Cartistem: Safety and Efficacy of Allogenic Umbilical Cord Blood-derived Mesenchymal Stem Cell Product
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 |
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Early Phase 1 |
Detailed Description
same as above
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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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.
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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
- 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
- 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
- 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
Inclusion Criteria:
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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
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Age between 20 and 70 year-old
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Appropriate function of blood clot PT(INR) < 1.5, APTT <1.5×control
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Appropriate renal function Creatinine ≤ 2.0 ㎎/㎗, proteinuria less than trace with Dipstick urine test
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Appropriate hepatic function Bilirubin ≤ 2.0 ㎎/㎗, AST/ALT ≤ 100 IU/L
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No evidence of autoimmue disorder As screening test anti-nuclear antibody and/or anti-thyroglobulin antibody, if positive rheumatologist referral needed to confirm diagnosis
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No surgery or radiotherapy for the same ankle joint within 6 weeks
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Female patients agreeing with maintenance of contraception during study period
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No ligament instability greater than grade II (Grade 0 : none, Grade Ⅰ: 05㎜, GradeⅡ: 510㎜, Grade Ⅲ: >10㎜) with physical exam
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Patients agreeing with participation in this study and signed on informed consent by their own will
Exclusion Criteria:
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Degenerative ankle arthritis patients
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Patients with autoimmune disease
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Patients with infectious disease needed parenteral antibiotics
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Patients with myocardial infarction, congestive heart failure, other serious heart diseases or uncontrollable hypertion
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Patients with other serious medical illness
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Pregnancy or breast feeding patients
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Past history related with psychiatric illness or epilepsy
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Alcoholic abuse
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Heavy smoker
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Chronic inflammatory disease including rheumatoid arthritis
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Participants of other clinical trial within 4 weeks
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Patients treated with immunosuppressing agents such as Cyclosporin A or azathioprine within 6 weeks
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Unstable ankle joint(lesion site) greater than grade II at physical exam (Grade 0 : none, grade Ⅰ: 05㎜, GradeⅡ: 510㎜, Grade Ⅲ: >10㎜)
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Other inappropriate patients determined by the prinicipal investigator
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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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.- 2012-10-078