AzTrials
AzTrials

Articular Cartilage Lesion of the Femoral CondylePhase 3TIGACT01NCT00414700

RCT of ChondroCelect® (in an ACI Procedure) vs Microfracture in the Repair of Cartilage Defects of the Knee

A Phase 3 study testing ChondroCelect implantation and Microfracture in people with Articular Cartilage Lesion of the Femoral Condyle, run by TiGenix n.v. at 12 sites in 4 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This is a phase III, multicenter, open-label, randomized controlled trial of ChondroCelect® in an Autologous Chondrocyte Implantation (ACI) procedure compared to the procedure of microfracture (MF) in the repair of symptomatic cartilage lesions of the knee. Read more about this study

Who is it for?
Ages 18 to 50 years
What is being tested?
ChondroCelect implantation and Microfracture
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
118 participants
Where
12 sitesin 4 countries
Study dates
Feb 2002to Jan 2010
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 50 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Signed patient informed consent
  • Symptomatic cartilage single lesion of the femoral condyle
  • Lesion on femoral condyle between 1 and 5 cm²
  • Agree to participate actively in a strict rehabilitation protocol and follow-up programme
  • Agree to only use paracetamol mono-or combination preparation (max 4g/d) and Non-Steroidal Anti Inflammatory Drugs (NSAIDS) during the study and to discontinue this medication 2 weeks before the baseline visit and the follow-up visits. The use of paracetamol mono-preparation (max 4g/d) is allowed up to one week before the baseline visit and the follow-up visits.
  • Females of childbearing age should use a proven method to prevent pregnancy

Who cannot join

  • Participation in concurrent trials
  • Participation in previous trials within 3 months
  • Subjects with hepatitis, HIV or syphilis
  • Malignancy
  • Alcohol or drug (medication) abuse
  • Poor general health as judged by Investigator
Show all 29Show fewer
  • Clinically relevant second cartilage lesion on the patella
  • Patellofemoral cartilage lesion
  • Osteochondritis Dissecans (OCD) : recent OCD (within 1 year before baseline), depth of lesion > 0.5cm, subchondral slerosis
  • Advanced osteoarthritis (OA) : radiographic atlas of OA grade 2-3
  • Known allergy to gentamicin or penicillins (or presence of multiple severe allergies)
  • Complex ligamentous instability of the knee
  • Meniscal transplant
  • Meniscal suture with meniscal arrows (ipsilateral)
  • Meniscus resection : if < 1 yr before baseline - lateral meniscus resection or medial meniscus resection of more than 50%. If > 1 yr before baseline - ipsilateral meniscus resection of more than 50%, controlateral meniscus resection of more than 50% if ipsilateral meniscus is not intact, combination of medial and lateral meniscus resection and one of both > 50%.
  • Varus or valgus malalignment of more than 5°
  • Mosaicplasty
  • Microfracture performed less than 1 yr before baseline
  • Having received hyaluronic acid intra-articular injections in the affected knee within the last 6 months of baseline
  • Taking specific OA drugs such as chondroïtin sulfate, diacerein, n-glucosamine, piascledine, capsaicin within 2 weeks of the baseline visit
  • Corticosteroïd treatment by systemic or intra-articular route within the last month of baseline or intramuscular or oral corticosteroïds within the last 2 weeks of baseline
  • Chronic use of anticoagulants
  • Uncontrolled diabetes
  • Any concomitant painful or disabling disease of the spine,hips or lower limbs that would interfere with evaluation of the afflicted knee
  • Any clinically significant or symptomatic vascular or neurologic disorder of the lower extremities
  • Any evidence of the following diseases in the target joint : septic arthritis, inflammatory joint disease, gout, recurrent episodes of pseudogout, Paget's disease of bone, ochronosis, acromegaly, hemochromatosis, Wilson's disease, primary osteochondromatosis, heritable disorders, collagen gene mutation
  • Current diagnosis of osteomyelitis
  • Liver enzymes (SGOT, SGPT, Alkaline Phosphatase) of more then two times the upper limit of normal or any other result that is clinically important according to the Investigator
  • CRP > 10 mg/l

Trial locations and contacts

12 sites in 4 countries.

12 sites in 4 countries

Belgium9 sites
  • AZ St. Jan Brugge, Department of Orthopedics

    Bruges, 8000

  • AZ St Lucas Brugge, Department of Orthopedics

    Bruges, 8310

  • Academisch Ziekenhuis, Vrije Universiteit Brussel, Department of Orthopedics

    Brussels, 1090

  • SPM Monica Antwerp

    Deurne, 2100

  • Ghent University Hospital, Department of Orthopedics

    Ghent, 9000

  • AZ St. Elisabeth, Department of Orthopedics

    Herentals, 2200

  • AZ Groeninge, Department of Orthopedics

    Kortrijk, 8500

  • University Hospitals Leuven, Department of Orthopedics

    Leuven, 3000

  • A.Z. Sint Jozef, Department of Orthopedics

    Malle, 2390

Other trials in Belgium

Croatia1 site
  • Department of Orthopedic Surgery, School of Medicine, University of Zagreb

    Zagreb, 10000

Other trials in Croatia

Germany1 site
  • University Hospital Hannover, Department of Orthopedics

    Hanover, 30625

Other trials in Germany

Netherlands1 site
  • University Medical Center Utrecht, Department of Orthopedics

    Utrecht, 3584

Other trials in Netherlands

About this study

Official title: Prospective Multicenter Randomized Controlled Trial of ChondroCelect® (Via Autologous Chondrocyte Implantation) vs Microfracture (as Procedure) in the Repair of Symptomatic Cartilaginous Defects of the Femoral Condyles

This is a phase III, multicenter, open-label, randomized controlled trial of ChondroCelect® in an Autologous Chondrocyte Implantation (ACI) procedure compared to the procedure of microfracture (MF) in the repair of symptomatic cartilage lesions of the knee. Eligible patients attended two screening visits and were booked for arthroscopy approximately 2 weeks later. At that time, patients were randomized to either ACI with ChondroCelect® or to MF, a procedure in which the subchondral bone is perforated to allow a bloodcloth to form scar tissue. Patients randomized to MF had the procedure performed at the time of their arthroscopy; those randomized to ACI with ChondroCelect® had their cells harvested during the arthroscopy and then returned to the clinic approximately 4 weeks later for an open knee procedure, during which the ACI procedure using ChondroCelect® was performed. Patients subsequently followed the same rehabilitation program and had follow-up assessments up to 12 months post-surgery. The 12-month visit was the end-of-study visit for the TIG/ACT/01/2000 protocol. Subject to satisfying the eligibility criteria, patients who had participated in the initial 12 month trial could enter the extension trial. The 12-month visit for the initial study was the baseline visit for the extension study. During the extension study, patients have follow-up assessments up to 60 months post-surgery.

Read the detailed description

see above

Being tested
ChondroCelect implantation, Microfracture
Keywords
Cartilage, Articular, Femoral, Knee

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • ChondroCelect implantationDrug

    Also called CCI

    10.000 cells/µl cell suspension for implantation (Autologous Chondrocyte Implantation). ChondroCelect consists of characterised autologous cartilage-forming cells expressing a specific marker profile.

    The dose depends on the size of the lesion. Recommended dose is 0.8 to 1.0 million cells/cm².

  • MicrofractureProcedure or surgery

    Also called subchondral drilling

    A procedure in which the subchondral bone is perforated to allow a bloodcloth to form scar tissue.

Study groups in NCT00414700
Study groupRoleWhat they receive
ChondroCelectExperimentalNot described
Receives: Drug: ChondroCelect implantation
MicrofractureActive comparatorNot described
Receives: Procedure: Microfracture

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Histomorphometry Safranin-O + Anti-Collagen II Antibody Staining

    Histomorphometry on end point biopsies at 12 months post-surgery. Safranin-O (ratio 0-1)+ anti-Collagen II antibody (ratio 0-1) stain signal expressed as a ratio of the total cartilage surface area (Saf O + anti Coll II divided by total surface = ratio 0-2). Safranin-O stains proteoglycans and anti-Collagen II antibody reflects the presence of Collagen II.

    Measured: 12 months post-surgery

  2. Overall Histology Assessment on First Subscale of ICRS II Score

    Overall histology assessment of cartilage repair, first subscale of International Cartilage Repair Society II (ICRS II) score by two blinded independant histopathologists on a visual analogue scale (VAS 0-100mm) from worst (0) to best (100)

    Measured: 12 months post-surgery

  3. Change From Baseline in Overall Knee Injury and Osteoarthritis Outcome Score (KOOS) at 12-18 Months (Average)

    Overall Knee injury and Osteoarthritis Outcome score (average of 4 KOOS subdomains, Sports not included) at the average of 12-18 months (calculated by averaging change from baseline measurements at 12 and 18 months). Best score = 100; worst score = 0. The analysis was the average of the change from baseline at the 12 and 18 months timepoints.

    Measured: Average change from baseline in Overall KOOS at 12-18 months post-surgery

Secondary outcomes (3)
  1. Change From Baseline in Overall Knee Injury and Osteoarthritis Outcome Score (KOOS) at 36 Months

    Overall Knee injury and Osteoarthritis Outcome score (average of 4 KOOS subdomains: Activities of Daily Living, Quality of Life, Symptoms and Stiffness Pain; Sports not included) at 36 months (change from baseline). Best = 100; worst = 0.

    Measured: Change from baseline in Overall KOOS at 36 months post-surgery

  2. Number of Treatment Failures at 36 Months

    Participants with failed treatment - defined as the number of patients who underwent a reintervention of the index lesion - at 36 months.

    The index lesion is the lesion that was initially treated in the study.

    Measured: Continuous

  3. Safety: Adverse Events

    Side effects are recorded as the number of patients with adverse events. These events are coded according to the Medical Dictionary for Regulatory Affairs (MedDRA terms).

    Measured: continuous up to 60 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted22 Dec 2006 (estimated)
  2. Study startFeb 2002
  3. Primary completionJul 2006
  4. Study completionJan 2010

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
118 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00414700
Sponsor's protocol ID
TIG/ACT/01/2000&Extension
Other IDs
BB IND 12491 0007
Acronym
TIGACT01
Status last verified
Sep 2011
First submitted
21 Dec 2006
Last updated
26 Sep 2011
Data monitoring committee
No

Publications

  • Dell'Accio F, Vanlauwe J, Bellemans J, Neys J, De Bari C, Luyten FP. Expanded phenotypically stable chondrocytes persist in the repair tissue and contribute to cartilage matrix formation and structural integration in a goat model of autologous chondrocyte implantation. J Orthop Res. 2003 Jan;21(1):123-31. doi: 10.1016/S0736-0266(02)00090-6.

    PubMed 12507589
  • Dell'Accio F, De Bari C, Luyten FP. Microenvironment and phenotypic stability specify tissue formation by human articular cartilage-derived cells in vivo. Exp Cell Res. 2003 Jul 1;287(1):16-27. doi: 10.1016/s0014-4827(03)00036-3.

    PubMed 12799178
  • Dell'Accio F, De Bari C, Luyten FP. Molecular markers predictive of the capacity of expanded human articular chondrocytes to form stable cartilage in vivo. Arthritis Rheum. 2001 Jul;44(7):1608-19. doi: 10.1002/1529-0131(200107)44:73.0.CO;2-T.

    PubMed 11465712
  • Brittberg M, Lindahl A, Nilsson A, Ohlsson C, Isaksson O, Peterson L. Treatment of deep cartilage defects in the knee with autologous chondrocyte transplantation. N Engl J Med. 1994 Oct 6;331(14):889-95. doi: 10.1056/NEJM199410063311401.

    PubMed 8078550
  • Knutsen G, Engebretsen L, Ludvigsen TC, Drogset JO, Grontvedt T, Solheim E, Strand T, Roberts S, Isaksen V, Johansen O. Autologous chondrocyte implantation compared with microfracture in the knee. A randomized trial. J Bone Joint Surg Am. 2004 Mar;86(3):455-64. doi: 10.2106/00004623-200403000-00001.

    PubMed 14996869
  • Rosenzweig A. Cardiac cell therapy--mixed results from mixed cells. N Engl J Med. 2006 Sep 21;355(12):1274-7. doi: 10.1056/NEJMe068172. No abstract available.

    PubMed 16990391
  • Saris DB, Vanlauwe J, Victor J, Haspl M, Bohnsack M, Fortems Y, Vandekerckhove B, Almqvist KF, Claes T, Handelberg F, Lagae K, van der Bauwhede J, Vandenneucker H, Yang KG, Jelic M, Verdonk R, Veulemans N, Bellemans J, Luyten FP. Characterized chondrocyte implantation results in better structural repair when treating symptomatic cartilage defects of the knee in a randomized controlled trial versus microfracture. Am J Sports Med. 2008 Feb;36(2):235-46. doi: 10.1177/0363546507311095.

    PubMed 18202295
  • Saris DB, Vanlauwe J, Victor J, Almqvist KF, Verdonk R, Bellemans J, Luyten FP; TIG/ACT/01/2000&EXT Study Group. Treatment of symptomatic cartilage defects of the knee: characterized chondrocyte implantation results in better clinical outcome at 36 months in a randomized trial compared to microfracture. Am J Sports Med. 2009 Nov;37 Suppl 1:10S-19S. doi: 10.1177/0363546509350694. Epub 2009 Oct 21.

    PubMed 19846694

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing ChondroCelect implantation and Microfracture in people with Articular Cartilage Lesion of the Femoral Condyle, run by TiGenix n.v. at 12 sites in 4 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 29 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 26 Sep 2011. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 12 sites in Belgium, Croatia, Germany, Netherlands. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 18 Jan 2010). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Histomorphometry Safranin-O + Anti-Collagen II Antibody Staining (time frame: 12 months post-surgery). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00414700, which also lists 8 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 26 Sep 2011.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in