UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000017944
Receipt number R000020797
Scientific Title Phase I exploratory clinical research on the use of High-Density Mesenchymal Stem Cell Scaffold-Free Autologous Constructs derived from adipose tissue for the donor site of mosaic plasty plugs for osteochondral regeneration therapy
Date of disclosure of the study information 2015/07/01
Last modified on 2019/07/07 12:12:54

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Basic information

Public title

Phase I exploratory clinical research on the use of High-Density Mesenchymal Stem Cell Scaffold-Free Autologous Constructs derived from adipose tissue for the donor site of mosaic plasty plugs for osteochondral regeneration therapy

Acronym

Clinical research on osteochondral tissue regeneration using adipose derived mesenchymal stem cell constructs

Scientific Title

Phase I exploratory clinical research on the use of High-Density Mesenchymal Stem Cell Scaffold-Free Autologous Constructs derived from adipose tissue for the donor site of mosaic plasty plugs for osteochondral regeneration therapy

Scientific Title:Acronym

Clinical research on osteochondral tissue regeneration using adipose derived mesenchymal stem cell constructs

Region

Japan


Condition

Condition

Patients with cartilage injury, osteochondritis dissecans, disengaged osteochondral bone fracture, or idiopathic osteonecrosis of the knee joint

Classification by specialty

Orthopedics

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the safety and osteochondral regeneration using implanted "High-density Mesenchymal Scaffold-Free Stem Cell Autologous Construct (HDMAC)" derived from adipose tissue for donor site of mosaic plasty plugs

Basic objectives2

Safety

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase

Phase I,II


Assessment

Primary outcomes

Incidence rate of the adverse events and side effects that occur after grafting

Key secondary outcomes

Evaluation of osteochondral regeneration in the HDMAC plug implanted area compared with the non implanted area by MRI and arthroscopy with ICRS scoring


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

Medicine

Interventions/Control_1

HDMAC plug implanted

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

60 years-old >=

Gender

Male and Female

Key inclusion criteria

Subjects must meet all of the eligibility listed below to be enrolled in the trial.
1) Age : >= 20 and <= 60 years old at the time of obtaining informed consent
2) Patients with cartilage injury, osteochondritis dissecans, disengaged osteochondral bone fracture or idiopathic osteonecrosis of the knee joint diagnosed by MRI
3) Patients have a lesion area (shoulder, knee, elbow, joint) larger than 100mm2
4) Patients with normal hematopoietic function (screening test results showing blood composition to be within the following ranges; white blood cell count (3,000-10,000/uL), platelet count (140,000-440,000/uL), hemoglobin (10.0-18.0g/dL).
5) Patients without serious problems on kidney (CRE;0.65-1.07mg/dL for male, 0.46-0.79 mg/dL for female) and liver (ALT;6-90U/L, AST;13-90U/L, total bilirubin;0.3-3.6mg/dL), uncontrolled heart dysfunctions including arrhythmia and angina pectoris, uncontrolled diabetes or high blood pressure
6) Suitable as a subject as results of screening test conducted after obtaining informed consent
7) Participate this trial based on subject's own free will and give informed consent in written form

Key exclusion criteria

Subjects that meet the following criteria will be excluded from the trial.
1) Has past undergone osteochondral surgery
2) Has past suppurative arthritis in the affected area
3) Has past rheumatism, gout or other arthritis
4) Has present or past contagious disease within 3 months of registering for the trial
5) Positive for syphilis , HBs antigens, HCV, HIV parvovirus or HTLV antigens in the screening test results
6) Was drawn 200ml of whole blood within one month (or 200ml of blood components was drawn within two weeks) of registering
7) Is currently taking antithrombotic or anticoagulant drugs
8) APTT over 41 seconds and PT over 13.5 seconds in the screening test results
9) Is currently undergoing treatment for a malignant tumor or underwent treatment for a malignant tumor (excluding intraepithelial neoplasia) within the last 5 years
10) Has any congenital metabolism or bone disorders
11) Has past history of drug or alcohol abuse
12) Is taking steroids like prednisolone systemically 5mg/day or is taking any immune suppressant drugs
13) Participate other clinical research within 3 months before registration
14) Has a history of drug hypersensitivity reactions (antibacterial agents using cultivated cells such as penicillin etc)
15) Has hypersensitivity for animals (especially for bovine)
16) Has a history of anaphylaxis
17) Pregnant, capable of pregnancy and lactating women
18) Unsuitable for this trial judged by PI or SI

Target sample size

5


Research contact person

Name of lead principal investigator

1st name Yasuharu
Middle name
Last name Nakashima

Organization

Kyushu University Hospital

Division name

Department of Orthopedic Surgery

Zip code

812-8582

Address

3-1-1 Maidashi, Higashi-Ku, Fukuoka

TEL

092-642-5488

Email

yasunaka@ortho.med.kyushu-u.ac.jp


Public contact

Name of contact person

1st name Yukio
Middle name
Last name Akasaki

Organization

Kyushu University Hospital

Division name

Department of Orthopedic Surgery

Zip code

812-8582

Address

3-1-1 Maidashi, Higashi-Ku, Fukuoka

TEL

092-642-5488

Homepage URL


Email

akasaki@ortho.med.kyushu-u.ac.jp


Sponsor or person

Institute

Kyushu University Hospital Department of Orthopedic Surgery

Institute

Department

Personal name



Funding Source

Organization

AMED

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Center for Clinical and Translational Research

Address

3-1-1 Maidashi, Higashi-Ku, Fukuoka

Tel

092-642-5082

Email

byshasiwatas@jimu.kyushu-u.ac.jp


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

九州大学病院


Other administrative information

Date of disclosure of the study information

2015 Year 07 Month 01 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

5

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

No longer recruiting

Date of protocol fixation

2015 Year 06 Month 12 Day

Date of IRB

2015 Year 07 Month 09 Day

Anticipated trial start date

2015 Year 10 Month 01 Day

Last follow-up date

2020 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2015 Year 06 Month 17 Day

Last modified on

2019 Year 07 Month 07 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000020797


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name