Status:
COMPLETED
RCT of ChondroCelect® (in an ACI Procedure) vs Microfracture in the Repair of Cartilage Defects of the Knee
Lead Sponsor:
TiGenix n.v.
Conditions:
Articular Cartilage Lesion of the Femoral Condyle
Eligibility:
All Genders
18-50 years
Phase:
PHASE3
Brief Summary
This is a phase III, multicenter, open-label, randomized controlled trial of ChondroCelect® in an Autologous Chondrocyte Implantation (ACI) procedure compared to the procedure of microfracture (MF) in...
Detailed Description
see above
Eligibility Criteria
Inclusion
- Signed patient informed consent
- Symptomatic cartilage single lesion of the femoral condyle
- Lesion on femoral condyle between 1 and 5 cm²
- Agree to participate actively in a strict rehabilitation protocol and follow-up programme
- Agree to only use paracetamol mono-or combination preparation (max 4g/d) and Non-Steroidal Anti Inflammatory Drugs (NSAIDS) during the study and to discontinue this medication 2 weeks before the baseline visit and the follow-up visits. The use of paracetamol mono-preparation (max 4g/d) is allowed up to one week before the baseline visit and the follow-up visits.
- Females of childbearing age should use a proven method to prevent pregnancy
Exclusion
- Participation in concurrent trials
- Participation in previous trials within 3 months
- Subjects with hepatitis, HIV or syphilis
- Malignancy
- Alcohol or drug (medication) abuse
- Poor general health as judged by Investigator
- Clinically relevant second cartilage lesion on the patella
- Patellofemoral cartilage lesion
- Osteochondritis Dissecans (OCD) : recent OCD (within 1 year before baseline), depth of lesion \> 0.5cm, subchondral slerosis
- Advanced osteoarthritis (OA) : radiographic atlas of OA grade 2-3
- Known allergy to gentamicin or penicillins (or presence of multiple severe allergies)
- Complex ligamentous instability of the knee
- Meniscal transplant
- Meniscal suture with meniscal arrows (ipsilateral)
- Meniscus resection : if \< 1 yr before baseline - lateral meniscus resection or medial meniscus resection of more than 50%. If \> 1 yr before baseline - ipsilateral meniscus resection of more than 50%, controlateral meniscus resection of more than 50% if ipsilateral meniscus is not intact, combination of medial and lateral meniscus resection and one of both \> 50%.
- Varus or valgus malalignment of more than 5°
- Mosaicplasty
- Microfracture performed less than 1 yr before baseline
- Having received hyaluronic acid intra-articular injections in the affected knee within the last 6 months of baseline
- Taking specific OA drugs such as chondroïtin sulfate, diacerein, n-glucosamine, piascledine, capsaicin within 2 weeks of the baseline visit
- Corticosteroïd treatment by systemic or intra-articular route within the last month of baseline or intramuscular or oral corticosteroïds within the last 2 weeks of baseline
- Chronic use of anticoagulants
- Uncontrolled diabetes
- Any concomitant painful or disabling disease of the spine,hips or lower limbs that would interfere with evaluation of the afflicted knee
- Any clinically significant or symptomatic vascular or neurologic disorder of the lower extremities
- Any evidence of the following diseases in the target joint : septic arthritis, inflammatory joint disease, gout, recurrent episodes of pseudogout, Paget's disease of bone, ochronosis, acromegaly, hemochromatosis, Wilson's disease, primary osteochondromatosis, heritable disorders, collagen gene mutation
- Current diagnosis of osteomyelitis
- Liver enzymes (SGOT, SGPT, Alkaline Phosphatase) of more then two times the upper limit of normal or any other result that is clinically important according to the Investigator
- CRP \> 10 mg/l
Key Trial Info
Start Date :
February 1 2002
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
January 1 2010
Estimated Enrollment :
118 Patients enrolled
Trial Details
Trial ID
NCT00414700
Start Date
February 1 2002
End Date
January 1 2010
Last Update
September 26 2011
Active Locations (12)
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1
AZ St. Jan Brugge, Department of Orthopedics
Bruges, Belgium, 8000
2
AZ St Lucas Brugge, Department of Orthopedics
Bruges, Belgium, 8310
3
Academisch Ziekenhuis, Vrije Universiteit Brussel, Department of Orthopedics
Brussels, Belgium, 1090
4
SPM Monica Antwerp
Deurne, Belgium, 2100