INSTRUCT for Repair of Knee Cartilage Defects
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Purpose
The purpose of this study is to investigate whether the INSTRUCT therapy is safe and effective in the treatment of cartilage defects of the knee.
| Condition | Intervention |
|---|---|
|
Articular Cartilage Lesion of the Knee |
Device: INSTRUCT |
| Study Type: | Interventional |
| Study Design: | Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Prospective Feasibility, Non-randomized, Single Arm Multicentre, Multinational Interventional Clinical Investigation Using INSTRUCT Therapy for the Repair of Knee Cartilage Defects |
- Incidence of related adverse events [ Time Frame: Over 24 months ] [ Designated as safety issue: Yes ]
- Lesion filling [ Time Frame: 3 months ] [ Designated as safety issue: No ]
- Incidence of non-related adverse events [ Time Frame: 24 months ] [ Designated as safety issue: Yes ]
- KOOS, IKDC and pain VAS scores [ Time Frame: At all timepoints over 24 months ] [ Designated as safety issue: No ]
- Histopathology assessments [ Time Frame: 6 or 12 months ] [ Designated as safety issue: No ]
- MRI evaluation of structural repair [ Time Frame: Discharge, 3, 6, 12 and 24 months ] [ Designated as safety issue: No ]
- dGEMRIC assessment of structural repair [ Time Frame: 6, 12 and 24 months ] [ Designated as safety issue: No ]
| Enrollment: | 40 |
| Study Start Date: | January 2010 |
| Estimated Study Completion Date: | June 2014 |
| Primary Completion Date: | September 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: INSTRUCT
INSTRUCT scaffold implantation
|
Device: INSTRUCT
INSTRUCT PolyActive scaffold implantation
|
Detailed Description:
This is a prospective, open-label, single-arm pilot study designed to investigate the safety and efficacy of the INSTRUCT therapy in the treatment of knee cartilage defects.
All patients who meet eligibility criteria and who consent to participate will undergo the implantation of a biodegradable scaffold seeded with autologous primary chondrocytes and bone marrow cells via arthrotomy.
Patients will be followed-up for 2 years at regular intervals. Evaluations will include adverse events collection, patient reported outcomes (mostly pain and function), arthroscopic and histologic evaluations and MRIs (including dGEMRIC).
Eligibility| Ages Eligible for Study: | 18 Years to 55 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Patients with a symptomatic articular cartilage defect in the knee
Exclusion Criteria:
- Surgery on the study knee joint within 6 months
- Patients with significant malalignment (more than 5°)
- Patients with ligamentous instability of the knee
- Majority of the meniscus absent
- Severe osteoarthritis
- Intake of medications or treatments having an effect on bone or cartilage formation
Contacts and Locations| Belgium | |
| University Hospital Gent | |
| Gent, Belgium | |
| Poland | |
| University Hospital nber 2 Dr. Jana Biziela | |
| Bydgoszcz, Poland | |
| NZOZ "Szpital AVIMED" sp. z o.o. | |
| Katowice, Poland | |
| NZOZ Endomedical | |
| Poznan, Poland | |
| Centrum Medycyny Sportowej (Sports Medicine Center CMS) | |
| Warsaw, Poland | |
| United Kingdom | |
| Royal Orthopaedic Hospital | |
| Birmingham, United Kingdom | |
| Study Director: | Joël Guidoux | CellCoTec B.V. |
More Information
No publications provided
| Responsible Party: | CellCoTec B.V. |
| ClinicalTrials.gov Identifier: | NCT01041885 History of Changes |
| Other Study ID Numbers: | 309-019 |
| Study First Received: | December 31, 2009 |
| Last Updated: | February 14, 2013 |
| Health Authority: | Belgium: Federal Agency for Medicinal Products and Health Products United Kingdom: Medicines and Healthcare Products Regulatory Agency Poland: Office for Registration of Medicinal Products, Medical Devices and Biocidal Products |
Keywords provided by CellCoTec B.V.:
|
knee cartilage defect repair cartilage lesion autologous chondrocyte scaffold INSTRUCT |
ClinicalTrials.gov processed this record on June 13, 2013