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Knee OsteoarthritisPhase 1/2CMM-PRGF/ARTNCT02365142

Treatment of Osteoarthritis by Intra-articular Injection of Bone Marrow Mesenchymal Stem Cells With Platelet Rich Plasma

A Phase 1/2 study testing 100 million Bone marrow mesenchimal stem cells and Platelet Rich plasma (PRGF) in people with Knee Osteoarthritis, run by Clinica Universidad de Navarra, Universidad de Navarra at 2 sites in Spain.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

Purpose: To determine the safety, feasibility and effectiveness (clinical and radiological) of intra-articular administration of autologous mesenchymal stem cells (MSCs) with platelet richa plasma (PRGF) in patients with knee osteoarthritis. Read more about this study

Who is it for?
Ages 40 to 80 years
Conditions the study is for
Knee Osteoarthritis
What is being tested?
100 million Bone marrow mesenchimal stem cells and Platelet Rich plasma (PRGF)
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
38 participants
Where
2 sitesSpain
Study dates
Jun 2014to Jun 2018
Phase
Phase 1/2
Are there results?
None posted in the registry

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 40 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Males and females between 40 and 80 year old
  • Bad results with previous hyaluronic acid injection
  • Diagnosis of knee OA according to the criteria of osteoarthritis of the ACR (American College of Rheumatology)
  • Joint pain equal or greater than 2.5 points on the visual analogue scale (VAS)
  • Radiological Classification: Kellgren-Lawrence scale greater or equal to 2
  • Body mass index between 20 and 35 kg/m2
  • Ability to follow during the study period

Who cannot join

  • Bilateral Osteoarthritis of the Knee requiring treatment in both knees
  • Previous diagnosis of polyarticular disease
  • Severe mechanical deformation
  • Arthroscopy during the previous 6 months
  • Intraarticular infiltration of hyaluronic acid in the last 6 months
  • Systemic autoimmune rheumatic disease
Show all 12Show fewer
  • Poorly controlled diabetes mellitus
  • Blood dyscrasias
  • Immunosuppressive or anticoagulant treatments
  • Treatment with corticosteroids in the 3 months prior to inclusion in the study
  • NSAID therapy within 15 days prior to inclusion in the study
  • Patients with a history of allergy to penicillin or streptomycin

Trial locations and contacts

2 sites in 1 country.

Spain2 sites
  • Departamento Cirugía Ortopédica y Traumatología. Clinica Universidad de Navarra

    Pamplona, Navarre, 31008

  • Hospital Universitario de Salamanca

    Salamanca, Castille and León, 37007

Other trials in Spain

About this study

Official title: Phase I/II. Treatment of Osteoarthritis by Intra-articular Injection of Bone Marrow Mesenchymal Stem Cells With Platelet Rich Plasma(PRGF)

Purpose: To determine the safety, feasibility and effectiveness (clinical and radiological) of intra-articular administration of autologous mesenchymal stem cells (MSCs) with platelet richa plasma (PRGF) in patients with knee osteoarthritis.

Patients and methods

Read more

Clinical trial phase I- II, randomized , multicenter , with two treatment arms and 19 patients for each group. The investigators compare the intraarticular injection of against the administration of two different doses of mesenchymal stem cells with hialuronic acid according to the following scheme:

  1. Group A: 3 intra-articular injections of platelet rich plasma (PRGF®) separated by 7 days.
  2. Group B: 3 intra-articular injections of platelet richa plasma (PRGF®) separated by 7 days and one with Mesenchimal stems cells. Intra-articular injection of 100 million autologous mesenchymal progenitor stem cells cultured ex - vivo (cell suspension sterile small volume (5-10 ml ) in a vehicle suitable for intraarticular injection ) followed by an intraarticular injection of platelet richa plasma (PRGF®). The treatment is completed with 2 more injection of platelet richa plasma (PRGF®) separeted by one week.

In addition the investigators assess the response to intra-articular infusion of CMM analyzing the following parameters:

  • Clinical assessment of pain and function (Baseline, 1, 3, 6 and 12 months since treatment): VAS , WOMAC , KOOS , EuroQol, SF-16, Lequesne , WOMAC , KOOS.
  • Radiographic (baseline and 12 months from treatment): Femorotibial space.
  • Radiographic using MRI (baseline and 12 months from treatment): by assessing the number location of the lesions , cartilage thickness , signal intensity , subchondral bone alteration , volume and WORMS and dGEMRIC protocols.
Read the detailed description

Purpose: To determine the safety, feasibility and effectiveness (clinical and radiological) of intra-articular administration of autologous mesenchymal stem cells (MSCs) with platelet richa plasma (PRGF®) in patients with knee osteoarthritis.

Patients and methods

Clinical trial phase I- II, randomized , multicenter , with two treatment arms and 19 patients for each group. The investigators compare the intraarticular injection of against the administration of two different doses of mesenchymal stem cells with hialuronic acid according to the following scheme:

  1. Group A: 3 intra-articular injections of platelet richa plasma (PRGF®) separated by 7 days.
  2. Group B: 3 intra-articular injections of platelet richa plasma (PRGF®) separated by 7 days and one with Mesenchimal stem cell. Intra-articular injection of 100 million autologous mesenchymal progenitor stem cells cultured ex - vivo (cell suspension sterile small volume (5-10 ml ) in a vehicle suitable for intraarticular injection ) followed by an intraarticular injection of platelet richa plasma (PRGF®). The treatment is completed with 2 more injection of platelet richa plasma (PRGF®) separeted by one week.

The autologous mesenchymal stem cells are obtained from the iliac crest under local anesthesia and sedation. They are cultured ex vivo The primary endpoint is safety and feasibility. The investigators registered the occurrence of complications and / or adverse effects during the study.

In addition the investigators assess the response to intra-articular infusion of CMM analyzing the following parameters:

  • Clinical assessment of pain and function (Baseline, 1, 3, 6 and 12 months since treatment): VAS , WOMAC , KOOS , EuroQol, SF-16, Lequesne , WOMAC , KOOS.
  • Radiographic (baseline, 6 and 12 months since treatment): Femorotibial space.
  • Radiographic using MRI (baseline, 6 and 12 months since treatment): by assessing the number location of the lesions , cartilage thickness , signal intensity , subchondral bone alteration , volume and WORMS and dGEMRIC protocols.

All patients met the following inclusion and exclusion criteria:

Being tested
100 million Bone marrow mesenchimal stem cells, Platelet Rich plasma (PRGF)
Keywords
Knee Osteoarthritis, Mesenchimal stem cell, Osteoarthritis
Medical subject headings
Osteoarthritis, Knee, Osteoarthritis

What participants receive

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

  • 100 million Bone marrow mesenchimal stem cellsBiological

    100 million Bone marrow mesenchimal stem cells with PRGF

  • Platelet Rich plasma (PRGF)Biological

    3 injections of PRGF

Study groups in NCT02365142
Study groupRoleWhat they receive
Platelet Rich Plasma (PRGF)Active comparatorPlatelet Rich plasma (PRGF) 3 intraarticular onjections sepataded by 7 days.
Receives: Biological: Platelet Rich plasma (PRGF)
BMMSC with Platelet Rich Plasma (PRGF)Active comparatorSingle intraarticular injection of 100 million Bone marrow mesenchimal stem cells and three intraarticular injections of plateler Rich Plasma (PRGF) separatede by 7 days.
Receives: Biological: 100 million Bone marrow mesenchimal stem cells; Biological: Platelet Rich plasma (PRGF)

What is being measured

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

  1. Baseline Visual analogue scale (VAS) Baseline Visual analogue scale (VAS)

    Baseline Visual analogue scale (VAS) prior to the initial dose on day 1

    Measured: Day 1

  2. Baseline value of knee injury and osteoarthritis outcome score (Koos).

    Prior to the intervention on day 1 value of knee injury and osteoarthritis outcome score (Koos).

    Measured: Day 1

  3. Baseline Western Ontario and McMaster Universities Osteoarthritis Index score (WOMAC).

    Universities Osteoarthritis Index score (WOMAC).

    Measured: Day 1

  4. Baseline SF-36 value

    Baseline SF-36 value

    Measured: Day 1

  5. Baseline euroquol 5D value

    Pretreatment euroquol 5D value

    Measured: Day 1

  6. Baseline Lequesne index

    Prior to the intervention on day 1 Lequesne index

    Measured: Day 1

  7. Baseline femorotibial distance

    Prior to the intervention femoritibial distance on rosenberg x-ray view

    Measured: Day 1

  8. Number of Participants with Serious and Non-Serious Adverse Events Number of Participants with Serious and Non-Serious Adverse Events Number of Participants with Serious and Non-Serious Adverse Events

    Participants with Serious and Non-Serious Adverse Events Number of Participants with Serious and Non-Serious Adverse Events During the follow up

    Measured: Follow up (up to 12 months)

  9. Visual analogue scale (VAS) at 1 month

    Visual analogue scale (VAS) at on month

    Measured: 1 month

  10. Visual analogue scale (VAS) at 3 months

    Visual analogue scale (VAS) at 3 months

    Measured: 3 months

  11. Visual analogue scale (VAS) at 6 months

    Visual analogue scale (VAS) at 6 months

    Measured: 6 months

  12. Visual analogue scale (VAS) at 12 months

    Visual analogue scale (VAS) at 12 months

    Measured: 12 months

  13. Value of knee injury and osteoarthritis outcome score (Koos) at 1 month

    Value of knee injury and osteoarthritis outcome score (Koos) at 1 month

    Measured: 1 month

  14. Value of knee injury and osteoarthritis outcome score (Koos) at 3 month

    Value of knee injury and osteoarthritis outcome score (Koos) at 3 month

    Measured: 3 Months

  15. Value of knee injury and osteoarthritis outcome score (Koos) at 6 month

    Value of knee injury and osteoarthritis outcome score (Koos) at 6 month

    Measured: 6 months

  16. Value of knee injury and osteoarthritis outcome score (Koos) at 12 months

    Value of knee injury and osteoarthritis outcome score (Koos) at 12 months

    Measured: 12 months

Timeline

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

  1. First posted18 Feb 2015 (estimated)
  2. Study startJun 2014
  3. Primary completionJun 2018 (estimated)
  4. Study completionJun 2018 (estimated)

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 1/2
Primary purpose
Other
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
38 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02365142
Sponsor's protocol ID
CMM-PRGF/ART
Other IDs
2011-006036-23
Acronym
CMM-PRGF/ART
Status last verified
Oct 2017
First submitted
18 Jul 2014
Last updated
24 Oct 2017
Results posted
No
Data monitoring committee
Yes

Publications

  • Lamo-Espinosa JM, Blanco JF, Sanchez M, Moreno V, Granero-Molto F, Sanchez-Guijo F, Crespo-Cullel I, Mora G, San Vicente DD, Pompei-Fernandez O, Aquerreta JD, Nunez-Cordoba JM, Vitoria Sola M, Valenti-Azcarate A, Andreu EJ, Del Consuelo Del Canizo M, Valenti-Nin JR, Prosper F. Phase II multicenter randomized controlled clinical trial on the efficacy of intra-articular injection of autologous bone marrow mesenchymal stem cells with platelet rich plasma for the treatment of knee osteoarthritis. J Transl Med. 2020 Sep 18;18(1):356. doi: 10.1186/s12967-020-02530-6.

    PubMed 32948200

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing 100 million Bone marrow mesenchimal stem cells and Platelet Rich plasma (PRGF) in people with Knee Osteoarthritis, run by Clinica Universidad de Navarra, Universidad de Navarra at 2 sites in Spain.

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 7 inclusion and 12 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: status not confirmed, as of the sponsor's last update on 24 Oct 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in Spain. 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 combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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

Are results available for this study?

Results are not available in the source record.

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?

Baseline Visual analogue scale (VAS) Baseline Visual analogue scale (VAS) (time frame: Day 1). The study lists 16 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 NCT02365142, which also lists 1 linked publication.

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 24 Oct 2017.

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