UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000008171
Receipt number R000009584
Scientific Title Investigator initiated clinical study on the efficacy and safety of autologous cultured chondrocyte processed product (IK-01) in patients with focal articular cartilage lesion in the knee
Date of disclosure of the study information 2012/06/15
Last modified on 2016/12/16 16:00:47

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Basic information

Public title

Investigator initiated clinical study on the efficacy and safety of autologous cultured chondrocyte processed product (IK-01) in patients with focal articular cartilage lesion in the knee

Acronym

Investigator initiated clinical study on the efficacy and safety of autologous cultured chondrocyte processed product (IK-01) in patients with focal articular cartilage lesion in the knee

Scientific Title

Investigator initiated clinical study on the efficacy and safety of autologous cultured chondrocyte processed product (IK-01) in patients with focal articular cartilage lesion in the knee

Scientific Title:Acronym

Investigator initiated clinical study on the efficacy and safety of autologous cultured chondrocyte processed product (IK-01) in patients with focal articular cartilage lesion in the knee

Region

Japan


Condition

Condition

focal articular cartilage lesion in the knee

Classification by specialty

Orthopedics Operative medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To collect information for a well-designed clinical study pivotal in the future, to explore the effectiveness evaluation index and point at the same time and to confirm the safety of knee joint cartilage regeneration therapy by autologoous cultured chondrocyte processed product (IK-01) in patients with focal articular cartilage lesion (lesion of medial/lateral condyle, patellar and/or tibial articulation; including osteochondritis dissecans) in Japan

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Explanatory

Developmental phase

Not applicable


Assessment

Primary outcomes

IKDC score: assessment of delta IKDC score at 52wks after operation compared with score at pre-operation

Key secondary outcomes

1.IKDC score: assessment of delta IKDC score at 4wks, 12wks, 24wks and 36wks after operation and discontinuation compared with score at pre-operation
2.Lysholm score, VAS: assessment of deltaIKDC score at 4wks, 12wks, 24wks, 36wks and 52wks after operation and/or discontinuation compared with score at pre-operation
3.Histological assessment of the site of transplantation of IK-01 (knee arthroscopy, knee X-ray, knee MRI, hardness of the articular cartilage tissue) :assessment of the status of site of transplantation at 2wks, 12wks, 24wks and 52wks after operation and/or discontinuation
X-ray image and hardness of the articular cartilage tissue measured by biosensor at operation of IK-01 transplantation in the knee, and MRI image at 2wks after operation are used as baseline , assessment of surface structure, congruity around tissue, mechanical strength of cartilage tissue and quality of reproduced cartilage tissue on the site of transplantation of IK-01 on each point are evaluated global (as X-ray image and MRI image as assessment at 12wks, 24wks, 52wks after operation and/or discontinuation, as hardness of the articular cartilage tissue as assessment at 52wks and/or discontinuation)


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Device,equipment

Interventions/Control_1

To transplant autologous cultured chondrocyte processed product (IK-01) for focal articular cartilage defects

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

50 years-old >

Gender

Male and Female

Key inclusion criteria

1. patient more than 20 years and less than 50 years on obligation of the informed consent
2. patient obligated informed consent in written
3. patient with IKDC score < 60 in screening period
4. patient with focal articular cartilage lesions in the knee (including osteochondritis dissecans )
5.patient with III or IV in either ICRS or Outerbridge category.
6. patient with III or IV in nelson category by MRI image in the case of osteochondritis dissecans
7. patient with solid articular cartilage confirmed after debrided by knee arthroscopy in the case of the surface of articular cartilage lesion < 9 cm2
8. patient treated with existing standard therapy (ex; microfrature, mosaicplasty and so on) in the case of the surface of articular cartilage lesion < 4 cm2

Key exclusion criteria

1. patient with knee osteoarthritis (articluar cartilage changed denatuation)
2. patient with more than one site of arthropathia in lower extremity
3. patient with more than two sites of articular cartilage lesions, or focal cartilage lesions on both sides of kneejoints that need for treatment
4. patient with gout or pseudogout
5. patient with articular cartilage lesions in both articular surface and other side surface
6. patient with paralysis associated with neurological disease
7. patient need for bone transplantation from other site, for example, ilium (excluding removal of free bone fragment and irrigation of lesion site)
8. patient with a history of surgery or its need, for example of ablation or suturation of knee meniscus in injured side, but except in the presence of passed consistent term (8 wks over) after surgery of ablation or suturation of maximum partial knee meniscus of 1/3
9. patient with a history of surgery or its need, for example of ligament reconstruction of knee in diseased side, but except in the presence of passed consistent term (8 wks over) after surgery of ablation or suturation of knee meniscus
10. patient with a history of allergic reaction to collagen-containing products
11. patient with a history of serious hypersensitivity or anaphylactic shock to fibrin glue (Bolheal)

Target sample size

10


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Ryosuke Kuroda, M.D., Ph.D

Organization

Kobe University Hospital/ Foundation for Biomedical Research and Innovation Hospital

Division name

Department of Orthopaedic Surgery

Zip code


Address

7-5-2 Kusunoki-cho, Chuou-ku, Kobe, 650-0017 Japan/

TEL

0783825111

Email

kuroda@med.kobe-u.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Junko Yamasaki

Organization

Kobe University Hospital

Division name

Center for Clinical Reserch

Zip code


Address

7-5-2 Kusunoki-cho, Chuou-ku, Kobe, 650-0017 Japan

TEL

078-382-6667

Homepage URL

http://www.hosp.kobe-u.ac.jp/chiken/00chiken_top.html

Email

junkoy@med.kobe-u.ac.jp


Sponsor or person

Institute

Ryosuke Kuroda, M.D., Ph.D

Institute

Department

Personal name



Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

神戸大学医学部附属病院(兵庫県)/
先端医療センター病院(兵庫県)


Other administrative information

Date of disclosure of the study information

2012 Year 06 Month 15 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2012 Year 04 Month 23 Day

Date of IRB


Anticipated trial start date

2012 Year 06 Month 01 Day

Last follow-up date

2016 Year 10 Month 31 Day

Date of closure to data entry


Date trial data considered complete

2016 Year 05 Month 12 Day

Date analysis concluded

2016 Year 06 Month 28 Day


Other

Other related information



Management information

Registered date

2012 Year 06 Month 14 Day

Last modified on

2016 Year 12 Month 16 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000009584


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name