Development of Novel Strategy for Treatment of Anterior Cruciate Ligament (ACL) Injury Using Stem Cell
A Randomized, Single Center, Investigator Initiated Clinical Trial to Evaluate Enhancement of Healing Between Bone Tunnel and Graft in Anterior Cruciate Ligament (ACL) Injury Using Human Umbilical Cord Blood Derived Mesenchymal Stem Cell
1 other identifier
interventional
30
1 country
1
Brief Summary
Purpose:Development of novel strategy for treatment of anterior cruciate ligament (ACL) injury using stem cell.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Jan 2014
Longer than P75 for not_applicable
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
January 1, 2014
CompletedFirst Submitted
Initial submission to the registry
February 22, 2015
CompletedFirst Posted
Study publicly available on registry
April 28, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 28, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2018
CompletedApril 10, 2019
December 1, 2018
2.3 years
February 22, 2015
April 8, 2019
Conditions
Outcome Measures
Primary Outcomes (1)
Bone formation on interface between bone tunnel and graft
Changes at 12 week, 24 week, 48 week after surgery
Secondary Outcomes (6)
Arthroscopic grading of graft
48 week after surgery
Telos stress X-ray
Changes at 12 week, 24 week, 48 week after surgery
KT-2000
Changes at 12 week, 24 week, 48 week after surgery
clinical knee scoring
Changes at 12 week, 24 week, 48 week after surgery
Instability assessing with physical examination
Changes at 12 week, 24 week, 48 week after surgery
- +1 more secondary outcomes
Study Arms (3)
ACL reconstruction only
ACTIVE COMPARATORonly ACL reconstruction without any injection
ACL reconstruction + Cartistem(TM)
EXPERIMENTALACL reconstruction and concomitant Cartistem(TM) injection which is human cord blood derived mesenchymal stem cell under arthroscopy.
ACL reconstruction + Hyaluronic acid
EXPERIMENTALACL reconstruction and concomitant hyaluronic acid injection under arthroscopy
Interventions
ACL reconstruction and injection of Cartstem(TM), human cord blood derived mesenchymal stem cell under arthroscopy.
ACL reconstruction and injection of hyaluronic acid under arthroscopy.
ACL reconstruction only without any injection under arthroscopy
Eligibility Criteria
You may qualify if:
- Age 20\~50
- Lachman test grade II,III or Pivot shift test grade I,II,III or ACL rupture in MRI
- prothrombin time (PT) (INR) \<1.5, activated partial thromboplastin time (aPTT) \<1.5 x control
- Creatinine ≤2.0 ㎎/㎗, protein uria(dipstick) ≤ trace
- Bilirubin ≤2.0 ㎎/㎗, aspartate aminotransferase (AST) /Alanine Aminotransferase (ALT) ≤100 IU/L
- No surgery and radiation therapy in recent 6 weeks
- No pregnancy
- No combine ligament instability ≥ grade II in physical examination (grade 0: none, grade I: 0\~5mm, grade II: 5\~10mm, grade III: \>10mm)
- voluntary singed a consent form
You may not qualify if:
- Degenerative osteoarthritis in knee
- Revision or other surgery history (stem cell treatment)
- Chronic inflammatory joint disease like rheumatoid arthritis
- Infectious disease need to administration of parenteral antibiotics
- Autoimmune disease
- Myocardial infarction, congestive heart failure, other serious heart disease
- Uncontrolled hypertension
- Serious medical disease
- Pregnancy and breast-feeding
- psychiatric disorder and epilepsy
- Alcohol overuse
- Smoking overuse
- Administration of immunosuppressive agents like Cyclosporin A or Azathioprine in recent 6 weeks prior screening test
- Patient participating in other clinical trials in recent 4 weeks
- Combined ligament instability ≥ grade II in physical test.
- +3 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Samsung Medical Center
Seoul, 06351, South Korea
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Joon Ho Wang, MD, Ph D
Samsung Medical Center
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
February 22, 2015
First Posted
April 28, 2016
Study Start
January 1, 2014
Primary Completion
April 28, 2016
Study Completion
December 1, 2018
Last Updated
April 10, 2019
Record last verified: 2018-12