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CAM Procedure With BMAC for Shoulder OA

Primary Purpose

Shoulder Osteoarthritis

Status
Recruiting
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Concentrated bone marrow aspirate administration after Comprehensive Arthroscopic Management (CAM) surgical procedure.
Sponsored by
Shane A. Shapiro
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Shoulder Osteoarthritis

Eligibility Criteria

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

Inclusion Criteria

  • Male and Female subjects.
  • Subjects must be 50 years of age or older.
  • Subjects must have OA in a single or bilateral shoulder(s) with an inferior osteophyte measuring <7 mm.
  • > 1 mm joint space width in the study shoulder.
  • ASES score of 14.1 to 88.5
  • Osteoarthritis must be primary. Subjects must have previously tried 6 months of one of the following conservative treatments: activity modification, physical therapy, and anti-inflammatory or injection therapy.
  • Patients can provide written informed consent after the nature of the study is fully explained.

Exclusion Criteria

  • Patients with clinically significant abnormal hematology, serum chemistry, or urinalysis screening laboratory results. If the laboratory reports a single, non-clinically relevant, non-life-threatening result for any of these studies and is the only excluding factor it may be repeated 1 week later if the patient wishes. If the laboratory reports a single, non-clinically relevant, non-life-threatening result for any of these studies and is the only excluding factor it may be repeated 1 week later if the patient wishes. Normalization of that laboratory study will then be considered non-exclusionary. If repeat non-clinically relevant, non-life-threatening results do not normalize the patient may be further evaluated by a specialist or primary care provider to determine if lab result should be exclusionary.
  • Patients taking anti-inflammatory medications (prescription or over-the-counter), including herbal therapies, within 14 days of baseline visit.
  • Walch Type B2/C glenoid.
  • Patients taking anti-rheumatic disease medication (including methotrexate or other antimetabolites) within the 3 months prior to study entry.
  • Patients receiving injections to the treated shoulder within 3 months prior to study entry,
  • Patients who are pregnant or currently breast-feeding children. Females of childbearing potential must have a negative pregnancy test prior to receiving the study drug and will agree use adequate contraception (hormonal or barrier method or abstinence) from the time of screening to a period of 3 months following completion of the drug treatment cycle. Females of childbearing potential are defined as premenopausal and not surgically sterilized, or post-menopausal for fewer than 2 years. A urine pregnancy test will be performed prior to the administration of the study drug to confirm negative results. If the urine pregnancy test is positive, the study drug will not be administered and the result will be confirmed by a serum pregnancy test. Serum pregnancy tests will be performed at a central clinical laboratory, whereas urine pregnancy tests will be performed by qualified personnel using kit.
  • Patients with systemic, rheumatic or inflammatory disease of the shoulder or chondrocalcinosis, hemochromatosis, inflammatory arthritis, arthropathy of the shoulder associated with juxta-articular Paget's disease, ochronosis, hemophilic arthropathy, infectious arthritis, villonodular synovitis, and synovial chondromatosis.
  • Patients with ongoing infectious disease, including HIV and hepatitis.
  • Patients with clinically significant cardiovascular, renal, hepatic, endocrine disease, cancer, or diabetes.
  • Patients participating in a study of an experimental drug or medical device within 30 days of study entry.
  • Patients with hardware or implants in the affected shoulder.
  • Patients with previous open shoulder surgery or an arthroscopic procedure requiring structural repair with anchors and/or sutures.
  • Presence of large glenoid cysts
  • Opiate use within three months.
  • Patients taking Coumadin or Plavix

Sites / Locations

  • Mayo Clinic in FloridaRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Subjects with Osteoarthritis of the shoulders

Arm Description

Subjects diagnosed with Osteoarthritis of the shoulders will be injected with concentrated bone marrow aspirate administration after Comprehensive Arthroscopic Management (CAM) surgical procedure.

Outcomes

Primary Outcome Measures

Adverse Reactions
Occurrence of adverse reactions to BMAC when delivered after shoulder CAM procedure
Morbidity related to bone marrow aspirations from iliac crests
Occurrence of adverse reactions to bone marrow aspirations from iliac crests

Secondary Outcome Measures

Change in Visual Analog Scale (VAS)
Measured using the VAS questionnaire: a validated, subjective measure for pain. Scores are recorded by making a handwritten mark on a 10-cm line that represents a continuum between "no pain" (0) and "worst pain" (10).
Change in American Shoulder and Elbow Surgeons Shoulder Score (ASES)
Measured using the self-reported ASES questionnaire that combines pain and activities of daily living (ADL) scores for a total score out of 100, where a higher score indicates a better outcome.
Change in Subjective Shoulder Value
Subjective Shoulder Value (SSV) is a single-item self-completed measure in which patients are asked to grade their shoulder as a percentage of an entirely normal shoulder, which would score 100%.
Change in range of motion
Measured in degrees
To collect and explore pre and post injection measures of cartilage status in the affected shoulder.
Assessment of structural changes of the shoulder on conventional radiographs including measurement of inferior humeral osteophyte and joint space width

Full Information

First Posted
March 23, 2021
Last Updated
June 20, 2023
Sponsor
Shane A. Shapiro
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1. Study Identification

Unique Protocol Identification Number
NCT04826224
Brief Title
CAM Procedure With BMAC for Shoulder OA
Official Title
A Pilot Study For The Use Of Human Autologous Bone Marrow Aspirate Concentrate (BMAC) Combined With Arthroscopic Surgery For Painful Shoulder Osteoarthritis
Study Type
Interventional

2. Study Status

Record Verification Date
June 2023
Overall Recruitment Status
Recruiting
Study Start Date
December 6, 2021 (Actual)
Primary Completion Date
March 2024 (Anticipated)
Study Completion Date
March 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor-Investigator
Name of the Sponsor
Shane A. Shapiro

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Researchers want to find out more about the side effects of Bone Marrow Aspirate Concentrate (BMAC) and what doses of BMAC are safe for people.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Shoulder Osteoarthritis

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
12 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Subjects with Osteoarthritis of the shoulders
Arm Type
Experimental
Arm Description
Subjects diagnosed with Osteoarthritis of the shoulders will be injected with concentrated bone marrow aspirate administration after Comprehensive Arthroscopic Management (CAM) surgical procedure.
Intervention Type
Biological
Intervention Name(s)
Concentrated bone marrow aspirate administration after Comprehensive Arthroscopic Management (CAM) surgical procedure.
Intervention Description
Bone marrow aspirate concentrate contains a median nucleated cell count of 121,700/uL, and platelets of 384,000/uL. This leads to a cellular dose of approximately 400 million cells.
Primary Outcome Measure Information:
Title
Adverse Reactions
Description
Occurrence of adverse reactions to BMAC when delivered after shoulder CAM procedure
Time Frame
1-3 Weeks Post-Procedure
Title
Morbidity related to bone marrow aspirations from iliac crests
Description
Occurrence of adverse reactions to bone marrow aspirations from iliac crests
Time Frame
1-3 Weeks Post-Procedure
Secondary Outcome Measure Information:
Title
Change in Visual Analog Scale (VAS)
Description
Measured using the VAS questionnaire: a validated, subjective measure for pain. Scores are recorded by making a handwritten mark on a 10-cm line that represents a continuum between "no pain" (0) and "worst pain" (10).
Time Frame
Screening, pre-operatively, pre-injection and at 1 week, 6 weeks, 3 months, 6 months and 12 months following surgery
Title
Change in American Shoulder and Elbow Surgeons Shoulder Score (ASES)
Description
Measured using the self-reported ASES questionnaire that combines pain and activities of daily living (ADL) scores for a total score out of 100, where a higher score indicates a better outcome.
Time Frame
Screening, pre-operatively, pre-injection and at 1 week, 6 weeks, 3 months, 6 months and 12 months following surgery.
Title
Change in Subjective Shoulder Value
Description
Subjective Shoulder Value (SSV) is a single-item self-completed measure in which patients are asked to grade their shoulder as a percentage of an entirely normal shoulder, which would score 100%.
Time Frame
Screening, pre-operatively, pre-injection and at 1 week, 6 weeks, 3 months, 6 months and 12 months following surgery
Title
Change in range of motion
Description
Measured in degrees
Time Frame
Screening, pre-operatively, pre-injection and at 1 week, 6 weeks, 3 months, 6 months and 12 months following surgery
Title
To collect and explore pre and post injection measures of cartilage status in the affected shoulder.
Description
Assessment of structural changes of the shoulder on conventional radiographs including measurement of inferior humeral osteophyte and joint space width
Time Frame
12 Months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria Male and Female subjects. Subjects must be 50 years of age or older. Subjects must have OA in a single or bilateral shoulder(s) with an inferior osteophyte measuring <7 mm. > 1 mm joint space width in the study shoulder. ASES score of 14.1 to 88.5 Osteoarthritis must be primary. Subjects must have previously tried 6 months of one of the following conservative treatments: activity modification, physical therapy, and anti-inflammatory or injection therapy. Patients can provide written informed consent after the nature of the study is fully explained. Exclusion Criteria Patients with clinically significant abnormal hematology, serum chemistry, or urinalysis screening laboratory results. If the laboratory reports a single, non-clinically relevant, non-life-threatening result for any of these studies and is the only excluding factor it may be repeated 1 week later if the patient wishes. If the laboratory reports a single, non-clinically relevant, non-life-threatening result for any of these studies and is the only excluding factor it may be repeated 1 week later if the patient wishes. Normalization of that laboratory study will then be considered non-exclusionary. If repeat non-clinically relevant, non-life-threatening results do not normalize the patient may be further evaluated by a specialist or primary care provider to determine if lab result should be exclusionary. Patients taking anti-inflammatory medications (prescription or over-the-counter), including herbal therapies, within 14 days of baseline visit. Walch Type B2/C glenoid. Patients taking anti-rheumatic disease medication (including methotrexate or other antimetabolites) within the 3 months prior to study entry. Patients receiving injections to the treated shoulder within 3 months prior to study entry, Patients who are pregnant or currently breast-feeding children. Females of childbearing potential must have a negative pregnancy test prior to receiving the study drug and will agree use adequate contraception (hormonal or barrier method or abstinence) from the time of screening to a period of 3 months following completion of the drug treatment cycle. Females of childbearing potential are defined as premenopausal and not surgically sterilized, or post-menopausal for fewer than 2 years. A urine pregnancy test will be performed prior to the administration of the study drug to confirm negative results. If the urine pregnancy test is positive, the study drug will not be administered and the result will be confirmed by a serum pregnancy test. Serum pregnancy tests will be performed at a central clinical laboratory, whereas urine pregnancy tests will be performed by qualified personnel using kit. Patients with systemic, rheumatic or inflammatory disease of the shoulder or chondrocalcinosis, hemochromatosis, inflammatory arthritis, arthropathy of the shoulder associated with juxta-articular Paget's disease, ochronosis, hemophilic arthropathy, infectious arthritis, villonodular synovitis, and synovial chondromatosis. Patients with ongoing infectious disease, including HIV and hepatitis. Patients with clinically significant cardiovascular, renal, hepatic, endocrine disease, cancer, or diabetes. Patients participating in a study of an experimental drug or medical device within 30 days of study entry. Patients with hardware or implants in the affected shoulder. Patients with previous open shoulder surgery or an arthroscopic procedure requiring structural repair with anchors and/or sutures. Presence of large glenoid cysts Opiate use within three months. Patients taking Coumadin or Plavix
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Reagan Dukes
Phone
(904) 953-5144
Email
dukes.reagan@mayo.edu
First Name & Middle Initial & Last Name or Official Title & Degree
Jennifer Arthurs, APRN
Phone
(904) 953-2000
Email
Arthurs.Jennifer@mayo.edu
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Bradley Schoch, MD
Organizational Affiliation
Mayo Clinic
Official's Role
Principal Investigator
Facility Information:
Facility Name
Mayo Clinic in Florida
City
Jacksonville
State/Province
Florida
ZIP/Postal Code
32224
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Reagan Dukes, CRC
Phone
904-953-5144
Email
dukes.reagan@mayo.edu
First Name & Middle Initial & Last Name & Degree
Jennifer Arthurs
Email
Arthurs.Jennifer@mayo.edu

12. IPD Sharing Statement

Links:
URL
https://www.mayo.edu/research/clinical-trials
Description
Mayo Clinic Clinical Trials

Learn more about this trial

CAM Procedure With BMAC for Shoulder OA

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