- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05391841
Non-interventional Study in Pediatric Patients Treated With NOVOCART Inject in the Knee (NINJA)
Prospective, Non-interventional Study to Evaluate the Efficacy and Safety of NOVOCART Inject for the Treatment of Cartilage Defects in the Knee in Pediatric Patients With Closed Epiphyses
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
In this non-interventional study NOVOCART® Inject, which is marketed in Germany under a license according to Section 4b of the AMG, will be used in routine clinical practice according to the current authorized Summary of Product Characteristics (SmPC). As stated in this SmPC, NOVOCART® Inject may only be used by physicians who are trained on the product. The treatment with NOVOCART® Inject requires two surgeries. During the first surgery cartilage tissue will be harvested arthroscopically and sent to TETEC AG for NOVOCART® Inject manufacturing, then NOVOCART® Inject will be transplanted during a second surgery about 3 to 4 weeks later.
All patients will be followed up for 5 years post NOVOCART® Inject implantation and data will be collected preoperatively and at 3, 6, 12, 18, 24, 36, 48 and 60 months as outlined at the end of this synopsis.
NOVOCART® Inject post treatment rehabilitation should follow the recommendations given in the SmPC and during product training.
The primary and secondary variables (see below) will be assessed after a follow-up of 24 month post NOVOCART® Inject implantation (primary analysis).
Long-term data will be assessed after an additional 3 years follow-up (follow-up analysis).
The collected data will be documented using dedicated case report forms (CRFs) which are created by TETEC AG.
Study Type
Enrollment (Anticipated)
Contacts and Locations
Study Contact
- Name: Silvia Rombach, Dr.
- Phone Number: +49 7121 1626 202
- Email: silvia.rombach@tetec-ag.de
Study Locations
-
-
-
Cloppenburg, Germany, 49661
- St. Josefs-Hospital Cloppenburg gemeinnützige GmbH
-
Contact:
- Boris Baron von Engelhardt, Dr. med.
- Phone Number: +494471 16 2008
- Email: boris.vonEngelhardt@kh-clp.de
-
Freiburg, Germany, 79119
- Universitätsklinikum Freiburg
-
Contact:
- Hagen Schmal, Prof. Dr.
- Phone Number: +49 761 270-26990
- Email: hagen.schmal@uniklinik-freiburg.de
-
München, Germany, 81369
- OCM Klinik GmbH München
-
Contact:
- Phillipp Niemeyer, Prof. Dr.
- Phone Number: +49 89 206082-0
- Email: philipp.niemeyer@ocm-muenchen.de
-
München, Germany, 81675
- Klinikum rechts der Isar, Technische Universität München
-
Contact:
- Sebastian Siebenlist, Prof. Dr.
- Phone Number: +49(0)89 41405118
- Email: sebastian.siebenlist@mri.tum.de
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Regensburg, Germany, 93053
- Universitätsklinikum Regensburg
-
Contact:
- Peter Angele, Prof. Dr.
- Phone Number: 0941 944-6805
- Email: peter.angele@ukr.de
-
Tübingen, Germany, 72076
- Universitätsklinikum Tübingen
-
Contact:
- Christian Konrads, PD Dr.
- Phone Number: +49 7071 29-68217
- Email: Christian.Konrads@med.uni-tuebingen.de
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- Pediatric patients (< 18 years of age at implantation)
- Closure of the epiphysis adjacent to the biopsy harvest site or the defect to be treated confirmed by an adequate imaging modality
- Localized full-thickness cartilage defect (ICRS grade III or IV) of the knee
- Medicinal indication for NOVOCART® Inject treatment
Exclusion Criteria:
see NOVOCART Inject SmPC
Study Plan
How is the study designed?
Design Details
- Observational Models: Cohort
- Time Perspectives: Prospective
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Responder rate of overall KOOS
Time Frame: 24-months Follow-up
|
The overall Knee injury and Osteoarthritis Outcome Score (KOOS5) responder rate defined as the proportion of patients with ≥ 10 points improvement in the KOOS5 from baseline.
|
24-months Follow-up
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change of overall KOOS from baseline
Time Frame: 24-months Follow-up
|
Change of overall KOOS from baseline to the 24-month assessment, Knee Injury and Osteoarthritis Outcome Score, score 0-100, higher score shows better outcome
|
24-months Follow-up
|
Change of the 5 sub-scores of the KOOS from baseline
Time Frame: 24-months Follow-up
|
Change of the 5 sub-scores of the KOOS from baseline to the 24-month assessment, Knee Injury and Osteoarthritis Outcome Score, score 0-100, higher score shows better outcome
|
24-months Follow-up
|
Change of the IKDC subjective score from baseline
Time Frame: 24-months Follow-up
|
Change from baseline to the 24-month visit in the IKDC subjective score, international knee documentation committee, score 0-100, higher score shows better outcome
|
24-months Follow-up
|
Change in the IKDC surgeon's part from baseline
Time Frame: 24-months Follow-up
|
Change from baseline to the 24-month visit in the IKDC surgeon's part.
international knee documentation committee, score 0-100, higher score shows better outcome
|
24-months Follow-up
|
MOCART (MRI imaging)
Time Frame: 24-months Follow-up
|
In vivo performance measured by the assessment of the Magnetic Resonance, Observation of Cartilage Repair Tissue (MOCART) score, Magnetic Resonance Observation of Cartilage Repair Tissue, score 0-100, higher score shows better outcome
|
24-months Follow-up
|
IKDC subjective score responder rate
Time Frame: 24-months Follow-up
|
IKDC subjective score responder rate, defined as the proportion of patients with > 20.5 points improvement in the IKDC subjective score from baseline to the 24-month visit
|
24-months Follow-up
|
Proportion of patients with treatment failure
Time Frame: 24-months Follow up, 60-months Follow-up
|
Proportion of patients with treatment failure
|
24-months Follow up, 60-months Follow-up
|
Number of postop physical therapy
Time Frame: 24-months Follow up, 60-months Follow-up
|
Number of postop physical therapy
|
24-months Follow up, 60-months Follow-up
|
Number of postop doctor visits
Time Frame: 24-months Follow up, 60-months Follow-up
|
Number of postop doctor visits
|
24-months Follow up, 60-months Follow-up
|
Days of hospitalisation
Time Frame: 24-months Follow up, 60-months Follow-up
|
Days of hospitalisation
|
24-months Follow up, 60-months Follow-up
|
Work/school status checklist
Time Frame: 24-months Follow up, 60-months Follow-up
|
Work/school status, changes due to injury in work or school status (pupil, worker full or part time, not working, job seeking)
|
24-months Follow up, 60-months Follow-up
|
Days of work/school missed
Time Frame: 24-months Follow up, 60-months Follow-up
|
Days of work/school missed
|
24-months Follow up, 60-months Follow-up
|
Patient satisfaction
Time Frame: 24-months Follow up, 60-months Follow-up
|
Patient questionnaire, 4 questions with 3 answer choices better, same, worse
|
24-months Follow up, 60-months Follow-up
|
Treatment-related adverse reactions (ARs)
Time Frame: 24-months Follow up, 60-months Follow-up
|
Treatment-related adverse reactions (ARs)
|
24-months Follow up, 60-months Follow-up
|
Rate of unplanned re-operations
Time Frame: 24-months Follow up, 60-months Follow-up
|
Rate of unplanned re-operations: all unplanned reoperations and those related to NOVOCART® Inject treatment
|
24-months Follow up, 60-months Follow-up
|
Surgical time
Time Frame: 24-months Follow up, 60-months Follow-up
|
cut-to-suture time
|
24-months Follow up, 60-months Follow-up
|
Length of incision
Time Frame: 24-months Follow up, 60-months Follow-up
|
Length of incision
|
24-months Follow up, 60-months Follow-up
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Adverse reactions
Time Frame: 24-months Follow up, 60-months Follow-up
|
Continuous assessment of adverse reactions (ARs)
|
24-months Follow up, 60-months Follow-up
|
Number of device deficiencies - trephine
Time Frame: 24-months Follow up, 60-months Follow-up
|
Number of device deficiencies - trephine
|
24-months Follow up, 60-months Follow-up
|
Number of device deficiencies - Application System
Time Frame: 24-months Follow up, 60-months Follow-up
|
Number of device deficiencies - Application System
|
24-months Follow up, 60-months Follow-up
|
Number of device deficiencies - number of product related issues
Time Frame: 24-months Follow up, 60-months Follow-up
|
Number of device deficiencies - number of product related issues
|
24-months Follow up, 60-months Follow-up
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Peter Angele, Prof. Dr., Universitätsklinik Regensburg
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
- AAG-O-H-2123
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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