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Investigator Initiated Trial to Evaluate the Efficacy and Safety of Intra-articular Injection of ADMSC Comared to Negative Control After High Tibial Osteotomy in the Osteoarthritis Patients.

Primary Purpose

Degenerative Arthritis, Knee Osteoarthritis

Status
Completed
Phase
Not Applicable
Locations
Korea, Republic of
Study Type
Interventional
Intervention
Autologous Adipose Tissue derived MSCs 1x10^8cells/3ml
Sponsored by
R-Bio
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Degenerative Arthritis focused on measuring adipose tissue derived mesenchymal stem cell, osteoarthritis, degenerative arthritis, kyung hee university hospital, biostar, Rbio, Osteoarthritis, Knee, High tibial osteotomy, Joint Diseases

Eligibility Criteria

20 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Patients must consent in writing to participate in the study by signing and dating an informed consent document
  2. Patients who can communicate (exclusion of anyone who cannot understand the questionnaire)
  3. between 20 years and 80 years of age
  4. BMI≤30
  5. Diagnosis of osteoarthritis by radiographic criteria of Kellgren and Lawrence grade 2-4
  6. Diagnosis of osteoarthritis by ACR(American College of Rheumatology Criteria) Global functional criteria : There is the pain of the knee and radiographic osteophyte and at least one of the following (1) age >50 years (2) Less than 30 minutes of morning stiffness (3) The friction When moving weighted the knee
  7. Patients who agree with contraception
  8. Patients who agree to stop the existing osteoarthritis treatment and to get enough washout periods until medication time
  9. Patients scheduled for High tibial osteotomy due to medial gonarthrosis

Exclusion Criteria:

  1. patients with osteoporosis
  2. Preparing for Pregnancy or Pregnant women or lactating mothers.
  3. Patients with positive human immunodeficiency (HIV), hepatitis B (HBV), hepatitis C (HCV), venereal disease research laboratory(VDRL)
  4. Patients with hypersensitivity to investigator product or investigational product component or those with a history
  5. Patients who had participated in other clinical trials within 12 weeks prior to this study
  6. Patients who received any drug by intra-articular injection for treatment within 2 months prior to this enrollment.
  7. Patients who experienced as the knee joint cartilage and stem cell therapy or failure to treat
  8. Patents who started or changed the physical therapy program established within 2 weeks before the start of the study or during the study(An established physical therapy program may continue for the duration of the trial, provided that it does not change in frequency and intensity)
  9. Patents included in the following specific risk groups that may influence safety and efficacy assessments at the discretion of the investigator:: septic arthtritis, rheumatic disease, gout, recurrent pseudogout, paget disease, joint fracture, alcaptonuria, acromegaly, hemochromatosis, wilson's disease, primary osteochondrosis, hereditary disorder(ex: hyperkinesia), collagen gene abnormality ,etc
  10. Patients who have clinically significant severe medical illnesses judged the principal investigator
  11. Patients who have been diagnosed with malignancy within 5 years before screening (except for patients who were completely remissioned three years before screening criteria)
  12. Patients who the principal investigator consider inappropriate for the clinical trial due to any other reasons
  13. Patients who received concomitant contraindications and who have not passed the prescribed wash-out period before participating in the clinical trial

Sites / Locations

  • KyungHee University Gangdong Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

No Intervention

Arm Label

Autologous Adipose Tissue derived MSCs

No treatment

Arm Description

Biological: Autologous Adipose Tissue derived MSCs 1x10^8cells/3ml, 1 time injection(at 1week after high tibial osteotomy)

No treatment (after high tibial osteotomy)

Outcomes

Primary Outcome Measures

MRI scan
MRI perform to measure cartilage defect size change from baseline up to 27 weeks

Secondary Outcome Measures

MRI scan
MRI perform to measure cartilage defect size change from baseline up to 15 weeks
WOMAC score
Change in WOMAC Total score from baseline up to 15, 27 weeks
WOMAC sub-scale
Change in WOMAC sub-scale from baseline up to 15, 27 weeks
Kellgren & Lawrence grade
Change in Kellgren & Lawrence grade from baseline up to 15, 27 weeks
EQ5D
Change in the score of EQ-5D from baseline up to 15, 27 weeks
ROM
change from baseline in knee flexion Range of Motion(ROM) at 15,27 weeks by physical examination
KOOS (Knee Injury & Osteoarthritis Outcome Score)
Symptoms, pain and functionality of the knee joint will be evaluated via the Knee Injury and Osteoarthritis Outcome Score (KOOS)
PGIC(Patient Global Impression of Change)
The percentage of subjects who were evaluated as improved at 15 weeks and 27 weeks in the patient global impression of change
PSQI(Pittsburgh Sleep Quality Index)
Change in PSQI from baseline up to 15, 27 weeks
Biomarkers
Change from baseline in Biomarkers up to 15, 27 weeks
Incidence of adverse reactions and characteristics associated with investigational product

Full Information

First Posted
December 18, 2016
Last Updated
January 28, 2021
Sponsor
R-Bio
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1. Study Identification

Unique Protocol Identification Number
NCT03000712
Brief Title
Investigator Initiated Trial to Evaluate the Efficacy and Safety of Intra-articular Injection of ADMSC Comared to Negative Control After High Tibial Osteotomy in the Osteoarthritis Patients.
Official Title
Single-center, Randomized, Open Label, Negative-controlled Investigator Initiated Trial to Evaluate the Efficacy and Safety of Intra-articular Injection of ADMSC(Autologous Adipose Tissue Derived Mesenchymal Stem Cells) After High Tibial Osteotomy Compared to Negative Control in the Osteoarthritis Patients.
Study Type
Interventional

2. Study Status

Record Verification Date
June 2019
Overall Recruitment Status
Completed
Study Start Date
November 2, 2016 (Actual)
Primary Completion Date
May 22, 2020 (Actual)
Study Completion Date
May 22, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
R-Bio

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to evaluate the efficacy and safety of intra-articular injection of autologous adipose tissue derived mesenchymal stem cells compared after high tibial osteotomy to negative control in the osteoarthritis patients
Detailed Description
In this clinical trial, the investigational product is administered intra-articularly at 1 week after high tibial osteotomy in a patient with degenerative arthritis of the medial side. The investigational product is autologous adipose-derived mesenchymal stem cells. As it does not use allogenic tissue and is incubated without additional genetic modification or mechanical and chemical modification through differentiation, it is classified as 'autologous cell therapy' and is completely free of immunologic rejection. It primarily aims to regenerate cartilage, to improve pain and joint function. The intra-articular injection of the investigational product is expected to stimulate the regeneration and growth of cartilage, and to innovatively improve pain and joint function with cartilage regeneration compared to high tibial osteotomy alone.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Degenerative Arthritis, Knee Osteoarthritis
Keywords
adipose tissue derived mesenchymal stem cell, osteoarthritis, degenerative arthritis, kyung hee university hospital, biostar, Rbio, Osteoarthritis, Knee, High tibial osteotomy, Joint Diseases

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
26 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Autologous Adipose Tissue derived MSCs
Arm Type
Experimental
Arm Description
Biological: Autologous Adipose Tissue derived MSCs 1x10^8cells/3ml, 1 time injection(at 1week after high tibial osteotomy)
Arm Title
No treatment
Arm Type
No Intervention
Arm Description
No treatment (after high tibial osteotomy)
Intervention Type
Biological
Intervention Name(s)
Autologous Adipose Tissue derived MSCs 1x10^8cells/3ml
Other Intervention Name(s)
JOINTSTEM
Intervention Description
biological : Autologous Adipose Tissue derived MSCs 1x10^8cells/3ml drug: saline solution
Primary Outcome Measure Information:
Title
MRI scan
Description
MRI perform to measure cartilage defect size change from baseline up to 27 weeks
Time Frame
24 months
Secondary Outcome Measure Information:
Title
MRI scan
Description
MRI perform to measure cartilage defect size change from baseline up to 15 weeks
Time Frame
15, 27 weeks, 18, 24 months
Title
WOMAC score
Description
Change in WOMAC Total score from baseline up to 15, 27 weeks
Time Frame
15, 27 weeks, 18, 24 months
Title
WOMAC sub-scale
Description
Change in WOMAC sub-scale from baseline up to 15, 27 weeks
Time Frame
15, 27 weeks, 18, 24 months
Title
Kellgren & Lawrence grade
Description
Change in Kellgren & Lawrence grade from baseline up to 15, 27 weeks
Time Frame
15, 27 weeks, 18, 24 months
Title
EQ5D
Description
Change in the score of EQ-5D from baseline up to 15, 27 weeks
Time Frame
15, 27 weeks, 18, 24 months
Title
ROM
Description
change from baseline in knee flexion Range of Motion(ROM) at 15,27 weeks by physical examination
Time Frame
15, 27 weeks, 18, 24 months
Title
KOOS (Knee Injury & Osteoarthritis Outcome Score)
Description
Symptoms, pain and functionality of the knee joint will be evaluated via the Knee Injury and Osteoarthritis Outcome Score (KOOS)
Time Frame
15, 27 weeks, 18, 24 months
Title
PGIC(Patient Global Impression of Change)
Description
The percentage of subjects who were evaluated as improved at 15 weeks and 27 weeks in the patient global impression of change
Time Frame
15, 27 weeks, 18, 24 months
Title
PSQI(Pittsburgh Sleep Quality Index)
Description
Change in PSQI from baseline up to 15, 27 weeks
Time Frame
15, 27 weeks, 18, 24 months
Title
Biomarkers
Description
Change from baseline in Biomarkers up to 15, 27 weeks
Time Frame
15, 27 weeks, 18, 24 months
Title
Incidence of adverse reactions and characteristics associated with investigational product
Time Frame
15, 27 weeks, 18, 24 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
20 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patients must consent in writing to participate in the study by signing and dating an informed consent document Patients who can communicate (exclusion of anyone who cannot understand the questionnaire) between 20 years and 80 years of age BMI≤30 Diagnosis of osteoarthritis by radiographic criteria of Kellgren and Lawrence grade 2-4 Diagnosis of osteoarthritis by ACR(American College of Rheumatology Criteria) Global functional criteria : There is the pain of the knee and radiographic osteophyte and at least one of the following (1) age >50 years (2) Less than 30 minutes of morning stiffness (3) The friction When moving weighted the knee Patients who agree with contraception Patients who agree to stop the existing osteoarthritis treatment and to get enough washout periods until medication time Patients scheduled for High tibial osteotomy due to medial gonarthrosis Exclusion Criteria: patients with osteoporosis Preparing for Pregnancy or Pregnant women or lactating mothers. Patients with positive human immunodeficiency (HIV), hepatitis B (HBV), hepatitis C (HCV), venereal disease research laboratory(VDRL) Patients with hypersensitivity to investigator product or investigational product component or those with a history Patients who had participated in other clinical trials within 12 weeks prior to this study Patients who received any drug by intra-articular injection for treatment within 2 months prior to this enrollment. Patients who experienced as the knee joint cartilage and stem cell therapy or failure to treat Patents who started or changed the physical therapy program established within 2 weeks before the start of the study or during the study(An established physical therapy program may continue for the duration of the trial, provided that it does not change in frequency and intensity) Patents included in the following specific risk groups that may influence safety and efficacy assessments at the discretion of the investigator:: septic arthtritis, rheumatic disease, gout, recurrent pseudogout, paget disease, joint fracture, alcaptonuria, acromegaly, hemochromatosis, wilson's disease, primary osteochondrosis, hereditary disorder(ex: hyperkinesia), collagen gene abnormality ,etc Patients who have clinically significant severe medical illnesses judged the principal investigator Patients who have been diagnosed with malignancy within 5 years before screening (except for patients who were completely remissioned three years before screening criteria) Patients who the principal investigator consider inappropriate for the clinical trial due to any other reasons Patients who received concomitant contraindications and who have not passed the prescribed wash-out period before participating in the clinical trial
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
KANGIL KIM, M.D., Ph.D
Organizational Affiliation
KyungHee University Gangdong Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
KyungHee University Gangdong Hospital
City
Seoul
ZIP/Postal Code
134-727
Country
Korea, Republic of

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Investigator Initiated Trial to Evaluate the Efficacy and Safety of Intra-articular Injection of ADMSC Comared to Negative Control After High Tibial Osteotomy in the Osteoarthritis Patients.

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