Effectiveness and Safety of Intraarticular Administration of Autologous Adipose-Derived Regenerative Cells for Treatment of Anterior Cruciate Ligament Partial Rupture
Overview
- Phase
- Phase 1
- Intervention
- Not specified
- Conditions
- Anterior Cruciate Ligament Partial Rupture
- Sponsor
- Central Clinical Hospital w/Outpatient Health Center of Business Administration for the President of Russian Federation
- Enrollment
- 12
- Locations
- 1
- Primary Endpoint
- Number of serious adverse events (SAEs) and serious adverse reactions (SARs)
- Last Updated
- 8 years ago
Overview
Brief Summary
Autologous adipose-derived regenerative cells (ADRC) will be extracted using Celution 800/CRS System (Cytori Therapeutics Inc) from a portion of the fat harvested from the patient's front abdominal wall. Patients will undergo knee arthroscopic surgery followed by one-time intraarticular ADRC administration (directly into anterior cruciate ligament). This is a single arm study with no control. All patients receive cell therapy.
Detailed Description
Patients with verified diagnosis partial rupture of anterior cruciate ligament will undergo liposuction from front abdominal wall under local anesthesia. After that autologous ADRC will be extracted using Celution 800/CRS System (Cytori Therapeutics Inc) from harvested adipose tissue. Same day patients will undergo knee arthroscopic surgery followed by one-time intraarticular freshly isolated ADRC administration (directly into anterior cruciate ligament close to the rupture).
Investigators
Eligibility Criteria
Inclusion Criteria
- •Patient suffers from partial rupture of anterior cruciate ligament (confirmed by MRI or knee arthroscopic surgery)
- •Clinically significant knee instability (positive anterior drawer test, pivot shift test, and Lachman test)
- •Patient is familiar with Participant information sheet
- •Patient signed informed consent form
- •Non-inclusion Criteria:
- •Knee osteoarthritis grade III and grade IV
- •Medical history of autoimmune diseases
- •Patients prescribed for immunosuppressive treatment
- •Contraindications to the general or local anesthesia or medical history of allergic reactions to anesthetics
- •Subcompensated or decompensated forms of chronic diseases of internal organs
Exclusion Criteria
- •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 Cockroft-Gault formula)
- •Confirmed syphilis, HIV, hepatitis B or C infections
- •Dropout Criteria:
- •Complete anterior cruciate ligament rupture confirmed by knee arthroscopic surgery
- •Pregnancy
Outcomes
Primary Outcomes
Number of serious adverse events (SAEs) and serious adverse reactions (SARs)
Time Frame: 2 weeks after treatment
Secondary Outcomes
- Knee pain intensity monitoring(Follow up to completion (up to 24 weeks after treatment))
- Quality of life monitoring(Follow up to completion (up to 24 weeks after treatment))
- Changes in knee function(Follow up to completion (up to 24 weeks after treatment))
- Changes in knee joint structures(Follow up to completion (up to 24 weeks after treatment))