FAQs


Who is the sponsor?

BioMimetic Therapeutics, Inc.
389-A Nichol Mill Lane
Franklin, TN 37067
615-844-1280

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Who is the lead investigator(s)?

Dr. Christopher DiGiovanni (Providence, RI)

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What is the purpose of the study?

To evaluate the safety and effectiveness of 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 ABG without necessitating an additional invasive procedure to harvest the graft. It is a randomized, controlled, multi-center pivotal clinical trial. The study is designed to determine if GEM OS®1 demonstrates equivalent clinical and radiologic outcomes compared to the “gold standard” (ABG) in a representative clinical model (foot and ankle fusions).

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Are patients to be randomized? How?

Treatment Groups:
Group I: Standard Rigid Fixation + ABG
Group II: Standard Rigid Fixation + GEM OS1
Patients will be randomized in a 2:1 ratio (GEM OS1 : Autograft)

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What is the intended use for the device?

Indications are for male and female patients over the age of 18 years of age requiring a hindfoot or ankle fusion procedure involving a bone grafting procedure.

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Where is the study taking place?

There will be up to 35 facilities taking part in the study.

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What is the size and duration of the study?

The study will enroll up to 396 patients presenting a defect requiring fusion in the hindfoot or ankle. Duration of study: 12 months follow-up post-randomization.

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Who can I contact for more information on the study?

For more information, you can go to the web site http://www.biomimetics.com.

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What are the key Inclusions and Exclusions for the study?

Inclusion Criteria

1)  The patient has a bone defect in the hindfoot or ankle requiring fusion using open surgical technique with supplemental bone graft/substitute, requiring one of the following procedures:

    • Ankle joint fusion
    • Subtalar fusion
    • Calcaneocuboid fusion
    • Talonavicular fusion
    • Triple arthrodesis (subtalar, talonavicular and calcaneocuboid joints)
    • Double fusions (talonavicular and calcaneocuboid joints)

2)  The fusion site is able to be rigidly stabilized with no more than three (3) screws across the fusion site. Supplemental pins may be used. Supplemental screws external to the fusion site(s) are also allowed. Plate fixation is not part of the study protocol and is excluded.

3)  The patient is at least 18 years of age and considered to be skeletally          mature.

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Exclusion Criteria

1)  The patient has undergone previous surgery of the proposed fusion site.

2)  The fusion site requires plate fixation, more than three (3) screws across the fusion site to achieve rigid fixation, or more than three (3) kits, or 9cc of graft material.

3)  The patient currently has detectable untreated cancer (other than basal cell carcinoma) or is currently undergoing radio- or chemotherapy.

4)  The patient has a pre-existing sensory impairment (e.g. diabetics with baseline sensory impairment) which limits the ability to perform objective functional measurements and may place patients at risk for complications. For the purpose of this protocol, diabetics that are not sensitive to the 5.07 monofilament (Semmes-Weinstein) are to be excluded.

5)  The patient is pregnant or a female intending to become pregnant during this study period. A urine pregnancy test will be administered within 21 days of the surgical visit to any female unless she is post-menopausal, has been sterilized or is practicing a medically-accepted method of contraception.

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If you have any questions or feel you have patients who may benefit from this study, call 1-615-844-1280 or please contact us.