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
About this trial
This is an interventional treatment trial for Osteoarthritis, Knee focused on measuring Allogeneic Umbilical Cord Tissue
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).
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
NCT ID
NCT05234489
First Posted
January 7, 2022
Last Updated
February 1, 2022
Sponsor
Thomas Klootwyk, MD
Collaborators
Signature Biologics, LLC, KLM Solutions, LLC
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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