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Efficacy and Safety Study of TissueGene-C to Degenerative Arthritis

Primary Purpose

Degenerative Arthritis

Status
Completed
Phase
Phase 2
Locations
Korea, Republic of
Study Type
Interventional
Intervention
TissueGene-C
Normal Saline
Sponsored by
Kolon Life Science
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Degenerative Arthritis focused on measuring Chondrocyte cells, Osteoarthritis, Gene therapy

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Female or male aged 18 years or more
  2. Diagnosed with degenerative arthritis of the knee
  3. With an IKDC score of 60 or lower at the screening visit
  4. With Grade 2 or 3 osteoarthritis as determined by the radiographic criteria of Kellgren and Lawrence
  5. With a Body Mass Index(BMI) of higher than18.5 and lower than 30
  6. With an International Cartilage Repair Society(ICRS) Grade IV cartilage damage in the major lesions, as confirmed through an MRI scan
  7. With major lesions concentrated in one section of the knee, and with the major lesions considered the main cause of the clinical symptoms
  8. With no alleviation of the symptoms even after at least three months of non-surgical treatment
  9. Healthy, with no major findings from the physical examination, hematology, serum chemistry, and urine tests, and no significant medical history
  10. Agreed to use an effective contraceptive method during the study period
  11. Voluntarily agreed to participate in this study, and signed the informed consent form

Exclusion Criteria:

  1. Showed clinically significant hematology, serum chemistry, and urine test results at the screening visit
  2. Falls under Inclusion Criteria 6 but with the damage in the relevant lesion considered ICRS Grade IV sized more than 6 cm2
  3. Took glucosamine, chondroitin, or any natural medicine within 14 days before the injection of the investigational product (but if the 14-day washout period had elapsed, the patient can be enrolled in this study)
  4. Has taken anti-inflammatory drugs (prescribed or over-the-counter) within 14 days before the injection of the investigational product (but if the 14-day washout period had elapsed, the patient can be enrolled in this study)
  5. Has taken immunosuppressive agents, including antirheumatic drugs (e.g., methotrexate or antimetabolites) within 3 months before enrollment in this study
  6. With a history of drug abuse within one year prior to enrollment in this study, or showed positive results in the urine drug test or the serum alcohol test at the screening visit
  7. Received an injection in the target knee within two months before enrollment in this study
  8. Pregnant or breastfeeding female
  9. With another joint disease apart from degenerative arthritis (e.g., systemic rheumatic inflammatory disease associated with the knee or chondrocalcinosis, hemachromatosis, inflammatory arthritis, necrosis of the trochanter, Paget's disease adjacent to a joint in the femur or tibia, ochronosis, hemophilic arthropathy, infectious arthritis, Charcot's disease in the knee joint, villonodular synovitis, synovial chondromas)
  10. With an infectious disease, including HIV or hepatitis
  11. With any of the following clinically significant diseases:

    • heart disease [e.g., myocardial infarction, arrhythmia, other serious heart diseases, coronary artery bypass graft (CABG)]
    • kidney disease (e.g., chronic renal failure, glomerulonephritis)
    • liver disease (e.g., liver cirrhosis, fatty liver, acute or chronic liver disease)
    • endocrine disease (e.g., hyperthyroidism, hypothyroidism, thyroiditis, diabetes insipidus, Cushing's disease)
    • insulin-dependent diabetes mellitus
    • medical history of past or current malignant tumor
    • In particular, the tumors that TissueGene-C may aggravate can be screened using the following tests:

      • Leukemia (White Blood Cell level in the hematology)
      • Osteochondroma, Chondromas, Chondroblastoma, Chondromyxoid fibroma, Chondrosarcoma (Alkaline phosphatase level in the hematology)
  12. Participated in another clinical trial (using the investigational drug or a medical device) within 30 days before enrollment in this study
  13. Considered inappropriate by the investigator for participation in this study

Sites / Locations

  • Samsung Medical Center
  • Seoul National Univ. Hospital
  • Asan Medical Center

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

TissueGene-C

Normal Saline

Arm Description

Single intra-articular injection to the damaged knee joint a dose of 1.8 x 10^7 cells

Single intra-articular injection to the damaged knee joint at the same volume

Outcomes

Primary Outcome Measures

Changes in IKDC Subjective Score.
Symptoms, sports activities, and function of the knee will be measured by the International Knee Documentation Committee (IKDC)

Secondary Outcome Measures

Changes in WOMAC scores.
Pain, stiffness, and physical function of the knee will be measured by the Western Ontario and McMaster Universities (WOMAC)
Changes in KOOS scores.
Symptoms, pain and functionality of the knee joint will be evaluated via the Knee Injury and Osteoarthritis Outcome Score (KOOS)
Changes in 100 mm-VAS.
Pain of the knee will be measured by the 100mm Visual Analogue Scale (VAS)
MRI scan
Comparison of pre-procedure MRI scans to those obtained at pre-dosing and at months 6 and 12 following dosing by an independent radiographic reviewer.
Proportion of Patients Use of Rescue Medication

Full Information

First Posted
August 20, 2012
Last Updated
January 21, 2015
Sponsor
Kolon Life Science
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1. Study Identification

Unique Protocol Identification Number
NCT01671072
Brief Title
Efficacy and Safety Study of TissueGene-C to Degenerative Arthritis
Official Title
A Placebo Controlled, Single-blind, Randomized, Multi-center Phase 2B Study to Determine the Efficacy and Safety of TissueGene-C, an Allogeneic Human Chondrocytes Expressing TGF-b1, in Patients With Degenerative Arthritis
Study Type
Interventional

2. Study Status

Record Verification Date
January 2015
Overall Recruitment Status
Completed
Study Start Date
July 2011 (undefined)
Primary Completion Date
October 2012 (Actual)
Study Completion Date
January 2013 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Kolon Life Science

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to determine whether TissueGene-C, an allogeneic human chondrocytes expressing Transforming Growth Factor(TGF)-b1, is effective and safe in patients with degenerative arthritis
Detailed Description
TissueGene-C is a biological new drug which consists of normal chondrocytes and transduced chondrocytes that express growth factors to regenerate the damaged cartilage tissues. In the clinical trial Phase 2b, the investigators compared TissueGene-C to placebo during 6 - months trial with 54 outpatients who have had degenerative arthritis. The outpatients are assigned to TissueGene-C or placebo in 1:1 ratio, and will be monitored and recorded for improving clinical symptoms, sports activities, and function of the knee, and for the presence of adverse events.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Degenerative Arthritis
Keywords
Chondrocyte cells, Osteoarthritis, Gene therapy

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
Participant
Allocation
Randomized
Enrollment
54 (Actual)

8. Arms, Groups, and Interventions

Arm Title
TissueGene-C
Arm Type
Experimental
Arm Description
Single intra-articular injection to the damaged knee joint a dose of 1.8 x 10^7 cells
Arm Title
Normal Saline
Arm Type
Placebo Comparator
Arm Description
Single intra-articular injection to the damaged knee joint at the same volume
Intervention Type
Biological
Intervention Name(s)
TissueGene-C
Intervention Description
TissueGene-C at 1.8 x 10^7 cells
Intervention Type
Drug
Intervention Name(s)
Normal Saline
Intervention Description
Sodium chloride 0.9%, 3.5ml
Primary Outcome Measure Information:
Title
Changes in IKDC Subjective Score.
Description
Symptoms, sports activities, and function of the knee will be measured by the International Knee Documentation Committee (IKDC)
Time Frame
Week 0 and 24
Secondary Outcome Measure Information:
Title
Changes in WOMAC scores.
Description
Pain, stiffness, and physical function of the knee will be measured by the Western Ontario and McMaster Universities (WOMAC)
Time Frame
Week 0 and 24
Title
Changes in KOOS scores.
Description
Symptoms, pain and functionality of the knee joint will be evaluated via the Knee Injury and Osteoarthritis Outcome Score (KOOS)
Time Frame
Week 0 and 24
Title
Changes in 100 mm-VAS.
Description
Pain of the knee will be measured by the 100mm Visual Analogue Scale (VAS)
Time Frame
Week 0 and 24
Title
MRI scan
Description
Comparison of pre-procedure MRI scans to those obtained at pre-dosing and at months 6 and 12 following dosing by an independent radiographic reviewer.
Time Frame
Week 0 and 24
Title
Proportion of Patients Use of Rescue Medication
Time Frame
Week 4, 12 and 24

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Female or male aged 18 years or more Diagnosed with degenerative arthritis of the knee With an IKDC score of 60 or lower at the screening visit With Grade 2 or 3 osteoarthritis as determined by the radiographic criteria of Kellgren and Lawrence With a Body Mass Index(BMI) of higher than18.5 and lower than 30 With an International Cartilage Repair Society(ICRS) Grade IV cartilage damage in the major lesions, as confirmed through an MRI scan With major lesions concentrated in one section of the knee, and with the major lesions considered the main cause of the clinical symptoms With no alleviation of the symptoms even after at least three months of non-surgical treatment Healthy, with no major findings from the physical examination, hematology, serum chemistry, and urine tests, and no significant medical history Agreed to use an effective contraceptive method during the study period Voluntarily agreed to participate in this study, and signed the informed consent form Exclusion Criteria: Showed clinically significant hematology, serum chemistry, and urine test results at the screening visit Falls under Inclusion Criteria 6 but with the damage in the relevant lesion considered ICRS Grade IV sized more than 6 cm2 Took glucosamine, chondroitin, or any natural medicine within 14 days before the injection of the investigational product (but if the 14-day washout period had elapsed, the patient can be enrolled in this study) Has taken anti-inflammatory drugs (prescribed or over-the-counter) within 14 days before the injection of the investigational product (but if the 14-day washout period had elapsed, the patient can be enrolled in this study) Has taken immunosuppressive agents, including antirheumatic drugs (e.g., methotrexate or antimetabolites) within 3 months before enrollment in this study With a history of drug abuse within one year prior to enrollment in this study, or showed positive results in the urine drug test or the serum alcohol test at the screening visit Received an injection in the target knee within two months before enrollment in this study Pregnant or breastfeeding female With another joint disease apart from degenerative arthritis (e.g., systemic rheumatic inflammatory disease associated with the knee or chondrocalcinosis, hemachromatosis, inflammatory arthritis, necrosis of the trochanter, Paget's disease adjacent to a joint in the femur or tibia, ochronosis, hemophilic arthropathy, infectious arthritis, Charcot's disease in the knee joint, villonodular synovitis, synovial chondromas) With an infectious disease, including HIV or hepatitis With any of the following clinically significant diseases: heart disease [e.g., myocardial infarction, arrhythmia, other serious heart diseases, coronary artery bypass graft (CABG)] kidney disease (e.g., chronic renal failure, glomerulonephritis) liver disease (e.g., liver cirrhosis, fatty liver, acute or chronic liver disease) endocrine disease (e.g., hyperthyroidism, hypothyroidism, thyroiditis, diabetes insipidus, Cushing's disease) insulin-dependent diabetes mellitus medical history of past or current malignant tumor In particular, the tumors that TissueGene-C may aggravate can be screened using the following tests: Leukemia (White Blood Cell level in the hematology) Osteochondroma, Chondromas, Chondroblastoma, Chondromyxoid fibroma, Chondrosarcoma (Alkaline phosphatase level in the hematology) Participated in another clinical trial (using the investigational drug or a medical device) within 30 days before enrollment in this study Considered inappropriate by the investigator for participation in this study
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Chul Won Ha, MD, PhD
Organizational Affiliation
Samsung Medical Center
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Seong Il Bin, MD, PhD
Organizational Affiliation
Asan Medical Center
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Myung Chul Lee, MD, PhD
Organizational Affiliation
Seoul National Univ. Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Samsung Medical Center
City
Gangnam-gu
State/Province
Seoul
ZIP/Postal Code
135-710
Country
Korea, Republic of
Facility Name
Seoul National Univ. Hospital
City
Seoul
ZIP/Postal Code
110-744
Country
Korea, Republic of
Facility Name
Asan Medical Center
City
Seoul
ZIP/Postal Code
138-736
Country
Korea, Republic of

12. IPD Sharing Statement

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Efficacy and Safety Study of TissueGene-C to Degenerative Arthritis

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