Articular Cartilage Resurfacing With Mesenchymal Stem Cells In Osteoarthritis Of Knee Joint
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Purpose
Knee osteoarthritis is the most common form of arthritis. Treatments involve high costs in terms of social and economic, are palliative and do not contemplate healing by regenerative therapy. It has been shown recently, that mesenchymal stem cells (MSC) can be expanded in vitro and may regenerate several damaged or injured tissues. In addition its has demonstrated that MSC are able to modulate immune responses and to control inflammation through its action on T lymphocytes. Preliminary studies in animal models, including one carried out in an equine by the investigators research group, confirms feasibility, safety and efficacy evidence proposed treatment protocol.This study is designed to evaluate therapeutic potential and safety of mesenchymal stem cells in improvement of osteoarthritis clinical manifestations.This study is designed to evaluate therapeutic potential and safety of mesenchymal stem cells in improvement of osteoarthritis clinical manifestations.
| Condition | Intervention | Phase |
|---|---|---|
|
Osteoarthritis |
Biological: Mesenchymal Injection |
Phase 1 |
| Study Type: | Interventional |
| Study Design: | Endpoint Classification: Safety Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Mesenchymal Stem Cells Transplantation for Articular Cartilage Resurfacing in Patient With Osteoarthritis of Knee Joint |
- Pain relief [ Time Frame: 6 months ] [ Designated as safety issue: Yes ]evaluation the effect of Mesenchymal stem cell transplantation to decrease the patients pain
- Pain relief [ Time Frame: 6 months ] [ Designated as safety issue: Yes ]decrease the patient pain in VAS scale
| Enrollment: | 6 |
| Study Start Date: | August 2009 |
| Study Completion Date: | November 2010 |
| Primary Completion Date: | July 2010 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Mesenchymal Injection
Intra Articular injection in Patients with osteoarthritis of knee joint
|
Biological: Mesenchymal Injection
Intra Articular Injection of Mesenchymal cells to the knee joint
Other Name: Cell Injection
|
Detailed Description:
Mesenchymal stem cells are pluripotent cells that can be obtained from various tissues .They have shown capabilities to differentiate into bone,cartilage,muscle,and adipose tissue, representing a new clinical strategy in regenerative medicine.An increasing number of reports have demonstrated effectiveness of percutaneous intra-articular infusion of MSCs in arthritic disease. In this study we perform a single intra articular injection of cultured mesenchymal stem cells in patients suffering from osteoarthritis, with the aim to assess its clinical safety and efficacy.Patients are assessed for response with MRI, X-Ray examination, WOMAC osteoarthritis index,VAS, and SF36 2,4,8 weeks and 6, and 12 months post infusion.
Eligibility| Ages Eligible for Study: | 18 Years to 65 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Female patients not pregnant or lactating.
- Patients with a history of corticosteroids or on active therapy, will only be eligible for enrollment if corticosteroid use is suspended for 1 month prior cell therapy
- Marcaine 0.75% و Lidocaine 4% test performed to be assure the exact location of the pain is related to the knee.
- Diagnosis must be based on magnetic resonance imaging.
- Both genders
- Age:18-65 years
Exclusion Criteria:
- Diagnosis of cancer,DM,CNS disorder,thyroid disease or respiratory disease.
- Known allergic reaction to components of study treatment and/or study injection procedure
- Patients infected with hepatitis B,C or HIV.
Contacts and Locations| Iran, Islamic Republic of | |
| Royan Institute | |
| Tehran, Iran, Islamic Republic of | |
| Study Chair: | Hamid Gourabi, PhD | Head of Royan Institute |
| Study Director: | Mohammad reza Baghban Eslami Nejad, PhD | Scientific Board |
| Principal Investigator: | Mohssen Emadeddin, MD | Orthopadic Investigator |
| Principal Investigator: | Nasser Aghdami, MD,PhD | Head of Regeneration center |
More Information
Additional Information:
No publications provided
| Responsible Party: | Royan Institute |
| ClinicalTrials.gov Identifier: | NCT01207661 History of Changes |
| Other Study ID Numbers: | Royan-Bone-002 |
| Study First Received: | September 6, 2010 |
| Last Updated: | January 2, 2012 |
| Health Authority: | Iran: Ethics Committee Iran: Ministry of Health |
Keywords provided by Royan Institute:
|
Mesenchymal cells osteoarthritis intra articular injection |
Additional relevant MeSH terms:
|
Osteoarthritis Osteoarthritis, Knee Arthritis |
Joint Diseases Musculoskeletal Diseases Rheumatic Diseases |
ClinicalTrials.gov processed this record on May 22, 2013