Intra-articular Allocetra in Osteoarthritis of the 1st Carpo-metacarpal Joint
A Placebo-controlled Study of Intra-articular Allocetra in Osteoarthritis of the 1st Carpo-metacarpal Joint
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Osteoarthritis (OA) of the first carpometacarpal (CMC) joint, or basal joint of the thumb, is a common, painful, and debilitating disease. For patients whose symptoms persist despite conservative therapies and rehabilitation strategies, surgery remains the last-resort treatment.
Allocetra is an immunomodulatory cell-based therapy consisting of allogeneic peripheral blood mononuclear cells that have been modified to be engulfed by macrophages and reprogram them into their homeostatic state.
This study is a single center safety and efficacy assessment trial to assess intra-articular administration of Allocetra in patients suffering from thumb osteoarthritis in the 1st CMC joint (basal thumb joint) who have not responded sufficiently to conventional therapies.
The study is comprised of a safety run-in stage to characterize safety of Allocetra injections at different doses, followed by a placebo-controlled double-blind randomized stage to evaluate the safety and efficacy of Allocetra injection to the basal thumb joint.
Patients will be followed for up to a year following treatment.
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 2
- Phase 1
Contacts and Locations
Study Contact
Study Contact
- Name: Amir Oron, MD
- Phone Number: +972-54-2427072
- Email: amiroro@clalit.org.il
Study Contact Backup
- Name: Shiran Rogoff
- Phone Number: +972-52-6804062
- Email: Shiranro1@clalit.org.il
Study Locations
-
-
-
Rehovot, Israel
- Kaplan Medical Center
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
Subjects eligible for this clinical study must fulfill all of the following:
- Age 40 years or older.
- Patients with OA of the first CMC joint of the target thumb (basal thumb joint) who have failed conventional therapies, with pain assessed when not taking analgesic medications.
- Score of 6 or higher on the Functional Index for Hand Osteoarthritis (FIHOA).
- X-ray confirming OA of the first CMC joint of the target thumb with a Grade of 2 or 3 according to Eaton classification.
- Blood tests from up to three months before treatment within protocol-defined limits.
Exclusion Criteria:
Subjects not eligible for this study include those that have any of the following:
- Any significant injury, fracture, surgery, active local infection, deformity, severe Carpal Tunnel Syndrome (CTS), DeQuervain's tenosynovitis, trigger finger, or a ganglion cyst of the target hand.
- History of chondrocalcinosis in the target joint, concomitant rheumatic disease.
- Previous intra-articular injection of steroid, hyaluronate, or other agent, into the target joint within 3 months prior to screening visit.
- Other limb pain of unknown etiology, or clinically significant widespread pain syndrome, e.g., fibromyalgia.
- Pain in the limb clinically assessed to arise from an origin which is not the affected thumb joint (wrist pain, shoulder pain, etc.).
- Secondary OA such as gout, hemochromatosis, rheumatoid/psoriatic arthritis.
- Bleeding disorders, cognitive disorder, neurologic disease or other major medical condition which may interfere with study participation, treatment, assessments, or results.
- For women of childbearing potential, a positive pregnancy test.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Other: Safety run-in phase - Allocetra increasing dose
A dose escalation phase to characterize the safety of Allocetra injection to the 1st CMC joint in the target thumb in different doses and select the dose for the randomized phase.
|
Intra-articular injection of Allocetra performed once on Day 1 of the study at different doses.
|
|
Active Comparator: Randomization phase - Allocetra
Injection of Allocetra to the 1st CMC joint in the target thumb.
|
Intra-articular injection of selected dose of Allocetra based on the safety run-in, performed on Day 1 of the study.
|
|
Placebo Comparator: Randomization phase - Placebo
Injection of placebo to the 1st CMC joint in the target thumb.
|
Intra-articular injection of placebo solution containing all excipients except for the Allocetra cells.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Injection-related reactions
Time Frame: Day 0 (Treatment visit).
|
Injection-related reactions occurring during study treatment injection, including injection interruption/discontinuation.
|
Day 0 (Treatment visit).
|
|
Treatment emergent adverse events
Time Frame: Day 0 to 6 months.
|
Treatment emergent adverse events following study treatment injection.
Safety assessments beyond 4 weeks following injection will focus on events that are at least possibly related to study treatment.
|
Day 0 to 6 months.
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Thumb base pain - NRS
Time Frame: Screening day to 12 months.
|
Thumb base pain numerical rating scale (NRS; 0-10).
|
Screening day to 12 months.
|
|
Hand function - FIHOA
Time Frame: Day 0 to 12 months.
|
Hand function, assessed by Functional Index for Hand Osteoarthritis (FIHOA; 0-30).
|
Day 0 to 12 months.
|
|
Key pinch and grip strength
Time Frame: Day 0 to 12 months.
|
Key pinch and grip strength - measured with dynamometer.
|
Day 0 to 12 months.
|
Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 0006-24-KMC
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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