Scleroderma Treatment With Celution Processed Adipose Derived Regenerative Cells (STAR) (STAR)
Primary Purpose
Scleroderma, Systemic Sclerosis, Raynaud Phenomena
Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Celution Device
Placebo
Sponsored by
About this trial
This is an interventional treatment trial for Scleroderma
Eligibility Criteria
Key Inclusion Criteria:
- Males or females ≥ 18 and ≤ 70 years of age
- Diagnosis of diffuse cutaneous scleroderma (duration > 5 years) or limited cutaneous scleroderma.
- Cochin score ≥ 20 units
- Ability to safely undergo liposuction
- Symptoms consistent with Raynaud's Phemomena
- Compliant with standard preventative recommendations
Key Exclusion Criteria:
- Body Mass Index < 18 kg/m2
- Active infection in any finger during screening period or infection in any finger requiring antibiotics in the 30 days prior to the Screening Visit
- Active infection at the potential site(s) of fat harvest during the screening period
- Contractures of any finger or ulceration at point of injection precluding completion of injection procedure
- Amputation of any finger proximal to the proximal interphalangeal joint or any amputation in more than one finger
- Diagnosis of Rheumatoid Arthritis
- Inflammatory arthritis of the hand, including significant osteoarthritis, that is not due to scleroderma or significant acute inflammation in the hand that is due to scleroderma, as per the investigator's clinical judgment
- Oral cyclophosphamide exceeding 2 mg/kg/day, any intravenous cyclophosphamide, methotrexate exceeding 25 mg/week, mycophenolate mofetil exceeding 3 gm/day, hydoxychloroquine exceeding 7 mg/kg/day or azathioprine exceeding 300 mg/day or any other immunosuppressive medication in the 90 days prior to the Screening Visit
Sites / Locations
- Arizona Arthritis and Rheumatology Research, PLLC
- Baptist Health Center for Clinical Research
- Arthritis Associates of Southern California
- UCLA David Geffen School of Medicine
- Georgetown University Hospital
- Northwestern University
- Heartland Research Associates
- Central Kentucky Research Associates, Inc.
- Johns Hopkins University
- Boston University Medical Center
- West Michigan Rheumatology, PLLC
- Center For Pharmaceutical Research
- Robert Wood Johnson Medical School
- Hospital for Special Surgery
- Duke University Medical Center
- Cleveland Clinic
- University of Pennsylvania
- University of Pittsburgh
- University of Texas Houston Medical School
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Placebo Comparator
Arm Label
Adipose Derived Regenerative Cells
Placebo
Arm Description
Adipose Derived Regenerative Cells (ADRCs) processed by the Celution Device 40,000,000 ADRCs administered in 2 injections per digit on both hands.
Sterile Lactated Ringers Solution mixed with small amount of study subject's own freshly drawn blood and administered in 2 injections per digit on both hands.
Outcomes
Primary Outcome Measures
Cochin score
Secondary Outcome Measures
Cochin score
Raynaud's Condition Score
Scleroderma Health Assessment Questionnaire (SHAQ)
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT02396238
Brief Title
Scleroderma Treatment With Celution Processed Adipose Derived Regenerative Cells (STAR)
Acronym
STAR
Official Title
Scleroderma Treatment With Celution Processed Adipose Derived Regenerative Cells (STAR): A Randomized, Double-Blind, Placebo-Controlled Trial With Incomplete Crossover
Study Type
Interventional
2. Study Status
Record Verification Date
June 2018
Overall Recruitment Status
Completed
Study Start Date
May 15, 2015 (Actual)
Primary Completion Date
September 19, 2017 (Actual)
Study Completion Date
May 22, 2018 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Cytori Therapeutics
4. Oversight
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
The primary objective of this study is to assess the safety and efficacy of the Celution Device in the processing of an autologous graft consisting of adipose derived regenerative cells (ADRCs) in the treatment of hand dysfunction due to scleroderma.
Detailed Description
The STAR Trial is a prospective, randomized, multi-center device trial intended to assess safety and efficacy of subcutaneous administration of Celution processed ADRCs into fingers of patients with hand dysfunction due to scleroderma.
Following informed consent and screening evaluations, eligible subjects will undergo pre-operative testing. Subjects will then undergo fat harvest through small volume liposuction under local anesthesia. Lipoaspirate will be processed in the Celution System to isolate and concentrate ADRCs for immediate subcutaneous administration under local anesthesia. Subjects will be randomly assigned to receive ADRCs (40 million cells) or a visually-matched placebo in a 1:1 ratio. All subjects will receive subcutaneous administration of test substance (ADRC or placebo) into all fingers of both hands. Following completion of all 48 week visits and database lock, placebo treated subjects will be offered treatment with their ADRCs cells should they continue to qualify according to the inclusion/exclusion criteria and should they wish to be treated with ADRCs and agree to the fat harvest procedure.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Scleroderma, Systemic Sclerosis, Raynaud Phenomena, Raynaud's Disease
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
88 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Adipose Derived Regenerative Cells
Arm Type
Experimental
Arm Description
Adipose Derived Regenerative Cells (ADRCs) processed by the Celution Device 40,000,000 ADRCs administered in 2 injections per digit on both hands.
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Sterile Lactated Ringers Solution mixed with small amount of study subject's own freshly drawn blood and administered in 2 injections per digit on both hands.
Intervention Type
Device
Intervention Name(s)
Celution Device
Intervention Description
ADRCs prepared using the investigational Celution Device
Intervention Type
Other
Intervention Name(s)
Placebo
Intervention Description
Placebo
Primary Outcome Measure Information:
Title
Cochin score
Time Frame
24 Weeks
Secondary Outcome Measure Information:
Title
Cochin score
Time Frame
48 Weeks
Title
Raynaud's Condition Score
Time Frame
24 Weeks
Title
Scleroderma Health Assessment Questionnaire (SHAQ)
Time Frame
24 Weeks
Other Pre-specified Outcome Measures:
Title
Cochin Score
Time Frame
up to 48 Weeks
Title
Raynaud's Condition Score
Time Frame
up to 48 Weeks
Title
Scleroderma Health Assessment Questionnaire (SHAQ)
Time Frame
up to 48 Weeks
Title
Physician and Patient Global Assessment
Time Frame
up to 48 Weeks
Title
Hand Mobility in Scleroderma (HAMIS)
Time Frame
up to 48 Weeks
Title
Digital ulcer count
Time Frame
up to 48 Weeks
Title
Modified Rodnan Score
Time Frame
up to 48 Weeks
Title
Grip strength and pinch strength
Time Frame
up to 48 Weeks
Title
Finger circumference (with hand volume)
Time Frame
up to 48 Weeks
Title
1st corner distance and sum of 2nd, 3rd and 4th corner distances
Time Frame
up to 48 Weeks
Title
The EuroQOL five dimensions questionnaire (EQ-5D)
Time Frame
up to 48 Weeks
Title
Adverse events, Serious Adverse Events
Time Frame
up to 48 Weeks
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Key Inclusion Criteria:
Males or females ≥ 18 and ≤ 70 years of age
Diagnosis of diffuse cutaneous scleroderma (duration > 5 years) or limited cutaneous scleroderma.
Cochin score ≥ 20 units
Ability to safely undergo liposuction
Symptoms consistent with Raynaud's Phemomena
Compliant with standard preventative recommendations
Key Exclusion Criteria:
Body Mass Index < 18 kg/m2
Active infection in any finger during screening period or infection in any finger requiring antibiotics in the 30 days prior to the Screening Visit
Active infection at the potential site(s) of fat harvest during the screening period
Contractures of any finger or ulceration at point of injection precluding completion of injection procedure
Amputation of any finger proximal to the proximal interphalangeal joint or any amputation in more than one finger
Diagnosis of Rheumatoid Arthritis
Inflammatory arthritis of the hand, including significant osteoarthritis, that is not due to scleroderma or significant acute inflammation in the hand that is due to scleroderma, as per the investigator's clinical judgment
Oral cyclophosphamide exceeding 2 mg/kg/day, any intravenous cyclophosphamide, methotrexate exceeding 25 mg/week, mycophenolate mofetil exceeding 3 gm/day, hydoxychloroquine exceeding 7 mg/kg/day or azathioprine exceeding 300 mg/day or any other immunosuppressive medication in the 90 days prior to the Screening Visit
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Steven Kesten, MD
Organizational Affiliation
Cytori Therapeutics
Official's Role
Study Director
Facility Information:
Facility Name
Arizona Arthritis and Rheumatology Research, PLLC
City
Phoenix
State/Province
Arizona
ZIP/Postal Code
85253
Country
United States
Facility Name
Baptist Health Center for Clinical Research
City
Little Rock
State/Province
Arkansas
ZIP/Postal Code
72205
Country
United States
Facility Name
Arthritis Associates of Southern California
City
Los Angeles
State/Province
California
ZIP/Postal Code
90045
Country
United States
Facility Name
UCLA David Geffen School of Medicine
City
Los Angeles
State/Province
California
ZIP/Postal Code
90095
Country
United States
Facility Name
Georgetown University Hospital
City
Washington
State/Province
District of Columbia
ZIP/Postal Code
20007
Country
United States
Facility Name
Northwestern University
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60611
Country
United States
Facility Name
Heartland Research Associates
City
Wichita
State/Province
Kansas
ZIP/Postal Code
67207
Country
United States
Facility Name
Central Kentucky Research Associates, Inc.
City
Lexington
State/Province
Kentucky
ZIP/Postal Code
40509
Country
United States
Facility Name
Johns Hopkins University
City
Baltimore
State/Province
Maryland
ZIP/Postal Code
21224
Country
United States
Facility Name
Boston University Medical Center
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02118
Country
United States
Facility Name
West Michigan Rheumatology, PLLC
City
Grand Rapids
State/Province
Michigan
ZIP/Postal Code
49546
Country
United States
Facility Name
Center For Pharmaceutical Research
City
Kansas City
State/Province
Missouri
ZIP/Postal Code
64114
Country
United States
Facility Name
Robert Wood Johnson Medical School
City
New Brunswick
State/Province
New Jersey
ZIP/Postal Code
08901
Country
United States
Facility Name
Hospital for Special Surgery
City
New York
State/Province
New York
ZIP/Postal Code
10021
Country
United States
Facility Name
Duke University Medical Center
City
Durham
State/Province
North Carolina
ZIP/Postal Code
27710
Country
United States
Facility Name
Cleveland Clinic
City
Cleveland
State/Province
Ohio
ZIP/Postal Code
44195
Country
United States
Facility Name
University of Pennsylvania
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19104
Country
United States
Facility Name
University of Pittsburgh
City
Pittsburgh
State/Province
Pennsylvania
ZIP/Postal Code
15261
Country
United States
Facility Name
University of Texas Houston Medical School
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
12. IPD Sharing Statement
Plan to Share IPD
No
Citations:
PubMed Identifier
35358372
Citation
Khanna D, Caldron P, Martin RW, Kafaja S, Spiera R, Shahouri S, Shah A, Hsu V, Ervin J, Simms R, Domsic RT, Steen V, Hummers LK, Derk C, Mayes M, Chatterjee S, Varga J, Kesten S, Fraser JK, Furst DE. Adipose-Derived Regenerative Cell Transplantation for the Treatment of Hand Dysfunction in Systemic Sclerosis: A Randomized Clinical Trial. Arthritis Rheumatol. 2022 Aug;74(8):1399-1408. doi: 10.1002/art.42133. Epub 2022 Jun 27.
Results Reference
derived
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Scleroderma Treatment With Celution Processed Adipose Derived Regenerative Cells (STAR)
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