Trial Outcomes & Findings for Safety Study of TissueGene-C in Degenerative Joint Disease of the Knee (NCT NCT00599248)

NCT ID: NCT00599248

Last Updated: 2017-07-07

Results Overview

The incidence of observations at the site of administration and the incidence adverse events assessed through 28 days after treatment.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

12 participants

Primary outcome timeframe

Through 28 days post-dosing

Results posted on

2017-07-07

Participant Flow

Enrollment and assignment of patients in Arms 2 and 3 (dose escalation to sequentially higher doses) was only performed after completion of review of safety data in the previous Arm (lower dose) by the Independent Data Monitoring Committee

Participant milestones

Participant milestones
Measure
Active Treatment (TG-C) 1
TissueGene-C at 3x10e6 cells/joint TissueGene-C: TissueGene-C at 3x10e6 cells/joint administered by single intra-articular injection
Active Treatment (TG-C) 2
TissueGene-C at 1 x 10e7 cells/joint TissueGene-C: TissueGene-C at 1x10e7 cells/joint administered by single intra-articular injection
Active Treatment (TG-C) 3
TissueGene-C at 3x10e7 cells/joint TissueGene-C: TissueGene-C at 3x10e7 cells/joint administered by single intra-articular injection
Placebo Control (DMEM)
Placebo Control (DMEM) Placebo: Placebo control (DMEM) administered by a single intraarticular injection
Overall Study
STARTED
3
3
3
3
Overall Study
COMPLETED
3
3
3
3
Overall Study
NOT COMPLETED
0
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Safety Study of TissueGene-C in Degenerative Joint Disease of the Knee

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Active Treatment (TG-C)
n=9 Participants
TissueGene-C at 3x10e6, 1x10e7 or, 3x10e7 cells/joint TissueGene-C: TissueGene-C at 3x10e6, 1x10e7 or 3x10e7 cells/joint to be administered by intra-articular injection
Placebo Control (DMEM)
n=3 Participants
Placebo control Placebo: Placebo control (DMEM)
Total
n=12 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
7 Participants
n=5 Participants
3 Participants
n=7 Participants
10 Participants
n=5 Participants
Age, Categorical
>=65 years
2 Participants
n=5 Participants
0 Participants
n=7 Participants
2 Participants
n=5 Participants
Age, Continuous
61.0 Years
n=5 Participants
60.0 Years
n=7 Participants
60.5 Years
n=5 Participants
Sex: Female, Male
Female
8 Participants
n=5 Participants
2 Participants
n=7 Participants
10 Participants
n=5 Participants
Sex: Female, Male
Male
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Region of Enrollment
United States
9 participants
n=5 Participants
3 participants
n=7 Participants
12 participants
n=5 Participants

PRIMARY outcome

Timeframe: Through 28 days post-dosing

Population: Intention-to-treat

The incidence of observations at the site of administration and the incidence adverse events assessed through 28 days after treatment.

Outcome measures

Outcome measures
Measure
Active Treatment (TG-C) 1
n=3 Participants
TissueGene-C at 3x10e6 cells/joint TissueGene-C: TissueGene-C at 3x10e6 cells/joint to be administered by a single intra-articular injection
Active Treatment (TG-C) 2
n=3 Participants
TissueGene-C at 1x10e7 cells/joint TissueGene-C: TissueGene-C at 1x107 cells/joint to be administered by a single intra-articular injection
Active Treatment (TG-C) 3
n=3 Participants
TissueGene-C at 3x10e7 cells/joint TissueGene-C: TissueGene-C at 3x10e7 cells/joint to be administered by a single intra-articular injection
Placebo Control (DMEM)
n=3 Participants
Placebo control Placebo: Placebo control (DMEM)
Summary of Adverse Events
2 Adverse events
2 Adverse events
3 Adverse events
2 Adverse events

SECONDARY outcome

Timeframe: 28 Days

Dose Response of the TG-C in Engrafting at the Defect as Compared to Placebo Control

Outcome measures

Outcome measures
Measure
Active Treatment (TG-C) 1
n=3 Participants
TissueGene-C at 3x10e6 cells/joint TissueGene-C: TissueGene-C at 3x10e6 cells/joint to be administered by a single intra-articular injection
Active Treatment (TG-C) 2
n=3 Participants
TissueGene-C at 1x10e7 cells/joint TissueGene-C: TissueGene-C at 1x107 cells/joint to be administered by a single intra-articular injection
Active Treatment (TG-C) 3
n=3 Participants
TissueGene-C at 3x10e7 cells/joint TissueGene-C: TissueGene-C at 3x10e7 cells/joint to be administered by a single intra-articular injection
Placebo Control (DMEM)
n=3 Participants
Placebo control Placebo: Placebo control (DMEM)
Number of Patients Showing Engraftment at the Defect
0 participants
0 participants
0 participants
0 participants

SECONDARY outcome

Timeframe: 12 Months

Number of Patients with Distribution of hChonJb#7 Cells Detected Outside of the Injection Site as determined by PCR analysis for vector DNA.

Outcome measures

Outcome measures
Measure
Active Treatment (TG-C) 1
n=3 Participants
TissueGene-C at 3x10e6 cells/joint TissueGene-C: TissueGene-C at 3x10e6 cells/joint to be administered by a single intra-articular injection
Active Treatment (TG-C) 2
n=3 Participants
TissueGene-C at 1x10e7 cells/joint TissueGene-C: TissueGene-C at 1x107 cells/joint to be administered by a single intra-articular injection
Active Treatment (TG-C) 3
n=3 Participants
TissueGene-C at 3x10e7 cells/joint TissueGene-C: TissueGene-C at 3x10e7 cells/joint to be administered by a single intra-articular injection
Placebo Control (DMEM)
n=3 Participants
Placebo control Placebo: Placebo control (DMEM)
Number of Patients With Distribution of hChonJb#7 Cells Detected Outside of the Injection Site
0 participants
0 participants
0 participants
0 participants

SECONDARY outcome

Timeframe: Days 0, 3, 7, 11, 28 (prior to surgery), and day 29 (one day post-surgery) following dosing. Follow-up patient monitoring will be performed at 3, 6, 9, and 12 months following dosing

Population: Intention-to-treat

The evaluation of regeneration of hyaline cartilage as determined by histological analysis of resected knee tissue and observation for engraftment and cartilage production.

Outcome measures

Outcome measures
Measure
Active Treatment (TG-C) 1
n=3 Participants
TissueGene-C at 3x10e6 cells/joint TissueGene-C: TissueGene-C at 3x10e6 cells/joint to be administered by a single intra-articular injection
Active Treatment (TG-C) 2
n=3 Participants
TissueGene-C at 1x10e7 cells/joint TissueGene-C: TissueGene-C at 1x107 cells/joint to be administered by a single intra-articular injection
Active Treatment (TG-C) 3
n=3 Participants
TissueGene-C at 3x10e7 cells/joint TissueGene-C: TissueGene-C at 3x10e7 cells/joint to be administered by a single intra-articular injection
Placebo Control (DMEM)
n=3 Participants
Placebo control Placebo: Placebo control (DMEM)
Number of Participants With Observable Evidence of Cartilage Regeneration
0 participants
0 participants
0 participants
0 participants

SECONDARY outcome

Timeframe: 29

Visual and histological analysis of knee joint tissues to determine the number of patients with tissue overgrowth or transformation

Outcome measures

Outcome measures
Measure
Active Treatment (TG-C) 1
n=3 Participants
TissueGene-C at 3x10e6 cells/joint TissueGene-C: TissueGene-C at 3x10e6 cells/joint to be administered by a single intra-articular injection
Active Treatment (TG-C) 2
n=3 Participants
TissueGene-C at 1x10e7 cells/joint TissueGene-C: TissueGene-C at 1x107 cells/joint to be administered by a single intra-articular injection
Active Treatment (TG-C) 3
n=3 Participants
TissueGene-C at 3x10e7 cells/joint TissueGene-C: TissueGene-C at 3x10e7 cells/joint to be administered by a single intra-articular injection
Placebo Control (DMEM)
n=3 Participants
Placebo control Placebo: Placebo control (DMEM)
Number of Patients With Tissue Overgrowth or Transformation in the Knee Joint
0 participants
0 participants
0 participants
0 participants

SECONDARY outcome

Timeframe: 28 Days

Assessment of the number of patients with improvement in pain and function of the knee joint

Outcome measures

Outcome measures
Measure
Active Treatment (TG-C) 1
n=3 Participants
TissueGene-C at 3x10e6 cells/joint TissueGene-C: TissueGene-C at 3x10e6 cells/joint to be administered by a single intra-articular injection
Active Treatment (TG-C) 2
n=3 Participants
TissueGene-C at 1x10e7 cells/joint TissueGene-C: TissueGene-C at 1x107 cells/joint to be administered by a single intra-articular injection
Active Treatment (TG-C) 3
n=3 Participants
TissueGene-C at 3x10e7 cells/joint TissueGene-C: TissueGene-C at 3x10e7 cells/joint to be administered by a single intra-articular injection
Placebo Control (DMEM)
n=3 Participants
Placebo control Placebo: Placebo control (DMEM)
Number of Patients With Improvements in Pain and Function of the Knee Joint
3 participants
3 participants
3 participants
3 participants

Adverse Events

Active Treatment (TG-C)

Serious events: 0 serious events
Other events: 7 other events
Deaths: 0 deaths

Placebo Control (DMEM)

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Active Treatment (TG-C)
n=9 participants at risk
TissueGene-C at 3x10e6, 1x10e7 or, 3x10e7 cells/joint TissueGene-C: TissueGene-C at 3x10e6, 1x10e7 or 3x10e7 cells/joint to be administered by intra-articular injection
Placebo Control (DMEM)
n=3 participants at risk
Placebo control Placebo: Placebo control (DMEM)
Gastrointestinal disorders
Diarrhea
22.2%
2/9 • Number of events 2 • 1 Year
Treatment emergent adverse events
33.3%
1/3 • Number of events 1 • 1 Year
Treatment emergent adverse events
Gastrointestinal disorders
Gingival bleeding
11.1%
1/9 • Number of events 1 • 1 Year
Treatment emergent adverse events
0.00%
0/3 • 1 Year
Treatment emergent adverse events
Gastrointestinal disorders
Abdominal pain
11.1%
1/9 • Number of events 1 • 1 Year
Treatment emergent adverse events
0.00%
0/3 • 1 Year
Treatment emergent adverse events
Musculoskeletal and connective tissue disorders
Arthralgia
22.2%
2/9 • Number of events 2 • 1 Year
Treatment emergent adverse events
0.00%
0/3 • 1 Year
Treatment emergent adverse events
Musculoskeletal and connective tissue disorders
Muscle spasms
0.00%
0/9 • 1 Year
Treatment emergent adverse events
33.3%
1/3 • Number of events 1 • 1 Year
Treatment emergent adverse events
Musculoskeletal and connective tissue disorders
Pain in extremity
11.1%
1/9 • Number of events 1 • 1 Year
Treatment emergent adverse events
0.00%
0/3 • 1 Year
Treatment emergent adverse events
Musculoskeletal and connective tissue disorders
Joint range of motion decreased
11.1%
1/9 • Number of events 1 • 1 Year
Treatment emergent adverse events
0.00%
0/3 • 1 Year
Treatment emergent adverse events
Musculoskeletal and connective tissue disorders
Joint effusion
11.1%
1/9 • Number of events 1 • 1 Year
Treatment emergent adverse events
0.00%
0/3 • 1 Year
Treatment emergent adverse events
Musculoskeletal and connective tissue disorders
Lower extremity mass
11.1%
1/9 • Number of events 1 • 1 Year
Treatment emergent adverse events
0.00%
0/3 • 1 Year
Treatment emergent adverse events
Investigations
Activated PTT prolonged
22.2%
2/9 • Number of events 2 • 1 Year
Treatment emergent adverse events
33.3%
1/3 • Number of events 1 • 1 Year
Treatment emergent adverse events
Investigations
PT Prolonged
11.1%
1/9 • Number of events 1 • 1 Year
Treatment emergent adverse events
33.3%
1/3 • Number of events 1 • 1 Year
Treatment emergent adverse events
Investigations
Blood test abnormal
0.00%
0/9 • 1 Year
Treatment emergent adverse events
33.3%
1/3 • Number of events 1 • 1 Year
Treatment emergent adverse events
General disorders
Pyrexia
11.1%
1/9 • Number of events 1 • 1 Year
Treatment emergent adverse events
0.00%
0/3 • 1 Year
Treatment emergent adverse events
General disorders
Fatigue
11.1%
1/9 • Number of events 1 • 1 Year
Treatment emergent adverse events
0.00%
0/3 • 1 Year
Treatment emergent adverse events
Nervous system disorders
Headache
33.3%
3/9 • Number of events 3 • 1 Year
Treatment emergent adverse events
0.00%
0/3 • 1 Year
Treatment emergent adverse events
Nervous system disorders
Paresthesia
0.00%
0/9 • 1 Year
Treatment emergent adverse events
33.3%
1/3 • Number of events 1 • 1 Year
Treatment emergent adverse events
Nervous system disorders
Sinus headache
0.00%
0/9 • 1 Year
Treatment emergent adverse events
33.3%
1/3 • Number of events 1 • 1 Year
Treatment emergent adverse events
Skin and subcutaneous tissue disorders
Pruritis generalized
11.1%
1/9 • Number of events 1 • 1 Year
Treatment emergent adverse events
0.00%
0/3 • 1 Year
Treatment emergent adverse events
Skin and subcutaneous tissue disorders
Urticaria
11.1%
1/9 • Number of events 1 • 1 Year
Treatment emergent adverse events
0.00%
0/3 • 1 Year
Treatment emergent adverse events
Infections and infestations
Gastroenteritis
22.2%
2/9 • Number of events 2 • 1 Year
Treatment emergent adverse events
0.00%
0/3 • 1 Year
Treatment emergent adverse events
Respiratory, thoracic and mediastinal disorders
Rhinitis allgergic
11.1%
1/9 • Number of events 1 • 1 Year
Treatment emergent adverse events
0.00%
0/3 • 1 Year
Treatment emergent adverse events
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain
11.1%
1/9 • Number of events 1 • 1 Year
Treatment emergent adverse events
0.00%
0/3 • 1 Year
Treatment emergent adverse events
Respiratory, thoracic and mediastinal disorders
Nasal congestion
11.1%
1/9 • Number of events 1 • 1 Year
Treatment emergent adverse events
0.00%
0/3 • 1 Year
Treatment emergent adverse events

Additional Information

R. Ogden Copeland

TissueGene, Inc

Phone: (301) 921-6000

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: GT60