A clinical trial investigating Iloprost as medication to improve bone healing in patients with upper arm bone fracture.

2024-512468-71-00 Protocol Ilobone (SIFU17) Phase I and Phase II (Integrated) - Other Ended

Start 21 Sep 2022 · End 12 Feb 2026 · Status Ended · 1 EU/EEA countries · 2 sites · Protocol Ilobone (SIFU17)

Overview

Sponsor-declared trial summary

Phase Phase I and Phase II (Integrated) - Other
Status Ended
Participants planned 30
Countries 1
Sites 2

Proximal humeral fracture

The main objective of this study is to establish the safety of intraoperative local insertion of Iloprost at the fracture site for bone healing of the proximal humeral fracture.

Key facts

Sponsor
Charite Universitaetsmedizin Berlin KöR
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Phenomena and Processes [G] - Musculoskeletal and Neural Physiological Phenomena [G11]
Trial duration
21 Sep 2022 → 12 Feb 2026
Decision date (initial)
2024-11-04
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No
Funding sources
Deutsche Forschungsgemeinschaft (DFG)

External identifiers

EU CT number
2024-512468-71-00
EudraCT number
2017-003813-24
WHO UTN
U1111-1290-9812
ClinicalTrials.gov
NCT04543682

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Efficacy, Safety

The main objective of this study is to establish the safety of intraoperative local insertion of Iloprost at the fracture site for bone healing of the proximal humeral fracture.

Secondary objectives 1

  1. To assess the preliminary efficacy of the treatment on bone healing.

Conditions and MedDRA coding

Proximal humeral fracture

Study design 1 period

#TitleAllocationBlindingRoles blindedArms
1 Ilobone
A phase I/IIa, prospective, mono-center, randomized, open labeled, controlled study to assess the safety and efficacy of applying Iloprost locally in the fracture site to promote bone healing in patients with proximal humeral fracture
Randomised Controlled None group 1: ORIF (PHILOS) + catheter insertion (n=10), Normal saline infusion 2.4 ml over the 1st postoperative 24 hours, Iloprost 0.125 ng/kg/min for 24 hours
Group 2: ORIF (PHILOS) + catheter insertion (n=10), Normal saline infusion 2.4 ml over the 1st postoperative 24 hours, Iloprost 0.25 ng/kg/min for 24 hours
Group 3: ORIF (PHILOS)

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 4

  1. Adult male or female subjects between 40 to 80 years of age old at the time of screening visit
  2. Scheduled PHILOS plate for proximal humeral fracture with angle stable plate (3 holes PHILOS plate, synthes) for proximal humerus fracture type 3 or 4 according to Neer classification
  3. ASA Score score ≤ 2;
  4. Signed written informed consent;

Exclusion criteria 10

  1. Immunosuppression due to illness or medication
  2. Subject has malignancy undergoing treatment including chemotherapy, radiotherapy or immunotherapy
  3. Known allergies to Iloprost
  4. Past history of same side proximal humeral fracture or deformity
  5. Pregnant or breast-feeding women or women of childbearing potential not protected by an effective contraceptive method of birth control (defined as pearl index < 1)
  6. Conditions where the effects of Iloprost on platelets might increase the risk of haemorrhage (e.g.active peptic ulcers or intracranial haemorrhage).
  7. Severe coronary heart disease or unstable angina; myocardial infarction within the last six months; decompensated cardiac failure if not under close medical supervision; severe arrhythmias; suspected pulmonary congestion; cerebrovascular events (e.g., transient ischaemic attack, stroke) within the last 3 months.
  8. Congenital or acquired valvular defects with clinically relevant myocardial function disorders not related to pulmonary hypertension.
  9. Pathological or open fracture.
  10. Polytrauma patient

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Identification of any noxious response or toxicity that has a causal relationship to the treatment. Toxicity shall be graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE).

Secondary endpoints 6

  1. Rate of humeral head necrosis
  2. Humeral head shaft angle
  3. Pain assessment (VAS)
  4. Quality of life (EQ-5D)
  5. Constant-Murley Score (CMS)
  6. Disabilities of the Arm, Shoulder and Hand score (DASH)

Investigational products

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

Test 1

Ilomedin® 20 μg/1 ml, Konzentrat zur Herstellung einer Infusionslösung

PRD393972 · Product

Active substance
Iloprost Trometamol
Pharmaceutical form
CONCENTRATE FOR SOLUTION FOR INFUSION
Route of administration
INFILTRATION
Authorisation status
Authorised
ATC code
B01AC11 — ILOPROST
Marketing authorisation
42424.00.00
MA holder
BAYER VITAL GMBH
MA country
Germany
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Charite Universitaetsmedizin Berlin KöR

Sponsor organisation
Charite Universitaetsmedizin Berlin KöR
Address
Augustenburger Platz 1, Wedding Wedding
City
Berlin
Postcode
13353
Country
Germany

Scientific contact point

Organisation
Charite Universitaetsmedizin Berlin KöR
Contact name
Centrum für Muskuloskeletale Chirurgie

Public contact point

Organisation
Charite Universitaetsmedizin Berlin KöR
Contact name
Centrum für Muskuloskeletale Chirurgie

Locations

1 EU/EEA country · 2 investigational sites

By country

CountryMS statusPlanned subjectsSites
Germany Ended 30 2
Rest of world 0

Investigational sites

Germany

2 sites · Ended
Charite Universitaetsmedizin Berlin KöR
Centrum für Muskuloskeletale Chirurgie (CMSC), Augustenburger Platz 1, Wedding, Berlin
Charite Universitaetsmedizin Berlin KöR
Centrum für Muskuloskeletale Chirurgie (CMSC), Chariteplatz 1, Mitte, Berlin

Country notifications

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

Country Trial startTrial end Recruitment startRecruitment end Early termination
Germany 2022-09-21 2026-02-12 2022-09-21 2025-02-18

Results and documents

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

Documents 5 files

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

TypeTitleVersion
Protocol (for publication) 30092022_protocol_Ilobone _ SIFU17 _v6_ redacted 6
Recruitment arrangements (for publication) Blank document 1
Subject information and informed consent form (for publication) 30092022_Patienteninformation_Ilobone _SIFU17_ V5_redacted 1
Summary of Product Characteristics (SmPC) (for publication) Iloprost SMPC 1
Synopsis of the protocol (for publication) 30092022_Protocol synopsis_Ilobone_ SIFU17_ v6 1

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-10-08 Germany Acceptable
2024-10-25
2024-11-04