Phase I-IIa, randomized, controlled, open-label, single-center clinical trial to evaluate the safety, feasibility, and evidence of efficacy of the use of an autologous tissue-engineered nanostructured fibrin-agarose oral mucosa substitute for human palatal mucosa in the treatment of patients with cleft palate

2023-506913-23-00 Protocol FIB-BIO-2023-03 Phase I and Phase II (Integrated) - First administration to humans Ongoing, recruiting

Start 17 Apr 2024 · Status Ongoing, recruiting · 1 EU/EEA countries · 1 sites · Protocol FIB-BIO-2023-03

Overview

Sponsor-declared trial summary

Phase Phase I and Phase II (Integrated) - First administration to humans
Status Ongoing, recruiting
Participants planned 15
Countries 1
Sites 1

Cleft lip and palate

Evaluate the safety and feasibility of using an autologous tissue-engineered nanostructured fibrin-agarose human palatal mucosa substitute in the treatment of cleft palate

Key facts

Sponsor
Fundacion Publica Para La Investigacion Biosanitaria De Andalucia Oriental Alejandro Otero
Participant type
Pediatric, Patients
Age range
0-17 years
Gender
Male and Female
Therapeutic area
Diseases [C] - Congenital, Hereditary, and Neonatal Diseases and Abnormalities [C16]
Trial duration
17 Apr 2024 → ongoing
Decision date (initial)
2023-11-21
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Others, Safety

Evaluate the safety and feasibility of using an autologous tissue-engineered nanostructured fibrin-agarose human palatal mucosa substitute in the treatment of cleft palate

Secondary objectives 1

  1. Use of BIOCLEFT in the treatment of patients with cleft palate, evaluating the clinical evolution of some parameters, in comparison with the control group: regeneration and healing; aesthetic appearance; craniofacial growth; hearing evaluation; speech therapist and quality of life

Conditions and MedDRA coding

Cleft lip and palate

VersionLevelCodeTermSystem organ class
20.1 LLT 10024533 Lip and palate cleft 10010331

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 1

  1. 1. Paediatric patients of either sex. 2. Diagnosis of non-syndromic total unilateral cleft lip and palate (FLPNS) who are going to undergo surgery for correction. 3. Children who have previously donated an oral mucosa sample during the cleft lip repair procedure (cheiloplasty). 4. Informed consent signed by one or both parents (or legal guardian) adequately informed of the study and willing to follow the trial procedures and instructions.

Exclusion criteria 1

  1. 5. Active infectious diseases. 6. Allergies or hypersensitivity to any of the components/excipients of the investigational product. 7. Haematological disorders/severe blood dyscrasias. 8. Severe hepatic or renal dysfunction/insufficiency. 9. Severe endocrine disorders/dysfunction. 10. Malignant neoplasms. 11. Active HIV, HBV or HCV infection. 12. Metabolic bone diseases (Paget's disease, hypercalcaemia, etc.). 13. Children with cleft lip and palate who have other congenital malformations which, in the opinion of the investigator, could affect the outcome of the study or the interpretation of the study results. 14. Any other pathology that in the opinion of the investigator should not be included in the study for other medical or social reasons.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Feasibility: if in at least 3 of the 5 patients in the initial phase it can be verified that the surgical implantation of the BIOCLEFT has been carried out satisfactorily; Safety: occurrence of any adverse event, serious or non-serious, and specifically, those adverse events and serious adverse events related to treatment and indications of efficacy regeneration and healing; aesthetic appearance; craniofacial growth; hearing evaluation; speech therapist and quality of life

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

Autologous oral mucosa differentiated adult keratinocytes and fibroblasts|expanded in biological fibrin-agarose matrix

PRD10597046 · Product

Active substance
Autologous Oral Mucosa-Derived Adult Keratinocytes, Ex-Vivo Expanded
Pharmaceutical form
LIVING TISSUE EQUIVALENT
Route of administration
IMPLANTATION
Authorisation status
Not Authorised
MA holder
FUNDACIÓN PARA LA INVESTIGACIÓN BIOSANITARIA DE ANDALUCÍA ORIENTAL - ALEJANDRO OTERO (FIBAO)
Paediatric formulation
No
Orphan designation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Fundacion Publica Para La Investigacion Biosanitaria De Andalucia Oriental Alejandro Otero

2 Total trials 2 Recruiting
Academic / Non-commercial
Sponsor organisation
Fundacion Publica Para La Investigacion Biosanitaria De Andalucia Oriental Alejandro Otero
Address
Pab De Consultas Externas Floor 2, Avenida De Madrid 2 Avenida De Madrid 2
City
Granada
Postcode
18012
Country
Spain

Scientific contact point

Organisation
Fundacion Publica Para La Investigacion Biosanitaria De Andalucia Oriental Alejandro Otero
Contact name
Elisa Mª Cubiles Montero de Espinosa

Public contact point

Organisation
Fundacion Publica Para La Investigacion Biosanitaria De Andalucia Oriental Alejandro Otero
Contact name
Elisa Mª Cubiles Montero de Espinosa

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Spain Ongoing, recruiting 15 1
Rest of world 0

Investigational sites

Spain

1 site · Ongoing, recruiting
Hospital Universitario Virgen De Las Nieves
Cirugía Pediatrica, Avenida De Las Fuerzas Armadas 2, 18014, Granada

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Spain 2024-04-17 2024-04-18

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 18 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_Protocol_BIOCLEFT_2023_506913_23_00 V4_24jun2025_CLEAN 4
Protocol (for publication) D1_Protocol-BIOCLEFT-2023-506913-23-00 1
Protocol (for publication) D1_Protocol-BIOCLEFT-2023-506913-23-00 V3_13Aug2024_Clean_Fdo 3
Protocol (for publication) D1_Protocol-BIOCLEFT-2023-506913-23-00 V3_13Aug2024_TC 3
Protocol (for publication) D1_Protocol-BIOCLEFT-2023-506913-23-00 V4_24jun2025_Def_TC 4
Protocol (for publication) New D1_Protocol-BIOCLEFT-2023-506913-23-00 V2 2
Protocol (for publication) New D1_Protocol-BIOCLEFT-2023-506913-23-00 V2 cc 2
Protocol (for publication) Research team list Anexo IX 1
Recruitment arrangements (for publication) K1_ Recruitment arrangements 1
Subject information and informed consent form (for publication) L1_SIS and ICF infants_2023-506913-23-00 1
Subject information and informed consent form (for publication) L1_SIS and ICF infants_2023-506913-23-00 CLEAN V 3_19Sep2024 3
Subject information and informed consent form (for publication) L1_SIS and ICF infants_2023-506913-23-00 TC_V 3 _19Sep2024 3
Subject information and informed consent form (for publication) L1_SIS and ICF infants_2023-506913-23-00 V 4_CLEAN 4
Subject information and informed consent form (for publication) L1_SIS and ICF infants_2023-506913-23-00 V 4_TC 4
Subject information and informed consent form (for publication) New L1_SIS and ICF infants_2023-506913-23-00 V 2 2
Subject information and informed consent form (for publication) New L1_SIS and ICF infants_2023-506913-23-00 V 2cc 2
Summary of Product Characteristics (SmPC) (for publication) Summary of product characteristics SmPC FIB-BIO-2023-03 1
Synopsis of the protocol (for publication) D1_Protocol synopsis ES 2023-506913-23-00 1

Application history

3 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2023-08-29 Spain Acceptable with conditions
2023-11-20
2023-11-21
2 SUBSTANTIAL MODIFICATION SM-1 2024-10-15 Spain Acceptable
2025-01-22
2025-01-22
3 SUBSTANTIAL MODIFICATION SM-2 2025-11-13 Spain Acceptable
2026-02-14
2026-02-18