Knee OsteoarthritisPhase 1/2NCT01809769
Autologous Adipose Tissue Derived Mesenchymal Stem Cells Therapy for Patients With Knee Osteoarthritis
A Phase 1/2 study testing Mesenchymal stem cells low-dose group, Mesenchymal stem cells mid-dose group and Mesenchymal stem cells high-dose group in people with Knee Osteoarthritis, run by Shanghai AbelZeta Ltd. at 1 site in China.
Trial summary
Two injections in total and 3 ml autologous adipose-tissue-derived stem cells(haMSCs) for each injection; time-points for intervention: 1) initial injection; 2) 3 weeks following initial injection. Read more about this study
- Who is it for?
- Ages 40 to 70 years
- Conditions the study is for
- Knee Osteoarthritis
- What is being tested?
- Mesenchymal stem cells low-dose group, Mesenchymal stem cells mid-dose group and Mesenchymal stem cells high-dose group
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 18 participants
- Where
- 1 siteChina
- Study dates
- Mar 2013to Jul 2015
- Phase
- Phase 1/2
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 40 to 70 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Subjects who understand and sign the consent form for this study.
- Age: 40-70, males and females.
- Clinical diagnosis of degenerative arthritis by Radiographic Criteria of Kellgren and Lawrence.
- Patients who can't treat with traditional medication and need a arthroplasty.
- Duration of pain over Grade 4(11-point numeric scale)> 4 months.
Who cannot join
- Women who are pregnant or breast feeding or planning to become pregnant during the study.
- Objects who administer with a anti-inflammatory drugs within 14 days prior to inclusion in the study.
- History or current evidence of alcohol or drug abuse or is a recreational user of illicit drugs or prescription medications.
- Treatment with intra-articular injection therapy within 2 months prior to screen.
- Other joint diseases except degenerative arthritis : systemic or rheumatic or inflammatory chondropathy, chondrocalcinosis, hemachromatosis, inflammatory joint disease, avascular necrosis of the femoral head, Paget's disease, hemophilic arthropathy, infectional arthritis, Charcot's disease, villonodular synovitis, synovial chondromatosis.
- Positive serology for HIV-1 or HIV-2, Hepatitis B (HBsAg, Anti-HCV-Ab), Hepatitis C (Anti-HCV-Ab) and syphilis.
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- Serious pre-existing medical conditions like Cardiovascular Diseases, Renal Diseases, Liver Diseases, Endocrine Diseases, Cancer and Diabetes Mellitus.
- Overweight expressed as body mass index (BMI) greater than 30 (obesity grade II).
- Participation in another clinical trial or treatment with a different investigational product within 3 months prior to inclusion in the study.
- Other pathologic conditions or circumstances that difficult participation in the study according to medical criteria.
Trial locations and contacts
1 site in 1 country.
China1 site
Department of Rheumatology,Ren Ji Hospital,School of Medicine,Shanghai Jiao Tong University,Shanghai,China
Shanghai, Shanghai Municipality, 200127
About this study
Official title: Autologous Adipose Tissue Derived Mesenchymal Stem Cells Therapy for Patients With Knee Osteoarthritis by Intra-articular Injection: A PhaseⅠ/Ⅱa, Randomized and Double-blinded Clinical Trial
Two injections in total and 3 ml autologous adipose-tissue-derived stem cells(haMSCs) for each injection; time-points for intervention: 1) initial injection; 2) 3 weeks following initial injection.
Read the detailed description
Adipose (fat) tissue is removed by lipo-aspiration (this may take up to 40 minutes). The fat is processed on-site to isolate and obtain the MSCs,then proliferate them. The suspension of the cells is injected into the knee joint under ultrasound guidance. (about 20 minutes).
- Conditions
- Knee Osteoarthritis
- Being tested
- Mesenchymal stem cells low-dose group, Mesenchymal stem cells mid-dose group, Mesenchymal stem cells high-dose group
- Medical subject headings
- Osteoarthritis, Knee
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Mesenchymal stem cells low-dose groupBiological
Also called Adipose tissue derived mesenchymal stem cells
Biological: Adipose tissue derived mesenchymal stem cells administrated for intra-articular use
Mesenchymal stem cells mid-dose groupBiological
Also called Adipose tissue derived mesenchymal stem cells
Biological: Adipose tissue derived mesenchymal stem cells administrated for intra-articular use
Mesenchymal stem cells high-dose groupBiological
Also called Adipose tissue derived mesenchymal stem cells
Biological: Adipose tissue derived mesenchymal stem cells administrated for intra-articular use
| Study group | Role | What they receive |
|---|---|---|
| Mesenchymal stem cells low-dose group | Experimental | Biological: Mesenchymal progenitor cells. Administrated for intra-articular use. Dosage: 1 x 10 E7 cells (3 ml), Frequency: 0,3 weeks. Receives: Biological: Mesenchymal stem cells low-dose group |
| Mesenchymal stem cells mid-dose group | Experimental | Biological: Mesenchymal progenitor cells. Administrated for intra-articular use. Dosage: 2 x 10 E7 cells (3 ml). Frequency: 0,3 weeks. Receives: Biological: Mesenchymal stem cells mid-dose group |
| Mesenchymal stem cells high-dose group | Experimental | Biological: Mesenchymal progenitor cells. Administrated for intra-articular use. Dosage:5 x 10 E7 cells (3 ml). Frequency: 0,3 weeks. Receives: Biological: Mesenchymal stem cells high-dose group |
What is being measured
The primary outcome is the main question the study is designed to answer.
Recording of Adverse Events and Serious Adverse Events
Measured: 12 weeks
Electrocardiogram
Measured: 9 weeks
Vital signs
Measured: 9 weeks
Physical examination
Measured: 9 weeks
WOMAC Score(The Western Ontario and McMaster Universities Osteoarthritis Index)
Measured: 24 months
Laboratory tests
Routine blood and urine tests, hepatic and renal functions tests, blood lipid and glucose tests, immunologic tests
Measured: 9 weeks
Secondary outcomes (3)
SF-36
Measured: 24 months
NRS-11
Measured: 24 months
The volume of articular cartilage
Measured: 24 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted13 Mar 2013 (estimated)
- Study startMar 2013
- Primary completionMar 2015
- Study completionJul 2015
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Knee OsteoarthritisStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 1/2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Single group
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 18 participants (actual)
Sponsor and investigators
- Lead sponsor
- Shanghai AbelZeta Ltd.
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- RenJi Hospital
- Responsible party
- Sponsor
- Investigators
- Chunde Bao, M.D. & Ph.D., Principal investigator, Department of Rheumatology,Ren Ji Hospital,School of Medicine,Shanghai Jiao Tong University,Shanghai,China
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01809769
- Sponsor's protocol ID
- CBMG-KOA-1.1
- Status last verified
- Apr 2016
- First submitted
- 11 Mar 2013
- Last updated
- 4 Apr 2016
- Results posted
- No
- Data monitoring committee
- Yes
Publications
Song Y, Du H, Dai C, Zhang L, Li S, Hunter DJ, Lu L, Bao C. Human adipose-derived mesenchymal stem cells for osteoarthritis: a pilot study with long-term follow-up and repeated injections. Regen Med. 2018 Apr;13(3):295-307. doi: 10.2217/rme-2017-0152. Epub 2018 Feb 8.
PubMed 29417902
Study at a glance
From the registry record, last updated by the sponsor on 4 Apr 2016. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Autologous Adipose Tissue Derived Mesenchymal Stem Cells Therapy for Patients With Knee Osteoarthritis by Intra-articular Injection: A PhaseⅠ/Ⅱa, Randomized and Double-blinded Clinical Trial
- ClinicalTrials.gov ID
- NCT01809769
- Acronym / sponsor ID
- CBMG-KOA-1.1
- Conditions
- Knee Osteoarthritis
- Phase
- Phase 1/2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 18 participants (actual)
- Lead sponsor
- Shanghai AbelZeta Ltd.Industry (pharma, biotech, devices)
- Collaborators
- RenJi Hospital
- Study start
- Mar 2013
- Primary completion
- Mar 2015 (actual)
- Study completion
- Jul 2015 (actual)
- First posted
- 13 Mar 2013 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Two injections in total and 3 ml autologous adipose-tissue-derived stem cells(haMSCs) for each injection; time-points for intervention: 1) initial injection; 2) 3 weeks following initial injection.
Detailed description
Adipose (fat) tissue is removed by lipo-aspiration (this may take up to 40 minutes). The fat is processed on-site to isolate and obtain the MSCs,then proliferate them. The suspension of the cells is injected into the knee joint under ultrasound guidance. (about 20 minutes).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Single group
- Masking
- Double blind (participant, investigator)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Mesenchymal stem cells low-dose group | Experimental | Biological: Mesenchymal stem cells low-dose groupBiological: Mesenchymal progenitor cells. Administrated for intra-articular use. Dosage: 1 x 10 E7 cells (3 ml), Frequency: 0,3 weeks. |
| Mesenchymal stem cells mid-dose group | Experimental | Biological: Mesenchymal stem cells mid-dose groupBiological: Mesenchymal progenitor cells. Administrated for intra-articular use. Dosage: 2 x 10 E7 cells (3 ml). Frequency: 0,3 weeks. |
| Mesenchymal stem cells high-dose group | Experimental | Biological: Mesenchymal stem cells high-dose groupBiological: Mesenchymal progenitor cells. Administrated for intra-articular use. Dosage:5 x 10 E7 cells (3 ml). Frequency: 0,3 weeks. |
Who may qualify
- Ages
- 40 to 70 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Subjects who understand and sign the consent form for this study.
- Age: 40-70, males and females.
- Clinical diagnosis of degenerative arthritis by Radiographic Criteria of Kellgren and Lawrence.
- Patients who can't treat with traditional medication and need a arthroplasty.
- Duration of pain over Grade 4(11-point numeric scale)> 4 months.
Key exclusion criteria (10 listed)
- Women who are pregnant or breast feeding or planning to become pregnant during the study.
- Objects who administer with a anti-inflammatory drugs within 14 days prior to inclusion in the study.
- History or current evidence of alcohol or drug abuse or is a recreational user of illicit drugs or prescription medications.
- Treatment with intra-articular injection therapy within 2 months prior to screen.
- Other joint diseases except degenerative arthritis : systemic or rheumatic or inflammatory chondropathy, chondrocalcinosis, hemachromatosis, inflammatory joint disease, avascular necrosis of the femoral head, Paget's disease, hemophilic arthropathy, infectional arthritis, Charcot's disease, villonodular synovitis, synovial chondromatosis.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Mesenchymal stem cells low-dose groupAlso: Adipose tissue derived mesenchymal stem cellsBiological: Adipose tissue derived mesenchymal stem cells administrated for intra-articular use | Biological | Mesenchymal stem cells low-dose group |
| Mesenchymal stem cells mid-dose groupAlso: Adipose tissue derived mesenchymal stem cellsBiological: Adipose tissue derived mesenchymal stem cells administrated for intra-articular use | Biological | Mesenchymal stem cells mid-dose group |
| Mesenchymal stem cells high-dose groupAlso: Adipose tissue derived mesenchymal stem cellsBiological: Adipose tissue derived mesenchymal stem cells administrated for intra-articular use | Biological | Mesenchymal stem cells high-dose group |
Primary outcome
Recording of Adverse Events and Serious Adverse Events
Time frame: 12 weeks
Electrocardiogram
Time frame: 9 weeks
Vital signs
Time frame: 9 weeks
Physical examination
Time frame: 9 weeks
WOMAC Score(The Western Ontario and McMaster Universities Osteoarthritis Index)
Time frame: 24 months
Laboratory tests
Time frame: 9 weeks
Routine blood and urine tests, hepatic and renal functions tests, blood lipid and glucose tests, immunologic tests
3 secondary outcomes
SF-36
Time frame: 24 months
NRS-11
Time frame: 24 months
The volume of articular cartilage
Time frame: 24 months
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 4 Apr 2016.
- Derived from this study: PubMed 29417902Song Y, Du H, Dai C, Zhang L, Li S, Hunter DJ, Lu L, Bao C. Human adipose-derived mesenchymal stem cells for osteoarthritis: a pilot study with long-term follow-up and repeated injections. Regen Med. 2018 Apr;13(3):295-307. doi: 10.2217/rme-2017-0152. Epub 2018 Feb 8.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Chunde Bao, M.D. & Ph.D. principal investigator
Department of Rheumatology,Ren Ji Hospital,School of Medicine,Shanghai Jiao Tong University,Shanghai,China
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1/2 study testing Mesenchymal stem cells low-dose group, Mesenchymal stem cells mid-dose group and Mesenchymal stem cells high-dose group in people with Knee Osteoarthritis, run by Shanghai AbelZeta Ltd. at 1 site in China.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 10 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 4 Apr 2016. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in China. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this combined phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Recording of Adverse Events and Serious Adverse Events (time frame: 12 weeks). The study lists 6 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01809769, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 4 Apr 2016.