- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03007576
Treatment of Knee Osteoarthritis With Autologous Mesenchymal Stromal Cell Product (RegStem)
Phase I Clinical Trial - Treatment of Knee Osteoarthritis With Autologous Mesenchymal Stromal Cell Product (RegStem)
Osteoarthritis (OA) is a common and incurable disease for the elderly in Taiwan, so it is an important mission to develop a new treatment for OA. Recently, cellular therapy is a new and popular medical treatment around the world, one of them is "Mesenchymal Stromal Cells (MSCs)". MSCs are found in many tissues of human body and play an important role for repairing, regeneration, anti-inflammatory and chondrogenesis. So, MSC product, RegStem, for osteoarthritis treatment becomes a developing target for new generation drugs.
This study is to isolate and expand MSCs(RegStem) from infrapatellar fat pad of subject. When the number of MSCs expands to 1×10^8, cell will be cryopreserved in the liquid nitrogen tank until all release tests passed. On the distribution day, cell will be thawed and injected into joint cavity of patient (5×10^7). Subjects will be monitored after MSC product infusion of seven days, one month, six months and one year. The monitoring items include the changes of knee (by appearance, X-ray and MRI of knee) and pain improvement (by questionnaire).
Study Overview
Study Type
Enrollment (Actual)
Phase
- Phase 1
Contacts and Locations
Study Locations
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Taipei, Taiwan
- Far Eastern Memorial Hospital
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Subjects who understand and sign the informed consent form for this study
- Grade 2~3 osteoarthritis according to the Kellgren-Lawrence grading scale with one-month X-ray
- Age is 50~75 years old
- Postmenopausal women
- VAS scores in 50 to 90 mm
Exclusion Criteria:
- Abnormal of liver and kidney: GOT and GPT > 100 IU/L, BUN >22 mg/dl and creatinine > 1.2 mg/dl.
- Positive serology for HIV, HTLV-1/2 and syphilis
- Women who are pregnant or breast feeding
- Serious pre-existing medical conditions: coagulation disorders, cardiovascular diseases (arrhythmias, myocardial infarction and surgery), renal diseases (chronic renal failure), liver diseases (cirrhosis), diabetes mellitus type I, cancer history.
- Other joint diseases: knee deformity (knee varus greater than 10 degree or valgus greater than 20 degree), rheumatic arthritis, gouty arthritis, septic arthritis, serious meniscal tear, other autoimmune arthritis.
- Skin inflammatory of knee
- Knee pain caused by referred pain from spine disease or hip joint disease. Knee pain combined with pain from spine disease or hip disease.
- Immunosuppressive state
- Subjects who were injected with hyaluronic acid and PRP in the past 6 months
- Body mass index (BMI) greater than 30
- Have a history of allergic reaction of any medication
- Participation in another clinical trial or treatment within 3 months
- Other pathologic conditions or circumstances that difficult participation in this study according to PI's evaluations
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
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Experimental: RegStem
Autologous MSC, 5×10^7 cells, one injection
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RegStem, 1.5 ml, one injection
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Safety of RegStem by incidence of adverse events and changes in physical examinations, vital signs and the results of clinical lab tests.
Time Frame: 48 weeks
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48 weeks
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Clinical assessment of International Knee Documentation Committee (IKDC) score
Time Frame: 48 weeks
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Assess symptoms of knee, sport activity and function of knee
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48 weeks
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Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Clinical assessment of Knee injury and Osteoarthritis Outcome Score (KOOS)
Time Frame: 48 weeks
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48 weeks
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Clinical assessment of visual analogue scale (VAS)
Time Frame: 48 weeks
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48 weeks
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Clinical assessment of knee X-ray
Time Frame: 48 weeks
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48 weeks
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Clinical assessment of knee MRI
Time Frame: 48 weeks
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48 weeks
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Collaborators and Investigators
Sponsor
Collaborators
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- EMOCT01
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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