RecruitingPhase 1Phase 2NCT07078331

Safety and Performance, and Dose, of OsteoAdapt DE in Localized Alveolar Ridge Augmentations

A Prospective, Multi Center, Single-Blinded, Randomized, Controlled Study to Evaluate the Safety and Performance, and Dose, of OsteoAdapt DE in Localized Alveolar Ridge Augmentations for Defects Associated With Extraction Sockets - Feasibility Study


Sponsor

Theradaptive, Inc

Enrollment

45 participants

Start Date

Jul 17, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

This study's objective is to evaluate OsteoAdapt DE's safety and performance in comparison to Xenograft particulate bone graft for alveolar ridge augmentation. Additionally, the study aims to optimize OsteoAdapt DE dosing for future studies by assessing two concentrations: a low dose (0.8 mg/cc) and a high dose (2.0 mg/cc).


Eligibility

Min Age: 22 Years

Inclusion Criteria8

  • Age 22 or older at the time of signing informed consent
  • Subject requires extraction of a single tooth due to extensive carious lesions, prosthetic or endodontic failure, root fracture, or other reasons with dental implant treatment planned at the site
  • Tooth root in position allowing a bone core sample to be harvested within the former socket
  • mm of alveolar bone height without impinging on the maxillary sinus or inferior alveolar canal
  • Dehiscence of ≤ 2 mm on the buccal bony wall at the time of extraction
  • Presence of other socket walls, mesial, distal and lingual walls
  • The subject is willing and able to be present for routine follow up visits, comply with postoperative management program, and is able to understand and sign the informed consent form
  • Willing to use a reliable method of contraception (for woman of childbearing potential and males with a partner who is of childbearing potential)

Exclusion Criteria16

  • Active localized or systemic infection
  • Untreated periodontal disease
  • Presence of a fenestration larger than 3 mm in diameter in the buccal wall at the time of extraction
  • Inadequate bone dimensions or restorative space to place a dental implant
  • The subject uses, or has used within 30 45 days of surgery, tobacco or nicotine or is prescribed steroids such as cortisone
  • Presence or history of malignancy (excludes surgically resected skin squamous cell or basal cell carcinoma), radiotherapy, or chemotherapy for any malignancy within the last 5 years. History of malignancy may include multiple exostoses syndrome (also known as multiple osteochondromas syndrome), an inherited condition associated with bumps of cartilage on the bones, which has been associated with an increased risk of chondrosarcoma); individuals with hereditary cancer syndromes are excluded. Examples of hereditary cancer syndromes are hereditary breast and ovarian cancer syndrome, Li-Fraumeni syndrome, Cowden syndrome, and Lynch syndrome. Also called family cancer syndrome and inherited cancer syndrome individuals who have undergone any transplant surgery and are on immunosuppressant therapy
  • Has a history of any endocrine or metabolic disorder known to affect osteogenesis (e.g.: Paget's disease, renal osteodystrophy, Ehler-Danlos syndrome, or osteogenesis imperfecta)
  • Insulin dependent diabetes
  • History of exposure to any recombinant proteins or peptides used for bone formation (i.e., Infuse Bone Graft, AUGMENT Bone Graft, GEM21S, i-FACTOR Peptide Enhanced Bone Graft, or PepGen P-15 Synthetic Bone Graft)
  • Hypersensitivity or allergy to any components of the study treatments including, but not limited to, bone morphogenetic proteins (BMPs); tricalcium phosphate (TCP); PLGA polymer
  • History of any allergy resulting in anaphylaxis
  • Treatment with an investigational therapy (drug, device, and/or biologic) within 120 days (or 5 half-lives, whichever is greater) prior to implantation surgery, or such treatment is planned during the 24-month period following implantation of the study treatment; prior or planned use of rhBMP-2
  • Pregnant at final Screening evaluation prior to Day 1 pre-procedure or interested in trying to conceive a child (both females and males) in the next 12 months or nursing
  • Any condition that would interfere with the subject's ability to comply with study instructions or prohibit Radiographic assessments that might confound the interpretation of the study or put the subject at risk
  • Patients taking any drug known to interfere with bone/soft tissue healing. See "Medication protocol" section of the protocol.
  • Any other condition or prior therapy that in the opinion of the Investigator would make the volunteer unsuitable for this study, including inability to cooperate fully with the requirements of the study protocol or likelihood of noncompliance with any study requirements.

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Interventions

DEVICEOsteoAdapt DE (0.8 mg)

Procedure of single tooth extraction and grafting along with related data collection: Implanted OsteoAdapt DE bone graft (0.8 mg) by a trained and qualified study investigator per the IFU, IB and CIP guidelines

DEVICEOsteoAdapt DE (2.0 mg)

Procedure of single tooth extraction and grafting along with related data collection: Implanted OsteoAdapt DE bone graft (2.0 mg) by a trained and qualified study investigator per the IFU, IB and CIP guidelines

DEVICEXenograft Bone Graft

Procedure of single tooth extraction and grafting along with related data collection: Implanted xenograft bone graft by a trained and qualified study investigator per the IFU, IB and CIP guidelines


Locations(6)

Armenia Medical Center

Yerevan, Armenia

Medline Clinic

Yerevan, Armenia

Hadassah Medical Center

Jerusalem, Israel

Rabin Medical Center

Petah Tikva, Israel

Assuta Medical Center

Tel Aviv, Israel

Sheba Medical Center

Tel Litwinsky, Israel

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NCT07078331


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