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A Trial to Evaluate the Safety, Tolerability, and Efficacy of NCR100 Injection in the Treatment of Subjects With KOA (NCR100)

Primary Purpose

Knee Osteoarthritis

Status
Not yet recruiting
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
NCR100 injection
Sponsored by
Nuwacell Biotechnologies Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Knee Osteoarthritis focused on measuring KOA, Mesenchymal Stromal Cells

Eligibility Criteria

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

Inclusion Criteria: Subjects who understand and voluntarily sign the Informed Consent Form(ICF) before the enrolment; Age: 40-80 years old, both genders; Diagnosis of knee osteoarthritis based on American College of Rheumatology criteria; Subjects with KOA who have persistent pain for more than six months, or aggravation or recurrence of osteoarthritis after routine medication; Kellgren-Lawrence grade: II-III; McMaster Universities Osteoarthritis Index (WOMAC): 24-72. Exclusion Criteria: Subjects previously diagnosed of secondary knee osteoarthritis, or those diagnosed with hip/ankle joint disease requiring medical intervention; Subjects who suffering from other diseases that cause damage to knee joint function or affect joints; Subjects who have received allogeneic mesenchymal progenitor (stem/stromal) cell therapy; Subjects who have history of knee joint injury; Subjects who have undergone knee arthroscopic surgery; Subjects who received painkillers ( eg,opioids/nonsteroidal anti-inflammatory analgesics ) to treat knee osteoarthritis; Subjects who have orally taken traditional Chinese medicine; Subjects who have received intra-articular drug injection to treat knee osteoarthritis; Subjects with glucosamine, chondroitin sulfate, or diacetate therapy before investigational drug intervention Subjects with acute reactive knee osteoarthritis; Severe eversion deformity in target knee joint; Known or suspected allergy or a history of allergies; Subjects with abnormal results of laboratory examination: Hepatic Insufficiency (ALT > 2xULN or Aspartate aminotransferase(AST) > 2xULN), renal dysfunction (creatinine clearance rate ≤60ml/min or blood urea nitrogen(BUN) > 2× ULN), Coagulation Defects (INR > 1.5) or severe hematological diseases (Grade 3 or above anemia Hb < 8 g/dL, Grade 2 or above thrombocytopenia platelet count(PLT) < 75×10^9/L) ; BMI≥30 kg/m^2 ; Severe systemic infection or local knee joint infection; Subjects who have received systemic glucocorticoid therapy before intervention or need to take systemic glucocorticoid therapy during the treatment; Subjects who have history of acute myocardial infarction or with heart diseases e.g.uncontrolled angina pectoris, uncontrolled arrhythmias, severe heart failure (NYHA > III), QT prolongation, and are determined by investigators as not suitable to participate in this clinical trial; Subjects with peripheral or central nervous system disorders that may interfere with knee joint pain and functional assessment, Subjects who have contraindications to MRI; Subjects who have poor physical condition and are unable to walk autonomously; Subjects with alcohol or drug addiction or with a clear history of mental disorders or with a history of drug abuse or drug use of psychotropic substances; Subjects with infection with hepatitis B virus(HBV), hepatitis C virus(HCV), HIV, and treponema pallidum confirmed by laboratory tests; Pregnant or lactating female subjects, or subjects who are unable to comply with contraceptives from the study period to 6 months after the end of this study; Subjects who have participated in other clinical trials and have used other study products; Subjects with severe and poorly controlled comorbidities and not suitable for this clinical trial; Subjects who are not suitable for this clinical trial for other reasons.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    NCR100 injection

    Arm Description

    Cohort1:Low dose NCR100 injection; Cohort2:Mid-low dose NCR100 injection; Cohort3:Mid-high dose NCR100 injection; Cohort4:High dose NCR100 injection.

    Outcomes

    Primary Outcome Measures

    Adverse Event(AE) or Serious Adverse Event(SAE)
    Number of participants with treatment-related adverse events or serious adverse events as assessed by CTCAE v5.0
    Dose-Limiting Toxicity(DLT)
    Number of participants with Dose-limiting toxicity in 28 days after injection

    Secondary Outcome Measures

    Maximum plasma concentration(Cmax)
    Elimination half life of drug(T1/2)
    Time after doing at which maximun plasma concentration is reached(Tmax)
    Area under the plasma concentration-time curve(AUC)

    Full Information

    First Posted
    September 6, 2023
    Last Updated
    September 19, 2023
    Sponsor
    Nuwacell Biotechnologies Co., Ltd.
    Collaborators
    Shanghai 6th People's Hospital, Beijing Luhe Hospital
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    1. Study Identification

    Unique Protocol Identification Number
    NCT06049342
    Brief Title
    A Trial to Evaluate the Safety, Tolerability, and Efficacy of NCR100 Injection in the Treatment of Subjects With KOA
    Acronym
    NCR100
    Official Title
    A Phase I, Open Label, Single Arm, Multiple Center, Dose Escalation Clinical Trial to Evaluate the Safety, Tolerability and Efficacy of Human Induced Pluripotent Stem Cell Derived Mesenchymal Stromal Cells (NCR100) Injection in the Treatment of Subjects With Knee Osteoarthritis
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    September 2023
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    October 2023 (Anticipated)
    Primary Completion Date
    June 2024 (Anticipated)
    Study Completion Date
    May 2025 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Nuwacell Biotechnologies Co., Ltd.
    Collaborators
    Shanghai 6th People's Hospital, Beijing Luhe Hospital

    4. Oversight

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

    5. Study Description

    Brief Summary
    This clinical study is to investigate the safety and efficacy of NCR100 injection in subjects with knee osteoarthritis (KOA). It is a dose-escalating, open label study in adult KOA subjects.
    Detailed Description
    Knee osteoarthritis (KOA) is a kind of degenerative joint disease and there are over 300 million cases worldwide. The aim of this clinical trial is to evaluate the safety, tolerability, and efficacy of human pluripotent stem cell derived mesenchymal stromal cells (NCR100) injection in the treatment of subjects with knee osteoarthritis.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Knee Osteoarthritis
    Keywords
    KOA, Mesenchymal Stromal Cells

    7. Study Design

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

    8. Arms, Groups, and Interventions

    Arm Title
    NCR100 injection
    Arm Type
    Experimental
    Arm Description
    Cohort1:Low dose NCR100 injection; Cohort2:Mid-low dose NCR100 injection; Cohort3:Mid-high dose NCR100 injection; Cohort4:High dose NCR100 injection.
    Intervention Type
    Biological
    Intervention Name(s)
    NCR100 injection
    Intervention Description
    Subjects will receive a one-dose intra-articular NCR100 injection.
    Primary Outcome Measure Information:
    Title
    Adverse Event(AE) or Serious Adverse Event(SAE)
    Description
    Number of participants with treatment-related adverse events or serious adverse events as assessed by CTCAE v5.0
    Time Frame
    Week1,Week2,Week4
    Title
    Dose-Limiting Toxicity(DLT)
    Description
    Number of participants with Dose-limiting toxicity in 28 days after injection
    Time Frame
    4 weeks after injection
    Secondary Outcome Measure Information:
    Title
    Maximum plasma concentration(Cmax)
    Time Frame
    30minutes before administration,24hours,1week,2week,4week,8week,12week and 24week after administration
    Title
    Elimination half life of drug(T1/2)
    Time Frame
    30minutes before administration,24hours,1week,2week,4week,8week,12week and 24week after administration
    Title
    Time after doing at which maximun plasma concentration is reached(Tmax)
    Time Frame
    30minutes before administration,24hours,1week,2week,4week,8week,12week and 24week after administration
    Title
    Area under the plasma concentration-time curve(AUC)
    Time Frame
    30minutes before administration,24hours,1week,2week,4week,8week,12week and 24week after administration

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    40 Years
    Maximum Age & Unit of Time
    80 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Subjects who understand and voluntarily sign the Informed Consent Form(ICF) before the enrolment; Age: 40-80 years old, both genders; Diagnosis of knee osteoarthritis based on American College of Rheumatology criteria; Subjects with KOA who have persistent pain for more than six months, or aggravation or recurrence of osteoarthritis after routine medication; Kellgren-Lawrence grade: II-III; McMaster Universities Osteoarthritis Index (WOMAC): 24-72. Exclusion Criteria: Subjects previously diagnosed of secondary knee osteoarthritis, or those diagnosed with hip/ankle joint disease requiring medical intervention; Subjects who suffering from other diseases that cause damage to knee joint function or affect joints; Subjects who have received allogeneic mesenchymal progenitor (stem/stromal) cell therapy; Subjects who have history of knee joint injury; Subjects who have undergone knee arthroscopic surgery; Subjects who received painkillers ( eg,opioids/nonsteroidal anti-inflammatory analgesics ) to treat knee osteoarthritis; Subjects who have orally taken traditional Chinese medicine; Subjects who have received intra-articular drug injection to treat knee osteoarthritis; Subjects with glucosamine, chondroitin sulfate, or diacetate therapy before investigational drug intervention Subjects with acute reactive knee osteoarthritis; Severe eversion deformity in target knee joint; Known or suspected allergy or a history of allergies; Subjects with abnormal results of laboratory examination: Hepatic Insufficiency (ALT > 2xULN or Aspartate aminotransferase(AST) > 2xULN), renal dysfunction (creatinine clearance rate ≤60ml/min or blood urea nitrogen(BUN) > 2× ULN), Coagulation Defects (INR > 1.5) or severe hematological diseases (Grade 3 or above anemia Hb < 8 g/dL, Grade 2 or above thrombocytopenia platelet count(PLT) < 75×10^9/L) ; BMI≥30 kg/m^2 ; Severe systemic infection or local knee joint infection; Subjects who have received systemic glucocorticoid therapy before intervention or need to take systemic glucocorticoid therapy during the treatment; Subjects who have history of acute myocardial infarction or with heart diseases e.g.uncontrolled angina pectoris, uncontrolled arrhythmias, severe heart failure (NYHA > III), QT prolongation, and are determined by investigators as not suitable to participate in this clinical trial; Subjects with peripheral or central nervous system disorders that may interfere with knee joint pain and functional assessment, Subjects who have contraindications to MRI; Subjects who have poor physical condition and are unable to walk autonomously; Subjects with alcohol or drug addiction or with a clear history of mental disorders or with a history of drug abuse or drug use of psychotropic substances; Subjects with infection with hepatitis B virus(HBV), hepatitis C virus(HCV), HIV, and treponema pallidum confirmed by laboratory tests; Pregnant or lactating female subjects, or subjects who are unable to comply with contraceptives from the study period to 6 months after the end of this study; Subjects who have participated in other clinical trials and have used other study products; Subjects with severe and poorly controlled comorbidities and not suitable for this clinical trial; Subjects who are not suitable for this clinical trial for other reasons.
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Xiaowen Gong
    Phone
    15221195602
    Email
    xwgong@nuwacell.com
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Changqing Zhang
    Organizational Affiliation
    Shanghai 6th People's Hospital
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Plan to Share IPD
    No

    Learn more about this trial

    A Trial to Evaluate the Safety, Tolerability, and Efficacy of NCR100 Injection in the Treatment of Subjects With KOA

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