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临床试验/NCT04050111
NCT04050111Unknown2 期

The Evaluation of Safety and Effectiveness of Intraarticular Administration of Autologous Stromal-Vascular Fraction of Adipose Tissue Cells for Treatment of Knee Joint Arthrosis

Swiss Medica XXI Century S.A.3 个研究点 分布在 3 个国家目标入组 30 人开始时间: 2019年8月21日最近更新:
适应症

试验速览

阶段
2 期
发起方
入组人数
30
试验地点
3
主要终点
Serious adverse events (SAEs)

研究概览

简要总结

Stromal vascular fraction of cells (SVF) will be extracted from lipoaspirate by enzymatic digestion. SVF will be administered in a single dose intraarticularly. All patients will receive cell therapy.This is a single arm study with no control.

详细描述

Patients with knee osteoarthritis will be subjected to abdominal liposuction under local anaesthesia. Harvested adipose tissue will be processed according to patent pending technology based on enzymatic digestion, washing and concentration of cell pellet in 5 ml of Hartmann's solution. Isolated SVF will be administered in a single dose into anterior part of knee joint cavity.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Treatment
盲法
None

入排标准

年龄范围
20 Years 至 85 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Pain in the knee joint during more than a half day assessed by Visual Analog Pain Scale (score more than 40 mm)
  • At least three of the following 6 criteria: 20-85 years of age, stiffness lasting less than 30 minutes, crepitus, bony tenderness, bony enlargement, no warmth to the touch
  • Patient is able to walk without assistance
  • Patient is familiar with Participant information sheet
  • Patient signed informed consent form
  • Non-inclusion Criteria:
  • Medical history of endoprosthetic knee replacement
  • Medical history of lower extremity osteotomy
  • Medical history of knee surgery (including arthroscopy) during preceding 1 year prior to enrollment
  • Medical history of intraarticular injections during preceding 6 months prior to enrollment
  • Secondary osteoarthritis of the knee joint: posttraumatic osteoarthritis (developed after clinically significant injury), intra-articular fractures, clinically significant varus or valgus deformities of lower limbs, septic arthritis, joint's inflammatory disorders, gout, advanced chondrocalcinosis, Paget's disease, ochronosis, acromegaly, hemochromatosis, Wilson's disease, primary synovial osteochondromatosis, osteonecrosis, hemophilia
  • Patients prescribed for immunosuppressive treatment
  • Medical history of systemic autoimmune and inflammatory diseases
  • Significant weight loss (> 10% of body weight in the previous year) of unknown etiology
  • Medical history of venous thromboembolism or estimated high risk of venous thromboembolism
  • Patients prescribed for systemic corticosteroids or other medications treatment with proven impact on bone or cartilage tissue metabolism
  • Clinically significant abnormalities in results of laboratory tests
  • Any conditions limiting compliance (dementia, neuropsychiatric disease, drug and alcohol abuse etc.)
  • Participation in other clinical trials (or administration of investigational drugs) during 3 months prior inclusion
  • Patients with malignant tumors including postoperative period, patients receiving chemotherapy and/or radiotherapy.
  • Patient's activated partial thromboplastin time exceeds normal levels more than 1,8 times
  • Patients prescribed for anticoagulants treatment or patient received anticoagulants at least one hour prior liposuction
  • Medical history of heterotopic ossifications
  • Patients prescribed for glycoprotein inhibitors treatment

排除标准

  • Patient's refusal from the further participation in trial
  • Patient's refusal from compliance with the requirements of contraception during the participation in research
  • Chronic kidney disease IV- V stages (creatinine clearance < 30 mL/min estimated by Cockcroft-Gault formula)
  • Confirmed syphilis, HIV, hepatitis B or C infections
  • Dropout Criteria:
  • - Pregnancy

结局指标

主要结局

Serious adverse events (SAEs)

时间窗: 4 weeks after treatment

Types, probability and severity of treatment emergent SAEs

Serious adverse reactions (SARs)

时间窗: 4 weeks after treatment

Types, probability and severity of treatment emergent SARs

次要结局

  • Changes in knee joint structure-1(Follow up to completion (up to 24 weeks after treatment))
  • Changes in knee function(Follow up to completion (up to 24 weeks after treatment))
  • Knee pain intensity monitoring(Follow up to completion (up to 24 weeks after treatment))
  • Changes in knee joint structure-3(Follow up to completion (up to 24 weeks after treatment))
  • Quality of life monitoring-1(Follow up to completion (up to 24 weeks after treatment))
  • Changes in knee joint structure-2(Follow up to completion (up to 24 weeks after treatment))
  • Quality of life monitoring-2(Follow up to completion (up to 24 weeks after treatment))

研究者

发起方
Swiss Medica XXI Century S.A.
申办方类型
Industry
责任方
Sponsor

研究点 (3)

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