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Non-interventional Study With NOVOCART® 3D for the Treatment of Cartilage Defects of the Knee in Pediatric Patients

Active, not recruiting
Conditions
Cartilage Disease
Registration Number
NCT04186208
Lead Sponsor
Tetec AG
Brief Summary

Prospective, multicenter, single-arm non-interventional study to evaluate the efficacy, safety and health economics of NOVOCART 3D in the Treatment fo cartilage defects of the knee in pediatric patients wieh closed epiphyseal growth plates.

Detailed Description

The present study is a prospective, multicenter, single-arm non-interventional study to evaluate the efficacy, safety and health economics of NOVOCART® 3D in the treatment of cartilage defects of the knee in pediatric patients with closed epiphyseal growth plates.

In this non-interventional study NOVOCART® 3D, which is marketed in Germany under Paragraph 4b Medicinal Products Act, will be used in routine clinical practice according to the authorized Summary of Product Characteristics (SmPC). As stated in this SmPC, NOVOCART® 3D may only be used by physicians who are trained on the product. The treatment with NOVOCART® 3D requires two surgeries. During the first surgery cartilage biopsies will be harvested arthroscopically and sent to TETEC AG (Tissue Engineering Technologies AG) for NOVOCART® 3D manufacturing, then NOVOCART® 3D will be transplanted during a second surgery about 3 to 4 weeks later.

All patients will be followed up for 5 years post NOVOCART® 3D transplantation and data will be collected at 3, 6, 12, 18, 24, 36, 48 and 60 months as outlined at the end of this synopsis.

NOVOCART® 3D 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® 3D transplantation (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 and printed by TETEC AG.

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
42
Inclusion Criteria
  • 13 - 17 years old
  • Medicinal indication for NOVOCART 3D treatment

Exclusion criteria:

• none

Exclusion Criteria

Not provided

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Change of Overall KOOS (Knee Injury and Osteoarthritis Outcome Score)24 months Follow Up (FU)

Change of KOOS defined as the average of the 5 subscale scores (range 0-100, higher values represent a better outcome)

Secondary Outcome Measures
NameTimeMethod
Health economics variable (Days of missing work/school ) to NOVOCART 3D treatment3 months, 6 months, 12 months, 18 months, 24 months, 36 months, 48 months, 60 months

Days of missing work/school due to knee pain/function issues in the target knee

Change of 5 subscores KOOS24 months FU

Change of the 5 subscores of KOOS (range 0-100, higher values represent a better outcome)

IKDC subjective24 month FU

Change of IKDC (International Knee Documentation Committee) subjective (range 0-100, higher values represent a better outcome)

pain VAS24 month FU

Change in pain VAS (Visual Analogue Scale) (range 0-10, higher values represent a better outcome)

MOCART24 month FU

In vivo Performance via MRI (Magnetic Resonance Imaging), MOCART Score (Magnetic Resonance Observation of Cartilage Repair Tissue) (range 0-100, higher values represent a better outcome)

KOOS responder rate24 month FU

KOOS responder rate defined as Proportion of patients with \> 10 Points improvement in KOOS

IKDC subjective responder rate24 months FU

IKDC subjective responder rate defined as Proportion of patients with \>20.5 Points improvement in IKDC subjective

Proportion of patients with Treatment failures3 months, 6 months, 12 months, 18 months, 24 months, 36 months, 48 months, 60 months

Proportion of patients with Treatment failures

Health economics variable (Days of hospitalization ) to NOVOCART 3D treatment3 months, 6 months, 12 months, 18 months, 24 months, 36 months, 48 months, 60 months

Days of hospitalization due to knee pain/function issues in the target knee

Health economics variable (Number of postoperative doctor visits) to NOVOCART 3D treatment3 months, 6 months, 12 months, 18 months, 24 months, 36 months, 48 months, 60 months

Number of postoperative doctor visits

Trial Locations

Locations (6)

Sportklinik Stuttgart

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Stuttgart, Baden Württemberg, Germany

Klinikum rechts der Isar der technischen Universität München

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München, Bayern, Germany

Theresienkrankenhaus und St. Hedwig-Klinik GmbH

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Mannheim, Baden-Württemberg, Germany

Klinik und Poliklinik für Orthophädie, Physikalische Medizin und Rehabilitation Knie- und Schulterorthopädie

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München, Bayern, Germany

Univerisätsklinikum Regensburg

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Regensburg, Bayern, Germany

Lubinus Clinicum Kiel

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Kiel, Schleswig-Holstein, Germany

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