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Completed

NCT Number: NCT02658344

Clinical Trial to Evaluate Efficacy and Safety of JOINTSTEM in Patients With Degenerative Arthritis

The purpose of this study is to investigate the efficacy and safety of autologous transplantation of Adipose Tissue derived Mesenchymal stem cells (MSCs) in patient with Knee Osteoarthritis.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

GangNam Severance Hospital, Seoul, South Korea

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About this study

JOINTSTEM is an OA treatment that uses autologous adipose-derived mesenchymal stem cells. As it does not use allogenic tissues and is incubated without additional genetic modification or mechanical and chemical modification through differentiation, it is classified as 'autologous cell therapy' and is completely free of immunologic rejection.

It primarily aims to improve pain and joint function, and secondary, to regenerate cartilage. The intra-articular injection of JOINTSTEM is expected to stimulate the regeneration and growth of cartilage, and to innovatively improve pain and joint function with cartilage regeneration within six months.

The subjects of this therapy were regenerative patients with K&L grade 2~4 aged 18 or older. JOINTSTEM is expected to be used in patients who have significantly damage cartilage due to its cartilage regeneration ability, in addition to its improvement of pain and joint performance. A;sp. Patients who had already undergone knee arthroplasty can delay their additional surgery with the use of JOINTSTEM. For dose who still have their own cartilage, arthroplasty is not an immediate treatment option, and osteoporosis patients who cannot undergo arthroplasty due to their advanced age can receive JOINTSTEM.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Age 18 and older, male and female
  • Patients must consent in writing to participate in the study by signing and dating an informed consent document
  • Diagnosis of osteoarthritis by ACR osteoarthritis of the knee
  • Diagnosis of osteoarthritis by radiographic criteria of Kellgren and Lawrence grade 2-4
  • More than Grade 4 (0~10 point numeric scale) pain at least for 12 weeks
  • Diagnosis of osteoarthritis of class Ⅰ~Ⅲ by ACR(American College of Rheumatology Criteria) Global functional criteria
  • Patient who agree with contraception

Exclusion criteria

  • Preparing for Pregnancy or Pregnant women or lactating mothers.
  • Patients with Body Mass Index (BMI) > 35.
  • Patients with other disease including

: Septic arthritis, Rheumatoid or Inflammatory joint disease, Crystalline disease (gout or pseudogout), Paget disease, Articular fractures, Ochronosis, Acromegaly, Hemochromatosis, Wilson's disease, Osteochondromatosis, Hereditary disorder

  • Patients with serious condition internal medicine disease
  • Patients with positive human immunodeficiency (HIV), hepatitis B (HBV), hepatitis C (HCV), syphilis at screening indicative of current of pass infection.
  • Patient with behavioral disorders, cognitive disorders and chronic mental symptoms
  • Patient with significant neurologic or psychiatric disorders
  • Patients who alcohol, drug abuse history
  • Patients who had participated in other clinical trials within 12 weeks prior to this study.
  • Patients who received any drug by intra-articular injection for treatment within 2 months prior to this enrollment.
  • Patients who experienced as the knee joint cartilage and stem cell therapy
  • Patients who the principal investigator considers inappropriate for the clinical trial due to any other reasons than those listed above
  • Patients who penicillin hypersensitivity reactions -

Treatment and study plan

JOINTSTEM

Biological

Jointstem (Autologous Adipose Tissue derived MSCs 1x10^8cells/3ml), 1 time injection

Other names: Autologous Adipose Tissue derived MSCs 1x10^8cells/3ml

Saline Solution

Drug

Saline solution (Sodium chloride 9mg/ml), 1 time injection

Other names: Sodium chloride 9mg/ml

Primary outcomes

  1. WOMAC score

    Time frame: 24 weeks

    Pain, stiffness, and physical function of the knee will be measured by the Western Ontario and McMaster Universities (WOMAC)

Secondary outcomes

  1. WOMAC 3 subscale

    Time frame: 24 weeks

    Pain, stiffness, and physical function of the knee will be measured by the Western Ontario and McMaster Universities (WOMAC)

  2. KOOS (Knee Injury & Osteoarthritis Outcome Score)

    Time frame: 24 weeks

    Symptoms, pain and functionality of the knee joint will be evaluated via the Knee Injury and Osteoarthritis Outcome Score (KOOS)

  3. SF(Short Form)-36 Score

    Time frame: 24 weeks

    The SF(Short Form)-36 Health Survey is a 36-item, patient-reported survey of patient health.

  4. Global assessment of disease activity

    Time frame: 24 weeks

    Change From Baseline in Patient's & Physician's Global Assessment of Disease Activity Score at 12,24 weeks by 100mm VAS(Visual Analogue Scale)

  5. Overall satisfaction

    Time frame: 24 weeks

    Patient's overall satisfaction on a 0-100mm VAS(Visual Analogue Scale)

  6. X-ray

    Time frame: 24 weeks

    X-ray perform to measure with Kellgren-Lawrence grade

  7. MRI scan

    Time frame: 24 weeks

    MRI perform to measure cartilage defect size change from baseline up to 24weeks

  8. Arthroscopy evaluation

    Time frame: 24 weeks

    Arthroscopy performs to evaluate any change in cartilage defect at the time of cell injection, and at 24 weeks after injection

  9. Histological evaluation

    Time frame: 24 weeks

    Biopsy specimens subject to safranin-O staining and immunohistochemistry for type I and II collagen. Thickness of the articular cartilage before and after injection measure, and specimens evaluate with ICRS(International Cartilage Repair Society) II by a blind histopathologist.

  10. VAS

    Time frame: 24 weeks

    Pain of the knee will be measured by the 100mm Visual Analogue Scale (VAS)

  11. IKDC

    Time frame: 24 weeks

    Symptoms, sports activities, and function of the knee will be measured by the International Knee Documentation Committee (IKDC)

  12. ROM

    Time frame: 24 weeks

    change from baseline in knee flexion Range of Motion(ROM) at 12,24 weeks by physical examination

  13. Quadriceps power

    Time frame: 24 weeks

    Change from baseline in quadriceps power at 12,24 weeks by physical examination

  14. effusion

    Time frame: 24 weeks

    Change from baseline in 4-grade knee effusion at 12,24 weeks

  15. Crepitus

    Time frame: 24 weeks

    Change from baseline in asymptomatic and symptomatic crepitus at 12,24 weeks by physical examination

  16. Ligament laxity

    Time frame: 24 weeks

    Change from baseline in ligament laxity at 12,24 weeks by physical examination

  17. Medial joint line tenderness

    Time frame: 24 weeks

    Change from baseline in 4-grade(none, mild, moderate, severe) medial joint line tenderness at 12,24 weeks by physical examination

  18. Pes tenderness

    Time frame: 24 weeks

    Change from baseline in 4-grade(none, mild, moderate, severe) Pes tenderness at 12,24 weeks by physical examination

Sponsors and collaborators

Lead sponsor

R-Bio

Industry

Registry information

Official study title

Multicenter, Randomized, Double-Blind, Placebo Controlled Phase Ⅱb Clinical Trial to Evaluate Efficacy and Safety of JOINTSTEM in Patients With Degenerative Arthritis

Important dates

Study start
2015
Primary completion
2016
Study completion
2016
First posted
Jan 18, 2016
Registry last updated
Jun 5, 2019

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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