Cartistem: Safety and Efficacy of Allogenic Umbilical Cord Blood-derived Mesenchymal Stem Cell Product

Sponsor
Samsung Medical Center (Other)
Overall Status
Unknown status
CT.gov ID
NCT02338375
Collaborator
(none)
28
1
2
36
0.8

Study Details

Study Description

Brief Summary

The purpose of this study is to evaluate the safety and efficacy of adding allogenic umbilical cord blood-derived stem cell product(Cartistem®) on currently standard treatment of arthroscopic curettage and microfracture for osteochondral lesion of talus.

Condition or Disease Intervention/Treatment Phase
  • Biological: Cartistem
Early Phase 1

Detailed Description

same as above

Study Design

Study Type:
Interventional
Actual Enrollment :
28 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Single (Participant)
Primary Purpose:
Treatment
Official Title:
Clinical Trial of the Safety and Efficacy of Allogenic Umbilical Cord Blood-derived Mesenchymal Stem Cell Product With Microfracture for Osteochondral Lesion of Talus Patients
Study Start Date :
Dec 1, 2012
Anticipated Primary Completion Date :
Aug 1, 2015
Anticipated Study Completion Date :
Dec 1, 2015

Arms and Interventions

Arm Intervention/Treatment
Experimental: Cartistem

For control group patients currently standard treatment of arthroscopic curettage and microfracture is performed, and for study group patients allogenic umbilical cord blood-derived mesenchymal stem cell product(Cartistem®) is added on the lesion after above mentioned procedure.

Biological: Cartistem
Cartistem is allogenic umbilical cord blood-derived stem cell product. Cartistem is 500uL/cm2 applied according to the lesion.

Active Comparator: standard treatment

standard treatment of arthroscopic curettage and microfracture for osteochondral lesion of talus

Biological: Cartistem
Cartistem is allogenic umbilical cord blood-derived stem cell product. Cartistem is 500uL/cm2 applied according to the lesion.

Outcome Measures

Primary Outcome Measures

  1. evaluate the efficacy of adding allogenic umbilical cord blood-derived stem cell product(Cartistem®) by American Orthopaedic Foot and Ankle Society(AOFAS) HINDFOOT/ANKLE SCALE [Baseline, Week 4, Week 8, Week 12, Week 24, Week 48]

Secondary Outcome Measures

  1. evaluate the efficacy of adding allogenic umbilical cord blood-derived stem cell product(Cartistem®) by 100-mm VAS(Visual Analogue Scale) [Baseline, Week 4, Week 8, Week 12, Week 24, Week 48]

Other Outcome Measures

  1. evaluate the efficacy of adding allogenic umbilical cord blood-derived stem cell product(Cartistem®) by ICRS arthroscopic scale for repair of articular cartilage [Baseline, Week 4, Week 8, Week 12, Week 24, Week 48]

Eligibility Criteria

Criteria

Ages Eligible for Study:
20 Years to 70 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Non-responder to conservative treatment for radiographically confirmed (by MRI) osteochondral lesion of talus with ankle pain and/or stiffness and less than 75 of the AOFAS score

  • Age between 20 and 70 year-old

  • Appropriate function of blood clot PT(INR) < 1.5, APTT <1.5×control

  • Appropriate renal function Creatinine ≤ 2.0 ㎎/㎗, proteinuria less than trace with Dipstick urine test

  • Appropriate hepatic function Bilirubin ≤ 2.0 ㎎/㎗, AST/ALT ≤ 100 IU/L

  • No evidence of autoimmue disorder As screening test anti-nuclear antibody and/or anti-thyroglobulin antibody, if positive rheumatologist referral needed to confirm diagnosis

  • No surgery or radiotherapy for the same ankle joint within 6 weeks

  • Female patients agreeing with maintenance of contraception during study period

  • No ligament instability greater than grade II (Grade 0 : none, Grade Ⅰ: 05㎜, GradeⅡ: 510㎜, Grade Ⅲ: >10㎜) with physical exam

  • Patients agreeing with participation in this study and signed on informed consent by their own will

Exclusion Criteria:
  • Degenerative ankle arthritis patients

  • Patients with autoimmune disease

  • Patients with infectious disease needed parenteral antibiotics

  • Patients with myocardial infarction, congestive heart failure, other serious heart diseases or uncontrollable hypertion

  • Patients with other serious medical illness

  • Pregnancy or breast feeding patients

  • Past history related with psychiatric illness or epilepsy

  • Alcoholic abuse

  • Heavy smoker

  • Chronic inflammatory disease including rheumatoid arthritis

  • Participants of other clinical trial within 4 weeks

  • Patients treated with immunosuppressing agents such as Cyclosporin A or azathioprine within 6 weeks

  • Unstable ankle joint(lesion site) greater than grade II at physical exam (Grade 0 : none, grade Ⅰ: 05㎜, GradeⅡ: 510㎜, Grade Ⅲ: >10㎜)

  • Other inappropriate patients determined by the prinicipal investigator

Contacts and Locations

Locations

Site City State Country Postal Code
1 Samsung Medical Center Gangnam-Gu Seoul Korea, Republic of 135-710

Sponsors and Collaborators

  • Samsung Medical Center

Investigators

None specified.

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
ChulWon Ha, MD, Samsung Medical Center
ClinicalTrials.gov Identifier:
NCT02338375
Other Study ID Numbers:
  • 2012-10-078
First Posted:
Jan 14, 2015
Last Update Posted:
Jan 14, 2015
Last Verified:
Jan 1, 2015

Study Results

No Results Posted as of Jan 14, 2015