CORDIS - Forschungsergebnisse der EU
CORDIS

ORTHOpaedic treatment with ALLOgenic combined ATMP in long bone fracture delayed UNION and non-union (ORTHO-ALLO-UNION).

Projektbeschreibung

Universelle Therapie für verzögerte Heilung von Knochenbrüchen

Eine Pseudoarthrose (Non-Union) tritt nur bei 5 % der Knochenbrüche auf. Dennoch ist sie durch die immense Anzahl an Knochenbrüchen jedes Jahr und die zunehmende Komplexität der Brüche, durch die das Risiko steigt, ein großes Problem. Die Behandlungsmöglichkeiten sind Knochen-Eigentransplantationen, autologe mesenchymale Zellen oder andere Maßnahmen. Im EU-finanzierten Projekt ORTHO-ALLO-UNION soll eine universelle Therapie für Brüche mit verzögerter oder fehlender Frakturheilung entwickelt werden. Anstatt Arzneimittel für neuartige Therapien nur als letzten Ausweg für eindeutige Pseudoarthrose zu betrachten, wird im Projekt vorgeschlagen, dass Betroffene eine kombinierte Behandlung mit diesen Arzneimitteln erhalten, sobald eine Reoperation notwendig ist. Dieser Ansatz entspricht den Patientenanforderungen und der geläufigen Praxis in der EU.

Ziel

Bone fracture with delay or failure to heal is a condition with huge health impact. Although only a small proportion of long bone fractures evolve to non-union (5%), it is a first magnitude problem due to the number of new annual fractures and increasing incidence of complex fractures with high risk of non-consolidation, need for repeated procedures and years of patient disability. Bone autografts, autologous mesenchymal cells, or other complex interventions are used in this setting.
The aim of this project is the development of a universal therapy for fractures with delay or failure to heal, aiming to a simple and wide access to allogenic cell therapy combined with biomaterial, in a broad number of patients. Rather than considering ATMP only as a last solution in established non-union fractures, this project advocates that the indication should be moved to an earlier timepoint. Patients will be treated with the combined ATMP as soon as the need for reoperation is identified due to delayed healing, with or without an added infectious component, to avoid long-term suffering for patients and their relatives, and prevent progression to more severe non-unions, with heavy personal, social and economic costs. This approach is aligned with the real needs of patients and better fits with the usual practice in the EU, where reoperations are performed at 6 months or before, in an attempt to accelerate bone healing and avoid complications.
The project will establish a master cell bank for a wide allogenic production with donors selection criteria of bone formation potential. Necessary preclinical and clinical information to support the EU approval of a specific combined ATMP will be obtained. Open access to scientific and regulatory information will be available for other EU medical device companies and cell therapy producers, so in addition to direct clinical benefit to patients and healthcare providers, other developers of combined ATMP products will get benefit.

Schlüsselbegriffe

Koordinator

SERVICIO MADRILENO DE SALUD
Netto-EU-Beitrag
€ 680 875,00
Adresse
Paseo De la Castellana, 280
28046 MADRID
Spanien

Auf der Karte ansehen

Region
Comunidad de Madrid Comunidad de Madrid Madrid
Aktivitätstyp
Public bodies (excluding Research Organisations and Secondary or Higher Education Establishments)
Links
Gesamtkosten
€ 2 846 057,38

Beteiligte (18)