A Non-randomized Multicentre Study for the Evaluation of the Clinical Performance and Safety of the Augmentation-to-surgery and Conservative Treatments for the Degenerative Meniscopathy, With Injection of Polynucleotide Gel
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 60
- 试验地点
- 4
- 主要终点
- Overall Knee Injury Osteoarthritis Outcome Score (KOOS) will be measured
研究概览
简要总结
This is a non-randomized multicentre study for the evaluation of the clinical performance and safaty of the augmentation-to-surgery and conservative treatments for the degenerative meniscopathies, with injection of polynucleotide gel.
详细描述
Meniscal tear plays a significant role among the multitude of ethiologies of knee pain. In the setting of chronic meniscus degeneration, healing potential remains low due to a vascular penetration of less than one-third of the adult meniscus. Currently, both conservative and surgical modalities can be utilized in the treatment of the painful degenerative menisci, and no gold standard treatment has been identified. Polynucleotide gel Condrotide® is a polynucleotide solution, used in case of degenerative painful join pathologies, favouring the physiological mechanism of joint repair because of the capacity to normalize the viscosity of synovial fluid and supposed to improve the joint trophism. The present study aims at evaluating the capacity of the polynucleotide gel injection to stimulate healing and slow down progression of meniscal degeneration, through augmentation-to-surgery and conservative treatments for the degenerative meniscopathies.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Male or female subjects with age between 18 and 65 years
- •Presence of symptomatic degenerative meniscus tear
- •Presence of one of the following unilateral symptoms: pain, catching, or locking of the knee
- •Non responsive to physical therapy for at least 3-4 weeks
- •Be in neutral alignment +/- 5 degrees of the mechanical axis
- •Subject must be physically and mentally willing and able to comply with the study follow-up schedule
- •Subject must sign Ethic committe approved informed consent
- •Subject is willing and able to comply with all study procedures, including visits and diagnostic procedures
排除标准
- •Radiographic osteoarthritis of the knee in any compartment greater than Kellgren-Lawrence (KL) grade
- •Presence of bone marrow edema (BME) at the index knee.
- •Presence of knee instability.
- •Have a varus or valgus knee deformity > 5 degrees.
- •Have meniscal roots tears.
- •Have discoid meniscus.
- •Have patella instability or non-anatomically positioned patella.
- •Have a knee flexion contracture > 10 degrees.
- •Be unable to flex the knee to 90 degrees.
- •Have a leg length discrepancy causing a noticeable limp.
- •Have an active infection or tumor.
- •Have any type of knee joint inflammatory disease including Sjogren's syndrome.
- •Have neuropathic knee osteoarthropathy, also known as Charcot joint.
- •Any disorder or impairment that would interfere with evaluation of outcomes measures, such as neurological, degenerative muscular, psychiatric or cognitive conditions.
- •Participation to another clinical trial or clinical investigation in the previous 3 months.
- •Prior knee arthroscopy within 6 months of study enrolment.
- •Unable to have an MRI scan.
- •Known allergy, sensitivity or intolerance to any of the components of the investigational device or to products originating from fish.
- •Positive history of human immunodeficiency virus antibodies, hepatitis B surface antigen or hepatitis C virus antibodies.
- •Autoimmune diseases, rheumatoid disease eg. Lupus erythematosus.
- •The subject is currently being treated with radiation and or chemotherapy.
- •Previous or ongoing alcohol abuse or dependence, use of illicit drugs within 1 year prior to enrolment.
- •Patients who are pregnant or planning to become pregnant during the planned period of participation in the study or who are breastfeeding. Women of child-bearing age must consent to use and actually make use of a highly effective contraceptive method, considered acceptable by the investigator, for the whole study duration.
- •Does not agree to participate.
结局指标
主要结局
Overall Knee Injury Osteoarthritis Outcome Score (KOOS) will be measured
时间窗: 24 months (end of follow up)
The change of overall KOOS score will be evaluated from baseline (V1) to 6 (V6), 12 (V7), and 24 (V8) months after treatment completion. An improvement of 10 points in the score will be considered success. The KOOS score assesses; Pain, other Symptoms, Function in daily living (ADL), Function in Sport and Recreation (Sport/Rec), and knee-related Quality of Life (QOL). A Likert scale is used and all items have five possible answer options scored from 0 (No Problems) to 4 (Extreme Problems) and each of the five scores is calculated as the sum of the items included. Scores are transformed to a 0-100 scale, with zero representing extreme knee problems and 100 representing no knee problems.
次要结局
- The change of the International Knee Documentation Committee (IKDC Questionnaire)(24 months)
- The change of the radiological assessment of the cartilage by a 5-points Likert scale(24 months)
- The change of the Tegner activity score from baseline (V1) to 3 (V5), 6 (V6), 12 (V7), 24 (V8) months after treatment completion (T0).(24 months)
- AE and device deficiencies Reporting(24 months)