- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04711551
Clinical and Biomolecular Assessment for the Monitoring of Patients Undergoing Regenerative Medicine Treatments With Orthobiologics
Patients-reported Outcome Measures (PROMs), Clinical Objective and Biomolecular Assessment for the Monitoring of Patients Undergoing Regenerative Medicine Treatments With Orthobiologics
the aim is to improve the evaluation of the outcomes of regenerative medicine treatments performed in the regenerative medicine centers involved in the study.
patients who undergo regenerative medicine treatments present acute and chronic pathologies of the musculoskeletal system, of the stomatological system and of the integuments.
Objective pre, peri and post treatment evaluations are collected. A dedicated software collects the PROMs compiled by the patients, the objective clinical data and the biomolecular evaluations.
Study Overview
Status
Conditions
Study Type
Enrollment (Anticipated)
Contacts and Locations
Study Contact
- Name: Laura De Girolamo
- Phone Number: 0039 0266214059
- Email: laura.degirolamo@grupposandonato.it
Study Locations
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-
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Milan, Italy, 20161
- Recruiting
- Istituto Ortopedico Galeazzi
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Contact:
- Laura De Girolamo
- Phone Number: 0039 0266214059
- Email: laura.degirolamo@grupposandonato.it
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- patients who received indication for regerative medicine treatment for one of the following pathologies: Knee or hip or ankle osteoarthritis, patellar or Achilles tendon pain, shouder or elbow pain;
- males and females;
- age >= 6 years.
Exclusion Criteria:
- age < 6 years
- patients not compliant with post-treatment monitoring procedures
- pregnancy
Study Plan
How is the study designed?
Design Details
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in Visual Analog Scale
Time Frame: Change between baseline and 12 months
|
Pain will be measured with Visual Analog Scale (0-10, where 0 rapresents absence of pain and 10 the maximum pain possible) before and after treatment.
|
Change between baseline and 12 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in Tegner Activity Scale
Time Frame: Changes between baseline and 2-, 6- 12 and 24-month assessments
|
Level of activity will be recorded using Tegner activity scale (0-10, where 0 represents absence of physical activity and 10 represents national level sport activity) before and after treatment
|
Changes between baseline and 2-, 6- 12 and 24-month assessments
|
Change in Knee injury and Osteoarthritis Outcome Score for patients affected by knee osteoarthritis
Time Frame: Changes between baseline and 2-, 6- 12 and 24-month assessments
|
The level of symptoms, pain, activity, sport and quality of life will be assessed using Knee injury and Osteoarthritis Outcome Score (0-100, where 0 represents the worst outcome and 100 the best outcome) before and after treatment.
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Changes between baseline and 2-, 6- 12 and 24-month assessments
|
Change in Hip injury and Osteoarthritis Outcome Score for patients affected by hip osteoarthritis
Time Frame: Changes between baseline and 2-, 6- 12 and 24-month assessments
|
The level of symptoms, pain, activity, sport and quality of life will be assessed using Hip injury and Osteoarthritis Outcome Score (0-100, where 0 represents the worst condition and 100 the best condition) before and after treatment.
|
Changes between baseline and 2-, 6- 12 and 24-month assessments
|
Change in QuickDASH (Disabilities of the Arm, Shoulder and Hand) and SPADI (Shoulder Pain and Disability Index ) questionnaire for patients affected by shoulder disorders
Time Frame: Changes between baseline and 2-, 6- 12 and 24-month assessments
|
The level of symptoms, pain, activity, sport and quality of life will be assessed using Hip injury and Osteoarthritis Outcome Score (0-100, where 0 represents the worst condition and 100 the best condition) before and after treatment.
|
Changes between baseline and 2-, 6- 12 and 24-month assessments
|
Change in the Shoulder Pain and Disability Index (SPADI) for patients affected by shoulder disorders
Time Frame: Changes between baseline and 2-, 6- 12 and 24-month assessments
|
Pain level and extent of difficulty with the activity of daily living will be assessed using SPADI (0-100, where 100 represents the worst condition and 0 the best condition) in patients affected by shoulder disorders.
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Changes between baseline and 2-, 6- 12 and 24-month assessments
|
Change in Victorian Institute of Sport Assessment for Patellar tendon (VISA-P) score for patients affected by patellar tendon disorders
Time Frame: Changes between baseline and 2-, 6- 12 and 24-month assessments
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Symptoms, ability to perform daily and sport activities will be measured using VISA-P score (0-100, where 0 represents the worst condition and 100 the best condition) in patients affected by patellar tendon disorders.
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Changes between baseline and 2-, 6- 12 and 24-month assessments
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Change in Lysholm Knee Score for patients affected by patellar tendon disorders
Time Frame: Changes between baseline and 2-, 6- 12 and 24-month assessments
|
Lysholm knee score will be used to assess the condition of the knee in patients affected by patellar tendon disorders (0-100, where 0 represents the worst condition and 100 the best condition).
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Changes between baseline and 2-, 6- 12 and 24-month assessments
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Change in Foot Function Index (FFI) for patients affected by ankle and foot disorders
Time Frame: Changes between baseline and 2-, 6- 12 and 24-month assessments
|
Pain, Disability, and Activity Limitation in patients affected by foot and ankle disorders will be measured using FFI (0-100, where 100 represents the worst condition and 0 the best condition).
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Changes between baseline and 2-, 6- 12 and 24-month assessments
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Change in Victorian Institute of Sport Assessment for Achilles tendon (VISA-A) score for patients affected by Achilles tendon disorders
Time Frame: Changes between baseline and 2-, 6- 12 and 24-month assessments
|
Symptoms, ability to perform daily and sport activities will be measured in patients affected by Achilles tendon disorders using VISA-A score (0-100, where 0 represents the worst condition and 100 the best condition).
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Changes between baseline and 2-, 6- 12 and 24-month assessments
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Change in Patient-Rated Tennis Elbow Evaluation (PRTEE) scale for patients affected by elbow disorders
Time Frame: Changes between baseline and 2-, 6- 12 and 24-month assessments
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Pain and function will be measured in patients affected by elbow disorders using PRTEE score (0-100, where 100 represents the worst condition and 0 the best condition).
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Changes between baseline and 2-, 6- 12 and 24-month assessments
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Platelet count in Platelet-rich Plasma (PRP)
Time Frame: Baseline only
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For each patient receiving PRP, platelet count will be measured in order to evaluate possible correlation between the product composition and the clinical outcomes
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Baseline only
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Nucleated cell counts in adipose tissue- and bone marrow-derived orthobiologics
Time Frame: Baseline only
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For each patient receiving adipose tissue- or bone marrow-derived orthobiologics, the number of nucleated cells will be determined to evaluate possible correlation between the product composition and the clinical outcomes
|
Baseline only
|
Change in Visual Analog Scale
Time Frame: Changes between baseline and 2-, 6- and 24-month assessments
|
Pain will be measured with Visual Analog Scale (0-10, where 0 rapresents absence of pain and 10 the maximum pain possible) before and after treatment.
|
Changes between baseline and 2-, 6- and 24-month assessments
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Laura De Girolamo, Istituto Ortopedico Galeazzi
Publications and helpful links
General Publications
- Smith PA. Intra-articular Autologous Conditioned Plasma Injections Provide Safe and Efficacious Treatment for Knee Osteoarthritis: An FDA-Sanctioned, Randomized, Double-blind, Placebo-controlled Clinical Trial. Am J Sports Med. 2016 Apr;44(4):884-91. doi: 10.1177/0363546515624678. Epub 2016 Feb 1.
- Centeno C, Pitts J, Al-Sayegh H, Freeman M. Efficacy of autologous bone marrow concentrate for knee osteoarthritis with and without adipose graft. Biomed Res Int. 2014;2014:370621. doi: 10.1155/2014/370621. Epub 2014 Sep 7.
- Kern S, Eichler H, Stoeve J, Kluter H, Bieback K. Comparative analysis of mesenchymal stem cells from bone marrow, umbilical cord blood, or adipose tissue. Stem Cells. 2006 May;24(5):1294-301. doi: 10.1634/stemcells.2005-0342. Epub 2006 Jan 12.
- Mazzocca AD, McCarthy MB, Chowaniec DM, Dugdale EM, Hansen D, Cote MP, Bradley JP, Romeo AA, Arciero RA, Beitzel K. The positive effects of different platelet-rich plasma methods on human muscle, bone, and tendon cells. Am J Sports Med. 2012 Aug;40(8):1742-9. doi: 10.1177/0363546512452713. Epub 2012 Jul 16.
- Strioga M, Viswanathan S, Darinskas A, Slaby O, Michalek J. Same or not the same? Comparison of adipose tissue-derived versus bone marrow-derived mesenchymal stem and stromal cells. Stem Cells Dev. 2012 Sep 20;21(14):2724-52. doi: 10.1089/scd.2011.0722. Epub 2012 May 9.
- Vishnubalaji R, Al-Nbaheen M, Kadalmani B, Aldahmash A, Ramesh T. Comparative investigation of the differentiation capability of bone-marrow- and adipose-derived mesenchymal stem cells by qualitative and quantitative analysis. Cell Tissue Res. 2012 Feb;347(2):419-27. doi: 10.1007/s00441-011-1306-3.
- Caplan AI, Correa D. The MSC: an injury drugstore. Cell Stem Cell. 2011 Jul 8;9(1):11-5. doi: 10.1016/j.stem.2011.06.008.
- Bosetti M, Borrone A, Follenzi A, Messaggio F, Tremolada C, Cannas M. Human Lipoaspirate as Autologous Injectable Active Scaffold for One-Step Repair of Cartilage Defects. Cell Transplant. 2016;25(6):1043-56. doi: 10.3727/096368915X689514. Epub 2015 Sep 21.
- Pak J, Lee JH, Park KS, Jeong BC, Lee SH. Regeneration of Cartilage in Human Knee Osteoarthritis with Autologous Adipose Tissue-Derived Stem Cells and Autologous Extracellular Matrix. Biores Open Access. 2016 Aug 1;5(1):192-200. doi: 10.1089/biores.2016.0024. eCollection 2016.
- Moatshe G, Morris ER, Cinque ME, Pascual-Garrido C, Chahla J, Engebretsen L, Laprade RF. Biological treatment of the knee with platelet-rich plasma or bone marrow aspirate concentrates. Acta Orthop. 2017 Dec;88(6):670-674. doi: 10.1080/17453674.2017.1368899. Epub 2017 Aug 23.
Study record dates
Study Major Dates
Study Start (Actual)
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
- REGAIN
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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