Allogenic Mesenchymal Stem Cell Intraarticular Injection for Knee Osteoarthritis Therapy
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Allogenic adipose derived mesenchymal stem cells (AD-MSC), Saline.
- Who it may be relevant to
- Registry conditions: Knee Osteoarthritis. Basic parameters: 40 years — 75 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Denmark
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Allogenic Mesenchymal Stem Cell Intraarticular Injection for Knee Osteoarthritis Therapy, an RCT Explorative Mode-of-action Study
Overview
This phase I and II double blinded randomized clinical controlled trial investigates the safety and efficacy of intraarticular knee injection with allogenic adipose derived mesenchymal stem cells (AD-MSC), in patients suffering from mild-moderate knee osteoarthritis compared to placebo injection with saline.
Interventions
- Biological Allogenic adipose derived mesenchymal stem cells (AD-MSC)
Laboratory isolated, cultivated and cryopreserved allogenic adipose derived mesenchymal stem cells (AD-MSC) from health donors undergoing cometic plastic surgery will be thawed on the injection day and formulated in 10 mL saline. The AD-MSCs will then be intraarticular injected using ultrasonic guidance. - Other Saline
10 mL saline will be intraarticular injected using ultrasonic guidance.
Primary outcome measures
- Observation (change) of adverse events [Time frame: Baseline, 3 months, 12 months, 24 months, 3 years, 4 years, 5 years]
- Change in Knee symptoms (questionnaire Knee injury and Osteoarthritis Outcome Score (KOOS) (symptoms)) from baseline [Time frame: Baseline, 3 months, 12 months, 24 months, 3 years, 4 years, 5 years]
Secondary outcome measures (7)
- Change in pain from baseline [Time frame: Baseline, 3 months, 12 months, 24 months, 3 years, 4 years, 5 years]
- Observation (change) of cartilage regeneration compared to baseline [Time frame: Baseline, 3 months, 12 months, 24 months]
- Observation (change) of quantitative cartilage regeneration compared to baseline [Time frame: Baseline, 3 months, 12 months, 24 months]
- Improvement (change) during clinical examination with range of motion compared to baseline [Time frame: Baseline, 3 months, 12 months, 24 months]
- Improvement (change) during clinical examination with Effusion tests (swelling) compared to baseline [Time frame: Baseline, 3 months, 12 months, 24 months]
- Improvement (change) during clinical examination with measurement of knee diameter (swelling) compared to baseline [Time frame: Baseline, 3 months, 12 months, 24 months]
- Improvement (change) during clinical examination with measurement of quadriceps muscle diameter (atrofi) compared to baseline [Time frame: Baseline, 3 months, 12 months, 24 months]
Eligibility criteria
Inclusion criteria
- Chronic knee pain (defined for at least 6 months with NRS 4 or above when pain worst)
- Patients with Grade II-III osteoarthritis according to the Kellgren Lawrence Classification and a joint width space of 1-3 mm.
- Axial hip, knee, ankle x-ray with no more than 5 degrees valgus/varus deformity
- Medial, lateral or dual compartment OA as determined above
- BMI <35
- Danish speaker
- Patients must be legally competent and must be able to sign the written consent
Exclusion criteria
- Severe Osteoarthritis (Grade IV according to Kellgren Lavrence Classification)
- Intraarticular tumor, infection or fracture
- Pregnancy and breast feeding
- Cognitive impairment
- Treatment with cytostatic drugs
- Previous intraarticular knee injection in the past 3 mo.
- Unable to perform MRI scan (non-compatible implants, claustrophobia and severe obesity(>BMI 35)
- Previous ligament reconstruction
- Meniscal operation with resection with more than 50% or multiple meniscal operations (more than one resection)
- Diabetes mellitus type 1 and 2
- Knee instability on physical examination
- History of allergy to antibiotics
- Concomitant severe infection, malignant tumor, coagulation diseases or uncontrolled or unmanaged systemic disease
- Presence of other types of inflammatory arthritis
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Double blind
- Primary purpose
- Treatment
Study locations
Denmark · 1 center
- Aarhus University — Aarhus N
Identifiers
NCT: NCT05933434 · STEMJOINT01