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Completed

NCT Number: NCT04470167

Phase 1/2 Clinical Study of TPX-115 in Patients With Partial-Thickness Rotator Cuff Tear

Rotator cuff tear is one of the most common shoulder diseases and conservative treatment is commonly used for tears involving ≤50% of tendon thickness. Since conventional conservative treatments are not fundamental to repair tendon tissue, there is a growing need of new therapy to improve structural outcome. This study assesses the safety and efficacy of allogeneic fibroblasts on partial-thickness rotator cuff tear. The primary outcome is change in American Shoulder and Elbow Surgeons (ASES) score at 24 weeks after TPX-115 injection. Secondary outcomes include changes from baseline in Visual Analogue Score (VAS) pain score, functional evaluations including Range of Motion (ROM), Constant Score (CS), ASES score and Simple Shoulder Test (SST) at 4, 12 and 24 weeks after administration and structural evaluation using MRI at 24 weeks after injection.

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Key information

Age range

19 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1 / Phase 2

Primary location

Seoul National University Bundang Hospital, Seongnam-si, Gyeonggi-do, South Korea

Loading trial locations.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

Participants must;

  • Be 19 years of age or older.
  • Have partial-thickness rotator cuff tear, ≤50% of tendon thickness or of Ellman grade I, II assessed by MRI.
  • Have unilateral shoulder pain lasting more than 3 months despite conservative treatment and VAS pain score ≥5 at screening.
  • Understand fully the study and voluntarily sign the informed consent for participation in the study.

Exclusion criteria

Participants with any of the following conditions will be excluded unless stated otherwise;

  • Have partial-thickness rotator cuff tear larger than 50% of tendon thickness or of Ellman grade III, or full-thickness rotator cuff tear confirmed by MRI.
  • Have prior medical history of shoulder surgery on the torn rotator cuff or the upper part of shoulder within 6 months prior to screening visit (shoulder trauma, fracture, upper cervical spine surgery, etc.).
  • Have had subacromial or intra-articular injections on the affected shoulder within 3 months prior to screening visit.
  • Have had received systemic steroid or immunosuppressive agents within 4 weeks prior to screening visit.
  • Have been diagnosed with the following diseases.
  • Inflammatory joint diseases
  • Other shoulder diseases which may cause shoulder pain or functional disorder
  • Autoimmune diseases
  • Active hepatitis B or C
  • HIV Ab positive
  • Malignant tumors within the last 5 years
  • Coagulopathy
  • Genetic disorders related to fibroblasts of collagen
  • Other serious diseases deemed to affect the results of the study
  • Have allergies to bovine proteins or gentamicin.
  • Be pregnant, breastfeeding, planning pregnancy or unwilling to use of contraceptive suggested in this study.
  • Have participated in other clinical trials and received investigational agents within 4 weeks of this study
  • Be deemed inadequate for the study by investigators.

Treatment and study plan

TPX-115

Biological

Ultrasound-guided intratendinous injection of allogeneic fibroblasts(TPX-115)

Placebo

Other

Ultrasound-guided intratendinous placebo injection

Primary outcomes

  1. Change in shoulder score of American Shoulder and Elbow Surgeons (ASES)

    Time frame: 24 weeks

    ASES shoulder score is derived from the Visual Analogue Scale (VAS) score for pain and activities of daily living score. The total score - maximum of 100 points - is weighted 50% for pain and 50% for function.

Secondary outcomes

  1. Change in shoulder score of American Shoulder and Elbow Surgeons (ASES)

    Time frame: 4, 12 weeks

    ASES shoulder score is derived from the Visual Analogue Scale (VAS) score for pain and the activities of daily living score. The total score - maximum of points - is weighted 50% for pain and 50% for function.

  2. Change in pain score of Visual Analogue Scale (VAS)

    Time frame: 4, 12, 24 weeks

    VAS pain score is measured on a scale of 0 (no pain) to 10 (worst pain imaginable).

  3. Change in Range of Motion (ROM)

    Time frame: 4, 12, 24 weeks

    Measurement of ROM for forward elevation, external rotation at 90º abduction, external rotation at side and internal rotation at back.

  4. Change in Constant score (CS)

    Time frame: 4, 12, 24 weeks

    The CS total score (100) = Pain (15) + Activity of Daily Living (20) + Mobility (40) + Strength(25)

  5. Change in Simple Shoulder Test (SST) Score

    Time frame: 4, 12, 24 weeks

    SST assesses functional disability of the shoulder (function related to pain, function/strength and Range of Motion).

  6. Change in tear size on Magnetic Resonance Image (MRI)

    Time frame: 24 weeks

    Tear size is assessed by an independent evaluator.

  7. Change in tendon thickness on Magnetic Resonance Image (MRI)

    Time frame: 24 weeks

    Tendon thickness is assessed by an independent evaluator.

  8. Change in tear/footprint on MRI

    Time frame: 24 weeks

    Ratio of tear lengths to whole footprint length is measured by an independent evaluator.

  9. Change of tendinosis on MRI

    Time frame: 24 weeks

    Tendinosis is assessed with tendinosis grading system by an independent evaluator. (0: normal, 1: mild, 2: moderate, 3: marked)

Sponsors and collaborators

Lead sponsor

Tego Science, Inc.

Industry

Registry information

Official study title

A Multi-center, Randomized, Independent Evaluator-blinded, Subject-blinded, Placebo-controlled, Phase 1/2 Clinical Study to Evaluate Safety and Efficacy of TPX-115 in Patients With Partial-Thickness Rotator Cuff Tear

Important dates

Study start
2020
Primary completion
2022
Study completion
2022
First posted
Jul 14, 2020
Registry last updated
May 18, 2023

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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