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The Effect of Intra-Articular Injection of RegenoGel-OSP™ (Self-Plasma) and RegenoGel™ on Knee Pain in People Suffering From Osteoarthritis

Primary Purpose

Osteoarthritis, Knee

Status
Completed
Phase
Not Applicable
Locations
Israel
Study Type
Interventional
Intervention
RegenoGel-OSP, RegenoGel
Sponsored by
ProCore Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional supportive care trial for Osteoarthritis, Knee

Eligibility Criteria

55 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Subject has signed and dated the informed consent form
  2. Subject is a male or female between 55≤ and ≤ 80 years of age
  3. Subject is experiencing pain in the intended study knee with an average VAS score of ≥ 5 over the last week prior to screening.
  4. Subject with degenerative changes in the intended study knee that can be categorized as grade II-IV Kellgren Lawrence based upon standing posterior-anterior and lateral radiographs of the knee. This grade will be determined by the physician discretion and also by the Computerized, Automated X-ray-based Scoring and determination of Kellgren Lawrence software. Both methods should indicate a KL grade between II-IV in order for a subject to be eligible for the study.
  5. Subject has a Body Mass Index (BMI) between 18.5 and 35

Exclusion Criteria:

  1. Subjects with history of significant knee trauma to the intended study knee or with previous arthroscopic surgery of the intended study knee within the last 3 months preceding screening.
  2. Subject is experiencing pain in both knees with a VAS score of ≥ 5.
  3. Subject had any intra-articular injections to the intended study knee within 3 months prior to Screening.
  4. Subject has less than 12-month life-expectancy.
  5. Subject is on chronic administration of pain medications (especially opioid pain relievers) and is unable to stop them from the day before each study visit through completion of the study visit.
  6. Subject has a history of Psoriatic Arthritis, Rheumatoid Arthritis or any other inflammatory condition associated with arthritis
  7. Subject has a wound in the area of the intended study knee
  8. Subject has fever signs or symptoms of systemic infection or infection of the intended study knee, on the day before or the day of administration of treatment or placebo.
  9. Subject has known sensitivity to any of the treatment components, egg, rubber or latex
  10. Subject has a history of anaphylactic shock or other severe systemic response or other adverse event to human blood products
  11. Subject has known Human Immunodeficiency Virus / Acquired Immunodeficiency Syndrome (HIV/AIDS), Hepatitis B or C viral infections, or acute or chronic liver disease
  12. Subject has ever had cellulitis of the lower extremities, a peripheral vascular disease, or a personal history of clotting disorders.
  13. Subject has had cancer in the past 3 years or surgery involving the chest, abdomen, pelvis, or lower extremities in the past year
  14. Subject received any treatment with investigational device or product within 30 days prior to Visit l
  15. Subject has any recent (acute) or chronic medical, psychiatric, or social problem that might: 1) interfere with the Subject's performance or completion of the trial; 2) obfuscate the Subject's study data; or 3) render the Subject unable to understand the nature, scope, and possible consequences of the study
  16. Subject is receiving an antiplatelet and/or anticoagulation medicines (other than Aspirin)
  17. Subject ever abused drugs or alcohol (self-reported)
  18. Subject received a blood transfusion within 6 months prior to Screening.
  19. Subject donated blood or blood products within 3 months prior to Screening
  20. Subject has any elective surgery of any kind to the lower extremities or elective surgery requiring general anesthesia scheduled during the course of the trial
  21. Subject suffering from severe form of grade KL4 such as total cartilage loss with "bone on bone" as determined by the investigator or by the Computerized, Automated X-ray-based Scoring software.
  22. Subject suffering from severe OA and is not able to walk due to pain
  23. Pregnant or lactating woman

Sites / Locations

  • Hadassah Medical Center
  • Shaare Zedek
  • Meir Medical Center
  • Tel Aviv Sourasky Medical Center
  • Assaf Harofe Medical Center

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Placebo Comparator

Placebo Comparator

Arm Label

RegenoGel-OSP - RegenoGel-OSP

RegenoGel - RegenoGel

Placebo - RegenoGel-OSP

Placebo - RegenoGel

Arm Description

First injection- the patients will receive RegenoGel-OSP; Second injection (after 3 months interval)- the patients will receive RegenoGel-OSP also

First injection- the patients will receive RegenoGel; Second injection (after 3 months interval)- the patients will receive RegenoGel also

First injection- the patients will receive Placebo; Second injection (after 3 months interval)- the patients will receive RegenoGel-OSP

First injection- the patients will receive Placebo; Second injection (after 3 months interval)- the patients will receive RegenoGel

Outcomes

Primary Outcome Measures

Efficacy assessment on change in pain in the affected knee joint in response to treatment using the Visual Analog Score (VAS)
Change in pain in the effected knee joint in response to treatment using the Visual Analog Score (VAS). VAS score is measured according to the patient's pain rating scale from 1 to 10. The scale of pain increases with increasing pain. For example, score 1 indicates absence of pain (minimum score) and score 10 indicates unbearable pain (maximum score). Each VAS score amounts to only one number of outcome from 1 to 10. VAS will be determined in resting position and in active position. No subscales are combined here.
Efficacy assessment on change in pain in the affected knee joint in response to treatment based on the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score.
Change in pain in the affected knee joint in response to treatment based on the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score (Pain both at rest and during exercise).

Secondary Outcome Measures

Change in pain in the affected knee joint in response to treatment using the Visual Analog Score (VAS)
Change in pain in the effected knee joint in response to treatment using the Visual Analog Score (VAS). VAS score is measured according to the patient's pain rating scale from 1 to 10. The scale of pain increases with increasing pain. For example, score 1 indicates absence of pain (minimum score) and score 10 indicates unbearable pain (maximum score). Each VAS score amounts to only one number of outcome from 1 to 10. VAS will be determined in resting position and in active position. No subscales are combined here.
Change in pain in the affected knee joint in response to treatment based on the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score
Change in pain in the affected knee joint in response to treatment based on the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score (pain both at rest and during exercise).
Change in the subject´s activity in response to treatments based on the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score
Change in the subject´s activity in response to treatments based on the entire Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score.
Change from baseline in quality of life in response to treatments using the SF-12 health survey.
Change from baseline in quality of life in response to treatments using the SF-12 health survey.
Change in Subjective International Knee Documentation Committee score (IKDC).
Change in Subjective International Knee Documentation Committee score (IKDC).
Clinical safety and tolerability assessments which will include: incidence, relatedness and severity of treatment-emergent SAE's, UAE's and AE's in the treatment arms.
Clinical safety and tolerability assessments up to 12 months post 1st injection which will include: incidence, relatedness and severity of treatment-emergent SAE's, UAE's and AE's in the treatment arms.

Full Information

First Posted
March 12, 2018
Last Updated
September 19, 2021
Sponsor
ProCore Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT03479749
Brief Title
The Effect of Intra-Articular Injection of RegenoGel-OSP™ (Self-Plasma) and RegenoGel™ on Knee Pain in People Suffering From Osteoarthritis
Official Title
Prospective, Randomized, Double-blind, Placebo-controlled Clinical Trial to Assess the Efficacy and Safety of Intra-articular Injection of RegenoGel-OSP and RegenoGel as a Treatment of Osteoarthritis (OA)
Study Type
Interventional

2. Study Status

Record Verification Date
September 2021
Overall Recruitment Status
Completed
Study Start Date
February 7, 2018 (Actual)
Primary Completion Date
March 4, 2019 (Actual)
Study Completion Date
March 4, 2019 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
ProCore Ltd.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
This study evaluates the efficacy of intra-articular administration of RegenoGel-OSP™ and RegenoGel™ to treat knee pain and effect on subject's activity and quality of life. During the study the subjects will receive two treatments at a 3-month interval. The study is double-blinded. The subjects will be randomized and sequentially assigned to RegenoGel-OSP™, RegenoGel or placebo treatment in the first treatment. In the second treatment after interval of three months all the subjects will necessarily receive one of the two active products. The follow-up period will continue for one year after first treatment.

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
Supportive Care
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
67 (Actual)

8. Arms, Groups, and Interventions

Arm Title
RegenoGel-OSP - RegenoGel-OSP
Arm Type
Experimental
Arm Description
First injection- the patients will receive RegenoGel-OSP; Second injection (after 3 months interval)- the patients will receive RegenoGel-OSP also
Arm Title
RegenoGel - RegenoGel
Arm Type
Experimental
Arm Description
First injection- the patients will receive RegenoGel; Second injection (after 3 months interval)- the patients will receive RegenoGel also
Arm Title
Placebo - RegenoGel-OSP
Arm Type
Placebo Comparator
Arm Description
First injection- the patients will receive Placebo; Second injection (after 3 months interval)- the patients will receive RegenoGel-OSP
Arm Title
Placebo - RegenoGel
Arm Type
Placebo Comparator
Arm Description
First injection- the patients will receive Placebo; Second injection (after 3 months interval)- the patients will receive RegenoGel
Intervention Type
Device
Intervention Name(s)
RegenoGel-OSP, RegenoGel
Intervention Description
RegenoGel-OSP (A) and RegenoGel (B) are visco-supplements intended for the intra-articular treatment of OA.
Primary Outcome Measure Information:
Title
Efficacy assessment on change in pain in the affected knee joint in response to treatment using the Visual Analog Score (VAS)
Description
Change in pain in the effected knee joint in response to treatment using the Visual Analog Score (VAS). VAS score is measured according to the patient's pain rating scale from 1 to 10. The scale of pain increases with increasing pain. For example, score 1 indicates absence of pain (minimum score) and score 10 indicates unbearable pain (maximum score). Each VAS score amounts to only one number of outcome from 1 to 10. VAS will be determined in resting position and in active position. No subscales are combined here.
Time Frame
Three months
Title
Efficacy assessment on change in pain in the affected knee joint in response to treatment based on the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score.
Description
Change in pain in the affected knee joint in response to treatment based on the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score (Pain both at rest and during exercise).
Time Frame
Three months
Secondary Outcome Measure Information:
Title
Change in pain in the affected knee joint in response to treatment using the Visual Analog Score (VAS)
Description
Change in pain in the effected knee joint in response to treatment using the Visual Analog Score (VAS). VAS score is measured according to the patient's pain rating scale from 1 to 10. The scale of pain increases with increasing pain. For example, score 1 indicates absence of pain (minimum score) and score 10 indicates unbearable pain (maximum score). Each VAS score amounts to only one number of outcome from 1 to 10. VAS will be determined in resting position and in active position. No subscales are combined here.
Time Frame
Six months
Title
Change in pain in the affected knee joint in response to treatment based on the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score
Description
Change in pain in the affected knee joint in response to treatment based on the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score (pain both at rest and during exercise).
Time Frame
Six months
Title
Change in the subject´s activity in response to treatments based on the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score
Description
Change in the subject´s activity in response to treatments based on the entire Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score.
Time Frame
Three and Six months
Title
Change from baseline in quality of life in response to treatments using the SF-12 health survey.
Description
Change from baseline in quality of life in response to treatments using the SF-12 health survey.
Time Frame
Three and Six months
Title
Change in Subjective International Knee Documentation Committee score (IKDC).
Description
Change in Subjective International Knee Documentation Committee score (IKDC).
Time Frame
Three and Six months
Title
Clinical safety and tolerability assessments which will include: incidence, relatedness and severity of treatment-emergent SAE's, UAE's and AE's in the treatment arms.
Description
Clinical safety and tolerability assessments up to 12 months post 1st injection which will include: incidence, relatedness and severity of treatment-emergent SAE's, UAE's and AE's in the treatment arms.
Time Frame
Up to 12 months post first injection

10. Eligibility

Sex
All
Minimum Age & Unit of Time
55 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subject has signed and dated the informed consent form Subject is a male or female between 55≤ and ≤ 80 years of age Subject is experiencing pain in the intended study knee with an average VAS score of ≥ 5 over the last week prior to screening. Subject with degenerative changes in the intended study knee that can be categorized as grade II-IV Kellgren Lawrence based upon standing posterior-anterior and lateral radiographs of the knee. This grade will be determined by the physician discretion and also by the Computerized, Automated X-ray-based Scoring and determination of Kellgren Lawrence software. Both methods should indicate a KL grade between II-IV in order for a subject to be eligible for the study. Subject has a Body Mass Index (BMI) between 18.5 and 35 Exclusion Criteria: Subjects with history of significant knee trauma to the intended study knee or with previous arthroscopic surgery of the intended study knee within the last 3 months preceding screening. Subject is experiencing pain in both knees with a VAS score of ≥ 5. Subject had any intra-articular injections to the intended study knee within 3 months prior to Screening. Subject has less than 12-month life-expectancy. Subject is on chronic administration of pain medications (especially opioid pain relievers) and is unable to stop them from the day before each study visit through completion of the study visit. Subject has a history of Psoriatic Arthritis, Rheumatoid Arthritis or any other inflammatory condition associated with arthritis Subject has a wound in the area of the intended study knee Subject has fever signs or symptoms of systemic infection or infection of the intended study knee, on the day before or the day of administration of treatment or placebo. Subject has known sensitivity to any of the treatment components, egg, rubber or latex Subject has a history of anaphylactic shock or other severe systemic response or other adverse event to human blood products Subject has known Human Immunodeficiency Virus / Acquired Immunodeficiency Syndrome (HIV/AIDS), Hepatitis B or C viral infections, or acute or chronic liver disease Subject has ever had cellulitis of the lower extremities, a peripheral vascular disease, or a personal history of clotting disorders. Subject has had cancer in the past 3 years or surgery involving the chest, abdomen, pelvis, or lower extremities in the past year Subject received any treatment with investigational device or product within 30 days prior to Visit l Subject has any recent (acute) or chronic medical, psychiatric, or social problem that might: 1) interfere with the Subject's performance or completion of the trial; 2) obfuscate the Subject's study data; or 3) render the Subject unable to understand the nature, scope, and possible consequences of the study Subject is receiving an antiplatelet and/or anticoagulation medicines (other than Aspirin) Subject ever abused drugs or alcohol (self-reported) Subject received a blood transfusion within 6 months prior to Screening. Subject donated blood or blood products within 3 months prior to Screening Subject has any elective surgery of any kind to the lower extremities or elective surgery requiring general anesthesia scheduled during the course of the trial Subject suffering from severe form of grade KL4 such as total cartilage loss with "bone on bone" as determined by the investigator or by the Computerized, Automated X-ray-based Scoring software. Subject suffering from severe OA and is not able to walk due to pain Pregnant or lactating woman
Facility Information:
Facility Name
Hadassah Medical Center
City
Jerusalem
Country
Israel
Facility Name
Shaare Zedek
City
Jerusalem
Country
Israel
Facility Name
Meir Medical Center
City
Kfar Saba
Country
Israel
Facility Name
Tel Aviv Sourasky Medical Center
City
Tel Aviv
Country
Israel
Facility Name
Assaf Harofe Medical Center
City
Zrifin
Country
Israel

12. IPD Sharing Statement

Learn more about this trial

The Effect of Intra-Articular Injection of RegenoGel-OSP™ (Self-Plasma) and RegenoGel™ on Knee Pain in People Suffering From Osteoarthritis

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