (0%) 1/167 (0.6%)
Bursa injury 0/132 (0%) 1/167 (0.6%)
Cartilage injury 0/132 (0%) 1/167 (0.6%)
Contusion 4/132 (3%) 3/167 (1.8%)
Corneal abrasion 1/132 (0.8%) 0/167 (0%)
Device related infection 0/132 (0%) 1/167 (0.6%)
Eschar 1/132 (0.8%) 0/167 (0%)
Fall 5/132 (3.8%) 5/167 (3%)
Fibula fracture 0/132 (0%) 1/167 (0.6%)
Fracture 0/132 (0%) 2/167 (1.2%)
Graft complication 0/132 (0%) 8/167 (4.8%)
Graft infection 0/132 (0%) 1/167 (0.6%)
Incision site complication 1/132 (0.8%) 0/167 (0%)
Joint dislocation 1/132 (0.8%) 1/167 (0.6%)
Joint injury 0/132 (0%) 1/167 (0.6%)
Joint sprain 0/132 (0%) 3/167 (1.8%)
Limb injury 0/132 (0%) 2/167 (1.2%)
Medical device complication 3/132 (2.3%) 3/167 (1.8%)
Medical device pain 0/132 (0%) 6/167 (3.6%)
Medical device site reaction 0/132 (0%) 1/167 (0.6%)
Meniscus lesion 1/132 (0.8%) 0/167 (0%)
Necrotic preservation injury of graft 1/132 (0.8%) 0/167 (0%)
Nerve compression 0/132 (0%) 1/167 (0.6%)
Open wound 1/132 (0.8%) 0/167 (0%)
Overdose 0/132 (0%) 2/167 (1.2%)
Peroneal nerve injury 1/132 (0.8%) 0/167 (0%)
Post procedural cellulitis 0/132 (0%) 1/167 (0.6%)
Post procedural complication 0/132 (0%) 1/167 (0.6%)
Post procedural oedema 0/132 (0%) 1/167 (0.6%)
Postoperative wound infection 1/132 (0.8%) 0/167 (0%)
Procedural pain 0/132 (0%) 2/167 (1.2%)
Skin laceration 1/132 (0.8%) 2/167 (1.2%)
Spinal compression fracture 0/132 (0%) 1/167 (0.6%)
Stress fracture 2/132 (1.5%) 2/167 (1.2%)
Superficial injury of eye 1/132 (0.8%) 0/167 (0%)
Tooth fracture 1/132 (0.8%) 0/167 (0%)
Wound complication 1/132 (0.8%) 1/167 (0.6%)
Wound decomposition 1/132 (0.8%) 0/167 (0%)
Wound dehiscence 5/132 (3.8%) 2/167 (1.2%)
Wound infection 0/132 (0%) 1/167 (0.6%)
Investigations
Blood cholesterol increased 0/132 (0%) 2/167 (1.2%)
Blood creatinine increased 1/132 (0.8%) 0/167 (0%)
Blood urea increased 1/132 (0.8%) 0/167 (0%)
Oxygen saturation decreased 0/132 (0%) 1/167 (0.6%)
Respiratory rate decreased 0/132 (0%) 1/167 (0.6%)
Urine analysis 1/132 (0.8%) 0/167 (0%)
Metabolism and nutrition disorders
Diabetes mellitus 1/132 (0.8%) 0/167 (0%)
Gout 1/132 (0.8%) 0/167 (0%)
Hypercholesterolaemia 1/132 (0.8%) 0/167 (0%)
Hypokalaemia 1/132 (0.8%) 0/167 (0%)
Hypothyroidism 0/132 (0%) 1/167 (0.6%)
Iron deficiency 0/132 (0%) 1/167 (0.6%)
Oedema 1/132 (0.8%) 0/167 (0%)
Oedema peripheral 1/132 (0.8%) 1/167 (0.6%)
Musculoskeletal and connective tissue disorders
Arthralgia 28/132 (21.2%) 19/167 (11.4%)
Back Pain 9/132 (6.8%) 7/167 (4.2%)
Joint range of motion decreased 7/132 (5.3%) 1/167 (0.6%)
Pain in extremity 44/132 (33.3%) 35/167 (21%)
Arthritis 2/132 (1.5%) 1/167 (0.6%)
Arthritis infective 0/132 (0%) 1/167 (0.6%)
Bone cyst 1/132 (0.8%) 0/167 (0%)
Bone pain 0/132 (0%) 1/167 (0.6%)
Bunion 1/132 (0.8%) 0/167 (0%)
Exostosis 1/132 (0.8%) 0/167 (0%)
Flank pain 1/132 (0.8%) 1/167 (0.6%)
Foot deformity 0/132 (0%) 2/167 (1.2%)
Gout 0/132 (0%) 3/167 (1.8%)
Intervertebral disc protrusion 1/132 (0.8%) 0/167 (0%)
Joint contracture 1/132 (0.8%) 0/167 (0%)
Joint crepitation 0/132 (0%) 1/167 (0.6%)
Joint destruction 2/132 (1.5%) 0/167 (0%)
Joint dislocation 0/132 (0%) 1/167 (0.6%)
Joint instability 1/132 (0.8%) 0/167 (0%)
Joint sprain 0/132 (0%) 1/167 (0.6%)
Joint swelling 3/132 (2.3%) 2/167 (1.2%)
Monarthritis 2/132 (1.5%) 1/167 (0.6%)
Muscle spasms 3/132 (2.3%) 5/167 (3%)
Muscle tightness 1/132 (0.8%) 0/167 (0%)
Musculoskeletal pain 2/132 (1.5%) 5/167 (3%)
Myalgia 2/132 (1.5%) 0/167 (0%)
Neck pain 0/132 (0%) 2/167 (1.2%)
Osteoarthritis 4/132 (3%) 3/167 (1.8%)
Osteopenia 1/132 (0.8%) 1/167 (0.6%)
Osteoporosis 0/132 (0%) 1/167 (0.6%)
Plantar fasciitis 0/132 (0%) 3/167 (1.8%)
Rotator cuff syndrome 0/132 (0%) 3/167 (1.8%)
Synovial cyst 2/132 (1.5%) 0/167 (0%)
Synovitis 0/132 (0%) 1/167 (0.6%)
Tendon pain 1/132 (0.8%) 0/167 (0%)
Tendonitis 1/132 (0.8%) 2/167 (1.2%)
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Bone cyst 1/132 (0.8%) 0/167 (0%)
Endometrial cancer 0/132 (0%) 1/167 (0.6%)
Renal cell carcinoma stage unspecified 0/132 (0%) 1/167 (0.6%)
Tumour pain 1/132 (0.8%) 0/167 (0%)
Nervous system disorders
Headache 7/132 (5.3%) 2/167 (1.2%)
Hypoaesthesia 10/132 (7.6%) 10/167 (6%)
Carpal tunnel syndrome 1/132 (0.8%) 0/167 (0%)
Complex regional pain syndrome 1/132 (0.8%) 0/167 (0%)
Dizziness 5/132 (3.8%) 0/167 (0%)
Hyperpathia 1/132 (0.8%) 0/167 (0%)
Insomnia 3/132 (2.3%) 3/167 (1.8%)
Neuralgia 2/132 (1.5%) 3/167 (1.8%)
Neuritis 0/132 (0%) 1/167 (0.6%)
Neuropathy peripheral 2/132 (1.5%) 6/167 (3.6%)
Paraesthesia 2/132 (1.5%) 1/167 (0.6%)
Peroneal nerve injury 0/132 (0%) 1/167 (0.6%)
Sensory loss 1/132 (0.8%) 1/167 (0.6%)
Sinus headache 1/132 (0.8%) 0/167 (0%)
Tarsal tunnel syndrome 1/132 (0.8%) 0/167 (0%)
Tension headache 1/132 (0.8%) 0/167 (0%)
Tremor 1/132 (0.8%) 1/167 (0.6%)
Urinary incontinence 1/132 (0.8%) 0/167 (0%)
Pregnancy, puerperium and perinatal conditions
Pregnancy 1/132 (0.8%) 1/167 (0.6%)
Vomiting in pregnancy 0/132 (0%) 1/167 (0.6%)
Psychiatric disorders
Alcohol withdrawal syndrome 0/132 (0%) 1/167 (0.6%)
Anxiety 0/132 (0%) 2/167 (1.2%)
Depression 5/132 (3.8%) 2/167 (1.2%)
Insomnia 1/132 (0.8%) 0/167 (0%)
Mood altered 0/132 (0%) 1/167 (0.6%)
Suicidal ideation 1/132 (0.8%) 0/167 (0%)
Renal and urinary disorders
Bladder spasm 0/132 (0%) 1/167 (0.6%)
Dysuria 1/132 (0.8%) 0/167 (0%)
Incontinence 1/132 (0.8%) 1/167 (0.6%)
Micturition urgency 0/132 (0%) 1/167 (0.6%)
Nephrolithiasis 0/132 (0%) 1/167 (0.6%)
Renal colic 0/132 (0%) 1/167 (0.6%)
Renal failure acute 0/132 (0%) 2/167 (1.2%)
Ureteric injury 0/132 (0%) 1/167 (0.6%)
Ureteric stenosis 1/132 (0.8%) 0/167 (0%)
Urinary incontinence 1/132 (0.8%) 1/167 (0.6%)
Urinary retention 2/132 (1.5%) 4/167 (2.4%)
Urinary tract infection 2/132 (1.5%) 1/167 (0.6%)
Reproductive system and breast disorders
Benign prostatic hyperplasia 1/132 (0.8%) 1/167 (0.6%)
Prostatitis 2/132 (1.5%) 0/167 (0%)
Respiratory, thoracic and mediastinal disorders
Apnoea 2/132 (1.5%) 0/167 (0%)
Asthma 0/132 (0%) 2/167 (1.2%)
Chronic obstructive pulmonary disease 1/132 (0.8%) 1/167 (0.6%)
Cough 2/132 (1.5%) 1/167 (0.6%)
Dyspnoea 1/132 (0.8%) 1/167 (0.6%)
Hypoxia 0/132 (0%) 1/167 (0.6%)
Nasopharyngitis 0/132 (0%) 1/167 (0.6%)
Oropharyngeal pain 1/132 (0.8%) 1/167 (0.6%)
Pharyngolaryngeal pain 0/132 (0%) 1/167 (0.6%)
Pneumonia 1/132 (0.8%) 0/167 (0%)
Pulmonary embolism 1/132 (0.8%) 1/167 (0.6%)
Pulmonary oedema 0/132 (0%) 1/167 (0.6%)
Respiratory tract infection 0/132 (0%) 1/167 (0.6%)
Sinus congestion 0/132 (0%) 1/167 (0.6%)
Sinusitis 1/132 (0.8%) 0/167 (0%)
Wheezing 0/132 (0%) 1/167 (0.6%)
Skin and subcutaneous tissue disorders
Application site vesicles 0/132 (0%) 1/167 (0.6%)
Blister 6/132 (4.5%) 3/167 (1.8%)
Blood blister 0/132 (0%) 1/167 (0.6%)
Cellulitis 2/132 (1.5%) 2/167 (1.2%)
Dermatitis contact 0/132 (0%) 1/167 (0.6%)
Erythema 5/132 (3.8%) 2/167 (1.2%)
Eschar 1/132 (0.8%) 1/167 (0.6%)
Excessive granulation tissue 1/132 (0.8%) 0/167 (0%)
Excoriation 0/132 (0%) 1/167 (0.6%)
Hypoaesthesia facial 1/132 (0.8%) 0/167 (0%)
Onychomycosis 0/132 (0%) 1/167 (0.6%)
Pruritus 5/132 (3.8%) 5/167 (3%)
Pruritus generalised 1/132 (0.8%) 1/167 (0.6%)
Rash 5/132 (3.8%) 4/167 (2.4%)
Rash generalised 0/132 (0%) 1/167 (0.6%)
Scar pain 1/132 (0.8%) 0/167 (0%)
Seborrhoeic keratosis 0/132 (0%) 1/167 (0.6%)
Skin disorder 1/132 (0.8%) 1/167 (0.6%)
Skin irritation 1/132 (0.8%) 1/167 (0.6%)
Skin ulcer 2/132 (1.5%) 0/167 (0%)
Splinter haemorrhages 1/132 (0.8%) 0/167 (0%)
Surgical and medical procedures
Bladder neoplasm surgery 0/132 (0%) 1/167 (0.6%)
Cast application 0/132 (0%) 1/167 (0.6%)
Endodontic procedure 2/132 (1.5%) 0/167 (0%)
Gastric banding 0/132 (0%) 1/167 (0.6%)
Incisional drainage 0/132 (0%) 1/167 (0.6%)
Mole excision 0/132 (0%) 1/167 (0.6%)
Splint application 1/132 (0.8%) 0/167 (0%)
Ureteral stent removal 0/132 (0%) 1/167 (0.6%)
Wound drainage 3/132 (2.3%) 2/167 (1.2%)
Vascular disorders
Aneurysm 1/132 (0.8%) 0/167 (0%)
Aortic arteriosclerosis 1/132 (0.8%) 0/167 (0%)
Aortic stenosis 0/132 (0%) 2/167 (1.2%)
Deep vein thrombosis 3/132 (2.3%) 4/167 (2.4%)
Haematoma 2/132 (1.5%) 1/167 (0.6%)
Haemorrhage 0/132 (0%) 1/167 (0.6%)
Hypertension 1/132 (0.8%) 2/167 (1.2%)
Hypotension 1/132 (0.8%) 2/167 (1.2%)
Procedural hypertension 0/132 (0%) 1/167 (0.6%)
Pulmonary embolism 0/132 (0%) 1/167 (0.6%)
Rectal haemorrhage 1/132 (0.8%) 0/167 (0%)
Varicose vein 0/132 (0%) 1/167 (0.6%)

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

Principal Investigators are NOT employed by the organization sponsoring the study.

There IS an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.

Results Point of Contact

Name/Title Justin Moss
Organization Wright Medical
Phone 615-236-4984
Email Justin.Moss@wright.com
Responsible Party:
BioMimetic Therapeutics
ClinicalTrials.gov Identifier:
NCT01305356
Other Study ID Numbers:
  • BMTI-2010-01
  • NCT01008891
First Posted:
Feb 28, 2011
Last Update Posted:
Dec 26, 2018
Last Verified:
Dec 1, 2018