- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04050111
The Evaluation of Safety and Effectiveness of Intraarticular Administration of Autologous Stromal-Vascular Fraction of Adipose Tissue Cells for Treatment of Knee Joint Arthrosis
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Anticipated)
Phase
- Phase 2
Contacts and Locations
Study Contact
- Name: Sergey L Mikheev, MD, PhD
- Phone Number: +7-495-6180116
- Email: mikheev@swissmedica21.com
Study Contact Backup
- Name: Ilya I Eremin
- Phone Number: +7-495-6180116
- Email: ieremin@swissmedica21.com
Study Locations
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Moscow, Russian Federation, 127521
- Swiss Medica XXI Century S.A.
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Contact:
- Sergey L Mikheev, MD, PhD
- Phone Number: +7-495-6180116
- Email: mikheev@swissmedica21.com
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Contact:
- Ilya I Eremin, MD, PhD
- Phone Number: +7-495-6180116
- Email: ieremin@swissmedica21.com
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Belgrade, Serbia
- IM Clinic
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Contact:
- Igor Bolbukh, MD
- Phone Number: +38162256891
- Email: doctor_bol@mail.ru
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Pain in the knee joint during more than a half day assessed by Visual Analog Pain Scale (score more than 40 mm)
- At least three of the following 6 criteria: 20-85 years of age, stiffness lasting less than 30 minutes, crepitus, bony tenderness, bony enlargement, no warmth to the touch
- Patient is able to walk without assistance
- Patient is familiar with Participant information sheet
- Patient signed informed consent form
Non-inclusion Criteria:
- Medical history of endoprosthetic knee replacement
- Medical history of lower extremity osteotomy
- Medical history of knee surgery (including arthroscopy) during preceding 1 year prior to enrollment
- Medical history of intraarticular injections during preceding 6 months prior to enrollment
- Secondary osteoarthritis of the knee joint: posttraumatic osteoarthritis (developed after clinically significant injury), intra-articular fractures, clinically significant varus or valgus deformities of lower limbs, septic arthritis, joint's inflammatory disorders, gout, advanced chondrocalcinosis, Paget's disease, ochronosis, acromegaly, hemochromatosis, Wilson's disease, primary synovial osteochondromatosis, osteonecrosis, hemophilia
- Patients prescribed for immunosuppressive treatment
- Medical history of systemic autoimmune and inflammatory diseases
- Significant weight loss (> 10% of body weight in the previous year) of unknown etiology
- Medical history of venous thromboembolism or estimated high risk of venous thromboembolism
- Patients prescribed for systemic corticosteroids or other medications treatment with proven impact on bone or cartilage tissue metabolism
- Clinically significant abnormalities in results of laboratory tests
- Any conditions limiting compliance (dementia, neuropsychiatric disease, drug and alcohol abuse etc.)
- Participation in other clinical trials (or administration of investigational drugs) during 3 months prior inclusion
- Patients with malignant tumors including postoperative period, patients receiving chemotherapy and/or radiotherapy.
- Patient's activated partial thromboplastin time exceeds normal levels more than 1,8 times
- Patients prescribed for anticoagulants treatment or patient received anticoagulants at least one hour prior liposuction
- Medical history of heterotopic ossifications
- Patients prescribed for glycoprotein inhibitors treatment
Exclusion Criteria:
- Patient's refusal from the further participation in trial
- Patient's refusal from compliance with the requirements of contraception during the participation in research
- Chronic kidney disease IV- V stages (creatinine clearance < 30 mL/min estimated by Cockcroft-Gault formula)
- Confirmed syphilis, HIV, hepatitis B or C infections
Dropout Criteria:
- Pregnancy
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 |
---|---|
Experimental: SVF injection
Subjects will undergo liposuction under local anesthesia. Lipoaspirate will be processed to isolate and concentrate stromal vascular fraction of cells (SVF). After SVF isolation autologous cells suspension will be injected intraarticularly into knee joint. Interventions: Procedure: Liposuction Other: SVF isolation Other: Intraarticular administration of autologous SVF |
Concentrate of stromal-vascular fraction of cells derived from autologous adipose tissue
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Serious adverse events (SAEs)
Time Frame: 4 weeks after treatment
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Types, probability and severity of treatment emergent SAEs
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4 weeks after treatment
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Serious adverse reactions (SARs)
Time Frame: 4 weeks after treatment
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Types, probability and severity of treatment emergent SARs
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4 weeks after treatment
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Quality of life monitoring-1
Time Frame: Follow up to completion (up to 24 weeks after treatment)
|
Quality of life estimated by validated questionnaire - the Short Form (36) Health Survey (SF-36). SF-36 is a 36-item, patient-reported survey of patient health. The SF-36 consists of eight scaled scores, which are the weighted sums of the questions in their section. Each scale is directly transformed into a 0-100 scale on the assumption that each question carries equal weight. The lower the score the more disability. The higher the score the less disability i.e., a score of zero is equivalent to maximum disability and a score of 100 is equivalent to no disability. The eight sections are:
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Follow up to completion (up to 24 weeks after treatment)
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Quality of life monitoring-2
Time Frame: Follow up to completion (up to 24 weeks after treatment)
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Quality of life estimated by validated questionnaire - Knee Injury and Osteoarthritis Outcome Score (KOOS). The KOOS is a patient reported joint-specific score, which assesses:
Scores range from 0 to 100 with a score of 0 indicating the worst possible knee symptoms and 100 indicating no knee symptoms. |
Follow up to completion (up to 24 weeks after treatment)
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Knee pain intensity monitoring
Time Frame: Follow up to completion (up to 24 weeks after treatment)
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Knee pain intensity assessed by Visual Analog Pain Scale (no pain=0; maximum pain=100 mm)
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Follow up to completion (up to 24 weeks after treatment)
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Changes in knee joint structure-1
Time Frame: Follow up to completion (up to 24 weeks after treatment)
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Changes in knee joint structure assessed by ultrasonography (effusion, synovial thickening or hypertrophy, cartilage parameters, vascularity, Baker's cysts, osteophytes, tendon and ligament abnormalities, meniscal changes, bursitis, erosions and panniculitis)
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Follow up to completion (up to 24 weeks after treatment)
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Changes in knee joint structure-2
Time Frame: Follow up to completion (up to 24 weeks after treatment)
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Changes in knee joint structure assessed by X-ray (joint space width, bone contour, presence of osteophytes and sclerosis)
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Follow up to completion (up to 24 weeks after treatment)
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Changes in knee joint structure-3
Time Frame: Follow up to completion (up to 24 weeks after treatment)
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Changes in knee joint structure assessed by MRI (articular cartilage, osteophytes, bone marrow abnormality, meniscal integrity, synovial effusion/tissue, anterior and posterior cruciate ligaments, and medial and lateral collateral ligaments)
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Follow up to completion (up to 24 weeks after treatment)
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Changes in knee function
Time Frame: Follow up to completion (up to 24 weeks after treatment)
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Changes in knee function assessed by validated questionnaire: Knee Society Score (KSS). KSS consists of 4 separate sub-scales:
Lower scores being indicative of worse knee conditions and higher scores being indicative of better knee conditions. |
Follow up to completion (up to 24 weeks after treatment)
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Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Sergey L Mikheev, MD, PhD, Head of Swiss Medica XXI Century S.A.
- Principal Investigator: Ilya I Eremin, MD, PhD, Chief scientific officer of Swiss Medica XXI Century S.A.
Study record dates
Study Major Dates
Study Start (Anticipated)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
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
- SM-001
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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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