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Chondrofix Osteochondral Allograft Prospective Study

Primary Purpose

Articular Cartilage Disorder, Degeneration; Articular Cartilage, Chronic Cartilage Injury

Status
Terminated
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Chondrofix Osteochondral Allograft
Sponsored by
Zimmer Orthobiologics, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Articular Cartilage Disorder focused on measuring Knee, Femur, Articular cartilage, Lesions, Defects, Osteochondral graft, Cartilage treatments, Osteochondritis Dissecans, OCD

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

Generally, the following inclusion criteria must be met, however, this is not a complete list.

  • Male and non-pregnant female subjects between 18 and 70 years; subject must be skeletally mature
  • If female, subjects are not pregnant at time of surgery and do not plan on becoming pregnant during the first 24 months of the study
  • Up to two (2) cartilage lesion(s), each measuring less than 8 cm2, of the femoral condyle or trochlear groove of the knee
  • Localized knee pain unresponsive to conservative treatment (e.g., medication, bracing, physical therapy) and/or previous surgical intervention

Exclusion Criteria:

Generally, if a potential participant meets any of the following criteria, they will not be eligible for this study. Additionally, more criteria will be evaluated to confirm eligibility as this list is not a complete list of criteria.

  • Concurrent participation in another clinical trial
  • Cartilage lesion location is such that the implanted graft(s) will not be adequately shouldered
  • Bipolar articular cartilage involvement (or kissing lesions) of the ipsilateral compartment (i.e., > than ICRS Grade 2 on the opposing articular surface)
  • Is receiving pain medication other than NSAIDs or acetaminophen for conditions unrelated to the index knee condition
  • Subject had any other cartilage repair procedure other than debridement performed in conjunction with or 6 months prior to implantation of a Chondrofix Osteochondral Allograft
  • Prior or concurrent total meniscectomy of the index knee
  • Uncorrected mal-alignment of the index knee
  • Have smoked or used nicotine products within the past 6 months
  • Body Mass Index > 35 (BMI=kg/m2)
  • Has any contraindications for MRI
  • Requires any of the following concomitant procedures performed in conjunction with or has had performed within 6 months prior to implantation of a Chondrofix Allograft: distal realignment, high tibial osteotomy, ligament reconstruction, and/or patellar realignment procedure
  • Septic or reactive arthritis or systemic disease (e.g., rheumatoid arthritis, gout or prior history of gout or pseudo gout)
  • Sickle cell disease, hemochromatosis, or autoimmune disease
  • Unstable cardiovascular, renal, hepatic, endocrine and/or pulmonary disease, cancer or uncontrolled diabetes
  • HIV or other immune-deficient state including subject on immunosuppressant therapies
  • Deficiency limiting ability to perform an objective functional assessment of the operative knee or an inability to adhere to a post-operative rehabilitation protocol

Sites / Locations

  • Plancher Orthopaedics and Sports Medicine
  • The Orthopaedic Group, LLC
  • Orthopaedic Research Foundation, Inc.
  • Cartilage Repair Center, Brigham and Women's Hospital
  • Specialized Orthopaedics and Sports Medicine

Arms of the Study

Arm 1

Arm Type

Other

Arm Label

Chondrofix

Arm Description

Subjects with one or two confirmed knee articular cartilage lesion(s) each less than 8cm2, of the femoral condyle or trochlear groove

Outcomes

Primary Outcome Measures

KOOS Subscale
The overall mean change from baseline to 24 months in the KOOS Pain and KOOS Function in Daily Living (ADL) subscale scores.

Secondary Outcome Measures

X-ray & MRI Evaluation
IKDC Knee Examination
Subject Reported Questionnaires

Full Information

First Posted
August 2, 2011
Last Updated
August 7, 2014
Sponsor
Zimmer Orthobiologics, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT01410136
Brief Title
Chondrofix Osteochondral Allograft Prospective Study
Official Title
A Post Market Study to Evaluate the Chondrofix® Osteochondral Allograft Utilized for Treatment of Subjects With Cartilage Lesions in the Knee
Study Type
Interventional

2. Study Status

Record Verification Date
August 2014
Overall Recruitment Status
Terminated
Why Stopped
Inadequate enrollment and decreased need for clinical data to support product
Study Start Date
April 2011 (undefined)
Primary Completion Date
March 2014 (Actual)
Study Completion Date
March 2014 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Zimmer Orthobiologics, Inc.

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The overall study objective is to evaluate Chondrofix Osteochondral Allograft ("Chondrofix") for the repair of osteochondral lesions in the knee. This includes, but is not limited to primary cartilage lesion repair and revision of failed prior cartilage repair treatments. The study hypothesis is that Chondrofix Allograft will provide pain relief and functional improvement as demonstrated by a comparative analysis of baseline clinical evaluations at 24 months of follow-up.
Detailed Description
Knee cartilage injuries are a major cause of pain and functional impairment in young to middle age adults and can lead to progressive joint degeneration. In response to challenges with current cartilage repair options, Chondrofix Allograft was developed as an off-the-shelf treatment option adding to the variety of cartilage reparation offerings. This study is a multicenter, prospective, post-market clinical outcomes study designed to assess the clinical outcomes of Chondrofix Allograft used in the treatment of both primary and revision cartilage repair cases. Study design includes up to 6 qualified investigational sites with 50 subjects enrolled across all centers during an 18 month enrollment period. Study subjects will be followed postoperatively for 5 years. The Investigators who are responsible for the conduct of this study in compliance with this protocol will be orthopedic surgeons who are skilled in the techniques of articular cartilage repair.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Articular Cartilage Disorder, Degeneration; Articular Cartilage, Chronic Cartilage Injury, Acute Cartilage Injury, Defect of Articular Cartilage
Keywords
Knee, Femur, Articular cartilage, Lesions, Defects, Osteochondral graft, Cartilage treatments, Osteochondritis Dissecans, OCD

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
29 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Chondrofix
Arm Type
Other
Arm Description
Subjects with one or two confirmed knee articular cartilage lesion(s) each less than 8cm2, of the femoral condyle or trochlear groove
Intervention Type
Procedure
Intervention Name(s)
Chondrofix Osteochondral Allograft
Other Intervention Name(s)
Chondrofix
Intervention Description
Allogeneic, cylindrical, decellularized, osteochondral graft composed of hyaline cartilage and bone
Primary Outcome Measure Information:
Title
KOOS Subscale
Description
The overall mean change from baseline to 24 months in the KOOS Pain and KOOS Function in Daily Living (ADL) subscale scores.
Time Frame
24 Months
Secondary Outcome Measure Information:
Title
X-ray & MRI Evaluation
Time Frame
Baseline and 1.5, 3, 6, 12, 24, & 60 months
Title
IKDC Knee Examination
Time Frame
Baseline & 1.5, 3, 6, 12, 24, & 60 months
Title
Subject Reported Questionnaires
Time Frame
Baseline and 1.5, 3, 6, 12, 24, 36, 48, and 60 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Generally, the following inclusion criteria must be met, however, this is not a complete list. Male and non-pregnant female subjects between 18 and 70 years; subject must be skeletally mature If female, subjects are not pregnant at time of surgery and do not plan on becoming pregnant during the first 24 months of the study Up to two (2) cartilage lesion(s), each measuring less than 8 cm2, of the femoral condyle or trochlear groove of the knee Localized knee pain unresponsive to conservative treatment (e.g., medication, bracing, physical therapy) and/or previous surgical intervention Exclusion Criteria: Generally, if a potential participant meets any of the following criteria, they will not be eligible for this study. Additionally, more criteria will be evaluated to confirm eligibility as this list is not a complete list of criteria. Concurrent participation in another clinical trial Cartilage lesion location is such that the implanted graft(s) will not be adequately shouldered Bipolar articular cartilage involvement (or kissing lesions) of the ipsilateral compartment (i.e., > than ICRS Grade 2 on the opposing articular surface) Is receiving pain medication other than NSAIDs or acetaminophen for conditions unrelated to the index knee condition Subject had any other cartilage repair procedure other than debridement performed in conjunction with or 6 months prior to implantation of a Chondrofix Osteochondral Allograft Prior or concurrent total meniscectomy of the index knee Uncorrected mal-alignment of the index knee Have smoked or used nicotine products within the past 6 months Body Mass Index > 35 (BMI=kg/m2) Has any contraindications for MRI Requires any of the following concomitant procedures performed in conjunction with or has had performed within 6 months prior to implantation of a Chondrofix Allograft: distal realignment, high tibial osteotomy, ligament reconstruction, and/or patellar realignment procedure Septic or reactive arthritis or systemic disease (e.g., rheumatoid arthritis, gout or prior history of gout or pseudo gout) Sickle cell disease, hemochromatosis, or autoimmune disease Unstable cardiovascular, renal, hepatic, endocrine and/or pulmonary disease, cancer or uncontrolled diabetes HIV or other immune-deficient state including subject on immunosuppressant therapies Deficiency limiting ability to perform an objective functional assessment of the operative knee or an inability to adhere to a post-operative rehabilitation protocol
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Nikesha N Harrington
Organizational Affiliation
Zimmer Orthobiologics, Inc.
Official's Role
Study Chair
Facility Information:
Facility Name
Plancher Orthopaedics and Sports Medicine
City
Cos Cob
State/Province
Connecticut
ZIP/Postal Code
06807
Country
United States
Facility Name
The Orthopaedic Group, LLC
City
New Haven
State/Province
Connecticut
ZIP/Postal Code
06511
Country
United States
Facility Name
Orthopaedic Research Foundation, Inc.
City
Greenwood
State/Province
Indiana
ZIP/Postal Code
46143
Country
United States
Facility Name
Cartilage Repair Center, Brigham and Women's Hospital
City
Chestnut Hill
State/Province
Massachusetts
ZIP/Postal Code
02467
Country
United States
Facility Name
Specialized Orthopaedics and Sports Medicine
City
Columbus
State/Province
Ohio
ZIP/Postal Code
43215
Country
United States

12. IPD Sharing Statement

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Chondrofix Osteochondral Allograft Prospective Study

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