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临床试验/NCT02338375
NCT02338375Unknown早期 1 期

Clinical Trial of the Safety and Efficacy of Allogenic Umbilical Cord Blood-derived Mesenchymal Stem Cell Product With Microfracture for Osteochondral Lesion of Talus Patients

Samsung Medical Center1 个研究点 分布在 1 个国家目标入组 28 人开始时间: 2012年12月最近更新:
适应症

试验速览

阶段
早期 1 期
入组人数
28
试验地点
1
主要终点
evaluate the efficacy of adding allogenic umbilical cord blood-derived stem cell product(Cartistem®) by American Orthopaedic Foot and Ankle Society(AOFAS) HINDFOOT/ANKLE SCALE

研究概览

简要总结

The purpose of this study is to evaluate the safety and efficacy of adding allogenic umbilical cord blood-derived stem cell product(Cartistem®) on currently standard treatment of arthroscopic curettage and microfracture for osteochondral lesion of talus.

详细描述

same as above

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
Single (Participant)

入排标准

年龄范围
20 Years 至 70 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Non-responder to conservative treatment for radiographically confirmed (by MRI) osteochondral lesion of talus with ankle pain and/or stiffness and less than 75 of the AOFAS score
  • Age between 20 and 70 year-old
  • Appropriate function of blood clot PT(INR) < 1.5, APTT <1.5×control
  • Appropriate renal function Creatinine ≤ 2.0 ㎎/㎗, proteinuria less than trace with Dipstick urine test
  • Appropriate hepatic function Bilirubin ≤ 2.0 ㎎/㎗, AST/ALT ≤ 100 IU/L
  • No evidence of autoimmue disorder As screening test anti-nuclear antibody and/or anti-thyroglobulin antibody, if positive rheumatologist referral needed to confirm diagnosis
  • No surgery or radiotherapy for the same ankle joint within 6 weeks
  • Female patients agreeing with maintenance of contraception during study period
  • No ligament instability greater than grade II (Grade 0 : none, Grade Ⅰ: 0~5㎜, GradeⅡ: 5~10㎜, Grade Ⅲ: >10㎜) with physical exam
  • Patients agreeing with participation in this study and signed on informed consent by their own will

排除标准

  • Degenerative ankle arthritis patients
  • Patients with autoimmune disease
  • Patients with infectious disease needed parenteral antibiotics
  • Patients with myocardial infarction, congestive heart failure, other serious heart diseases or uncontrollable hypertion
  • Patients with other serious medical illness
  • Pregnancy or breast feeding patients
  • Past history related with psychiatric illness or epilepsy
  • Alcoholic abuse
  • Heavy smoker
  • Chronic inflammatory disease including rheumatoid arthritis
  • Participants of other clinical trial within 4 weeks
  • Patients treated with immunosuppressing agents such as Cyclosporin A or azathioprine within 6 weeks
  • Unstable ankle joint(lesion site) greater than grade II at physical exam (Grade 0 : none, grade Ⅰ: 0~5㎜, GradeⅡ: 5~10㎜, Grade Ⅲ: >10㎜)
  • Other inappropriate patients determined by the prinicipal investigator

结局指标

主要结局

evaluate the efficacy of adding allogenic umbilical cord blood-derived stem cell product(Cartistem®) by American Orthopaedic Foot and Ankle Society(AOFAS) HINDFOOT/ANKLE SCALE

时间窗: Baseline, Week 4, Week 8, Week 12, Week 24, Week 48

次要结局

  • evaluate the efficacy of adding allogenic umbilical cord blood-derived stem cell product(Cartistem®) by 100-mm VAS(Visual Analogue Scale)(Baseline, Week 4, Week 8, Week 12, Week 24, Week 48)

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

ChulWon Ha

MD

Samsung Medical Center

研究点 (1)

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