Primary Knee OsteoarthritisPhase 2NCT07580716
Intra-Articular Allocetra in Patients With Primary Knee Osteoarthritis
A Phase 2 study testing Allocetra in people with Primary Knee Osteoarthritis, run by Enlivex Therapeutics Ltd. at 17 sites in 3 countries.
Trial summary
This is a multicenter, randomized, double-blind, placebo-controlled, Phase IIb study to evaluate intra-articular (IA) injections of Allocetra in participants with moderate-to-severe age related symptomatic primary knee osteoarthritis (OA). Read more about this study
- Who is it for?
- Ages 64 years and older
- Conditions the study is for
- Primary Knee Osteoarthritis
- What is being tested?
- Allocetra
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 182 participants
- Where
- 17 sitesin 3 countries
- Study dates
- 1 May 2026to Apr 2028
- Phase
- Phase 2
- Are there results?
- Not yet: the study is under way
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 64 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Participants must meet all of the inclusion criteria listed below to be eligible for the study:
- Age 64 years or above.
- Diagnosis of primary femorotibial knee OA.
- Radiographic evidence of knee OA defined as Kellgren-Lawrence (KL) grade 2 or 3 in the index knee.
- Participants who are intolerant to, or have failed to adequately respond to at least 2 OA therapies.
- Index knee pain assessed during the screening period and following wash-out of pain medications.
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- Willingness to abstain from prohibited medications/treatments during the trial.
- Women who are postmenopausal (≥12 months natural amenorrhea without alternative cause) or surgically sterilized (bilateral tubal ligation, bilateral oophorectomy, or hysterectomy).
- Male participants with partners of childbearing potential, who are not surgically sterile (vasectomy) for at least 6 months prior to randomization, must use condoms with spermicide in addition to their partner's contraception from randomization and for 90 days after last dose.
Who cannot join
- Participants will be excluded from the study if they meet any of the following criteria:
- Severe or end-stage osteoarthritis of the index knee.
- Clinically significant structural abnormalities or instability of the index knee.
- Recent major injury, surgical procedure, or intra-articular treatment in the index knee.
- Any known history of infection or tumor of the index knee, or active infection at the intended injection site.
- Any known history of inflammatory arthropathy or crystal-deposition disease.
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- Any severe systemic cartilage, bone, or musculoskeletal disorder that may interfere with study outcomes.
- Clinically significant widespread pain syndromes.
- Immunosuppressive therapy, clinically significant immunodeficiency, or active infection.
- Body Mass Index (BMI) >40 kg/m²
- Use of medications that may interfere with pain assessment or study outcomes.
- Known coagulopathy or use of anticoagulant/antiaggregant medication.
- Significant uncontrolled systemic disease or clinically significant findings on screening laboratory tests or physical examination.
Trial locations and contacts
17 sites in 3 countries. Contact the study team or a site near you to ask about taking part.
Lital Weinfeld Bergman contact
17 sites in 3 countries
Poland10 sites, 10 recruiting
- Recruiting
NZOZ Bif-Med. s.c
Bytom, 41-902
Hanna Mastalerz, MD, +48508270636, hannamastalerz@wp.pl
Hanna Mastalerz, MD
- Recruiting
Vita Longa Sp. z o.o.
Katowice, 40-748
Barbara Stasiuk, MD, +48797947052, barbara.stasiuk@researchsolutions.pl
Barbara Stasiuk, MD
- Not yet recruiting
Centrum Medyczne PLEJADY
Krakow, 30-363
Alicja Włoch, MD, +48501150912, alawloch@interia.pl
Alicja Włoch, MD
- Recruiting
Medyczne Centrum Hetmańska
Poznan, 60-218
Piotr Leszczyński, MD, +48698806606, piotr.leszczynski@centrum-hetmanska.pl
Piotr Leszczyński, MD
- Recruiting
Reumedika sp. z o.o.
Poznan, 60-446
Wieslawa Porawska, MD, +48618866866, wporawska@reumedika.pl
Wieslawa Porawska, MD
- Not yet recruiting
DC-MED Michal Kowalski S.K. Radom
Radom, 26-610
Tomasz Romaniuk, MD, +48601495963, t.romaniuk@dc-med.pl
Tomasz Romaniuk, MD
- Recruiting
DC-MED Michal Kowalski S.K. Swidnica
Swidnica, 58-100
Paweł Michalec, MD, +48533599794, p.michalec@dc-med.pl
Paweł Michalec, MD
- Recruiting
Etg Justmed
Warsaw, 01-869
Wojciech Zakiewicz, MD, +48606328528, w.zakiewicz@etg-network.com
Wojciech Zakiewicz, MD
- Recruiting
Etg Warszawa
Warsaw, 02-677
Radoslaw Gorski, MD, +48575000243, r.gorski@etg-network.com
Radoslaw Gorski, MD
- Recruiting
Migre Polskie Centrum
Wroclaw, 52-210
Marta Wasilewska, MD, +48880299924, marta.wasilewska@migre.pl
Marta Wasilewska, MD
United States4 sites, 4 recruiting
- Recruiting
Future Medical Research
Longwood, Florida, 32750
Mayra Abreu, MD, +13212256060, mayra.abreu@futuremedres.com
Mayra Abreu, MD
- Recruiting
South Florida Research Phase I-IV
Miami, Florida, 33166
Eduardo Viera, MD, +3054180847, eviera@southfloridatrials.com
Eduardo Viera, MD
- Recruiting
DelRicht Research @ Touro Medical Center
New Orleans, Louisiana, 70115
Patrick Dennis, MD, +115043362667, pdennis@delricht.com
Patrick Dennis, MD
- Recruiting
Oakland Medical Research
Troy, Michigan, 48085
Jay Sandberg, MD, +12486877412, jsandberg@oaklandmedicalresearch.com
Jay Sandberg, MD
Denmark3 sites, 3 recruiting
- Recruiting
Sanos Clinic Gandrup
Gandrup, 9362
Søren R Bro, MD, +4573708220, sbr@sanosclinic.com
Søren R Bro, MD
- Recruiting
Sanos Clinic Herlev
Herlev, 2730
Linda Bracher, MD, +4573708229, lbr@sanosclinic.com
Linda Bracher, MD
- Recruiting
Sanos Clinic Vejle
Vejle, 7100
Sidsel Boll, MD, +4573708232, sib@sanosclinic.com
Sidsel Boll, MD
About this study
Official title: A Phase IIb, Randomized, Double-Blind, Placebo-Controlled, Multicenter Study of Intra-Articular Allocetra in Patients With Primary Knee Osteoarthritis
This is a multicenter, randomized, double-blind, placebo-controlled, Phase IIb study to evaluate intra-articular (IA) injections of Allocetra in participants with moderate-to-severe age related symptomatic primary knee osteoarthritis (OA).
Read the detailed description
Knee osteoarthritis is a degenerative disease driven by physical breakdown of the joint cartilage, together with a chronic inflammation within the knee space. Over time, many patients will develop worsening pain in the joint and functional impairment, which may ultimately require knee replacement.
Allocetra is an immunomodulatory cell-based therapy consisting of allogeneic peripheral blood mononuclear cells that have been modified to be engulfed by macrophages and reprogram them into their homeostatic state.
The main goal of this Phase IIb clinical trial is to evaluate the efficacy of intra-articular (IA) injections of Allocetra in participants with moderate-to-severe age related symptomatic primary knee osteoarthritis (OA), in comparison to Placebo (a look-alike substance that contains no drug). Participants will be randomized 1:1 to Allocetra or Placebo. Treatment consists of a total of three ultrasound-guided intra-articular (IA) injections (Days 0, 14, 28). Follow-up will continue for 12 months.
- Conditions
- Primary Knee Osteoarthritis
- Being tested
- Allocetra, Placebo
- Keywords
- Knee, Osteoarthritis, Allocetra
- Medical subject headings
- Osteoarthritis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
AllocetraDrug
Allocetra is a cell-based therapy consisting of non-HLA-matched allogeneic peripheral blood mononuclear cells, induced to an apoptotic stable state.
PlaceboOther
The control used in this study will be placebo. Placebo solution containing all excipients except for the Allocetra cells.
| Study group | Role | What they receive |
|---|---|---|
| Allocetra | Experimental | Three intra-articular injections of Allocetra at a selected dose, into the index knee. Receives: Drug: Allocetra |
| Placebo | Placebo comparator | Three intra-articular injections of placebo into the index knee. Receives: Other: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Western Ontario and McMaster Universities Arthritis Index (WOMAC) Pain score at 3 months
The change from baseline of the WOMAC Pain score at 3 months between Allocetra and Placebo. Total Pain score ranges from 0 (No pain) to 50 (Extreme pain).
Measured: 3 months.
Western Ontario and McMaster Universities Arthritis Index (WOMAC) Function score at 3 months
The change from baseline for the WOMAC Function score at 3 months between Allocetra and Placebo. Total Function score ranges from 0 (No difficulty) to 170 (Extreme difficulty).
Measured: 3 months.
Primary Safety Endpoint
Incidence and severity of Adverse Events (AEs) up to 6 months. AE incidence will be represented as % per study group and AE severity will be represented as mild, moderate or severe.
Measured: Day 0 to 6 months.
Secondary outcomes (6)
Western Ontario and McMaster Universities Arthritis Index (WOMAC) Pain score
The change from baseline of the WOMAC Pain score at 6 months. Total Pain score ranges from 0 (No pain) to 50 (Extreme pain).
Measured: 6 months.
Western Ontario and McMaster Universities Arthritis Index (WOMAC) Function score
The change from baseline of the WOMAC Function score at 6 months. Total Function score ranges from 0 (No difficulty) to 170 (Extreme difficulty).
Measured: 6 months.
Western Ontario and McMaster Universities Arthritis Index (WOMAC) Total score
The change from baseline for the WOMAC Total score at 3 and 6 months. Total score ranges from 0 to 240 when higher score means worse outcomes.
Measured: 3 months, 6 months.
Average Daily Pain Numerical Rating Scale (ADP-NRS)
The change from baseline of the Average Daily Pain Numerical Rating Scale (ADP-NRS) at 3 and 6 months. ADP-NRS score ranges from 0 (No pain) to 10 (Worst imaginable pain).
Measured: 3 months, 6 months.
Outcome Measures in Rheumatology and Osteoarthritis Research Society International (OMERACT-OARSI) score
Treatment responders at 3 and 6 months according to the Outcome Measures in Rheumatology (OMERACT) and Osteoarthritis Research Society International (OARSI) criteria. OMERACT-OARSI score will be represented as % when higher scores means a better outcome.
Measured: 3 months, 6 months.
Euro Quality of Life-5-Dimension (EQ-5D) index scores
Change from baseline in Euro Quality of Life-5-Dimension (EQ-5D) index scores at 3 and 6 months. EQ-5D index scores in composed of an index value which range from 0 to 1 and EQ VAS score which range from 0 to 100. In both a higher score means better outcomes.
Measured: 3 months, 6 months.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted12 May 2026
- Study start1 May 2026
- Primary completionFeb 2027 (estimated)
- Study completionApr 2028 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Primary Knee OsteoarthritisStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind
- Who is masked
- Participant, Investigator, Outcomes assessor
- Enrolment
- 182 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Enlivex Therapeutics Ltd.
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Nordic Bioscience Clinical Development
- Responsible party
- Sponsor
- Investigators
- Lital Weinfeld Bergman, Study director, Senior Director of Clinical Operations
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07580716
- Sponsor's protocol ID
- ENX-CL-05-002
- Status last verified
- Oct 2026
- First submitted
- 23 Apr 2026
- Last updated
- 13 Oct 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 13 Oct 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase IIb, Randomized, Double-Blind, Placebo-Controlled, Multicenter Study of Intra-Articular Allocetra in Patients With Primary Knee Osteoarthritis
- ClinicalTrials.gov ID
- NCT07580716
- Acronym / sponsor ID
- ENX-CL-05-002
- Conditions
- Primary Knee Osteoarthritis
- Keywords
- Knee, Osteoarthritis, Allocetra
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 182 participants (estimated)
- Lead sponsor
- Enlivex Therapeutics Ltd.Industry (pharma, biotech, devices)
- Collaborators
- Nordic Bioscience Clinical Development
- Study start
- 1 May 2026 (actual)
- Primary completion
- Feb 2027 (estimated)
- Study completion
- Apr 2028 (estimated)
- First posted
- 12 May 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a multicenter, randomized, double-blind, placebo-controlled, Phase IIb study to evaluate intra-articular (IA) injections of Allocetra in participants with moderate-to-severe age related symptomatic primary knee osteoarthritis (OA).
Detailed description
Knee osteoarthritis is a degenerative disease driven by physical breakdown of the joint cartilage, together with a chronic inflammation within the knee space. Over time, many patients will develop worsening pain in the joint and functional impairment, which may ultimately require knee replacement.
Allocetra is an immunomodulatory cell-based therapy consisting of allogeneic peripheral blood mononuclear cells that have been modified to be engulfed by macrophages and reprogram them into their homeostatic state.
The main goal of this Phase IIb clinical trial is to evaluate the efficacy of intra-articular (IA) injections of Allocetra in participants with moderate-to-severe age related symptomatic primary knee osteoarthritis (OA), in comparison to Placebo (a look-alike substance that contains no drug). Participants will be randomized 1:1 to Allocetra or Placebo. Treatment consists of a total of three ultrasound-guided intra-articular (IA) injections (Days 0, 14, 28). Follow-up will continue for 12 months.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Allocetra | Experimental | Drug: AllocetraThree intra-articular injections of Allocetra at a selected dose, into the index knee. |
| Placebo | Placebo comparator | Other: PlaceboThree intra-articular injections of placebo into the index knee. |
Who may qualify
- Ages
- 64 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (9 listed)
- Participants must meet all of the inclusion criteria listed below to be eligible for the study:
- Age 64 years or above.
- Diagnosis of primary femorotibial knee OA.
- Radiographic evidence of knee OA defined as Kellgren-Lawrence (KL) grade 2 or 3 in the index knee.
- Participants who are intolerant to, or have failed to adequately respond to at least 2 OA therapies.
Key exclusion criteria (13 listed)
- Severe or end-stage osteoarthritis of the index knee.
- Clinically significant structural abnormalities or instability of the index knee.
- Recent major injury, surgical procedure, or intra-articular treatment in the index knee.
- Any known history of infection or tumor of the index knee, or active infection at the intended injection site.
- Any known history of inflammatory arthropathy or crystal-deposition disease.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| AllocetraAllocetra is a cell-based therapy consisting of non-HLA-matched allogeneic peripheral blood mononuclear cells, induced to an apoptotic stable state. | Drug | Allocetra |
| PlaceboThe control used in this study will be placebo. Placebo solution containing all excipients except for the Allocetra cells. | Other | Placebo |
Primary outcome
Western Ontario and McMaster Universities Arthritis Index (WOMAC) Pain score at 3 months
Time frame: 3 months.
The change from baseline of the WOMAC Pain score at 3 months between Allocetra and Placebo. Total Pain score ranges from 0 (No pain) to 50 (Extreme pain).
Western Ontario and McMaster Universities Arthritis Index (WOMAC) Function score at 3 months
Time frame: 3 months.
The change from baseline for the WOMAC Function score at 3 months between Allocetra and Placebo. Total Function score ranges from 0 (No difficulty) to 170 (Extreme difficulty).
Primary Safety Endpoint
Time frame: Day 0 to 6 months.
Incidence and severity of Adverse Events (AEs) up to 6 months. AE incidence will be represented as % per study group and AE severity will be represented as mild, moderate or severe.
6 secondary outcomes
Western Ontario and McMaster Universities Arthritis Index (WOMAC) Pain score
Time frame: 6 months.
Western Ontario and McMaster Universities Arthritis Index (WOMAC) Function score
Time frame: 6 months.
Western Ontario and McMaster Universities Arthritis Index (WOMAC) Total score
Time frame: 3 months, 6 months.
Average Daily Pain Numerical Rating Scale (ADP-NRS)
Time frame: 3 months, 6 months.
Outcome Measures in Rheumatology and Osteoarthritis Research Society International (OMERACT-OARSI) score
Time frame: 3 months, 6 months.
Euro Quality of Life-5-Dimension (EQ-5D) index scores
Time frame: 3 months, 6 months.
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 13 Oct 2026.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Lital Weinfeld Bergman contact
Lital Weinfeld Bergman study director
Senior Director of Clinical Operations
17 sites in 3 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Allocetra in people with Primary Knee Osteoarthritis, run by Enlivex Therapeutics Ltd. at 17 sites in 3 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 9 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: looking for participants now, as of the sponsor's last update on 13 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 17 sites in Poland, United States, Denmark. 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. Some participants in this study may receive a placebo. 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 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?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Lior Binder (+972-54-8054599, lior@enlivex.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Western Ontario and McMaster Universities Arthritis Index (WOMAC) Pain score at 3 months (time frame: 3 months.). 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?
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 13 Oct 2026.