178 Participants NeededMy employer runs this trial

Avance Nerve Graft for Peripheral Nerve Injury

(Nerve-RESTORE℠ Trial)

Recruiting at 2 trial locations
SA
HN
Overseen ByHayley Nicolosi
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Prior Safety DataThis treatment has passed at least one previous human trial

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests two methods to repair damaged nerves in the arm: the Avance Nerve Graft and a sural nerve autograft. The goal is to determine which method is more effective for nerve repairs over 25 millimeters long. It targets individuals with completely severed arm nerves requiring repair within four months of injury. Participants should not have other nerve-related issues or treatments that could affect the results. As a Phase 4 trial, the treatment is already FDA-approved and proven effective, aiming to understand its benefits for a broader range of patients.

What is the safety track record for these treatments?

Research has shown that the Avance Nerve Graft is safe to use. In studies, many patients experienced improved sensation and movement after using Avance. Specifically, 77% of patients reported good results in sensation, and 36% showed improvement in movement. The FDA has approved Avance for adults and children as young as one month, supporting its safety.

Overall, patients have tolerated Avance well. However, as with any treatment, individual experiences may vary. Potential participants should discuss options and concerns with their healthcare provider.12345

Why are researchers enthusiastic about this study treatment?

Unlike the standard sural nerve autograft, which requires harvesting a nerve from the patient's own body, the Avance Nerve Graft is a processed nerve allograft derived from donated human nerves. This means it eliminates the need for a secondary surgical site, reducing patient morbidity. Researchers are excited about Avance because it offers a promising alternative that could improve recovery outcomes for patients with large nerve gaps, potentially leading to faster and more effective nerve regeneration.

What evidence suggests that this trial's treatments could be effective for peripheral nerve injury?

This trial will compare the Avance Nerve Graft with the Sural nerve autograft for repairing damaged nerves. Research has shown that the Avance Nerve Graft effectively repairs damaged nerves. In earlier studies, patients using Avance experienced noticeable improvements in sensation and movement after nerve repair. The graft aids nerve regeneration by providing a structure for new nerve fibers to develop. This treatment has shown promising results in restoring function in injured nerves, particularly those with gaps larger than 25 mm. Since its approval, the Avance Nerve Graft has been recognized for its effectiveness in aiding nerve recovery.

Who Is on the Research Team?

RG

R. Glenn Gaston, MD

Principal Investigator

OrthoCarolina Research Institute, Inc.

Are You a Good Fit for This Trial?

This trial is for people who need surgery to repair a mixed or motor nerve injury in their arm. Participants must be able to attend regular follow-up visits after surgery. People with certain health conditions or factors that could affect healing may not be eligible.

Inclusion Criteria

Provide documented IRB/IEC-approved informed consent prior to initiation of any study procedures
I need nerve repair surgery in my arm using a nerve graft for a fully cut nerve.
All my eligible nerve repairs were done with the same type of graft.
See 7 more

Exclusion Criteria

My nerve injury is not completely severed.
I have significant soft tissue damage that affects my recovery.
I have a nerve injury where the nerve has been torn or pulled apart.
See 16 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks
1 visit (in-person)

Operative

Participants undergo surgery for nerve reconstruction using either Avance Nerve Graft or sural nerve autograft

1 day
1 visit (in-person)

Follow-up

Participants are monitored for recovery of motor and sensory function post-surgery

24 months
9 visits (in-person) at Week 4, and Months 3, 6, 9, 12, 15, 18, 21, and 24

What Are the Treatments Tested in This Trial?

Interventions

  • Avance Nerve Graft
  • Sural nerve autograft

Trial Overview

The study compares two ways of repairing damaged nerves in the arm: using an Avance Nerve Graft (a processed donor nerve) versus a sural nerve autograft (using the patient's own nerve). Patients are randomly assigned to one group and followed for up to 2 years.

How Is the Trial Designed?

2

Treatment groups

Experimental Treatment

Active Control

Group I: Avance Nerve GraftExperimental Treatment1 Intervention
Group II: Sural nerve autograftActive Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Axogen Corporation

Lead Sponsor

Trials
11
Recruited
5,600+

Citations

Peripheral nerve injuries clinical trials and research

This study is gathering information on how a special nerve graft, called Avance, is used in real life for nerve repairs. It also looks at how well people ...

Axogen, Inc. Announces Positive Topline Results from Phase ...

“The study data confirmed that as gap lengths increased, Avance returned superior levels of sensation, and this was achieved at earlier time ...

Clinical Experience with Avance® Nerve Graft a Processed ...

The patient was followed for 10 months with no measureable recovery of sensation and limited progression of Tinel's sign. Note that the following is only an ...

Processed human nerve graft clinical trials

This study is gathering information on how a special nerve graft, called Avance, is used in real life for nerve repairs. It also looks at how well people ...

A retrospective case series reporting the outcomes of ...

77% of patients achieved a sensory outcome score of S3 or above and 36% achieved a motor score of M3 or above. All patients with chronic pain had improvement ...