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Clinical Trial Details — Status: Active, not recruiting

Administrative data

NCT number NCT05291754
Other study ID # Ver1.2
Secondary ID
Status Active, not recruiting
Phase N/A
First received
Last updated
Start date November 26, 2021
Est. completion date November 26, 2025

Study information

Verified date February 2024
Source Skane University Hospital
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

This study is a non-randomised and single center study with patients needing an artificial skull bone eg cranioplasty. 40 patients will be implanted with in house manufactured polyether ether ketone (PEEK) implants using a fused filament fabrication 3D printer. The primary aim is to ascertain safety and feasibility of the procedure. The secondary aim is to compare complication rates with conventional methods such as autologous bone and polymethylmetacrylate (PMMA).


Description:

Cranioplasty is the surgical repair of a congenital or cranial defects after head trauma, infection or decompressive craniectomy. Although some patients can tolerate cranial defects for varied periods of time, cranioplasty is mostly indicated due to the increased risk of additional brain trauma, local pain or impaired CSF circulation but also aesthetic and psychological issues. The gold standard for repair since many years is cranioplasty with autologous bones . However, sometimes it not feasible to use the patient's autologous bone due to infections, trauma, bone graft resorption and donor-site morbidity. To replace the autologous bone grafts several different materials have been used, or are in use, as titanium meshes, hydroxyapatite cement and plastic resins as polymethyl methacrylate (PMMA) and porous polyethylene. Some of these have gathered increased interest due to advancements in technology for manufacture of these materials, and also the possibility to create custom made implants or moulds. The present study aims to assay safety and feasibility of in house 3D printed medical grade PEEK implants in research persons with acquired skull defects. The implants will be manufactured after 3D rendering from CT images of the skull defects, sterilised and aseptically inserted in the defects by means of a surgical intervention. A safety interim analysis will be performed after inclusion of 10 patients.


Recruitment information / eligibility

Status Active, not recruiting
Enrollment 40
Est. completion date November 26, 2025
Est. primary completion date October 26, 2025
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria: - Scheduled for cranioplasty - Informed consent Exclusion Criteria: - No informed consent - Implant size greater than 12x12 cm

Study Design


Related Conditions & MeSH terms


Intervention

Device:
PEEK Cranioplasty
3D printed PEEK skull implant

Locations

Country Name City State
Sweden Department of Neurosurgery Lund

Sponsors (3)

Lead Sponsor Collaborator
Skane University Hospital Lund University, Region Skane

Country where clinical trial is conducted

Sweden, 

Outcome

Type Measure Description Time frame Safety issue
Primary Performed PEEK implants Percentage of performed PEEK implants out of included patients. At end of surgical procedure, up to 2 months after inclusion
Primary Safety of PEEK implants Survival percentage of PEEK implants. Will be compared to historical PMMA and autologous bone implants. 1 year
Secondary Exposure time of PEEK implants compared to PMMA implants. Compare exposure time for PEEK implant during surgery with historical PMMA implants made in 3D printed mold. During surgical procedure, up to 2 months after inclusion.
Secondary Complications of PEEK implants Complications after PEEK implants other than those leading to extraction of implant will be compared to historical PMMA and autologous bone implants. 12 months
See also
  Status Clinical Trial Phase
Recruiting NCT05416684 - Prospective Observational Study on Comprehensive Effects of PEEK Cranioplasty and Titanium Cranioplasty After DC(RECEPT-DC)
Recruiting NCT05603949 - Development of Three-dimensional Deep Learning for Automatic Design of Skull Implants
Completed NCT04707404 - Comparison of Cranioplasty With PEEK and Titanium