NCT03497780

Brief Summary

The proposed study will establish novel relationships between intra-articular mesenchymal stem cell (MSC) recruitment, synovial inflammation, biomarkers of cartilage degeneration and joint inflammation, clinical patient factors, and downstream alterations in cartilage composition and morphology to provide novel insights into the pathoetiology of post-traumatic osteoarthritis (PTOA) after ACL injury and reconstruction. The study aims to enroll N=38 total patients with primary, isolated rupture to their anterior cruciate ligament (ACL), who have agreed to participate in the study and who will undergo primary surgical reconstruction by an orthopaedic physician at our two sites. Patients will undergo baseline magnetic resonance imaging (MRI), baseline clinical evaluation, and undergo a baseline blood draw. Subsequent imaging and clinical evaluations will be longitudinally performed at several postoperative timepoints up to 12 months postoperatively.

Trial Health

57
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
13

participants targeted

Target at below P25 for all trials

Timeline
Completed

Started Nov 2018

Typical duration for all trials

Geographic Reach
1 country

2 active sites

Status
terminated

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

March 23, 2018

Completed
21 days until next milestone

First Posted

Study publicly available on registry

April 13, 2018

Completed
7 months until next milestone

Study Start

First participant enrolled

November 8, 2018

Completed
2.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 25, 2021

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

March 25, 2021

Completed
Last Updated

April 5, 2023

Status Verified

March 1, 2023

Enrollment Period

2.4 years

First QC Date

March 23, 2018

Last Update Submit

March 31, 2023

Conditions

Keywords

Healthy VolunteersACL (Anterior Cruciate Ligament) tear

Outcome Measures

Primary Outcomes (3)

  • Change in Articular cartilage surface roughness

    One-year change in articular cartilage surface roughness based on quantitative morphological assessment with 3D MRI.

    Baseline (preop), 12 months

  • Change in Serum Cartilage Oligomeric Matrix Protein (COMP) concentration

    One-year change in the serum concentration of COMP, a biomarker of articular cartilage degeneration.

    Baseline (preop), 12 months

  • Change in International Knee Documentation Committee (IKDC) score

    One year change in IKDC, a patient-reported outcome measure specific to knee injuries.

    Baseline (preop), 12 months

Secondary Outcomes (4)

  • Change in quantitative T2 mapping and T1rho mapping relaxation times from MRI.

    Baseline (preop), 12 months

  • Change in concentration of biomarkers of inflammation and cartilage metabolism.

    Baseline (preop), 12 months

  • Change in patient-reported outcome measures

    Baseline (preop), 12 months

  • Change in knee laxity

    Baseline (preop), 12 months

Study Arms (2)

ACL Tear

Patients with ACL tears

Procedure: Anterior cruciate ligament reconstruction

Healthy Subjects

Healthy subjects

Interventions

Primary surgical reconstruction of the rupture anterior cruciate ligament

ACL Tear

Eligibility Criteria

Age18 Years - 30 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64)
Sampling MethodNon-Probability Sample
Study Population

Community sample

You may qualify if:

  • Isolated, traumatic primary anterior cruciate ligament rupture requiring surgical reconstruction
  • Surgical reconstruction performed using a single-bundle technique utilizing an autograft
  • No history of ipsilateral traumatic knee injury or fracture
  • No evidence of Posterior Cruciate Ligament injury or more than grade 1 injury to the Medial or Lateral Collateral Ligament

You may not qualify if:

  • Body Mass Index \< 18.5 or \>35 - Injury occurred longer than 4 weeks before enrollment
  • Intra-articular steroid injection within 3 months of injury
  • Chondral defects greater than 3 cm2 or Outerbridge grade II or higher lesions
  • Pregnant women as they are not eligible for surgery

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

University of Michigan

Ann Arbor, Michigan, 48105, United States

Location

University of Michigan

Ann Arbor, Michigan, 48109, United States

Location

Biospecimen

Retention: SAMPLES WITHOUT DNA

Serum and plasma

MeSH Terms

Conditions

Anterior Cruciate Ligament InjuriesLacerations

Interventions

Anterior Cruciate Ligament Reconstruction

Condition Hierarchy (Ancestors)

Knee InjuriesLeg InjuriesWounds and Injuries

Intervention Hierarchy (Ancestors)

ArthroplastyOrthopedic ProceduresSurgical Procedures, OperativePlastic Surgery Procedures

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Research Investigator

Study Record Dates

First Submitted

March 23, 2018

First Posted

April 13, 2018

Study Start

November 8, 2018

Primary Completion

March 25, 2021

Study Completion

March 25, 2021

Last Updated

April 5, 2023

Record last verified: 2023-03

Locations