Cartilage Recovery in Adults With Knee Osteorthritis by Mesenchymal Cell Therapy: Randomized Trial of Radiologic and Clinical Outcomes

Trial statusNot yet recruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age40-60
SponsorGUSTAVO SALGUERO

About this trial

The treatment of osteoarthritis (OA) of the knee remains still controversial. Despite that fact advanced stages with symptomatic and functional improvement are obtained with total knee replacement, however, there is no treatment that neither modifies the natural history of this disease, nor avoid joint replacement surgery in young patients in whom the prosthesis has conflictive indications. Moreover, prosthetic surgery leads to lower long-term survival and in older patients, higher morbidity and mortality. Cell therapy promises to be a treatment option through the use of mesenchymal cells with the capacity control inflammatory responses and trigger the differentiation into chondrocytes. Here we propose a randomized placebo-controlled clinical trial to evaluate radiologic and clinical outcomes in patients with knee OA.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

None

Disqualifiers

None

Trial design

Design model

Parallel

Treatments tested in this trial

  • INMUNOCEM

    Biological/Vaccine

    Mesenchymal Stromal Cell suspension intraarticularly injected

  • PLACEBO COMPARATOR

    Drug

    Administration of plasmalyte as a vehicle for MSC

Treatment groups

32 Participants
are divided into 2 treatment groups
Group A: IMUNOCEMExperimental treatment 1 intervention
Group B: PLASMALYTEPlacebo comparator 1 intervention

Trial outcomes

Primary outcomes

1

Changes in Visual Analogue scale (VAS)

The pain VAS is a unidimensional measure of pain intensity, used to record patients' pain progression, or compare pain severity between paints with similar conditions. Score ranges from 1 to 10, where 1 means lowest pain and 10 relates to highest pain

Time frame
30 months (day 0, day 1, month 1, month 3, month 6, year 1 and year 2
2

Changes in Knee Injury and Osteoarthritis Outcome Score (KOOS)

KOOS reflects the individual disease burden and overall joint health. KOOS consists of 5 subscales; Pain, other Symptoms, Function in daily living (ADL), Function in sport and recreation (Sport/Rec) and knee related Quality of life (QOL). The previous week is the time period considered when answering the questions. A normalized score (100 indicating no symptoms and 0 indicating extreme symptoms) is calculated for each subscale

Time frame
30 months (day 0, month 3, month 6, year 1 and year 2)
3

Radiological changes in Magnetic resonance observation of cartilage repair tissue (MOCART 2.0)

MOCART score was introduced based on 7 pertinent variables that facilitate a standardized, reproducible, semiquantitative approach for the morphological assessment of cartilage repair. Variables assesed in MOCART are: 1. Degree of cartilage defect; 2. integration into adjacent cartilage; 3. surface of the repair tissue; 4. structure of the repair tissue; 5. signal intensity of repaired tissue; 6. bony defect or bony overgrowth; 7. subchondral changes. The score ranges between 0 and 100, being 100 the maximum level of tissue compromise

Time frame
30 Months (day 0, year 1 and year 2)

Secondary outcomes

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

GUSTAVO SALGUERO

Lead sponsor

Instituto Distrital de Ciencia, Biotecnología e Innovación en Salud - IDCBIS

Sponsor institution

Hospital Infantil Universitario de San Jose

Collaborator

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