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Home/Biologics/1st Allogeneic Osteoblast Cell Therapy for Delayed Union Fractures
Biologics

1st Allogeneic Osteoblast Cell Therapy for Delayed Union Fractures

July 10, 2014 1 min read Premium comments

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1st Allogeneic Osteoblast Cell Therapy for Delayed Union Fractures
Product Chart / Courtesy: Bone Therapeutics, SA
Secondary

Bone Therapeutics, SA, a regenerative therapy company located in Gosselies, Belgium, has treated its first patient with its allogeneic osteoblastic (bone-forming) product Allob. According to company officials, Allob is the first allogeneic differentiated osteoblastic cell therapy product to be developed for the treatment of orthopedic conditions. Treatment of this patient is part of the company’s Phase I/IIa study for the treatment of delayed union fractures.

A delayed union fracture is defined as a bone that has not healed within the expected period of time after the initial injury—three to four months—and is at risk of non-healing. Around 600, 000 to 900, 000 patients are affected by delayed union each year.

Allogeneic cell therapy involves the harvesting of cells from a healthy donor and not from the patient who is being treated. Investigators report that Allob has shown both safety and efficacy in preclinical trials and patients receiving it do not require any immunosuppressive therapy.

Bone Therapeutics officials believe that Allob has the potential to become a first-line treatment for impaired fracture healing. It is injected by the surgeon in a single dose percutaneously directly into the fracture site. No side-effects have yet been reported. Treated patients will be assessed at two weeks, one, three and six months. Researchers expect to ultimately enroll 32 patients with delayed union fractures in the study.

Enrico Bastianelli, company CEO said, “Treating a patient for the first time with our allogeneic product ALLOB is a significant step forward for the progression of Bone Therapeutics’ regenerative therapy pipeline. Our allogeneic approach will lead to an “off-the-shelf” approach to treatment while offering delayed union patients the potential for a significant improvement in their condition without the need for invasive surgery.”

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Discussion

14
DS
Dr. Sarah MitchellOrthopedic Surgeon · Mayo Clinic

This is a fascinating development. In my practice we've seen similar outcomes with the revised protocol. The key differentiator seems to be patient selection criteria. Has anyone else noticed the correlation with BMI thresholds?

8
JT
James Thornton, MDSpine Fellow · HSS

Great point. I'd push back slightly on the conclusion, the sample size in the cited study is too small to draw population-level inferences. That said, the directional signal is compelling and worth a larger RCT.

5
RP
R. PatelSports Medicine · Stanford

We implemented a similar approach last year. Early results are promising but we're still gathering 12-month follow-up data. Happy to share our protocol if anyone is interested.

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