Introduction of ACI for Cartilage Repair
Introduction of Autologous Chondrocyte Implantation Procedure for the Treatment of Chondral Defect in the Knee
1 other identifier
interventional
218
1 country
1
Brief Summary
This study was aimed to evaluate effectiveness and safety of autologous chondrocyte suspension for treatment of knee articular cartilage defects.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Sep 2017
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
September 1, 2017
CompletedFirst Submitted
Initial submission to the registry
August 1, 2019
CompletedFirst Posted
Study publicly available on registry
March 5, 2020
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2030
ExpectedStudy Completion
Last participant's last visit for all outcomes
September 1, 2030
March 11, 2026
March 1, 2026
13 years
August 1, 2019
March 10, 2026
Conditions
Outcome Measures
Primary Outcomes (3)
Rate of implantation-associated complications: serious adverse events (SAEs) and serious adverse reactions (SARs)
Post-implantation data collection: Types, probability and severity of treatment (inflammation, infection,pain, joint effusion, delamination, transplant rejection, fibrocartilage, incomplete cartilage reparation).
Up to 12 months.
Change in tissue integrity into and around the treated aera
MRI analysis
3 months post-implantation
Absence of infection after implantation.
Absence of infection is assessed in blood sample by the quantification of three parameters: C-reactive Protein (CRP), neutrophil and lymphocyte rate. The non-infection is characterised by a CRP rate \< 10 mg/L, neutrophil rate ranges from 40-75% and lymphocyte rate ranges from 25-40%.
6 weeks post-implantation
Secondary Outcomes (4)
Self-reported function and knee-related quality of life are assessed by using the Knee injury and Osteoarthritis Outcome Score (KOOS)
Change from baseline to 12 months post-implantation.
Self-reported physical pain and function are assessed by International Knee Documentation Committee score (IKDC)
Change from baseline to 12 months post-implantation
Self-reported functional health and weel-being as assessed by SF12 Survey
Change from baseline to 12 months post-implantation
The cartilage repair is assesed by Magnetic Resonance Observation of Cartilage Repair Tissue (MOCART) scoring system.
Change from baseline to12 months post-implantation
Study Arms (1)
Autologous Chondrocyte Injection
EXPERIMENTALAutologous chondrocytes were isolated and expanded in laboratory, then injected at 2x10\^6 of cells per cm\^2 of the cartilage defect.
Interventions
autologous chondrocytes implantation (ACI)
Eligibility Criteria
You may qualify if:
- Age between 15 and 50.
- Lesions classified as ICRS Grade III or IV and smaller than 15 cm2
- Lesions that have failed prior therapy (conservative or surgical treatment ≥ six months)
- Subjects who understand and sign the consent form for this study
You may not qualify if:
- Body mass index (BMI) of 35 or more
- Osteoarthritis or rheumatoid arthritis
- Diffuse lesion
- Uncorrected mal-alignment, ligamentous instability, or meniscal tear
- Presence of growth cartilage (15-18 years old)
- Active smoking or drug consumption
- Women who are pregnant
- Positive serology for HIV-1 or HIV-2, Hepatitis B and C and syphilis
- Proven allergy to porcine collagen, penicillin and gentamicin
- Poor compliance
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Centre Hospitalier Universitaire Vaudois - CHUV
Lausanne, Canton of Vaud, 1011, Switzerland
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Robin MARTIN, MD
CHUV
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Principal Investigator
Study Record Dates
First Submitted
August 1, 2019
First Posted
March 5, 2020
Study Start
September 1, 2017
Primary Completion (Estimated)
September 1, 2030
Study Completion (Estimated)
September 1, 2030
Last Updated
March 11, 2026
Record last verified: 2026-03