Evidence map›Paper›PMID 39638596›Full record

ArticleBMJ open2024

Phase I-IIa clinical trial to evaluate the safety, feasibility and efficacy of the use of a palate mucosa generated by tissue engineering for the treatment of children with cleft palate: the BIOCLEFT study protocol.

Antonio España-López, Ricardo Fernández-Valadés, Elisa Cubiles, Ingrid Garzón, Miguel Angel Martin-Piedra, Víctor Carriel, Fernando Campos, Adoración Martínez-Plaza, Daniel Vallejo, Esther Liceras-Liceras and 10 more

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06408337 (Phase I-IIa, Randomized, Controlled, Open-label, Single-center Clinical Trial to Evaluate Safety, Feasibility, and Efficacy of the Use of BIOCLEFT in the Treatment of Patients With Cleft Palate), which is not on this map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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.

NCT06408337 phase1 / phase2recruitingnot on this map

Phase I-IIa, Randomized, Controlled, Open-label, Single-center Clinical Trial to Evaluate Safety, Feasibility, and Efficacy of the Use of BIOCLEFT in the Treatment of Patients With Cleft Palate

TypeinterventionalSponsorElisa María Cubiles Montero de EspinosaRan2024 to 2028Enrolled15ConditionsCleft Lip and PalateArmsimplantation with an autologous human palatal mucosa substitute made of nanostructured fibrin-agarose generated by tissue engineering (BIOCLEFT).
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
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

20 authors.

Antonio España-López *Craniofacial Malformations and Cleft Lip and Palate Management Unit (Unidad de Fisurados Labiopalatinos y Malformaciones Craneofaciales), University Hospital Virgen de las Nieves, Granada, Spain.
Ricardo Fernández-Valadés *Craniofacial Malformations and Cleft Lip and Palate Management Unit (Unidad de Fisurados Labiopalatinos y Malformaciones Craneofaciales), University Hospital Virgen de las Nieves, Granada, Spain.
Elisa CubilesFundación para la Investigación Biosanitaria de Andalucía Oriental (FIBAO), Granada, Spain.
Ingrid GarzónInstituto de Investigación Biosanitaria ibs.GRANADA, Granada, Spain.
Miguel Angel Martin-PiedraInstituto de Investigación Biosanitaria ibs.GRANADA, Granada, Spain.
Víctor CarrielInstituto de Investigación Biosanitaria ibs.GRANADA, Granada, Spain.
Fernando CamposInstituto de Investigación Biosanitaria ibs.GRANADA, Granada, Spain.
Adoración Martínez-PlazaCraniofacial Malformations and Cleft Lip and Palate Management Unit (Unidad de Fisurados Labiopalatinos y Malformaciones Craneofaciales), University Hospital Virgen de las Nieves, Granada, Spain.
Daniel VallejoCraniofacial Malformations and Cleft Lip and Palate Management Unit (Unidad de Fisurados Labiopalatinos y Malformaciones Craneofaciales), University Hospital Virgen de las Nieves, Granada, Spain.
Esther Liceras-LicerasCraniofacial Malformations and Cleft Lip and Palate Management Unit (Unidad de Fisurados Labiopalatinos y Malformaciones Craneofaciales), University Hospital Virgen de las Nieves, Granada, Spain.
Jesús Chato-AstrainInstituto de Investigación Biosanitaria ibs.GRANADA, Granada, Spain.
Oscar Dario García-GarcíaInstituto de Investigación Biosanitaria ibs.GRANADA, Granada, Spain.
David Sánchez-PorrasInstituto de Investigación Biosanitaria ibs.GRANADA, Granada, Spain.
Paula Ávila-FernándezInstituto de Investigación Biosanitaria ibs.GRANADA, Granada, Spain.
Miguel Etayo-EscanillaInstituto de Investigación Biosanitaria ibs.GRANADA, Granada, Spain.
Blanca QuijanoAndalusian Network for the Design and Translation of Advanced Therapies (And&tAT/RAdytTA) - Fundación Andaluza Progreso y Salud, MP. Junta de Andalucía, Seville, Spain.
Elisabet AguilarAndalusian Network for the Design and Translation of Advanced Therapies (And&tAT/RAdytTA) - Fundación Andaluza Progreso y Salud, MP. Junta de Andalucía, Seville, Spain.
Antonio CamposInstituto de Investigación Biosanitaria ibs.GRANADA, Granada, Spain.
Gloria CarmonaAndalusian Network for the Design and Translation of Advanced Therapies (And&tAT/RAdytTA) - Fundación Andaluza Progreso y Salud, MP. Junta de Andalucía, Seville, Spain malaminos@ugr.es gloria.carmona@juntadeandalucia.es.
Miguel AlaminosInstituto de Investigación Biosanitaria ibs.GRANADA, Granada, Spain malaminos@ugr.es gloria.carmona@juntadeandalucia.es.ORCID http://orcid.org/0000-0003-4876-2672

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe current gold standard treatment for patients with orofacial clefts is surgical repair of the palatal defect (uranostaphylorrhaphy), which is associated with growth defects and hypoplasia of the maxillofacial structures. This trial aims to evaluate the potential of a bioengineered artificial palate mucosa, created through tissue engineering with autologous stromal and epithelial cells and nanostructured fibrin-agarose biomaterials, to enhance treatment outcomes for patients with unilateral cleft lip and palate. METHODS AND ANALYSIS: This phase I-IIa clinical trial aims to evaluate the feasibility and biosafety of a procedure involving grafting bioartificial palate mucosa onto the areas of denudated bone in patients undergoing uranostaphylorrhaphy. The control patients will undergo standard surgical treatment. Five patients will be included in the first biosafety phase. In the second phase, 10 patients will be randomly assigned to the intervention or control group (1:1). The intervention group will undergo standard surgical treatment followed by the application of autologous bioartificial palate mucosa. Feasibility will be analysed at the time of surgery. Nine postimplant visits will be scheduled over a 2-year follow-up period, in which local and systemic biosafety will be investigated by determining graft evolution, including signs of necrosis, rejection, inflammation and patient factors. Preliminary signs of efficiency will be explored by sequentially evaluating craniomaxillofacial development, hearing impairment, speech capability and quality of life of the family. The research will be published in journals and posted in the relevant repositories when available. ETHICS AND DISSEMINATION: This study has been approved by the Committee of Ethics in Research with Medicinal Products (CEIm) and authorised by the Spanish Medicines Agency (AEMPS). The results of this study will be published in peer-reviewed journals. TRIAL REGISTRATION NUMBER: NCT06408337; ClinicalTrials.gov: EuclinicalTrials. eu: 2023-506913-23-00.

Indexed as

Cleft PalateFeasibility StudiesTissue EngineeringChildChild, PreschoolCleft LipClinical Trials, Phase I as TopicClinical Trials, Phase II as TopicFemaleHumansMaleMouth MucosaRandomized Controlled Trials as TopicTreatment OutcomeCleft LipCleft PalateClinical TrialHistology

Identifiers

PMID39638596
PMCPMC11624797

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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.