UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000027498
Receipt number R000031492
Scientific Title New application of collagen membrane for less invasive procedure of autologous cultured cartilage implantation
Date of disclosure of the study information 2017/06/01
Last modified on 2019/08/13 08:43:46

* This page includes information on clinical trials registered in UMIN clinical trial registed system.
* We don't aim to advertise certain products or treatments


Basic information

Public title

New application of collagen membrane for less invasive procedure of autologous cultured cartilage implantation

Acronym

New application of collagen membrane for autologous cultured cartilage implantation

Scientific Title

New application of collagen membrane for less invasive procedure of autologous cultured cartilage implantation

Scientific Title:Acronym

New application of collagen membrane for autologous cultured cartilage implantation

Region

Japan


Condition

Condition

Full-thickness articular cartilage defects of the knee due to trauma or osteochondritis dissecans

Classification by specialty

Orthopedics

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The purpose of this study is to investigate safety and efficacy of collagen membrane for the autologous chondrocyte implantation (ACI) to eliminate periosteum harvest for less invasive procedure and to deliver more simple procedure.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Clinical score from Knee Injury and Osteoarthritis Outcome Score (KOOS) sheet obtained at registration, 26 weeks, and 52 weeks after implantation.

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Historical

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Device,equipment

Interventions/Control_1

JACC (autologous cultured cartilage) will be prepared by Japan Tissue Engineering Co., Ltd following established protocol and delivered to our hospital with certified quality.
Patients will be admitted to the Hiroshima University Hospital with general manner and anesthetized at operation room (anesthesia method will be decided by anesthesiologist).
Under anesthesia, a medial or lateral parapatellar arthrotomy will be carried out to approach lesions. The lesion will be debrided as far as normal surrounding cartilage and until healthy subchondral bone. The defect was covered by a sutured collagen membrane. The membrane was shaped and sutured to the surrounding rim of normal cartilage with interrupted 5-0 nylon and loosely tied 4-0 vicryl sutures. After suturing half of the border of the membrane, the JACC will be placed in the defect, and then remaining border of the membrane will be sutured. Pull-out suture will be applied if it will be required to cover JACC. The joint capsule, retinaculum, and skin were sutured in separate layers. The grafted site will be confirmed its stability during range of motion before wound closure.

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

13 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1. Over 13 year old
2. Diagnosed as chondral lesion due to trauma or osteochondritis dissecans of the knee
3. Lesion size is over 4cm2
4. Patients consented to being enrolled this study with specific form

Key exclusion criteria

1. Patient who is diagnosed as oteoarthritis of the knee
2. Patient who is diagnosed or suspected malignant tumor
3. Patient who has complications and considered as inappropriate case by orthopaedic surgeon in charge.
4. Hypersensitive patients against gentamicin, amphotericin B, or amnoglycoside.
5. Hypersensitive patients against intradermal injection of atelocollagen or bovine product.
6. Patient who has allergic reaction to bovine or swine.
7. Patient who is diagnosed as rheumatoid arthritis, psoriatic arthritis, systemic lupus erythematosus, dermatomyositis, polymyositis, autoimmune thyropathy, multiple arteritis, scleroderma, ulcerative colitis, Crohn's disease, Sjogren's syndrome, Reiter's syndrome, mixed connective tissue dissase.
8. Patient who has past history about anaphylactic shock.
9. Patient who has hypersensitive against atelocollagen.
10. Patient who is considered as inappropriate case by orthopaedic surgeon in charge.

Target sample size

5


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Nobuo Adachi

Organization

Hiroshima University Hospital

Division name

Department of Orthopaedic Surgery

Zip code


Address

1-2-3 Kasumi, Minami-ku, Hiroshima, Japan

TEL

082-257-5230

Email

nadachi@hiroshima-u.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Masakazu Ishikawa

Organization

Hiroshima University Hospital

Division name

Department of Orthopaedic Surgery

Zip code


Address

1-2-3 Kasumi, Minami-ku, Hiroshima, Japan

TEL

082-257-5233

Homepage URL


Email

mishikawa@hiroshima-u.ac.jp


Sponsor or person

Institute

Hiroshima University Hospital

Institute

Department

Personal name



Funding Source

Organization

Japan Tissue Engineering Co., Ltd.

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization



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



Other administrative information

Date of disclosure of the study information

2017 Year 06 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


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

Terminated

Date of protocol fixation

2017 Year 05 Month 10 Day

Date of IRB

2017 Year 04 Month 26 Day

Anticipated trial start date

2017 Year 06 Month 01 Day

Last follow-up date

2020 Year 07 Month 01 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2017 Year 05 Month 25 Day

Last modified on

2019 Year 08 Month 13 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000031492


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name