Evidence map›Paper›PMID 38789992›Full record

Trial reportJournal of translational medicine2024

Efficacy and safety of autologous or allogeneic mesenchymal stromal cells from adult adipose tissue expanded and combined with tricalcium phosphate biomaterial for the surgical treatment of atrophic nonunion of long bones: a phase II clinical trial.

Lluís Orozco Delclós, Robert Soler Rich, Rafael Arriaza Loureda, Alonso Moreno García, Enrique Gómez Barrena

Registry-linked trialAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Journal of translational medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02483364 (A Phase II Clinical Trial to Assess the Effect of HC-SVT-1001), which is not on this map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02483364 phase2completednot on this map

A Phase II Clinical Trial to Assess the Effect of HC-SVT-1001 (Autologous Fat Stem Adult Mesenchymal Cells Expanded and Combined With a Tricalcium Phosphate Biomaterial) and HC-SVT-1002 (Allogeneic Fat Stem Adult Mesenchymal Cells Expanded and Combined With a Tricalcium Phosphate Biomaterial) in the Surgical Treatment of Atrophic Pseudarthrosis of Long Bones

TypeinterventionalSponsorSalvatRan2015 to 2020Enrolled12ConditionsPseudoarthrosisArmsHC-SVT-1001(initial protocol), HC-SVT-1002 (protocol amendment)
3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Review
  5. Review
  6. The sole use of stem cells in treating fracture nonunion: a scoping review.Archives of orthopaedic and trauma surgery · 2025
    Article
  7. Review
  8. Stem cell therapies in the clinic.Bioengineering & translational medicine · 2025
    Review
  9. Review
  10. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Lluís Orozco DelclósInstitut de Teràpia Regenerativa Tissular, Centro Médico Teknon, Barcelona, Spain. lluis.orozco@itrt.es.ORCID 0000-0002-9339-8702
Robert Soler RichInstitut de Teràpia Regenerativa Tissular, Centro Médico Teknon, Barcelona, Spain.
Rafael Arriaza LouredaInstituto Médico Arriaza, Grupo INCIDE Universidad da Coruña, A Coruña, Spain.
Alonso Moreno GarcíaDepartment of Orthopaedic Surgery and Traumatology, Hospital Universitario La Paz-IdiPaz, Madrid, Spain.
Enrique Gómez BarrenaDepartment of Orthopaedic Surgery and Traumatology, Hospital Universitario La Paz-IdiPaz, Madrid, Spain.

Funding

Laboratorios Salvat, SA Laboratorios Salvat, SA
6 · The paper itself

Abstract

backgroundAutologous bone grafting is the standard treatment for the surgical management of atrophic nonunion of long bones. Other solutions, such as bone marrow mesenchymal stem cells (BM-MSC) combined with phospho-calcium material, have also been used. Here we evaluate the safety and early efficacy of a novel procedure using autologous or allogenic adipose tissue mesenchymal stromal cells (AT-MSC) seeded in a patented tricalcium phosphate-based biomaterial for the treatment of bone regeneration in cases of atrophic nonunion.

methodsThis was a prospective, multicentric, open-label, phase 2 clinical trial of patients with atrophic nonunion of long bones. Biografts of autologous or allogenic AT-MSC combined with a phosphate substrate were manufactured prior to the surgical procedures. The primary efficacy was measured 6 months after surgery, but patients were followed for 12 months after surgery and a further year out of the scope of the study. All adverse events were recorded. This cohort was compared with a historical cohort of 14 cases treated by the same research team with autologous BM-MSC.

resultsA total of 12 patients with atrophic nonunion of long bones were included. The mean (SD) age was 41.2 (12.1) years and 66.7% were men. Bone healing was achieved in 10 of the 12 cases (83%) treated with the AT-MSC biografts, a percentage of healing similar (11 of the 14 cases, 79%) to that achieved in patients treated with autologous BM-MSC. Overall, two adverse events, in the same patient, were considered related to the procedure.

conclusionsThe results of this study suggest that AT-MSC biografts are safe for the treatment of bone regeneration in cases of atrophic nonunion and reach high healing rates.

trial registrationStudy registered with EUDRA-CT (2013-000930-37) and ClinicalTrials.gov (NCT02483364).

Indexed as

Adipose TissueBiocompatible MaterialsCalcium PhosphatesMesenchymal Stem CellsMesenchymal Stem Cell TransplantationTransplantation, AutologousAdultAtrophyFemaleHumansMaleMiddle AgedProspective StudiesTransplantation, HomologousTreatment OutcomeBiocompatible MaterialsCalcium Phosphatestricalcium phosphateAdipose tissue mesenchymal stromal cellsAtrophic nonunionBone graftBone marrow mesenchymal stem cellsFractureLong bone

Identifiers

PMID38789992
PMCPMC11127443

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.