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Safety & Efficacy FloGraft (Micronized Human Amnion Chorion Membrane)® in Adults With Pain Due to OA of the Knee (OA)

Primary Purpose

Osteoarthritis, Knee

Status
Unknown status
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
mHACMb
placebo
Sponsored by
Applied Biologics, LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Osteoarthritis, Knee

Eligibility Criteria

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

Inclusion Criteria:

  • Able to provide written informed consent to participate in the study.
  • Willing and able to participate in all procedures and follow-up evaluations necessary to complete the study.
  • Subject is 30 years or older.
  • Moderate OA pain (rating of at least 20mm on the VAS) assessed at Baseline.
  • Moderate to moderately-severe OA pain in the index knee (rating of at least 1.5 on the WOMAC Index 3.1 5-point Likert Pain Subscale) assessed at Baseline.
  • Must be ambulatory.
  • No analgesia (including acetaminophen [paracetamol]) taken 12 hours prior to an efficacy measure.

Exclusion Criteria:

  • Subject has active infection at the injection site.
  • Subject has rheumatoid arthritis, psoriatic arthritis, or have been diagnosed with any other auto-immune disorders that could be the cause of their knee pain.
  • BMI greater than 40 kg/m2.
  • Subject has received an intra-articular hyaluronic acid (HA) injection for the treatment of OA of the target knee within 3 months prior to screening.
  • Subject has received an intra-articular amniotic fluid, amniotic membrane or amniotic fluid/membrane combination injection for the treatment of OA of the target knee within 3 months prior to screening.
  • Subject has received a steroid, bone marrow aspirate concentrate (BMAC) or platelet rich plasma (PRP) injection for the treatment of OA of the target knee within 3 months prior to screening.
  • Subject has had major surgery, arthroplasty or arthroscopy in the target knee within 26 weeks of treatment or plans to have surgery in the target knee within 180 days of treatment.
  • Subject is pregnant or plans to become pregnant within 180 days of treatment.
  • Subject has used an investigational drug, device or biologic within 12 weeks prior to treatment.
  • Subject has any significant medical condition that, in the opinion of the Investigator, would interfere with protocol evaluation and participation.
  • Subject is currently taking anticoagulant therapy (excluding Plavix or Aspirin).
  • Diagnosis of gout in the past 6 month.
  • Major injury to the target knee within the 12 months prior to the screening.
  • Severe hip osteoarthritis ipsilateral to the target knee.
  • Any pain that could interfere with the assessment of the target knee pain (e.g. pain in any other part of the lower extremities, pain radiating to the knee).

Sites / Locations

  • Texas Orthopedic Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Placebo Comparator

Arm Label

Drug

Placebo

Arm Description

Intervention: 40 mg of micronized human amnion chorion membrane biologic (mHACMb); administered 1(x) on second visit; followed by 2 follow-up visits for assessment over a duration of 3 months.

Intervention: 1cc of saline will be administered as a one time injection on visit 2, administered 1(x) on first visit; followed by 2 follow-up visits for assessment over a duration of 3 months.

Outcomes

Primary Outcome Measures

Visual Analogue Scale (VAS)
Decreased Pain Level

Secondary Outcome Measures

Western Ontario and McMaster Universities Arthritis Index (WOMAC®) osteoarthritis Index 3.1.
Decrease in pain, stiffness, and physical functioning of the joints.

Full Information

First Posted
February 7, 2018
Last Updated
September 26, 2018
Sponsor
Applied Biologics, LLC
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1. Study Identification

Unique Protocol Identification Number
NCT03441607
Brief Title
Safety & Efficacy FloGraft (Micronized Human Amnion Chorion Membrane)® in Adults With Pain Due to OA of the Knee
Acronym
OA
Official Title
Safety & Efficacy of Micronized Human Amnion Chorion Membrane Biologic (mHACMb) FloGraft (Micronized Human Amnion Chorion Membrane)® in Adults With Pain Due to Osteoarthritis of the Knee
Study Type
Interventional

2. Study Status

Record Verification Date
September 2018
Overall Recruitment Status
Unknown status
Study Start Date
November 2018 (Anticipated)
Primary Completion Date
February 2019 (Anticipated)
Study Completion Date
March 2019 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Applied Biologics, LLC

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Safety & Efficacy of FloGraft (Micronized Human Amnion Chorion Membrane)® in Adults With Pain Due to Osteoarthritis of the Knee.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
320 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Drug
Arm Type
Active Comparator
Arm Description
Intervention: 40 mg of micronized human amnion chorion membrane biologic (mHACMb); administered 1(x) on second visit; followed by 2 follow-up visits for assessment over a duration of 3 months.
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Intervention: 1cc of saline will be administered as a one time injection on visit 2, administered 1(x) on first visit; followed by 2 follow-up visits for assessment over a duration of 3 months.
Intervention Type
Drug
Intervention Name(s)
mHACMb
Other Intervention Name(s)
40mg FloGraft (micronized human amnion chorion membrane)®, 100mg FloGraft (micronized human amnion chorion membrane)®
Intervention Description
Active ingredient
Intervention Type
Other
Intervention Name(s)
placebo
Other Intervention Name(s)
saline
Intervention Description
inactive ingredient
Primary Outcome Measure Information:
Title
Visual Analogue Scale (VAS)
Description
Decreased Pain Level
Time Frame
3 Months
Secondary Outcome Measure Information:
Title
Western Ontario and McMaster Universities Arthritis Index (WOMAC®) osteoarthritis Index 3.1.
Description
Decrease in pain, stiffness, and physical functioning of the joints.
Time Frame
3 Months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
30 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Able to provide written informed consent to participate in the study. Willing and able to participate in all procedures and follow-up evaluations necessary to complete the study. Subject is 30 years or older. Moderate OA pain (rating of at least 20mm on the VAS) assessed at Baseline. Moderate to moderately-severe OA pain in the index knee (rating of at least 1.5 on the WOMAC Index 3.1 5-point Likert Pain Subscale) assessed at Baseline. Must be ambulatory. No analgesia (including acetaminophen [paracetamol]) taken 12 hours prior to an efficacy measure. Exclusion Criteria: Subject has active infection at the injection site. Subject has rheumatoid arthritis, psoriatic arthritis, or have been diagnosed with any other auto-immune disorders that could be the cause of their knee pain. BMI greater than 40 kg/m2. Subject has received an intra-articular hyaluronic acid (HA) injection for the treatment of OA of the target knee within 3 months prior to screening. Subject has received an intra-articular amniotic fluid, amniotic membrane or amniotic fluid/membrane combination injection for the treatment of OA of the target knee within 3 months prior to screening. Subject has received a steroid, bone marrow aspirate concentrate (BMAC) or platelet rich plasma (PRP) injection for the treatment of OA of the target knee within 3 months prior to screening. Subject has had major surgery, arthroplasty or arthroscopy in the target knee within 26 weeks of treatment or plans to have surgery in the target knee within 180 days of treatment. Subject is pregnant or plans to become pregnant within 180 days of treatment. Subject has used an investigational drug, device or biologic within 12 weeks prior to treatment. Subject has any significant medical condition that, in the opinion of the Investigator, would interfere with protocol evaluation and participation. Subject is currently taking anticoagulant therapy (excluding Plavix or Aspirin). Diagnosis of gout in the past 6 month. Major injury to the target knee within the 12 months prior to the screening. Severe hip osteoarthritis ipsilateral to the target knee. Any pain that could interfere with the assessment of the target knee pain (e.g. pain in any other part of the lower extremities, pain radiating to the knee).
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Samantha Montgomery
Phone
602-325-1221
Ext
9825
Email
samantha.montgomery@appliedbiologics.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Edward Britt
Organizational Affiliation
Applied Biologics, LLC
Official's Role
Study Director
Facility Information:
Facility Name
Texas Orthopedic Hospital
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Safety & Efficacy FloGraft (Micronized Human Amnion Chorion Membrane)® in Adults With Pain Due to OA of the Knee

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