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Patellofemoral OsteoarthritisPhase 2ENCANTONCT06576583

Implantation of Engineered Cartilage Grafts for Treatment of Patellofemoral Osteoarthritis Versus Surgical Comparators.

A Phase 2 study testing Engineered cartilage graft (N-TEC), Autologous Matrix Induced Chondrogenesis (AMIC) and Patellofemoral Arthroplasty (PFA) in people with Patellofemoral Osteoarthritis, run by University Hospital, Basel, Switzerland at 11 sites in 8 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

ENCANTO is a randomized, controlled, multi-center phase II clinical trial for the treatment of patellofemoral osteoarthritis (PFOA) with an Advanced Therapy Medicinal Product (ATMP), nasal chondrocyte-based tissue engineered cartilage (N-TEC) implantation in comparison with current standard of care depending on the… Read more about this study

Who is it for?
Ages 18 to 70 years
Conditions the study is for
Patellofemoral Osteoarthritis
What is being tested?
Engineered cartilage graft (N-TEC), Autologous Matrix Induced Chondrogenesis (AMIC) and Patellofemoral Arthroplasty (PFA)
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
150 participants
Where
11 sitesin 8 countries
Study dates
15 Jul 2025to Jan 2030
Phase
Phase 2
Are there results?
Not yet: the study is under way

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 18 to 70 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patient age is ≥18 and ≤ 70 years at time of screening.
  • Symptomatic PFOA grade 1-4 according to Iwano Classification
  • Chondropathy Grade 3-4 according to ICRS classification of the patella, trochlea femoris or both
  • Baseline score of <75 on the KOOS-5 subjective knee evaluation.
  • Free range of motion of the affected knee joint or ≤ 5° of extension loss and minimum 125° flexion.
  • Patient is willing and able to give written informed consent to participate in the study and to comply with all study requirements, including attending all follow-up visits and assessments and to complete postoperative rehabilitation regimen.
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  • Minimum values for women: Haemoglobin 120g/l, Platelets 150G/l, INR<1.3
  • Minimum values for men: Haemoglobin 140g/l, Platelets 150G/l, INR<1.3
  • Patients have failed to demonstrate adequate response to non-pharmacological interventions (e.g. structured land-based exercise programs) and pharmacological first-line treatment such as topical NSAIDs

Who cannot join

  • Patient is the investigator or any sub-investigator, research assistant, pharmacist, study coordinator, other staff or relative thereof directly involved in the conduct of the protocol or in a dependency or employment with the sponsor.
  • Patient is unwilling, unable or lacking the capacity to provide informed consent
  • Patient is unable to undergo magnetic resonance imaging (MRI)
  • Prior surgical treatment of the target knee within 12 months (Note: prior diagnostic arthroscopy with debridement and lavage are acceptable within 12 months).
  • Radiologically apparent degenerative joint disease of the tibiofemoral joint as determined by X-ray (Kellgren and Lawrence grade > 2) or MRI or pain in the tibiofemoral joint as assessed by clinical examination
  • Patient has excessive varus or valgus deformity (>5°), unless corrected during implantation
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  • Patient has a symptomatic meniscus lesion (or removal exceeding ½), as indicated by clinical examination (joint line tenderness and McMurray test positive) and MRI.
  • Patient has a body mass index (BMI) >35 kg/m2.
  • Patient has chronic rheumatoid arthritis, and/or infectious arthritis
  • Any concomitant painful or disabling disease of the spine, hips, or lower limbs that would interfere with evaluation of the afflicted knee.
  • Patient has a known immunological suppressive disorder or is taking systemic immunosuppressives.
  • Patient had any intra-articular injections into the affected knee within the last 3 months before baseline visit
  • Instability of anterior, posterior and/or collateral ligaments
  • The patient has a HIV/AIDS infection. (regulatory requirement)
  • The patient has an acute Treponema pallidum (syphilis) infection. (regulatory requirement)
  • The patient has an active hepatitis B or C infection with verified antigens. Patients with a cured hepatitis B or C infection and/or verified antibodies are not excluded. (regulatory requirement)
  • Patient is pregnant, breast feeding or anticipates becoming pregnant within 24 months after surgery.
  • Patient is currently participating or has participated in any other clinical study within 3 months prior to the screening visit.
  • Patient has known current or recent history of illicit drug or alcohol abuse or dependence defined as the continued use of alcohol or drugs despite the development of social, legal or health problems.
  • Patient has any other condition, which, in the opinion of the investigator, would make the patient unsuitable for the study.
  • Known allergies for porcine collagen (scaffold), penicillin or streptomycin (manufacturing)
  • Nail-patella syndrome
  • Patients who will likely benefit from conservative therapy, such as physiotherapy, medical training therapy and pain medication
  • Patients with increased anesthesiological and surgical risks (e.g. known or predicted difficult airway, myocardial infarction <60 days prior to surgery)
  • Patients with increased bleeding risk (e.g. coagulopathies)
  • Patients on anticoagulants whose anticoagulant therapy cannot be interrupted as appropriate to the given agent(s) and underlying condition
  • Patients with any active infections

Trial locations and contacts

11 sites in 8 countries. Contact the study team or a site near you to ask about taking part.

Marcus Mumme, MD contact

+41 44 387 29 77

marcus.mumme@usb.ch

Gyözö Lehoczky, MD contact

+41 61 704 2615

Gyözö.Lehoczky@ukbb.ch

11 sites in 8 countries

Germany2 sites, 2 recruiting
  • Evangelisches Waldkrankenhaus Spandau

    Berlin, 13589

    Ulrich Nöth, MD, +49 30 3702 1002, ulrich.noeth@jsd.de

    Not yet recruiting
  • Orthopedic Clinic König-Ludwig-Haus

    Würzburg, 97074

    Stephan Reppenhagen, MD, +49 931-803-3123, s-reppenhagen.klh@uni-wuerzburg.de

    Recruiting

Other trials in Germany

Italy2 sites, 2 recruiting
  • IRCCS Ospedale Galeazzi-Sant'Ambrogio

    Milan, 20157

    Giuseppe Peretti, MD, +39 0283506790, giuseppe.peretti@unimi.it

    Recruiting
  • Fondazione Policlinico Universitario Campus Bio-Medico

    Rome, 00128

    Gianluca Vadalà, MD, + 39 6225411123, G.Vadala@policlinicocampus.it;

    Not yet recruiting

Other trials in Italy

Switzerland2 sites, 2 recruiting
  • University Hospital Basel

    Basel, 4031

    Gyözö Lehoczky, MD, +41 61 704 2615, Gyözö.Lehoczky@ukbb.ch

    Florian Imhoff, MD, + 41 61 315 2760, knie-team@usb.ch

    Recruiting
  • Crossklinik

    Basel, 4054

    Marcel Jakob, MD, +41 61 285 10 42, marcel.jakob@crossklinik.ch

    Recruiting

Other trials in Switzerland

Austria1 site, 1 recruiting
  • Orthopedic Hospital Vienna-Speising

    Vienna, 1130

    Christian Albrecht, MD, + 43 (1) 801 82 - 1181, christian.albrecht@oss.at

    Recruiting

Other trials in Austria

Croatia1 site, 1 recruiting
  • University Hospital Sveti Duh

    Zagreb, 10000

    Alan Ivkovic, MD, +38513712320, alan.ivkovic@gmail.com

    Not yet recruiting

Other trials in Croatia

Netherlands1 site, 1 recruiting
  • Maastricht University Medical Center

    Maastricht, 6229 HX

    Pieter Emans, MD, +31-43-2875039, p.emans@mumc.nl

    Not yet recruiting

Other trials in Netherlands

Poland1 site, 1 recruiting
  • Zeromski hospital

    Krakow, 31-913

    Pawel Skowronek, MD, + 48 12 622 96 24, pawelskowronek@interia.pl

    Recruiting

Other trials in Poland

Sweden1 site, 1 recruiting
  • Department of Orthopaedics, University of Gothenburg (UGOT)

    Mölndal, 80

    Ola Rolfson, MD, 031-3430852, ola.rolfson@vgregion.se

    Recruiting

Other trials in Sweden

About this study

Official title: Randomized, Controlled, Multi-center Phase II Clinical Trial for the Treatment of Patellofemoral Osteoarthritis With Nasal Chondrocyte-based Tissue Engineered Cartilage Implantation vs Current Standard of Care

ENCANTO is a randomized, controlled, multi-center phase II clinical trial for the treatment of patellofemoral osteoarthritis (PFOA) with an Advanced Therapy Medicinal Product (ATMP), nasal chondrocyte-based tissue engineered cartilage (N-TEC) implantation in comparison with current standard of care depending on the stage of osteoarthritis. The goal of this phase II trial is to evaluate the efficacy of N-TEC treatment in comparison to an active comparator Autologous Matrix Induced Chondrogenesis (AMIC) for early stage PFOA or patellofemoral arthroplasty (PFA) for late stage PFOA.

The N-TEC engineered cartilage graft is obtained by culturing expanded autologous nasal chondrocytes within a collagen type I/III membrane.

Read the detailed description

Knee osteoarthritis (OA) is one of the most common causes for pain and disability with over 260 million people affected worldwide. Recent studies found that knee OA often starts in the patello-femoral compartment of the knee (PFOA) and is diagnosed in ~39% of people with knee pain aged above 30 years. Thus, PFOA and progression to full OA plays a crucial role in the reduction of quality of life of many people and in the raise of healthcare costs.

The goal of this multi-center phase II trial is to (i) evaluate the efficacy of N-TEC treatment in comparison to an active comparator Autologous Matrix Induced Chondrogenesis (AMIC) for early stage PFOA or patellofemoral arthroplasty (PFA) for late stage PFOA based on patient self-assessed questionnaires (Knee Injury and Osteoarthritis Outcome Score, KOOS) and (ii) verify the postulated mode of action, which is expected to be of regenerative nature and will be assessed by evaluation of disease-modification by x- ray and structural regeneration of the osteoarthritic joint destruction by MRI analysis. A total of 150 patients with early stage of PFOA (Iwano grade 1-2; 75 patients) or late stage of PFOA (Iwano grade 3-4; 75 patients) will be enrolled in 11 clinical centers and randomized to either N-TEC implantation or active comparator (AMIC or PFA).

Being tested
Engineered cartilage graft (N-TEC), Autologous Matrix Induced Chondrogenesis (AMIC), Patellofemoral Arthroplasty (PFA)
Keywords
Nasal chondrocytes, Tissue engineering, Knee cartilage, Patellofemoral osteoarthritis, Autologous Matrix Induced Chondrogenesis (AMIC), Patellofemoral arthroplasty (PFA)

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Engineered cartilage graft (N-TEC)Biological

    Nasal chondrocytes based tissue engineered cartilage

  • Autologous Matrix Induced Chondrogenesis (AMIC)Procedure or surgery

    Autologous Matrix Induced Chondrogenesis is performed through bone drilling and covering with Chondro-Gide® to attract bone marrow stem cells

  • Patellofemoral Arthroplasty (PFA)Procedure or surgery

    Surgical implantation of a medical device, Zimmer Gender Solutions Patellofemoral Joint Prosthesis.

Study groups in NCT06576583
Study groupRoleWhat they receive
Engineered cartilage graft (N-TEC)-Iwano grade 1-2ExperimentalN-TEC is based on autologous nasal chondrocytes expanded and further cultured on type I/III collagen membranes for 2 weeks to allow cells to produce extracellular matrix containing cartilage specific proteins. The IMP is implanted in the knee at the patellofemoral joint.
Receives: Biological: Engineered cartilage graft (N-TEC)
Autologous Matrix Induced Chondrogenesis-Iwano grade 1-2Active comparatorAMIC® Chondro-Gide® combines microfracturing (MFx) with the use of Chondro-Gide®, which covers and protects both the super clot resulting from MFx and the repair tissue.
Receives: Procedure: Autologous Matrix Induced Chondrogenesis (AMIC)
Engineered cartilage graft (N-TEC)-Iwano grade 3-4ExperimentalN-TEC is based on autologous nasal chondrocytes expanded and further cultured on type I/III collagen membranes for 2 weeks to allow cells to produce extracellular matrix containing cartilage specific proteins. The IMP is implanted in the knee at the patellofemoral joint.
Receives: Biological: Engineered cartilage graft (N-TEC)
Patellofemoral Arthroplasty (PFA)-Iwano grade 3-4Active comparatorPatellofemoral Joint Prosthesis
Receives: Procedure: Patellofemoral Arthroplasty (PFA)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Knee Injury and Osteoarthritis Outcome Score (KOOS)-5

    Difference in 2-year change (baseline to 24 month follow-up) in the KOOS -5 score between patients undergoing N-TEC tissue implantation and patients receiving AMIC or PFA. Minimum score: 0 Maximum score: 100 (higher score means no knee problems)

    Measured: 24 months

Secondary outcomes (11)
  1. Knee Injury and Osteoarthritis Outcome questionnaire

    patient self reported questionnaire for pain

    Measured: until 24 months

  2. Knee Injury and Osteoarthritis Outcome questionnaire

    patient self reported questionnaire for symptoms, activity of daily life, sports and quality of life Minimum score: 0 Maximum score: 100 (higher score means no knee problems)

    Measured: Until 24 months

  3. Kujala questionnaire

    patient self reported questionnaire for Anterior Knee Pain scale. Minimum score: 0 Maximum score: 100 (no knee problems)

    Measured: Until 24 months

  4. Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score

    Self reported questionnaire to evaluate the condition of patients with osteoarthritis of the knee and hip, including pain, stiffness, and physical functioning of the joints.

    The instrument contains 24 items measuring 3 sub-scales: physical function (17 items), pain (5 items), and stiffness (2 items). Minimum score: 0 (no knee problems) Maximum score: 96 (worst knee problems)

    Measured: Until 24 months

  5. EQ-5D-5L questionnaire

    Each dimension has 5 levels: no problems, slight problems, moderate problems, severe problems and extreme problems.

    Measured: Until 24 months

  6. Global Rating Of Change (GROC) likert scale

    Widely used score to assess whether the patient condition has gotten worse, better, or stayed the same and to quantify the magnitude of that change. Minimum score: -5 ; maximal score: +5.

    Measured: Until 24 months

  7. Marx Activity Rating Scale (MARS) score

    This activity-related patient-reported outcome measure is widely used to assess the activity of a patient after treatments of the knee. It assesses how often the patient performs activities (running, cutting, deceleration and pivoting) in his healthiest and more active state. Minimum score: 0; maximum score: 16.

    Measured: Until 24 months

  8. Morphological analysis

    Morphological analysis with assessment of whole cartilage volume (in mm3) by radiological assessment (MRI)

    Measured: Until 24 months

  9. Collagen network organization

    Collagen network organization with T2 mapping and RADIOMICS GLCM by radiological assessment (MRI)

    Measured: Until 24 months

  10. Osteoarthritis grading

    Osteoarthritis grade according to Iwano and Kellgren/Lawrence classification by radiological assessment (X-ray)

    Measured: Until 24 months

  11. Biovigilance

    Number of adverse events, adverse reactions based on severity, expectedness and relationship to treatment.

    Measured: Until 24 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted28 Aug 2024
  2. Study start15 Jul 2025
  3. Primary completionJan 2029 (estimated)
  4. Study completionJan 2030 (estimated)

Resources

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Participant
Enrolment
150 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06576583
Sponsor's protocol ID
2024-513683-25-00
Acronym
ENCANTO
Status last verified
Mar 2026
First submitted
26 Aug 2024
Last updated
24 Mar 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Engineered cartilage graft (N-TEC), Autologous Matrix Induced Chondrogenesis (AMIC) and Patellofemoral Arthroplasty (PFA) in people with Patellofemoral Osteoarthritis, run by University Hospital, Basel, Switzerland at 11 sites in 8 countries.

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 9 inclusion and 27 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: looking for participants now, as of the sponsor's last update on 24 Mar 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 11 sites in Germany, Italy, Switzerland, Austria, Croatia and 3 more countries. 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 phase mean?

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?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Marcus Mumme, MD (+41 44 387 29 77, marcus.mumme@usb.ch), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Knee Injury and Osteoarthritis Outcome Score (KOOS)-5 (time frame: 24 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 24 Mar 2026; AzTrials last refreshed its copy on 8 Nov 2026.

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