Food and Drug Administration (FDA) premarket approval (PMA) application in 2015 only for use in single-level anterior cervical fusion procedures. In the United States, i-FACTOR Peptide Enhanced Bone Graft was approved via a U.S. Cerapedics initial P-15 technology product, i-FACTOR Peptide Enhanced Bone Graft, was approved in the European Union in 2008 and Australia in 2010 for use in the repair of bony voids or defects in orthopedic applications throughout the skeletal system (i.e., the spine and extremities). I-FACTOR+ MATRIX utilizes a small proprietary peptide (P-15) technology developed by Cerapedics to support bone growth through cell attraction, attachment, and activation. " Canada will be the first market offering the i-FACTOR+ MATRIX product, which leverages the clinically proven P-15 osteogenic cell-binding peptide combined with a collagen carrier for optimized handling." "We are excited to announce that i-FACTOR+ Matrix is now fully available in Canada through our distributor Surgi-One and can be used in both spine and general orthopedic applications," said Glen Kashuba, Chief Executive Officer of Cerapedics. 5, 2020 /PRNewswire/ - Cerapedics, a private ortho-biologics company, today announced the full commercial availability of i-FACTOR+ MATRIX for surgical implantation in Canada. We are very excited about FDA’s approval of our label expansion which further validates the long-term safety and efficacy of i-FACTOR.Canada will be the first commercial market to launch i-FACTOR ®+ Matrix market, "Cerapedics has been successful in rapidly penetrating the US Ortho-Biologics market by emphasizing the importance of Level I human clinical data. Use of i-FACTOR in anterior cervical discectomy and fusion is effective and safe, and results in similar outcomes compared to local autograft bone at 2 yr following surgery.Ĭompany CEO Glen Kashuba, said, since the commercial release of the bone graft in the U.S. There were no allergic reactions associated with i-FACTOR. Twelve (7.45%) i-FACTOR subjects and 16 (10.53%) autograft subjects underwent re-operation (P=.3411). The composite endpoint of overall success (fusion, Neck Disability Index improvement >15, neurological success, and absence of reoperations) was greater in i-FACTOR subjects compared to autograft subjects (69.83% and 56.35%, respectively=.0302). Neck Disability Index improved 28.30 (i-FACTOR) and 26.95 (autograft P=.1448) Visual Analog Scale arm pain improved 5.43 (i-FACTOR) and 4.97 (autograft) (p =.2763) Visual Analog Scale neck pain improved 4.78 (i-FACTOR) and 4.41 (autograft P=.1652), Short Form-36 (SF-36v2) Physical Component Score improved 10.23 (i-FACTOR) and 10.18(autograft=.4507), and SF36v2 Mental Component Score improved 7.88 (i-FACTOR) and 7.53(autograft=.9872). Paul Arnold, Rick Sasso, Michael Janssen, Michael Fehlings, Robert Heary, Alex Vaccaro and Branko Kopjar.Īt 2 yr, the fusion rate was 97.30% and 94.44% in i-FACTOR and autograft subjects, respectively(P=.2513), and neurological success rate was 94.87%(i-Factor) and 93.79% (autograft P=.7869). The clinical data was published in Neurosurgery in September 2018. P-15 is a novel synthetic, 15-amino-acid polypeptide that, according to the referenced study, "mimics the cell-binding domain of type I collagen and is able to signal a mechanical and biochemical communication pathway that ultimately results in new bone formation." It is in a new category of bone graft technology and is one of only two drug-device combination products approved by the FDA." The drug-device combination, according to the company, is based on synthetic small peptide (P-15) technology "that accelerates new bone formation in patients with degenerative disc disease. and around the world.”Ĭerapedics commercialized the bone graft in 2016. He continued that he believes i-FACTOR Bone Graft "represents one of the most important technological breakthroughs in this field and are committed to compiling extensive Level I human clinical data to support its use across the U.S. said the approval allows labeling to reflect "longer-term clinical data showing that the statistical superiority to autologous bone in overall clinical success that was observed at one year have been maintained at two-year follow up." On November 18, 2019, Cerapedics announced the change to i-FACTOR’s Premarket Approval (PMA) supplement for ACDF.Ĭompany President and CEO Jeff Marx, Ph.D. asked the FDA if they could update their package insert accordingly.
New, two-year follow-up data for i-FACTOR™ Peptide Enhanced Bone Graft shows that the one-year superiority over autologous bone grafts in anterior cervical discectomy and fusion (ACDF) procedures for degenerative cervical disc disease, is sustained for two years.