Utilization of Autologous Mesenchymal Cells to Enhance Rotator Cuff Repair - a Prospective Non-randomized, Open-Label Study to Assess the Safety and the Efficacy
试验速览
- 阶段
- 1 期
- 状态
- 终止
- 入组人数
- 9
- 主要终点
- Safety: To assess the occurrence of adverse events of treatment by hAMSC - systemic reactions.
研究概览
简要总结
Subjects received perioperative hAMSC treatment in order to accelerate the healing of the surgically repaired rotator cuff and increase the mechanical properties of the tendon, according to inclusion and exclusion criteria (see below). Each patient will undergo post-operative follow-up at 6 weeks, 6 months and 12 months after the surgery. This will include a visual analogue score for pain (VAS), a questionnaire for the subjective Constant shoulder score, and the subjective questions of the University of California (UCLA) score. Preoperative and postoperative MRI at 12 months will be done to evaluate the quality of the rotator cuff repair.
详细描述
Eligible patients will undergo an arthroscopic rotator cuff repair augmented by mesenchymal stem cells (MSCs). The primary objective of the trial is to assess the safety and tolerability of autologous mesenchymal stem cells treatment applied during arthroscopic rotator cuff repair.
The condition of the patient will be monitored throughout the study. At each visit, adverse events (AEs) will be elicited using a standard non-leading questions. In addition, any signs or symptoms will be observed. All AEs will be collected as:
- patient's positive response to questions about their health
- symptoms spontaneously reported by the patient
- clinically relevant changes and abnormalities observed by the Investigator (e.g. local and systemic tolerability, clinically significant laboratory measurements confirmed by repeated measurement, results of physical examinations).
Clinical improvement will be measured by clinical outcome scores (Constant shoulder score and UCLA Shoulder rating scale) at 6 weeks, 6 months and 1 year after the surgery. MRI (Magnetic Resonance Imaging) findings made preoperatively and at 12 months (1 year) after operation will be evaluated.
During the indication visit, patient's history will be taken and preoperative MRI evaluated. Written consent form will be collected from the patient after detailed education of the patient by the investigator.
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
- 40 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •males or females between 40 and 65 years of age,
- •written informed consent obtained,
- •complete unilateral rotator cuff tear on pre-operative clinical and imaging findings,
- •elected to undergo an arthroscopic repair of their rotator cuff tear,
- •agreed to wear a dedicated brace for four weeks post-operatively,
- •minimum pre-operative hemoglobin of 11.0 g/dl or more
- •pre-operative platelet count greater than 150 000 / 1 mm3
排除标准
- •a tear involving the subscapularis or biceps tendons,
- •a previous rotator cuff repair,
- •moderate-to-severe osteoarthritis of the glenohumeral joint,
- •loss of passive elevation in any direction when compared to the contralateral shoulder,
- •fatty infiltration greater than 50 % of the cross-sectional area of supraspinatus or infraspinatus assessed on the most lateral image on which the scapular spine is in contact with the scapular body,
- •a massive tear with a contracted immobile cuff confirmed in operation,
- •an active infection, osteomyelitis or sepsis or distant infections which may spread to the site of operation,
- •other diseases which may have limit follow-up (immunocompromising, hepatitis, active tuberculosis, neoplastic diseases, septic arthritis),
- •osteomalacia or other metabolic bone disorders which may impair bone or soft tissue function,
- •vascular insufficiency, muscular atrophy or neuromuscular diseases of the affected arm,
- •haemato/oncological diseases,
- •pregnant or lactating women,
- •alcohol or drug abusers,
- •patients on corticosteroids, immunosuppressants or anticoagulant therapy,
- •women of childbearing potential not using effective contraception (established oral contraception, intrauterine device, ligation of the uterine tube) including proven contraceptive measures taken by their sexual partners,
- •fertile men not using proven contraceptive measures including effective contraception of their partners (established oral contraception, intrauterine device, ligation of the uterine tube).
研究组 & 干预措施
Suspension of human autologous MSC 3P
Patients will receive perioperative hAMSC (1.5 ml) treatment in order to accelerate the healing of the surgically repaired rotator cuff and increase the mechanical properties of the tendon.
干预措施: Suspension of human autologous MSC 3P (Drug)
结局指标
主要结局
Safety: To assess the occurrence of adverse events of treatment by hAMSC - systemic reactions.
时间窗: 1 year
Safety and tolerability of hAMSC treatment applied during the surgical rotator cuff repair will be recorded - systemic reactions including allergic reaction or sepsis at Visits I through VI.
Safety: To assess the occurrence of adverse events of treatment by autologous mesenchymal stem cells - local reactions.
时间窗: 1 year
Safety and tolerability of autologous mesenchymal stem cells treatment applied during the surgical rotator cuff repair will be recorded - local reactions including pain, bleeding, local infection at Visits I through VI.
次要结局
- Efficacy: To evaluate the effect of hAMSCs applied during arthroscopic rotator cuff repair - Visual Analogue Score (VAS)(1 year)
- Efficacy: To evaluate the effect of hAMSCs applied during arthroscopic rotator cuff repair - Constant Shoulder Score(1 year)
- Efficacy: To evaluate the effect of hAMSCs applied during arthroscopic rotator cuff repair - UCLA Shoulder Rating Score(1 year)
- Efficacy: To evaluate the effect of hAMSCs applied during arthroscopic rotator cuff repair - MRI imaging - Continuation / discontinuation of the rotator cuff(1 year)
- Efficacy: To evaluate the effect of hAMSCs applied during arthroscopic rotator cuff repair - MRI imaging - Fatty degeneration(1 year)