Effect of Implanting Allogenic Cytokines Derived From Human Amniotic Membrane (HAM) and Mesenchymal Stem Cells Derived From Human Umbilical Cord Wharton's Jelly (HUMCWJ) on Pain and Functioning of Knee Osteoarthritis

Not Applicable

Completed

• Conditions: Arthritis; Knee Osteoarthritis; Knee Pain Chronic; Musculoskeletal Disease; Joint Disease; Osteo Arthritis Knee
• Interventions: Procedure: HAM and HUMCWJ Injections

• Registration Number: NCT03337243
• Lead Sponsor: Sport and Spine Rehab Clinical Research Foundation

Brief Summary

The purpose of this study is to compare the pain, functioning and pain medication consumption of knee osteoarthritis (OA) patients who have allogenic cytokines derived from human amniotic membranes (HAM) and allogenic mesenchymal stem cells derived from human umbilical cord Wharton's Jelly (HUMCWJ) implanted into the affected knee with knee OA patients who self-select to be in a non-intervention control group.

Detailed Description

A total of 60 patients will be recruited from Scott Medical Health Center in Pittsburgh, PA. Inclusion criteria for the study are knee OA patients who are eligible for HAM and HUMCWJ therapy of their knee, no previous HAM or HUMCWJ therapy, between the ages of 50-85, independently residing in the community, no previously diagnosed cognitive decline or mental illness, and not taking pain medication more than once per week for a condition other than knee OA. Recruitment will be done in two parts as participants will self-select to participate in one of two study groups. All participants who elect to have the procedure done at the initial consultation, meet inclusion criteria, and agree to be in the study will be placed in Group 1. Participants who do not wish to have the procedure, meet inclusion and exclusion criteria, and agree to be in the study will be placed in Group 2. Those participants who are unsure about the procedure and need more time to decide will be contacted 2 weeks later and then group will be determined by their decision. All participants will be required to sign a written informed consent prior to data collection. Following written consent, all participants will undergo data collection (T0). At T0, participants will complete a demographic and medication use questionnaire, the Western Ontario and McMaster Universities Arthritis Index (WOMAC), knee survey, and be timed during a single trial of three functional tasks. Participants will also provide a pain rating while completing each of the functional tasks. Group 1 will then undergo HAMS injection to the OA affected knee immediately following the testing battery. Group 2 will delay the HAMS injection to the OA affected knee for at least 3 months or never receive the injection. All participants will complete T1 data collection approximately 4 weeks following completion of T0 data collection and T2 data collection approximately 3 months following completion of T0 data collection. The T1 and T2 data collections will use the same data collection procedures and questionnaires.

Study Timeline

• Study First Submitted: 2017-05-25
• Study First Submitted QC: 2017-11-06
• Study First Posted: 2017-11-08
• Study Start: 2017-11-09
• Primary Completion: 2019-04-26
• Study Completion: 2019-04-26
• Status Verified: 2020-05
• Last Update Submitted: 2020-05-05
• Last Update Posted: 2020-05-06

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 60

Inclusion Criteria

• knee OA patients who are eligible for HAM and HUMCWJ therapy of their knee, no previous HAM or HUMCWJ therapy, between the ages of 50-85, independently residing in the community, no previously diagnosed cognitive decline or mental illness, and not taking pain medication more than once per week for a condition other than knee OA

Exclusion Criteria

• Allergy to or use of penicillin, streptomycin, emphotericin B or dimethylsulfoxide. DMSO allergies and any immunocompromised conditions will also be excluded

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
HAM and HUMCWJ Injections (Group 1)	HAM and HUMCWJ Injections	Participants who self-select into the Group 1 (Immediate Treatment) will be scheduled to undergo the HAM and HUMCWJ injections to the OA affected knee at the same visit.

Primary Outcome Measures

Name	Time	Method
Change in pain during sit-to-stand over 3 months	Baseline (T0), 4 weeks (T1), 3 months (T2)	Participants will perform as many sit-to-stand movements as they can in 30 seconds and then will rate pain
Change in Western Ontario and McMaster Universities Arthritis Index (WOMAC) over 3 months	Baseline (T0), 4 weeks (T1), 3 months (T2)
Change in pain during supine to upright over 3 months	Baseline (T0), 4 weeks (T1), 3 months (T2)	Participants will perform a supine to upright movement as quickly as they can and then will rate pain
Change in pain during ascent/decent stairs over 3 months	Baseline (T0), 4 weeks (T1), 3 months (T2)	Participants will ascend and decent 10 stairs as quickly as they can and then will rate pain

Trial Locations

Locations (1)

Scott Medical Health Center; 🇺🇸 Pittsburgh, Pennsylvania, United States