Safety and Efficacy of Allogenic Umbilical Cord Blood-derived Mesenchymal Stem Cell Product
Cartistem
Clinical Trial of the Safety and Efficacy of Allogenic Umbilical Cord Blood-derived Mesenchymal Stem Cell Product With Microfracture for Osteochondral Lesion of Talus Patients
1 other identifier
interventional
28
1 country
1
Brief Summary
The purpose of this study is to evaluate the safety and efficacy of adding allogenic umbilical cord blood-derived stem cell product(Cartistem®) on currently standard treatment of arthroscopic curettage and microfracture for osteochondral lesion of talus.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for early_phase_1
Started Dec 2012
Typical duration for early_phase_1
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
December 1, 2012
CompletedFirst Submitted
Initial submission to the registry
July 31, 2013
CompletedFirst Posted
Study publicly available on registry
January 14, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 1, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2015
CompletedJanuary 14, 2015
January 1, 2015
2.7 years
July 31, 2013
January 11, 2015
Conditions
Outcome Measures
Primary Outcomes (1)
evaluate the efficacy of adding allogenic umbilical cord blood-derived stem cell product(Cartistem®) by American Orthopaedic Foot and Ankle Society(AOFAS) HINDFOOT/ANKLE SCALE
Baseline, Week 4, Week 8, Week 12, Week 24, Week 48
Secondary Outcomes (1)
evaluate the efficacy of adding allogenic umbilical cord blood-derived stem cell product(Cartistem®) by 100-mm VAS(Visual Analogue Scale)
Baseline, Week 4, Week 8, Week 12, Week 24, Week 48
Other Outcomes (1)
evaluate the efficacy of adding allogenic umbilical cord blood-derived stem cell product(Cartistem®) by ICRS arthroscopic scale for repair of articular cartilage
Baseline, Week 4, Week 8, Week 12, Week 24, Week 48
Study Arms (2)
Cartistem
EXPERIMENTALFor control group patients currently standard treatment of arthroscopic curettage and microfracture is performed, and for study group patients allogenic umbilical cord blood-derived mesenchymal stem cell product(Cartistem®) is added on the lesion after above mentioned procedure.
standard treatment
ACTIVE COMPARATORstandard treatment of arthroscopic curettage and microfracture for osteochondral lesion of talus
Interventions
Cartistem is allogenic umbilical cord blood-derived stem cell product. Cartistem is 500uL/cm2 applied according to the lesion.
Eligibility Criteria
You may qualify if:
- Non-responder to conservative treatment for radiographically confirmed (by MRI) osteochondral lesion of talus with ankle pain and/or stiffness and less than 75 of the AOFAS score
- Age between 20 and 70 year-old
- Appropriate function of blood clot PT(INR) \< 1.5, APTT \<1.5×control
- Appropriate renal function Creatinine ≤ 2.0 ㎎/㎗, proteinuria less than trace with Dipstick urine test
- Appropriate hepatic function Bilirubin ≤ 2.0 ㎎/㎗, AST/ALT ≤ 100 IU/L
- No evidence of autoimmue disorder As screening test anti-nuclear antibody and/or anti-thyroglobulin antibody, if positive rheumatologist referral needed to confirm diagnosis
- No surgery or radiotherapy for the same ankle joint within 6 weeks
- Female patients agreeing with maintenance of contraception during study period
- No ligament instability greater than grade II (Grade 0 : none, Grade Ⅰ: 0\~5㎜, GradeⅡ: 5\~10㎜, Grade Ⅲ: \>10㎜) with physical exam
- Patients agreeing with participation in this study and signed on informed consent by their own will
You may not qualify if:
- Degenerative ankle arthritis patients
- Patients with autoimmune disease
- Patients with infectious disease needed parenteral antibiotics
- Patients with myocardial infarction, congestive heart failure, other serious heart diseases or uncontrollable hypertion
- Patients with other serious medical illness
- Pregnancy or breast feeding patients
- Past history related with psychiatric illness or epilepsy
- Alcoholic abuse
- Heavy smoker
- Chronic inflammatory disease including rheumatoid arthritis
- Participants of other clinical trial within 4 weeks
- Patients treated with immunosuppressing agents such as Cyclosporin A or azathioprine within 6 weeks
- Unstable ankle joint(lesion site) greater than grade II at physical exam (Grade 0 : none, grade Ⅰ: 0\~5㎜, GradeⅡ: 5\~10㎜, Grade Ⅲ: \>10㎜)
- Other inappropriate patients determined by the prinicipal investigator
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Samsung Medical Center
Gangnam-Gu, Seoul, 135-710, South Korea
Study Design
- Study Type
- interventional
- Phase
- early phase 1
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- MD
Study Record Dates
First Submitted
July 31, 2013
First Posted
January 14, 2015
Study Start
December 1, 2012
Primary Completion
August 1, 2015
Study Completion
December 1, 2015
Last Updated
January 14, 2015
Record last verified: 2015-01