- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05086939
Multicenter Clinical Trial Comparing Treatment With Allogeneic Mesenchymal Cells Versus Autologous Mesenchymal Cells and Versus Active Control With Hyaluronic Acid in Patients With Knee Osteoarthritis. (ARTROCELL)
Phase III, Multicenter, Randomized, Open-label Clinical Trial Comparing Treatment With Allogeneic Mesenchymal Cells Versus Autologous Mesenchymal Cells and Versus Active Control With Hyaluronic Acid in Patients With Knee Osteoarthritis
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Anticipated)
Phase
- Phase 3
Contacts and Locations
Study Locations
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Barcelona, Spain
- Not yet recruiting
- Hospital Clínic
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Contact:
- Andrés Comballa Aleu
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Contact:
- Esperanza López Franco
- Phone Number: +34 923 291100
- Email: uicec.coordinacion@ibsal.es
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Madrid, Spain
- Suspended
- Hospital Clinico Universitario San Carlos
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Madrid, Spain
- Recruiting
- Hospital Fundación Jiménez Díaz
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Contact:
- Esperanza López Franco
- Phone Number: +34 923291100
- Email: uicec.coordinacion@ibsal.es
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Madrid, Spain
- Recruiting
- Hospital Gregorio Marañón
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Contact:
- Esperanza López Franco
- Phone Number: +34 923291100
- Email: uicec.coordinacion@ibsal.es
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Murcia, Spain
- Recruiting
- Hospital Universitario Virgen de la Arrixaca
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Contact:
- Esperanza López Franco
- Phone Number: 55779 +34 923291100
- Email: uicec.coordinacion@ibsal.es
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Málaga, Spain
- Recruiting
- Hospital Universitario Virgen de la Victoria
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Contact:
- Esperanza López Franco
- Phone Number: +34 923291100
- Email: uicec.coordinacion@ibsal.es
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Pamplona, Spain
- Recruiting
- Clinica Universidad de Navarra
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Contact:
- Esperanza López Franco
- Phone Number: 923 291100
- Email: uicec.coordinacion@ibsal.es
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Salamanca, Spain, 37007
- Recruiting
- Complejo Asistencial Universitario de Salamanca
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Contact:
- Esperanza López Franco
- Phone Number: +34 923 291100
- Email: uicec.coordinacion@ibsal.es
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Valladolid, Spain
- Active, not recruiting
- Hospital Clínico Universitario de Valladolid
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Gonarthrosis grade 2, 3 or 4 of Kellgren and Lawrence (Kellgren & Lawrence, 1957) assessed by two observers.
- Chronic painful knee of mechanical characteristics.
- Absence of local or systemic septic process.
- Hemat imetric and biochemical analysis without significant alterations that contraindicate the treatment.
- Written informed consent of the patient.
- The patient is able to understand the nature of the study.
- Body Mass Index 20-35 Kg/m2.
Exclusion Criteria:
- Patient < 18 years old, or legally dependent.
- Patient > 75 years old.
- Congenital or developmental diseases that translate malformation and / or significant deformations of the knee (varus>10º; valgus>20º) and condition difficulties of application and evaluation of the results.
- Pregnant or breastfeeding women.
- Neoplastic disease.
- Intra-articular infiltration of any drug in the 3 months prior to study inclusion.
- Concurrent participation in another clinical trial or treatment with another investigational product within 30 days prior to study enrollment.
- Allergy to gentamicin (antibiotic used in the cell culture process ).
- Other diseases or circumstances that compromise participation in the study according to medical criteria.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: NONE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
EXPERIMENTAL: Autologous Mesenchymal Stromal Cells (MSC)
Treatment with 40 millions of autologous autologous adult mesenchymal stem cells from expanded bone marrow administered intra-articularly.
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Intra-articular injection 40 million/4 ml.
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EXPERIMENTAL: Allogenic Mesenchymal Stromal Cells (MSC)
Treatment with 40 millions of adult allogeneic expanded bone marrow mesenchymal stem cells administered intra-articularly.
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Intra-articular injection 40 million/4 ml.
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ACTIVE_COMPARATOR: Active Control
Hyaluronic Acid 60mg/3ml administered intra-articularly.
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Intra-articular injection 60mg / 3 ml .
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Range of motion.
Time Frame: 12 months
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Evaluation of clinical-functional response using Joint range-of-motion evaluation (Flexion score 0º-140º / Extension score -140º-0º / Hyperextension: positive degrees from 0).
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12 months
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Pain self-assessment.
Time Frame: 12 months
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Evaluation of pain using Visual Analogue Scale (VAS) (Pain self-assessment score range from 0 -no pain- to 10 -maximum-).
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12 months
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Knee Osteoarthritis.
Time Frame: 12 months
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Evaluation of Knee Osteoarthritis using Western Ontario McMaster Universities Osteoarthritis Index (WOMAC) [measures five items for pain (score range from 0 -no pain- to 20 -maximum-), two for stiffness (score range from 0-no stiffness- to 8 -maximum-), and 17 for functional limitation (score range from 0 -no limitation- to 68 -maximum-)]
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12 months
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Functional response.
Time Frame: 12 months
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Evaluation of functional response using Lequesne Algofunctional Index (score range from 0 to 24).
It includes measures of pain (5 questions), walking distance (1 question) and activities of daily living (4 questions) with separate versions for the hip and knee.
The scores for each question are summed to obtain a combined score of disease severity.
Scores 1 to 4 are classified as mild osteoarthrosis; 5 to 7, moderate; 8 to 10, severe; 11 to 13, very severe; and 14 and above, extremely severe.
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12 months
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X-ray changes of osteoarthritis.
Time Frame: 12 months
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Radiological response using Kellgren and Lawrence classification system (grade from 0 to 4):
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12 months
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Radiological response using nuclear magnetic resonance imaging.
Time Frame: 12 months
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Evaluation of radiological response using T2 mapping nuclear magnetic resonance imaging (screening visit global mean of T2 values versus 12 months visit global mean of T2 values).
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12 months
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Perceived general well-being.
Time Frame: 6, 12 and 24 months
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Evaluation of quality of life using Short Form-12 Health Survey questionnaire (SF12) [score range from 0 (the worst health status for that dimension) to 100 (the best health status)]
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6, 12 and 24 months
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Feasibility assessment of a multicentre strategy production of both cell types with several Cell Production Units
Time Frame: 24 months
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Rate of products not conforming to the validation criteria in each arm of experimental treatment.
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24 months
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Evaluation of presence of adverse events related with investigational medical product (IMP).
Time Frame: 24 months
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Rate of adverse events and other pharmacovigilance parameters in the three treatment arms.
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24 months
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Evaluation of products obtained by genomic study and potency studies of the final products of all cell types (exploratory objective)
Time Frame: 30 days
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Studies of the cell product.
In this exploratory objective, genomic studies will be carried out using RNA-seq and open array on the advanced therapy drugs manufactured in the study (both autologous and allogeneic), and a correlation will be made with clinical and biological parameters and with the response.
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30 days
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Evaluate induced changes in circulating cells of the immune system after cell treatment (exploratory objetive)
Time Frame: 30 days
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Evaluation of cell populations (NK cells, B cells, regulatory T cells, myeloid suppressor cells, T cell populations) by flow cytometry, prior to administration of cell therapy, at 7 days and 30 days. Evaluation of activation and inhibition markers in T lymphocytes (CD69, HLADR, CD137, PD1, LAG3 and TIM3) prior to administration of cell therapy, at 7 days and 30 days Population of inflammatory cytokines circulating in peripheral blood (Plex deB iorad -reference M50DKFADY), prior to administration of treatment, at 7 days and 30 days |
30 days
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Collaborators and Investigators
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 (ESTIMATE)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- ARTROCELL
- 2019-002446-21 (EUDRACT_NUMBER)
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
product manufactured in and exported from the U.S.
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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