Oral Supplementation With a Formulation Based on Cetylated Fatty Acids for Post-fracture Long Bone Healing

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-85
SponsorPharmanutra S.p.a.

About this trial

This clinical study aims to evaluate the potential benefits of a formulation based on Cetylated Fatty Acids in improving fracture healing of long bones in the lower limbs. The investigational product is administered orally over a 12-week period. Study procedures are limited to standard imaging techniques (radiography and echography), blood sampling, and completion of validated quality of life questionnaires.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Between 18 and 85 years old

Presence of simple closed unifocal fracture (transverse, oblique, spiral, butterfly-shaped) in a long bone which need a standard of care surgical stabilization

Presence of diaphyseal fracture of lower limb (femur or tibia, Subtrochanteric fracture are also allowed)

Presence intramedullary nail

Disqualifiers

Treatment with vitamin D for medical purpose (Non-union, osteoporosis…)

BMI > 30

Open fracture

Intra articular fracture

Trial design

Design model

Parallel

Treatments tested in this trial

  • CFA-based food supplement

    Dietary supplement

    oral gel containing cetilated fatty acids

  • Placebo

    Other intervention

    oral gel coloured and flavoured as the IP

Treatment groups

100 Participants
are divided into 2 treatment groups
Group A: CFA-based supplement groupExperimental treatment 1 intervention
Group B: Placebo groupPlacebo comparator 1 intervention

Trial outcomes

Primary outcomes

1

Radiographic Assessment of Callus Formation using the modified Radiographic Union Score for Tibia (mRUST).

Comparison between groups of radiographic assessment of the callus formation using mRUST 6 weeks after fracture stabilisation. The mRUST scale ranges from 4 to 16 points, where higher scores indicate better fracture healing (greater callus formation and union).

Time frame
6 weeks after fracture stabilization

Secondary outcomes

1

Pain Assessment at Fracture Site using the Visual Analog Scale (VAS)

Change from baseline in pain perception in clinical assessment using the VAS 4 weeks after fracture stabilization. The VAS ranges from 0 to 10, where 0 indicates no pain and 10 indicates the worst imaginable pain. Higher scores represent worse outcomes (greater pain intensity).

Time frame
4 weeks after fracture stabilization
2

Ultrasonographic Assessment of Callus Formation

Change from placebo group in ultrasonographic evaluation of hypervascularisation and callus formation. Measurement of callus size (length and thickness) in millimeters using B-mode ultrasound imaging at the fracture site. The assessment is performed 4 weeks after fracture stabilization. Larger callus size indicates better bone healing.

Time frame
4 weeks after fracture stabilization
3

Radiographic Assessment of Callus Formation (modified Radiographic Union Score for Tibia - mRUST)

Radiographic union will be evaluated using the modified Radiographic Union Score for Tibia (mRUST), which rates healing on a 4-16 scale, with higher scores indicating better callus formation and more advanced fracture healing. Comparison between groups at Week 12.

Time frame
12 weeks after fracture stabilization
4

Pain Assessment at Fracture Site (Visual Analog Scale - VAS)

Pain at the fracture site will be assessed using the Visual Analog Scale (VAS), a 0-100 mm scale, where higher scores indicate worse pain. The endpoint evaluates the change from baseline to Week 12.

Time frame
12 weeks after fracture stabilization

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Pharmanutra S.p.a.

Lead sponsor

Artialis

Collaborator