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Articular Cartilage DefectPhase 3NCT05051332

Phase 3 Clinical Trial of CartiLife® in Korea

A Phase 3 study testing Autologous Chondrocyte Implantation (CartiLife®) and Microfracture Surgery in people with Articular Cartilage Defect and Articular Cartilage Degeneration, run by Biosolution Co., Ltd. at 18 sites in South Korea.

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 The sponsor has not verified this record for over two years, so it may be out of date.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

To evaluate the safety and efficacy of pellet-type extracellular matrix-associated autologous chondrocytes (CartiLife®) obtained by cultivating costal chondrocytes of the subject implanted into articular cartilage defects of the knee resulting from trauma or degeneration. Read more about this study

Who is it for?
Ages 18 to 65 years
What is being tested?
Autologous Chondrocyte Implantation (CartiLife®) and Microfracture Surgery
Could I receive a placebo?
No, everyone receives an active treatment
How many people
104 participants
Where
18 sitesSouth Korea
Study dates
19 Mar 2020to 30 Sep 2024
Phase
Phase 3
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 18 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • In order to be eligible to participate in this study, an individual must meet all of the following:
  • Patients over the age of 18.
  • Defect size: 2 to 10 cm^2 on the unilateral knee cartilage (up to 4 ㎤ in volume).
  • Defect: isolated ICRS (International Cartilage Repair Society) grade III or IV single defect chondral lesion on articular cartilage with comparatively healthy cartilage present near the lesion site (ICRS Grade 1 ~ 2).
  • Patients with a KOOS total score below 55.
  • Patients able to walk without aid.
  • Patients who agree to abide by rehabilitation protocols and follow-up programs, including residential exercise routines.
  • Patients who provide written consent to the application of the clinical trial.

Who cannot join

  • Individuals who meet any of the following will be excluded from participation in this study:
  • Patients with inflammatory articular diseases such as rheumatoid arthritis or gouty arthritis.
  • Patients scoring 3 or above on the Kellgren-Lawrence Grading Scale.
  • Patients with inflammatory articular diseases related to autoimmune diseases.
  • Patients hypersensitive to bovine derived proteins or any of the components in this product.
  • Patients hypersensitive to Gentamycin.
Show all 13Show fewer
  • Patients with Haemophilia or markedly reduced immune function.
  • Patients with arterial bleeding and severe venous bleeding.
  • Patients with other diseases including tumors except for cartilaginous defects of joints.
  • Patients with a history of radiation treatment and chemotherapy within the past two years.
  • Patients who are pregnant, or nursing a baby.
  • Patients who participate in concurrent clinical trials or previous clinical trials within 30 days of administration.
  • Other cases where the investigator deems the patient ineligible for participation.

Trial locations and contacts

18 sites in 1 country.

18 sites in 1 country

South Korea18 sites
  • Inje University Haeundae Paik Hospital

    Busan, 48108

  • Kosin University Gospel Hospital

    Busan, 49267

  • Chungnam National University Hospital

    Daejeon, 35015

  • Chonnam National University Hwasun Hospital

    Gwangju, 58128

  • Chosun University Hospital

    Gwangju, 61453

  • Pusan National University Hospital

    Pusan, 35015

  • Seoul National University Bundang Hospital (1)

    Seongnam-si, 13620

  • Seoul National University Bundang Hospital (2)

    Seongnam-si, 13620

  • Kyung Hee University Hospital

    Seoul, 02447

  • Seoul National University Hospital

    Seoul, 03080

  • Severance Hospital

    Seoul, 03722

  • Kyung Hee University Hospital at Gangdong

    Seoul, 05278

  • Gangnam Severance Hospital

    Seoul, 06230

  • Samsung Medical Center

    Seoul, 06351

  • Ewha Womans University Mokdong Hospital

    Seoul, 07985

  • Korea University Guro Hospital

    Seoul, 08308

  • The Catholic UNIV. of Korea Seoul St. Mary's Hospital

    Seoul, 16591

  • The Catholic UNIV. of Korea Uijeongbu St. Mary's Hospital

    Uijeongbu-si, 11765

Other trials in South Korea

About this study

Official title: A Multi-Center, Active-Controlled, Open-Label, Phase III Trial to Compare the Efficacy and Safety for Treatment of Autologous Chondrocytes Implantation With CartiLife Versus Microfracture for Patients With Knee Chondral Defects

To evaluate the safety and efficacy of pellet-type extracellular matrix-associated autologous chondrocytes (CartiLife®) obtained by cultivating costal chondrocytes of the subject implanted into articular cartilage defects of the knee resulting from trauma or degeneration.

Read the detailed description

This open-label, phase 3 study is being conducted to evaluate the safety and efficacy of pellet-type extracellular matrix-associated autologous chondrocytes (CartiLife®) compared with microfracture surgery in adults with articular cartilage defects due to trauma or degeneration of the knee. It is hypothesized that CartiLife® treatment will demonstrate structural regeneration and improvement in function and pain at Week 48 compared to baseline.

Being tested
Autologous Chondrocyte Implantation (CartiLife®), Microfracture Surgery

What participants receive

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

  • Autologous Chondrocyte Implantation (CartiLife®)Drug

    Also called CartiLife

    CartiLife consists of small beads (1 mm in diameter) in suspension, developed from pellet culture of autologous costal chondrocytes after multiplication. The beads are implanted in an injective manner with fibrin glue through minimal arthrotomy. The dose depends on the size (volume) of the defect, recommended dose is 480 pellets/cm^3 defect

  • Microfracture SurgeryProcedure or surgery

    Microfracture surgery, performed by arthroscopy after the joint is cleaned of calcified cartilage, will be conducted using an awl or drill to create tiny fractures in the subchondral bone plate

Study groups in NCT05051332
Study groupRoleWhat they receive
CartiLife®ExperimentalExtracellular matrix-associated autologous chondrocytes comprise CartiLife®, composed as pellets (1.1 to 1.8 mm in diameter) in suspension. One pre-filled syringe is implanted per 1 cm^3 of defect volume, and fibrin adhesive is applied to fix pellets in place through minimal arthrotomy.
Receives: Drug: Autologous Chondrocyte Implantation (CartiLife®)
Microfracture SurgeryActive comparatorMicrofracture surgery, performed by arthroscopy after the joint is cleaned of calcified cartilage, will be conducted using an awl or drill to create tiny fractures in the subchondral bone plate.
Receives: Procedure: Microfracture Surgery

What is being measured

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

  1. MOCART (Magnetic Resonance Observation of Cartilage Repair Tissue)

    MOCART is a validated tool that provides reliable, reproducible, and accurate assessment of cartilage repair tissue (Marlovits et al, 2006 that; Trattnig et al, 2011).

    Measured: At Week 48, post-operation

  2. KOOS Total Score

    The KOOS is a reliable and valid patient-reported outcome measurement tool that evaluates both short-term and long-term consequences of knee injury. The 5 separately scored subscales of Pain, other Symptoms, Function in daily living (ADL), Function in Sport and Recreation (Sport/Rec), and knee-related QOL may enrich clinical and research data interpretation (Roos and Lohmander, 2003; Collins et al, 2011).

    In the 'Knee injury and Osteoarthritis Outcome Score', scores range from 0 to 100 with a score of 0 indicating the worst possible knee symptoms and 100 indicating no knee symptoms.

    Measured: From Week 0 to Week 48, post-operation

Secondary outcomes (8)
  1. MOCART Score

    MOCART is a validated tool that provides reliable, reproducible, and accurate assessment of cartilage repair tissue (Marlovits et al, 2006 that; Trattnig et al, 2011).

    In the 'Magnetic Resonance Observation of Cartilage Repair Tissue (MOCART) Score', the total score ranges from 0 to 100, with a score of 0 indicating the worst possible knee symptoms and 100 indicating no knee symptoms.

    Measured: At Week 24 and Week 96, post-operation

  2. Lysholm Score

    The Lysholm scale is a broadly applicable, validated tool for measuring changes following nonsurgical and surgical intervention, as well as deterioration over time in patients with various knee pathologies (Collins et al, 2011).

    In the 'Lysholm score', the total score ranges from 0 to 100, with a score of 0 indicating the worst possible knee symptoms and 100 indicating no knee symptoms.

    Measured: At Week 0 to Week 8, 24, 48 and 96, post-operation

  3. IKDC Score

    The IKDC Knee form covers domains likely to be important to patients and has adequate consistency and broad applicability across mixed groups of patients (Collins et al, 2011).

    In the 'International Knee Documentation Committee Subjective Knee Form', the total score ranges from 0 to 100, with a score of 0 indicating the worst knee symptoms(lowest level of function or highest level of symptoms) and 100 indicating no knee symptoms(highest level of function and lowest level of symptoms).

    Measured: At Week 0 to Week 8, 24, 48 and 96, post-operation

  4. KOOS Score (Pain, Other symptoms, Function in daily living, Function in sport and recreation, and knee-related QOL subscales)

    The KOOS is a reliable and valid patient-reported outcome measurement tool that evaluates both short-term and long- term consequences of knee injury. The 5 separately scored subscales of Pain, other Symptoms, Function in daily living (ADL), Function in Sport and Recreation (Sport/Rec), and knee-related QOL may enrich clinical and research data interpretation (Roos and Lohmander, 2003; Collins et al, 2011).

    KOOS Score (Pain, Other symptoms, Function in daily living, Function in sport and recreation, and knee-related QOL subscales) are measured between 0, 1, 2, 3 and 4. The KOOS subscales are scored separately: Pain (9 items); Symptoms (7 items); Function in daily living (17 items); Function in sport and recreation (5 items); knee-related QOL (4 items). Each scale is scored between 0 to 4. The total score ranges from 0 to 100, with a score of 0 indicating the worst possible knee symptoms and 100 indicating no knee symptoms.

    Measured: At Week 0 to Week 8, 24, 48 and 96, post-operation

  5. VAS (100mm Pain Visual Analogue Scale)

    The VAS is a validated, ubiquitous tool for patient-reported measurement of pain at a given point in time (Kersten et al, 2014).

    Visual Analogue Scale (VAS) is a measurement instrument that measures a specified characteristic which is deemed difficult to quantify across a continuous line of value to determine its representative value. The VAS scale ranges from 0 to 100 mm, with 0 indicating absence of pain and 100 indicating the worst pain experienced.

    Measured: At Week 0 to Week 8, 24, 48 and 96, post-operation

  6. Tegner Activity Scale

    The Tegner activity score is a frequently used patient-administered activity rating system for patients with various knee activity functions. The instrument scores a person's activity level between 0 and 10 where 0 is 'on sick leave/disability' and 10 is 'participation in competitive sports such as soccer at a national or international elite level' (Karen Hambly, 2011). A level of 0 indicates that the patient is unable to participate in activities barring 'Sick leave or disability pension because of knee problems', and a level of 10 indicates that the patient is capable of participating in activities which at its most intense include 'Competitive sports - soccer, football, rugby at a national elite level'.

    Measured: At Week 0 to Week 8, 24, 48 and 96, post-operation

  7. Pain medication history

    Pain medication history is an indicator of patient pain. Pain medication history is an indicator of patient pain. The frequency of analgesic ingestion is measured for the specified duration over the course of the clinical trial, and changes in analgesic ingestion in terms of frequency are assessed to analyze the efficacy of the clinical trial product.

    Measured: At Week 0 to Week 8, 24, 48 and 96, post-operation

  8. Treatment related adverse events

    Number of subjects with treatment related adverse events as assessed by analysis of adverse events including symptoms, abnormal findings on physical examination, vital signs, ECG, and standard laboratory examination results. The total number of patients who exhibit symptoms identified as an adverse event will be cumulatively combined to obtain a whole digit number representing the number of patients who have suffered an adverse event throughout the course of the clinical trial.

    Measured: At Week 0 (pre-operation), and up to 24 Months (post-operation)

Timeline

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

  1. First posted21 Sep 2021
  2. Study start19 Mar 2020
  3. Primary completion30 Sep 2023 (estimated)
  4. Study completion30 Sep 2024 (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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Investigational Group : CartiLife® Procedure: Extracellular matrix-associated autologous chondrocytes comprise CartiLife®, composed as pellets (1.1 to 1.8 mm in diameter) in suspension. One pre-filled syringe is implanted per 1 cm\^3 of defect volume, and fibrin adhesive is applied to fix pellets in place through minimal arthrotomy. Active comparator: Microfracture Surgery Procedure : Microfracture surgery, performed by arthroscopy after the joint is cleaned of calcified cartilage, will be conducted using an awl or drill to create tiny fractures in the subchondral bone plate.
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
104 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05051332
Sponsor's protocol ID
BS-CTL-III
Status last verified
Sep 2021
First submitted
4 Aug 2021
Last updated
17 May 2022
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: There are no future plans to share the IPD at this time.

Publications

  • Yoon KH, Park JY, Lee JY, Lee E, Lee J, Kim SG. Costal Chondrocyte-Derived Pellet-Type Autologous Chondrocyte Implantation for Treatment of Articular Cartilage Defect. Am J Sports Med. 2020 Apr;48(5):1236-1245. doi: 10.1177/0363546520905565. Epub 2020 Mar 3.

    PubMed 32125878
  • Yoon KH, Yoo JD, Choi CH, Lee J, Lee JY, Kim SG, Park JY. Costal Chondrocyte-Derived Pellet-Type Autologous Chondrocyte Implantation versus Microfracture for Repair of Articular Cartilage Defects: A Prospective Randomized Trial. Cartilage. 2021 Dec;13(1_suppl):1092S-1104S. doi: 10.1177/1947603520921448. Epub 2020 Jun 1.

    PubMed 32476445

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Autologous Chondrocyte Implantation (CartiLife®) and Microfracture Surgery in people with Articular Cartilage Defect and Articular Cartilage Degeneration, run by Biosolution Co., Ltd. at 18 sites in South Korea.

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 8 inclusion and 13 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 17 May 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 18 sites in South Korea. 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?

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?

MOCART (Magnetic Resonance Observation of Cartilage Repair Tissue) (time frame: At Week 48, post-operation). The study lists 2 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 NCT05051332, which also lists 2 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 17 May 2022.

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