Avance Nerve Graft for Peripheral Nerve Injury
(Nerve-RESTORE℠ 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.12345Why 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?
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
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Operative
Participants undergo surgery for nerve reconstruction using either Avance Nerve Graft or sural nerve autograft
Follow-up
Participants are monitored for recovery of motor and sensory function post-surgery
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
Study Treatment: Avance Nerve Graft repairs of mixed or motor nerves (\> 25 mm gaps)
Comparator: Sural nerve autograft repairs of mixed or motor nerves (\> 25 mm gaps)
Find a Clinic Near You
Who Is Running the Clinical Trial?
Axogen Corporation
Lead Sponsor
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 ...
2.
d1io3yog0oux5.cloudfront.net
d1io3yog0oux5.cloudfront.net/_0ddf1203a2f4efbb3aa3eea2d6b0cce0/axogeninc/news/2022-05-04_Axogen_Inc_Announces_Positive_Topline_Results_935.pdfAxogen, 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 ...
3.
d1io3yog0oux5.cloudfront.net
d1io3yog0oux5.cloudfront.net/_4d23332fefdd1bd72fdd74c2bfdc7d26/axogeninc/db/Case+Studies/4334/pdf/Safa-Operative-Guide-Hand-Revision-Case.pdfClinical 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 ...
5.
boris-portal.unibe.ch
boris-portal.unibe.ch/entities/publication/f8fada5b-3239-4935-a0c8-fd1845889102A 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 ...
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