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Trial registered on ANZCTR
Registration number
ACTRN12625000522415
Ethics application status
Approved
Date submitted
4/04/2025
Date registered
26/05/2025
Date last updated
26/05/2025
Date data sharing statement initially provided
26/05/2025
Type of registration
Prospectively registered
Titles & IDs
Public title
A safety and efficacy study of the B3 gel in improving functional outcomes following digital flexor or extensor tenolysis in participants with previous tendon injury in the hand.
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Scientific title
A First-in human study evaluating the safety and efficacy of TYBR Health B3 GEL in Flexor or Extensor Tendon Tenolysis
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Secondary ID [1]
314126
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Nil known
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Tendon Injury
336931
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Condition category
Condition code
Injuries and Accidents
333399
333399
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0
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Other injuries and accidents
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
This is a first in human, prospective, single-arm, interventional study evaluating the safety and efficacy of the B3 gel in the protection of repaired tendons from scars and improving recovery following digital flexor or extensor tenolysis (tendon repair surgery) in participants with previous tendon injury in the hand.
After the tendon is separated from any scar tissue in your hands during surgery, the B3 Gel will be applied along the entire length of the tendon. The surgeon will decide how much gel to use to make sure the tendon is fully covered. Once the gel is applied, the surgical wound will be closed.
The study procedure will take approximately 60 minutes and will be performed by a qualified hand surgeon in an operating room. Adherence to the intervention will be assessed through follow-up visits performed by the study team as well as a review of medical records.
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Intervention code [1]
330708
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Treatment: Devices
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Incidence of post-tenolysis complications (i.e., infection, tendon rupture, wound dehiscence, and adhesion formation), and all safety related adverse events to B3 Gel.
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Assessment method [1]
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Participants will be assessed by a qualified medical professional at all follow-up visit timepoints but will assess their health daily and can contact the study team at any time if they experience a complication. In addition, medical records will be reviewed.
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Timepoint [1]
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Daily post-procedure up to study exit (168 days post procedure)
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Secondary outcome [1]
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Change in finger motion compared to historical data derived from the literature
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Assessment method [1]
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Assess finger motion using Total Active Motion (TAM) and pulp-palm distance at Visits 3 through End of Study (168 days post procedure)/Early Withdrawal Visit compared to Visit 1 (pre- treatment) and historical data (Seppi, et al. (2024). Pre- and post-treatment in flexor tendon tenolysis: An observational study. Journal of Hand Therapy, 37(3), 412-418.)
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Timepoint [1]
445666
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At Visits 3 (day 15 post procedure) through End of Study (168 days post procedure)/Early Withdrawal Visit compared to Visit 1 (screening/pre- treatment).
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Secondary outcome [2]
446710
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Any change in functional outcomes compared to historical data derived from the literature
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Assessment method [2]
446710
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To assess hand function using the QuickDASH questionnaire compared to Visit 1 (screening/pre-treatment) and historical data (Seppi, et al. (2024). Pre- and post-treatment in flexor tendon tenolysis: An observational study. Journal of Hand Therapy, 37(3), 412-418.)
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Timepoint [2]
446710
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At Visits 3 (day 15 post procedure) through End of Study (168 days post procedure)/Early Withdrawal Visit
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Secondary outcome [3]
446711
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Any change in post-operative pain to the repaired finger
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Assessment method [3]
446711
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Assess pain utilizing the Visual Analog Scale (VAS) compared to Visit 1 (screening/pre-treatment).
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Timepoint [3]
446711
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At visits 3 (day 15 post procedure) through End of Study (168 days post procedure)/Early Withdrawal Visit.
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Eligibility
Key inclusion criteria
1. Patient willing and able to provide a signed Patient Informed Consent Form
2. Stated willingness to comply with all study procedures
3. Male or female, aged 18 years of age or older
4. Flexor (zone 1-3) or extensor tendon injury (zone 1-5) with at least 3 months post-index procedure
5. Patient willing and able to follow the study instructions including completion of all required study procedures and visits.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Currently taking corticosteroids, immune modifiers, or undergoing chemotherapy.
2. Pregnancy, breastfeeding, severe systemic comorbidities, or other medical conditions that would affect comparative measures
3. Any condition(s) which, in the opinion of the Investigator, may impact the participant’s ability to properly follow-up or otherwise be at-risk for following protocol instructions
4. Known allergies to porcine products
5. Currently participating or planning to participate in an investigational drug, biologic or device study that has not completed the primary endpoint or that clinically interferes with the current study endpoints
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
Descriptive statistics will be used to provide an overview of the safety and efficacy results. In accordance with the clinical feasibility study design, no formal sample size calculation has been performed.
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
13/06/2025
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
20
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
QLD,VIC
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Recruitment hospital [1]
27692
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Gold Coast University Hospital - Southport
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Recruitment hospital [2]
27693
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Princess Alexandra Hospital - Woolloongabba
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Recruitment hospital [3]
27695
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St Vincent's Hospital (Melbourne) Ltd - Fitzroy
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Recruitment postcode(s) [1]
43881
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4215 - Southport
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Recruitment postcode(s) [2]
43882
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4102 - Woolloongabba
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Recruitment postcode(s) [3]
43884
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3065 - Fitzroy
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Funding & Sponsors
Funding source category [1]
318634
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Commercial sector/Industry
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Name [1]
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TYBR Australia Pty Ltd
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Address [1]
318634
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Country [1]
318634
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Australia
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Primary sponsor type
Commercial sector/Industry
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Name
TYBR Australia Pty Ltd
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Address
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Country
Australia
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Secondary sponsor category [1]
321052
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None
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Name [1]
321052
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Address [1]
321052
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Country [1]
321052
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
317239
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St Vincent's Hospital Melbourne Human Research Ethics Committee
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Ethics committee address [1]
317239
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https://svhm.org.au/home/research/researchers/human-research-ethics-committee
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Ethics committee country [1]
317239
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Australia
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Date submitted for ethics approval [1]
317239
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19/02/2025
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Approval date [1]
317239
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07/04/2025
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Ethics approval number [1]
317239
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Summary
Brief summary
This is a first in human, prospective, multicentre, single arm feasibility study of the B3 gel. Tendons connect muscles to bones, helping transmit forces needed for body movement. In the hand, flexor tendons help fingers bend, and extensor tendons help fingers to straighten. Scar tissue forming around tendons can cause pain/discomfort and difficulty with movement. The B3 Gel acts like a casing for hand tendons after tenolysis surgery (done to free up tendons in the hand). The gel will be applied between hand tendons and other tissues. After standard surgery to separate tendons from scar tissue, B3 Gel will be applied along the tendons. The gel will be applied using an applicator, which mixes proteins and a salt solution to create the gel and then applies it precisely. In this study, participants will have tenolysis surgery as per standard practice and will have the B3 Gel applied as part of this procedure. After the procedure, participants will be followed for up to 169 days.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
140442
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Dr Randipsingh Bindra
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Address
140442
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Gold Coast University Hospital, 1 Hospital Blvd, Southport, QLD, 4215
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Country
140442
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Australia
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Phone
140442
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+61 421 595 857
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Fax
140442
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Email
140442
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[email protected]
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Contact person for public queries
Name
140443
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Mr Nick McCoy
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Address
140443
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C/- Business Synectics Pty Ltd, Level 10, 30 Collins Street, VIC, 3000
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Country
140443
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Australia
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Phone
140443
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+1 214 457 1996
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Fax
140443
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Email
140443
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[email protected]
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Contact person for scientific queries
Name
140444
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Dr Randipsingh Bindra
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Address
140444
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Gold Coast University Hospital, 1 Hospital Blvd, Southport, QLD, 4215
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Country
140444
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Australia
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Phone
140444
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+61 421 595 857
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Fax
140444
0
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Email
140444
0
[email protected]
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Data sharing statement
Will the study consider sharing individual participant data?
No
No IPD sharing reason/comment:
IPD will not be available
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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