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Efficacy and Safety Study of TissueGene-C to Degenerative Arthritis

Primary Purpose

Degenerative Arthritis

Status
Completed
Phase
Phase 2
Locations
Korea, Republic of
Study Type
Interventional
Intervention
TissueGene-C(Low dose)
TissueGene-C(High dose)
Sponsored by
Kolon Life Science
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Degenerative Arthritis focused on measuring chondrocyte cells, Osteoarthritis, gene therapy

Eligibility Criteria

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

Inclusion Criteria:

  1. Male or female, aged 45 years or more
  2. With grade 4 degenerative arthritis of the knee [based on the International Cartilage Repair Society(ICRS) evaluation criteria from the MRI results]
  3. With less than 6 cm2major lesions
  4. With major lesions (grade 4) concentrated in only one section of the knee and considered the main cause of the clinical symptoms
  5. Unresponsive to conventional symptomatic treatment
  6. Healthy and with no major physical examination, hematology, serum chemistry, and urine test findings and no significant medical history
  7. Agreed to use an effective contraceptive method during the study period
  8. Voluntarily agreed to participate in this study and signed the Informed Consent Form

Exclusion Criteria:

  1. Abnormal screening laboratory test (hematology, serum, and urine test) findings
  2. Took anti-inflammatory medications (prescribed or over-the-counter), including natural medicines, within 14 days before the injection of the investigational product
  3. Took antirheumatic drugs (e.g., methotrexate or antimetabolites) within three months before enrollment in this study
  4. Has a history of drug abuse within one year from the enrolment, or has positive results in the urine drug test or serum alcohol test at the screening visit
  5. Received an injection in the target knee within two months before enrollment in this study
  6. Pregnant or breastfeeding female
  7. With another joint disease apart from degenerative arthritis (e.g., systemic rheumatic inflammatory disease associated with the knee or chondrocalcinosis, hemachromatosis, inflammatory arthritis, necrosis of the trochanter, Paget's disease adjacent to a joint in the femur or tibia, ochronosis, hemophilic arthropathy, infectious arthritis, Charcot's disease in the knee joint, villonodular synovitis, and synovial chondromas)
  8. With a current infectious disease, including HIV or hepatitis
  9. Has any of the following clinically significant diseases:

    • heart disease [e.g., myocardial infarction, arrhythmia, other serious heart disease, coronary artery bypass graft (CABG)]
    • kidney disease (e.g., chronic renal failure, glomerulonephritis)
    • liver disease (e.g., liver cirrhosis, fatty liver, acute or chronic liver disease)
    • endocrine disease (e.g., hyperthyroidism, hypothyroidism, thyroiditis, diabetes insipidus, Cushing's disease)
    • insulin-dependent diabetes mellitus
    • medical history of or current malignant tumor
    • In particular, the tumors that TissueGene-C may aggravate can be screened using the following tests:

      • Leukemia: White Blood Cell level in the hematology
      • Osteochondroma, Chondromas, Chondroblastoma, Chondromyxoid fibroma, Chondrosarcoma : Alkaline phosphatase level in the hematology
  10. Participated in another clinical trial (using the investigational drug or a medical device) within 30 days before enrollment in this study
  11. Considered by the investigator inappropriate for participation in this study

Sites / Locations

  • Samsung Medical Center
  • Seoul National Univ. Hospital
  • Asan Medical Center

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

TissueGene-C (Low dose)

TissueGene-C (High dose)

Arm Description

Single intra-articular injection to the damaged knee joint at a dose of 6.0 x 10^6 cells

Single intra-articular injection to the damaged knee joint at a dose of 1.8 x 10^7 cells

Outcomes

Primary Outcome Measures

Changes in IKDC Subjective Knee Evaluation
Symptoms, sports activities, and function of the knee will be measured by the International Knee Documentation Committee (IKDC)

Secondary Outcome Measures

Changes in WOMAC scores
Pain, stiffness, and physical function of the knee will be measured by the Western Ontario and McMaster Universities(WOMAC)
Changes in 100 mm-VAS
Pain of the knee will be measured by the 100mm Visual Analogue Scale (VAS)
Comparative Evaluation of Knee MRI
Change in the Magnetic Resonance Images (MRI) scan results after the administration of TissueGene-C
Number of Participants with Adverse Events
Allergic reaction, Injection site reaction , Infection in the injection site, Fibrosis, Fibrosis-deep connective tissue, Muscular/skeletal hypoplasia, TGF-β1 Enzyme-linked Immunosorbent Assay (ELISA) result, Polymerase Chain Reaction(PCR) for the vector DNA test results
Evaluation of Physical examination and laboratory tests
Vital signs, Physical examination findings, Monitoring of the hematology, serum chemistry, and urine test results

Full Information

First Posted
January 8, 2015
Last Updated
January 21, 2015
Sponsor
Kolon Life Science
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1. Study Identification

Unique Protocol Identification Number
NCT02341378
Brief Title
Efficacy and Safety Study of TissueGene-C to Degenerative Arthritis
Official Title
A Multicenter, Single-blind, Phase 2A Clinical Trial to Evaluate the Efficacy and Safety of TissueGene-C, a Cell-mediated Gene Therapy, in Degenerative Arthritis Patients
Study Type
Interventional

2. Study Status

Record Verification Date
January 2015
Overall Recruitment Status
Completed
Study Start Date
August 2009 (undefined)
Primary Completion Date
June 2010 (Actual)
Study Completion Date
October 2010 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Kolon Life Science

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
To assess the efficacy and safety of the intra-articular injection of TissueGene-C in patients with degenerative arthritis of the knee
Detailed Description
TissueGene-C is a biological new drug which consists of non-transduced chondrocytes and transduced chondrocytes that express Transforming Growth Factor(TGF)-b1 to regenerate the damaged cartilage. During the clinical trial Phase 2A, we compare low dose or high dose TissueGene-C in 6 months trial with 28 outpatients who have degenerative arthritis. The patients are randomized to two dose levels of TisssueGene-C by 1:1 ratio, and they are monitored and recorded for alleviating symptoms, sports activities, function of the knee, and the presence of adverse events.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Degenerative Arthritis
Keywords
chondrocyte cells, Osteoarthritis, gene therapy

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
Participant
Allocation
Randomized
Enrollment
28 (Actual)

8. Arms, Groups, and Interventions

Arm Title
TissueGene-C (Low dose)
Arm Type
Experimental
Arm Description
Single intra-articular injection to the damaged knee joint at a dose of 6.0 x 10^6 cells
Arm Title
TissueGene-C (High dose)
Arm Type
Experimental
Arm Description
Single intra-articular injection to the damaged knee joint at a dose of 1.8 x 10^7 cells
Intervention Type
Biological
Intervention Name(s)
TissueGene-C(Low dose)
Intervention Description
TissueGene-C at 6.0x10^6 cells
Intervention Type
Biological
Intervention Name(s)
TissueGene-C(High dose)
Intervention Description
TissueGene-C at 1.8x10^7 cells
Primary Outcome Measure Information:
Title
Changes in IKDC Subjective Knee Evaluation
Description
Symptoms, sports activities, and function of the knee will be measured by the International Knee Documentation Committee (IKDC)
Time Frame
Week 0, 12 and 24
Secondary Outcome Measure Information:
Title
Changes in WOMAC scores
Description
Pain, stiffness, and physical function of the knee will be measured by the Western Ontario and McMaster Universities(WOMAC)
Time Frame
Week 0, 12 and 24
Title
Changes in 100 mm-VAS
Description
Pain of the knee will be measured by the 100mm Visual Analogue Scale (VAS)
Time Frame
Week 0, 12 and 24
Title
Comparative Evaluation of Knee MRI
Description
Change in the Magnetic Resonance Images (MRI) scan results after the administration of TissueGene-C
Time Frame
Week 0, 12 and 24
Title
Number of Participants with Adverse Events
Description
Allergic reaction, Injection site reaction , Infection in the injection site, Fibrosis, Fibrosis-deep connective tissue, Muscular/skeletal hypoplasia, TGF-β1 Enzyme-linked Immunosorbent Assay (ELISA) result, Polymerase Chain Reaction(PCR) for the vector DNA test results
Time Frame
Week 0, 2, 4, 12 and 24
Title
Evaluation of Physical examination and laboratory tests
Description
Vital signs, Physical examination findings, Monitoring of the hematology, serum chemistry, and urine test results
Time Frame
Week 0, 2, 4, 12 and 24

10. Eligibility

Sex
All
Minimum Age & Unit of Time
45 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male or female, aged 45 years or more With grade 4 degenerative arthritis of the knee [based on the International Cartilage Repair Society(ICRS) evaluation criteria from the MRI results] With less than 6 cm2major lesions With major lesions (grade 4) concentrated in only one section of the knee and considered the main cause of the clinical symptoms Unresponsive to conventional symptomatic treatment Healthy and with no major physical examination, hematology, serum chemistry, and urine test findings and no significant medical history Agreed to use an effective contraceptive method during the study period Voluntarily agreed to participate in this study and signed the Informed Consent Form Exclusion Criteria: Abnormal screening laboratory test (hematology, serum, and urine test) findings Took anti-inflammatory medications (prescribed or over-the-counter), including natural medicines, within 14 days before the injection of the investigational product Took antirheumatic drugs (e.g., methotrexate or antimetabolites) within three months before enrollment in this study Has a history of drug abuse within one year from the enrolment, or has positive results in the urine drug test or serum alcohol test at the screening visit Received an injection in the target knee within two months before enrollment in this study Pregnant or breastfeeding female With another joint disease apart from degenerative arthritis (e.g., systemic rheumatic inflammatory disease associated with the knee or chondrocalcinosis, hemachromatosis, inflammatory arthritis, necrosis of the trochanter, Paget's disease adjacent to a joint in the femur or tibia, ochronosis, hemophilic arthropathy, infectious arthritis, Charcot's disease in the knee joint, villonodular synovitis, and synovial chondromas) With a current infectious disease, including HIV or hepatitis Has any of the following clinically significant diseases: heart disease [e.g., myocardial infarction, arrhythmia, other serious heart disease, coronary artery bypass graft (CABG)] kidney disease (e.g., chronic renal failure, glomerulonephritis) liver disease (e.g., liver cirrhosis, fatty liver, acute or chronic liver disease) endocrine disease (e.g., hyperthyroidism, hypothyroidism, thyroiditis, diabetes insipidus, Cushing's disease) insulin-dependent diabetes mellitus medical history of or current malignant tumor In particular, the tumors that TissueGene-C may aggravate can be screened using the following tests: Leukemia: White Blood Cell level in the hematology Osteochondroma, Chondromas, Chondroblastoma, Chondromyxoid fibroma, Chondrosarcoma : Alkaline phosphatase level in the hematology Participated in another clinical trial (using the investigational drug or a medical device) within 30 days before enrollment in this study Considered by the investigator inappropriate for participation in this study
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Chul-won Ha, MD, PhD
Organizational Affiliation
Samsung Medical Center
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Myung-chul Lee, MD, PhD
Organizational Affiliation
Seoul National University Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Samsung Medical Center
City
Gangnam-gu
State/Province
Seoul
ZIP/Postal Code
135-710
Country
Korea, Republic of
Facility Name
Seoul National Univ. Hospital
City
Seoul
ZIP/Postal Code
110-744
Country
Korea, Republic of
Facility Name
Asan Medical Center
City
Seoul
ZIP/Postal Code
138-736
Country
Korea, Republic of

12. IPD Sharing Statement

Citations:
PubMed Identifier
25760423
Citation
Ha CW, Cho JJ, Elmallah RK, Cherian JJ, Kim TW, Lee MC, Mont MA. A Multicenter, Single-Blind, Phase IIa Clinical Trial to Evaluate the Efficacy and Safety of a Cell-Mediated Gene Therapy in Degenerative Knee Arthritis Patients. Hum Gene Ther Clin Dev. 2015 Jun;26(2):125-30. doi: 10.1089/humc.2014.145. Epub 2015 Apr 17.
Results Reference
derived

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Efficacy and Safety Study of TissueGene-C to Degenerative Arthritis

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