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Study to Assess Signature Cord Product in Patients With Symptomatic OA of the Knee

Primary Purpose

Osteoarthritis, Knee

Status
Not yet recruiting
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
Signature Cord Prime
Sponsored by
Thomas Klootwyk, MD
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Osteoarthritis, Knee focused on measuring Allogeneic Umbilical Cord Tissue

Eligibility Criteria

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

Inclusion Criteria:

  • Diagnosis of osteoarthritis of the knee based on clinical and radiographic findings
  • Kellgren-Lawrence Grades 2-3
  • Average pain score, on a 100-point numerical rating scale (VAS), over the past 7 days of > 40 and < 90 in the index knee and < 40 in the contralateral knee
  • Body mass index < 35 kg/m²
  • Ability to comply with the requirements of the study
  • Ability to understand and provide written informed consent
  • Not suspecting or expecting to be pregnant during the study period
  • All participants of reproductive age/capacity to confirm the use of adequate contraception during the study period

Exclusion Criteria:

  • Prior therapeutic radiation to the index knee
  • Use of any pain medication or therapy less (anticoagulants, non-steroidal anti-inflammatory drugs (NSAIDS) oral and topical, topical CBD, and narcotics) than 15 days prior to test product administration that has not or will not have had a stable dosage, frequency, or intensity for at least 3 months prior to test agent administration. Use of oral NSAIDs at a stable dose at least 3 months prior to test agent administration must be continued through the study period.
  • Intra-articular treatment with corticosteroids, regenerative medicines (e.g., plasma, stem cell, placental products), or systemic steroid use within 3 months prior to screening
  • Intra-articular treatment with hyaluronic acid within 6 months prior to screening
  • Surgical intervention on the index knee < 12 months, or arthroscopy < 3 months prior to screening
  • Non-ambulatory status
  • Past or current diagnosis of fibromyalgia or inflammatory arthritis, gout, rheumatoid arthritis, lupus arthropathy, psoriatic arthritis, avascular necrosis, severe bone deformity, active infection of the index knee joint or at the site of injection, pes anserine bursitis, neurogenic or vascular claudication, or uncontrolled diabetes mellitus (HbA1C>8%)
  • Diagnosis of arthritis due to traumatic injury or meniscal tear in the index knee within 2 years of screening
  • Moderate or large knee effusion in the index knee at screening and at test agent administration that requires drainage for diagnostic purposes or symptomatic relief
  • Clinically significant, ongoing illness or medical condition that in the opinion of the investigator constitutes a safety risk for participation in the study or that could interfere with achieving the study objectives, conduct or evaluation
  • Females who are pregnant or lactating
  • Regular use of anticoagulants (daily use of aspirin ≦ 325 mg is acceptable)
  • Active alcohol or substance abuse or any other reason that makes it unlikely that the subject will comply with study procedures
  • Subjects with a psychiatric illness or condition, which, in the opinion of the investigation, would interfere with the conduct of the study or the interpretation of study results. Subjects with stable anxiety and depression defined as being on stable doses of antidepressant and anxiety drugs for the last 6 months and for which no dose changes are expected during the study can be included.
  • Clinically significant medical, surgical, psychiatric, or laboratory abnormality that, in the judgment of the investigator, is likely to adversely affect the subject's risk-benefit or interfere with study compliance or assessment of safety or efficacy.
  • Known allergy to local anesthetics or components of the study drug.
  • Subjects with autoimmune disease or a known history of having Acquired Immunodeficiency Syndromes (AIDS) or Human Immunodeficiency Virus (HIV).

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Active Comparator

    Active Comparator

    Arm Label

    Low Dosage Group

    High Dosage Group

    Arm Description

    This group will receive the lower dose (75mg) of the investigational product.

    This group will receive the higher dose (150mg) of the investigational product.

    Outcomes

    Primary Outcome Measures

    Evaluate the safety and tolerability of Signature Cord Prime as defined per CTCAE v. Stopping criteria as defined in 6.11.2.8
    Administered as a single intra-articular injection in subjects with osteoarthritis of knee at 2 dose levels; 75mg and 150mg
    Evaluate the safety and tolerability of Signature Cord Prime as defined per CTCAE v. Stopping criteria as defined in 6.11.2.8
    Administered as a single intra-articular injection in subjects with osteoarthritis of knee at 2 dose levels; 75mg and 150mg
    Evaluate the safety and tolerability of Signature Cord Prime as defined per CTCAE v. Stopping criteria as defined in 6.11.2.8
    Administered as a single intra-articular injection in subjects with osteoarthritis of knee at 2 dose levels; 75mg and 150mg

    Secondary Outcome Measures

    Exploratory objective to observe for early data suggestive of efficacy by estimating and comparing changes from baseline
    Changes are the differences from the baseline: Changes in overall WOMAC Score (WOMAC)
    Exploratory objective to observe for early data suggestive of efficacy by estimating and comparing changes from baseline
    Changes are the differences from the baseline: Changes in overall KOOS Score (KOOS)
    Exploratory objective to observe for early data suggestive of efficacy by estimating and comparing changes from baseline
    Changes are the differences from the baseline: Changes in patient-reported outcomes (PROs) (PROMIS-29)
    Exploratory objective to observe for early data suggestive of efficacy by estimating and comparing changes from baseline
    Changes are the differences from the baseline: Changes in the Pain Visual Analog Scale (100 mm VAS)
    Exploratory objective to observe for early data suggestive of efficacy by estimating and comparing changes from baseline
    Changes are the differences from the baseline: Use of opioid analgesic during study for the affected knee

    Full Information

    First Posted
    January 7, 2022
    Last Updated
    February 1, 2022
    Sponsor
    Thomas Klootwyk, MD
    Collaborators
    Signature Biologics, LLC, KLM Solutions, LLC
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    1. Study Identification

    Unique Protocol Identification Number
    NCT05234489
    Brief Title
    Study to Assess Signature Cord Product in Patients With Symptomatic OA of the Knee
    Official Title
    A Phase 1, Open-label, Dose-ranging Study to Assess the Safety, Tolerability, Preliminary Efficacy, and Dose Effect of Signature Cord Product in Patients With Symptomatic Osteoarthritis of the Knee
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    February 2022
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    February 1, 2022 (Anticipated)
    Primary Completion Date
    June 2023 (Anticipated)
    Study Completion Date
    June 2023 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor-Investigator
    Name of the Sponsor
    Thomas Klootwyk, MD
    Collaborators
    Signature Biologics, LLC, KLM Solutions, LLC

    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
    This study is a Phase 1 trial. The overall objective is to evaluate the safety and potential efficacy of a specific type of umbilical cord tissue-derived product (SIG001), which, other than a change in cryopreservation medium to render it compatible with cGMP, is similar to the reported real-world experience from 2 clinics on 135 knees.
    Detailed Description
    Primary Objective: A Phase 1, open-label, non-controlled trial, to assess the safety of intra-articular injection of SIG001, at either of two doses, in a total of 10 patients with Symptomatic Osteoarthritis of the Knee, Kellgren-Lawrence Grade 2-3, at 7, 30, 90 and 180 days after dosing. Secondary Objective: A Phase 1, open-label, non-controlled trial, to obtain very early data relating to any effects of intra-articular injection of SIG001, at either of two doses pain, activity, and quality of life in 10 patients with Symptomatic Osteoarthritis of the Knee, Kellgren-Lawrence Grade 2-3, at 7, 30, 90 and 180 days. Study Design: The Phase 1 trial will enroll 5 subjects into an initial group receiving a low dose of SIG001. Provided that these subjects tolerate this dose well, will proceed to enroll 5 subjects into a group receiving a high dose of SIG001.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Osteoarthritis, Knee
    Keywords
    Allogeneic Umbilical Cord Tissue

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 1
    Interventional Study Model
    Parallel Assignment
    Model Description
    The Phase 1 trial will enroll 5 subjects into an initial group receiving a low dose of SIG001. Provided that these subjects tolerate this dose well, will proceed to enroll 5 subjects into a group receiving a high dose of SIG001.
    Masking
    None (Open Label)
    Allocation
    Non-Randomized
    Enrollment
    10 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    Low Dosage Group
    Arm Type
    Active Comparator
    Arm Description
    This group will receive the lower dose (75mg) of the investigational product.
    Arm Title
    High Dosage Group
    Arm Type
    Active Comparator
    Arm Description
    This group will receive the higher dose (150mg) of the investigational product.
    Intervention Type
    Biological
    Intervention Name(s)
    Signature Cord Prime
    Intervention Description
    Low dose - Subjects will receive SIG001 (75 mg) which will be diluted to a total of 4 ml volume with Ringer's Lactate. High dose - Subjects will receive SIG001 (150mg) which will be diluted to a total of 4 ml volume with Ringer's Lactate.
    Primary Outcome Measure Information:
    Title
    Evaluate the safety and tolerability of Signature Cord Prime as defined per CTCAE v. Stopping criteria as defined in 6.11.2.8
    Description
    Administered as a single intra-articular injection in subjects with osteoarthritis of knee at 2 dose levels; 75mg and 150mg
    Time Frame
    7 days
    Title
    Evaluate the safety and tolerability of Signature Cord Prime as defined per CTCAE v. Stopping criteria as defined in 6.11.2.8
    Description
    Administered as a single intra-articular injection in subjects with osteoarthritis of knee at 2 dose levels; 75mg and 150mg
    Time Frame
    30 days
    Title
    Evaluate the safety and tolerability of Signature Cord Prime as defined per CTCAE v. Stopping criteria as defined in 6.11.2.8
    Description
    Administered as a single intra-articular injection in subjects with osteoarthritis of knee at 2 dose levels; 75mg and 150mg
    Time Frame
    90 days
    Secondary Outcome Measure Information:
    Title
    Exploratory objective to observe for early data suggestive of efficacy by estimating and comparing changes from baseline
    Description
    Changes are the differences from the baseline: Changes in overall WOMAC Score (WOMAC)
    Time Frame
    90 days and six months
    Title
    Exploratory objective to observe for early data suggestive of efficacy by estimating and comparing changes from baseline
    Description
    Changes are the differences from the baseline: Changes in overall KOOS Score (KOOS)
    Time Frame
    90 days and six months
    Title
    Exploratory objective to observe for early data suggestive of efficacy by estimating and comparing changes from baseline
    Description
    Changes are the differences from the baseline: Changes in patient-reported outcomes (PROs) (PROMIS-29)
    Time Frame
    90 days and six months
    Title
    Exploratory objective to observe for early data suggestive of efficacy by estimating and comparing changes from baseline
    Description
    Changes are the differences from the baseline: Changes in the Pain Visual Analog Scale (100 mm VAS)
    Time Frame
    90 days and six months
    Title
    Exploratory objective to observe for early data suggestive of efficacy by estimating and comparing changes from baseline
    Description
    Changes are the differences from the baseline: Use of opioid analgesic during study for the affected knee
    Time Frame
    90 days and six months

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Diagnosis of osteoarthritis of the knee based on clinical and radiographic findings Kellgren-Lawrence Grades 2-3 Average pain score, on a 100-point numerical rating scale (VAS), over the past 7 days of > 40 and < 90 in the index knee and < 40 in the contralateral knee Body mass index < 35 kg/m² Ability to comply with the requirements of the study Ability to understand and provide written informed consent Not suspecting or expecting to be pregnant during the study period All participants of reproductive age/capacity to confirm the use of adequate contraception during the study period Exclusion Criteria: Prior therapeutic radiation to the index knee Use of any pain medication or therapy less (anticoagulants, non-steroidal anti-inflammatory drugs (NSAIDS) oral and topical, topical CBD, and narcotics) than 15 days prior to test product administration that has not or will not have had a stable dosage, frequency, or intensity for at least 3 months prior to test agent administration. Use of oral NSAIDs at a stable dose at least 3 months prior to test agent administration must be continued through the study period. Intra-articular treatment with corticosteroids, regenerative medicines (e.g., plasma, stem cell, placental products), or systemic steroid use within 3 months prior to screening Intra-articular treatment with hyaluronic acid within 6 months prior to screening Surgical intervention on the index knee < 12 months, or arthroscopy < 3 months prior to screening Non-ambulatory status Past or current diagnosis of fibromyalgia or inflammatory arthritis, gout, rheumatoid arthritis, lupus arthropathy, psoriatic arthritis, avascular necrosis, severe bone deformity, active infection of the index knee joint or at the site of injection, pes anserine bursitis, neurogenic or vascular claudication, or uncontrolled diabetes mellitus (HbA1C>8%) Diagnosis of arthritis due to traumatic injury or meniscal tear in the index knee within 2 years of screening Moderate or large knee effusion in the index knee at screening and at test agent administration that requires drainage for diagnostic purposes or symptomatic relief Clinically significant, ongoing illness or medical condition that in the opinion of the investigator constitutes a safety risk for participation in the study or that could interfere with achieving the study objectives, conduct or evaluation Females who are pregnant or lactating Regular use of anticoagulants (daily use of aspirin ≦ 325 mg is acceptable) Active alcohol or substance abuse or any other reason that makes it unlikely that the subject will comply with study procedures Subjects with a psychiatric illness or condition, which, in the opinion of the investigation, would interfere with the conduct of the study or the interpretation of study results. Subjects with stable anxiety and depression defined as being on stable doses of antidepressant and anxiety drugs for the last 6 months and for which no dose changes are expected during the study can be included. Clinically significant medical, surgical, psychiatric, or laboratory abnormality that, in the judgment of the investigator, is likely to adversely affect the subject's risk-benefit or interfere with study compliance or assessment of safety or efficacy. Known allergy to local anesthetics or components of the study drug. Subjects with autoimmune disease or a known history of having Acquired Immunodeficiency Syndromes (AIDS) or Human Immunodeficiency Virus (HIV).
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Chris Curless, MHA, LAT, ATC
    Phone
    (317) 817-1226
    Email
    chris@msm-foundation.org
    First Name & Middle Initial & Last Name or Official Title & Degree
    Thomas Klootwyk, MD
    Phone
    (317) 817-1200
    Email
    tklootwyk@methodistsports.com
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Thomas Klootwyk, MD
    Organizational Affiliation
    Forte Sports Medicine and Orthopedics
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Plan to Share IPD
    No
    IPD Sharing Plan Description
    Data is proprietary to the manufacturer and will not be shared outside of journal publications.

    Learn more about this trial

    Study to Assess Signature Cord Product in Patients With Symptomatic OA of the Knee

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