About this trial
Extracellular vesicles (EV) will be injected in patients diagnosed with Knee osteoarthrosis
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Severe KOA stage III or IV by Laurance & Kellgren staging as judged by Posterioranterior (PA) Xray of the knee joint.
Willing to participate by signing the informed consent
Disqualifiers
Sublaxation beyond 20 degrees of the bones of the knee joint
Oral anticoagulants or heparin therapy
Heart failure or arrhythmia
Body Mass Index > 35
Trial design
Single group
Treatments tested in this trial
Extracellular vesicles
Biological/VaccineIntra-articular extravascular vesicles injection.
Treatment groups
Trial outcomes
Primary outcomes
Safety
Measuring and evaluating the Safety and Tolerability of the intra-articular injection of extracellular vesicles: Complete Blood Count (CBC): Hemoglobin (Hb) Hematocrit (Hct) White blood cells (WBCs) Platelets (PLTs) Red blood cell indices (MCV, MCH, MCHC) A. Liver Function Tests (LFTs) Alanine aminotransferase (ALT) Asparate aminotransferase (AST) Alkaline phosphatase (ALP) Gamma-glutamyl transferase (GGT) Total bilirubin (TBIL), Direct \& Indirect bilirubin Albumin and total protein B. Kidney Function Tests Blood Urea Nitrogen (BUN) Serum Creatinine Uric Acid Estimated Glomerular Filtration Rate (eGFR) C. Electrolyte Panel Sodium (Na⁺) Potassium (K⁺) Calcium (Ca²⁺) Magnesium (Mg²⁺) Chloride (Cl-) Bicarbonate (HCO₃-) D. Glucose \& Lipid Profile Fasting blood glucose (FBG) Total cholesterol, HDL, LDL, Triglycerides Prothrombin Time (PT) Activated Partial Thromboplastin Time (aPTT) INR (International Normalized Ratio)
Secondary outcomes
Efficacy
Measuring and evaluating the efficacy of the Intra Articular Injection of extracellular vesicles measure pain score by questionnaire: KOOS (Knee Injury and Osteoarthritis Outcome Score) Extension of WOMAC, more detailed Domains: Pain Symptoms Activities of daily living (ADL) Sport and recreation Quality of life (QoL) Scoring: 0-100 scale (0 = extreme symptoms, 100 = no symptoms) Use: Young and active OA patients, post-surgery (e.g., ACL, TKA)
Sponsors and contacts
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University of Jordan
Lead sponsor
Abdalla Awidi Abbadi, MD
Collaborator
The University of Jordan
Collaborator