A Phase 2b/3 Study of TPX-115 on Partial-thickness Rotator Cuff Tear
A Multi-center, Randomized, Double Blinded, Placebo-controlled, Phase 2b/3 Clinical Trial to Evaluate the Safety and Efficacy of TPX-115 in Patients With Partial-thickness Rotator Cuff Tear
1 other identifier
interventional
166
1 country
2
Brief Summary
Rotator cuff tear is one of the most common shoulder diseases and conservative treatment is commonly used for tears involving ≤50% of tendon thickness. Since conventional conservative treatments are not fundamental to repair tendon tissue, there is a growing need of new therapy to improve structural outcome. This study assesses the safety and efficacy of allogeneic fibroblasts on partial-thickness rotator cuff tear. The primary outcome is change in Constant Score (CS) at 24 weeks after TPX-115 injection. Secondary outcomes include changes from baseline in CS, Visual Analogue Score (VAS) pain score, American Shoulder and Elbow Surgeons (ASES) score, Quick Disabilities of the Arm, Shoulder and Hand (Quick-DASH), Simple Shoulder Test (SST), and functional evaluations including Range of Motion (ROM) at 4, 12, 24 and 52 weeks after administration and structural evaluation using MRI at 24 and 52 weeks after injection.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2
Started Apr 2024
Typical duration for phase_2
2 active sites
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
April 15, 2024
CompletedFirst Submitted
Initial submission to the registry
May 10, 2024
CompletedFirst Posted
Study publicly available on registry
May 14, 2024
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 30, 2026
ExpectedStudy Completion
Last participant's last visit for all outcomes
January 31, 2027
June 5, 2024
March 1, 2024
2.2 years
May 10, 2024
June 4, 2024
Conditions
Outcome Measures
Primary Outcomes (1)
Change in shoulder score of Constant score (CS)
The CS total score (100) = Pain (15) + Activity of Daily Living (20) + Mobility (40) + Strength(25)
24 weeks
Secondary Outcomes (8)
Change in shoulder score of Constant score (CS)
4, 12, 52 weeks
hange in pain score of Visual Analogue Scale (VAS)
4, 12, 24, 52 weeks
Change of American Shoulder and Elbow Surgeons (ASES) Shoulder Score
4, 12, 24, 52 weeks
Change of Quick Disabilities of the Arm, Shoulder and Hand (Quick-DASH) Outcome Measure
4, 12, 24, 52 weeks
Change in Simple Shoulder Test (SST) Score
4, 12, 24, 52 weeks
- +3 more secondary outcomes
Study Arms (2)
TPX-115
EXPERIMENTALSubjects receive ultrasound-guided intratendinous injection of TPX-115
Placebo (Saline)
PLACEBO COMPARATORSubjects receive ultrasound-guided intratendinous placebo injection
Interventions
Ultrasound-guided intratendinous injection of allogeneic fibroblasts (TPX-115)
Eligibility Criteria
You may qualify if:
- Be 19 years of age or older.
- Have partial-thickness rotator cuff tear, ≤50% of tendon thickness or of Ellman grade II assessed by MRI.
- Have unilateral shoulder pain, muscle weakness and limited active range of motion lasting more than 3 months despite conservative treatment
- VAS pain score ≥4 at screening.
- Understand fully the study and voluntarily sign the informed consent for participation in the study.
You may not qualify if:
- Regardless of partial-thickness rotator cuff tear, have full-thickness rotator cuff tear confirmed by MRI.
- Have been treated with the following
- Have had painkiller within 1 week prior to screening visit.
- Have had received systemic steroid or immunosuppressive agents within 4 weeks prior to screening visit.
- Have had subacromial or intra-articular injections on the affected shoulder within 3 months prior to screening visit.
- Have shoulder surgery on the rotator cuff tear or had received drug that included growth factor, within 6 months prior to screening visit.
- Have been diagnosed with the following diseases.
- Inflammatory joint diseases
- Other shoulder diseases which may cause shoulder pain or functional disorder
- Autoimmune diseases
- Active hepatitis B or C
- HIV Ab positive
- Malignant tumors within the last 5 years
- Coagulopathy
- Genetic disorders related to fibroblasts of collagen
- +5 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
Seoul National University Bundang Hospital
Seongnam-si, Gyeonggi-do, 13620, South Korea
Seoul National University Hospital
Seoul, 03080, South Korea
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Joo Han Oh, M.D.
Seoul National University Bundang Hospital
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
May 10, 2024
First Posted
May 14, 2024
Study Start
April 15, 2024
Primary Completion (Estimated)
June 30, 2026
Study Completion (Estimated)
January 31, 2027
Last Updated
June 5, 2024
Record last verified: 2024-03