Phases 1–3 Clinical Trials Using Adult Stem Cells in Osteonecrosis and Nonunion Fractures
Nonunion fractures and aseptic bone necrosis are two pathological conditions having some impairment of the cellular part of the repair: a reduction of MSC and of the osteoblastic activation. Both are good candidates for cell-based therapies using stem cells. We made a review of the published human t...
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| Format: | Article |
| Language: | English |
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Wiley
2010-01-01
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| Series: | Stem Cells International |
| Online Access: | http://dx.doi.org/10.4061/2010/410170 |
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| _version_ | 1850230658645884928 |
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| author | Jean-Philippe Hauzeur Valérie Gangji |
| author_facet | Jean-Philippe Hauzeur Valérie Gangji |
| author_sort | Jean-Philippe Hauzeur |
| collection | DOAJ |
| description | Nonunion fractures and aseptic bone necrosis are two pathological conditions having some impairment of the cellular part of the repair: a reduction of MSC and of the osteoblastic activation. Both are good candidates for cell-based therapies using stem cells.
We made a review of the published human trials.
Only autologous bone marrow aspirate implantation was until now used.
In Nonunion, a direct injection—15 to 150 ml—was made in 4 case series studies. In another, the bone marrow aspirate was concentrated before injection. The results were good.
In bone necrosis, only one level 1 study was published. The results at 24 months were positive in terms of reduction of the necrosis and appearance of collapse. In 3 case series studies, a treatment with concentrated bone marrow aspirates was deemed useful with good results in 76 to 96%.
These results are interesting but need confirmation by controlled studies. |
| format | Article |
| id | doaj-art-1eb0a75ac3a94e3a8f1112ef00212a02 |
| institution | OA Journals |
| issn | 1687-9678 |
| language | English |
| publishDate | 2010-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Stem Cells International |
| spelling | doaj-art-1eb0a75ac3a94e3a8f1112ef00212a022025-08-20T02:03:47ZengWileyStem Cells International1687-96782010-01-01201010.4061/2010/410170410170Phases 1–3 Clinical Trials Using Adult Stem Cells in Osteonecrosis and Nonunion FracturesJean-Philippe Hauzeur0Valérie Gangji1Department of Rheumatology, CHU Sart Tilman, B35, 4000 Liège, BelgiumRheumatology and Rehabilitation Medicine Department, Erasme Hospital, Free University of Brussels, 1070 Brussels, BelgiumNonunion fractures and aseptic bone necrosis are two pathological conditions having some impairment of the cellular part of the repair: a reduction of MSC and of the osteoblastic activation. Both are good candidates for cell-based therapies using stem cells. We made a review of the published human trials. Only autologous bone marrow aspirate implantation was until now used. In Nonunion, a direct injection—15 to 150 ml—was made in 4 case series studies. In another, the bone marrow aspirate was concentrated before injection. The results were good. In bone necrosis, only one level 1 study was published. The results at 24 months were positive in terms of reduction of the necrosis and appearance of collapse. In 3 case series studies, a treatment with concentrated bone marrow aspirates was deemed useful with good results in 76 to 96%. These results are interesting but need confirmation by controlled studies.http://dx.doi.org/10.4061/2010/410170 |
| spellingShingle | Jean-Philippe Hauzeur Valérie Gangji Phases 1–3 Clinical Trials Using Adult Stem Cells in Osteonecrosis and Nonunion Fractures Stem Cells International |
| title | Phases 1–3 Clinical Trials Using Adult Stem Cells in Osteonecrosis and Nonunion Fractures |
| title_full | Phases 1–3 Clinical Trials Using Adult Stem Cells in Osteonecrosis and Nonunion Fractures |
| title_fullStr | Phases 1–3 Clinical Trials Using Adult Stem Cells in Osteonecrosis and Nonunion Fractures |
| title_full_unstemmed | Phases 1–3 Clinical Trials Using Adult Stem Cells in Osteonecrosis and Nonunion Fractures |
| title_short | Phases 1–3 Clinical Trials Using Adult Stem Cells in Osteonecrosis and Nonunion Fractures |
| title_sort | phases 1 3 clinical trials using adult stem cells in osteonecrosis and nonunion fractures |
| url | http://dx.doi.org/10.4061/2010/410170 |
| work_keys_str_mv | AT jeanphilippehauzeur phases13clinicaltrialsusingadultstemcellsinosteonecrosisandnonunionfractures AT valeriegangji phases13clinicaltrialsusingadultstemcellsinosteonecrosisandnonunionfractures |