RecruitingNot ApplicableNCT07270380

Antibiotic Device for Osteomyelitis of the Extremities Pivotal Trial - Genex With Gentamicin.

A Multi-center, Single-arm, Historically Controlled Pivotal Trial, to Assess the Safety and Effectiveness of Genex G as Part of the Surgical Treatment of Osteomyelitis of the Extremities.

Sponsor

Biocomposites Ltd

Enrollment

139 participants

Start Date

Apr 1, 2026

Study Type

INTERVENTIONAL

Conditions

Osteomyelitis

Summary

The purpose of this trial is to determine if genex with gentamicin (genex G) an antibiotic loaded bone void filler, works to treat and is a safe option as part of the surgical treatment of osteomyelitis in the extremities.

Eligibility

Min Age: 18 Years

Inclusion Criteria6

Patient with osteomyelitis of the extremities (for a minimum of 6 months) that requires surgical intervention (Cierny-Mader classification of osteomyelitis grades I-IV). Patients presenting with Cierny-Mader grades I-II will be required to have a defect created as part of debridement surgery
Patients at least 18 years of age *1
Patient willing and able to provide written informed consent
Patient geographically stable and able to comply with the required follow-up visits and testing schedule as assessed by the investigator
Ability to achieve adequate surgical soft tissue coverage of the wound (primary tissue closure or surgical reconstruction including local and free soft tissue transfer)
Patients between 18 and 22 years of age require confirmation of skeletal maturity as validated by radiographs of the bone to be treated.

Exclusion Criteria13

Patients with Cierny-Mader grades I-II who are unable to have a defect created during debridement surgery
Renal failure or documented chronic kidney disease with serum creatinine ≥3.5 mg/dL (309umol/L) or being treated with dialysis
Participants with a terminal or palliative diagnosis (e.g. terminal cancer diagnosis) deemed to have less than 1 year life expectancy by their health care team
Uncontrolled diabetes mellitus (hemoglobin A1c levels >10%)
Pre-existing calcium metabolism disorder
Women who are pregnant or breastfeeding or planning on becoming pregnant during the study (a pregnancy test will be done in women of childbearing potential at screening and on the day of surgery)
History of hypersensitivity or contraindication to the investigational device or any of its ingredients (calcium phosphate, β-tricalcium phosphate, and aminoglycoside antibiotics)
Participation in an investigational drug/device study (within the last 60 days) or prior enrolment to the ADOPT GG study
Clinically significant or unstable medical or surgical condition that in the investigators opinion may preclude safe and complete study participation (for example patients medically unfit for surgery, general anesthesia, or any risk of significant blood loss resulting in significant risk to loss of life)
Current untreated malignant neoplasm(s), or current treatment with radiation therapy or chemotherapy
Current or recent history (within last 2 years) of active substance abuse (e.g. recreational drugs, narcotics, or alcohol) that meets DSM-5 severe criteria
Current user of any products containing nicotine
Currently incarcerated