Autologous Stem Cells in Osteoarthritis

NCT ID: NCT01485198

Last Updated: 2016-03-01

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

61 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-08-31

Study Completion Date

2014-05-31

Brief Summary

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Patients with osteoarthritis, a degenerative joint disease, that meet inclusion criteria will be allocated into two groups:

* The control group will receive Acetaminophen 750mg orally every 8 hours
* The experimental group will receive Autologous Hematopoietic Stem Cells from bone marrow (BMASC)

Signed informed consent is required, as well as answering a questionnaire.

Patients in experimental group will receive subcutaneous G-CSF (10ug/kg/day) for 3 consecutive days and, on the 4th day a bone marrow harvest under general sedation will be performed from posterior iliac crests. The patient will remain in the recovery room while the cells are processed at the Hematology Service Laboratory. Finally, BMASC will be infused to the joint under local anesthesia.

The procedure is ambulatory.

Detailed Description

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Conditions

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Osteoarthritis, Knee

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Control

Patients treated with Acetaminophen

Group Type ACTIVE_COMPARATOR

Acetaminophen

Intervention Type DRUG

Acetaminophen (750mg orally TID) administration

Experimental

Patients who underwent a BMASC extraction and joint infusion

Group Type EXPERIMENTAL

Bone Marrow Autologous Stem Cells Infusion

Intervention Type PROCEDURE

Extraction and knee infusion of Bone Marrow Autologous Stem Cells

Interventions

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Bone Marrow Autologous Stem Cells Infusion

Extraction and knee infusion of Bone Marrow Autologous Stem Cells

Intervention Type PROCEDURE

Acetaminophen

Acetaminophen (750mg orally TID) administration

Intervention Type DRUG

Other Intervention Names

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Knee treatment with stem cells Knee treatment with NSAIDs

Eligibility Criteria

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Inclusion Criteria

* Patients with knee osteoarthritis grade II or III of the Kellgren-Lawrence radiographic scale
* Age \> 30 years

Exclusion Criteria

* Neurodegenerative, autoimmune, genetic or psychiatric diseases
* Active infection
* Recent joint infection
* Knee surgery history
* Knee joint fracture history
Minimum Eligible Age

30 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hospital Universitario Dr. Jose E. Gonzalez

OTHER

Sponsor Role lead

Responsible Party

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Consuelo Mancias Guerra

Head of Hematology Service

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Domingo Garay Mendoza, MD

Role: PRINCIPAL_INVESTIGATOR

Hospital Universitario Dr. Jose E. Gonzalez

Consuelo Mancias Guerra, MD

Role: STUDY_DIRECTOR

Hospital Universitario Dr. Jose E. Gonzalez

Laura Villarreal Martínez, MD

Role: STUDY_CHAIR

Hospital Universitario Dr. Jose E. Gonzalez

Locations

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Hematology Service

Monerrey, Nuevo León, Mexico

Site Status

Traumatology Service

Monterrey, Nuevo León, Mexico

Site Status

Countries

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Mexico

References

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Davatchi F, Abdollahi BS, Mohyeddin M, Shahram F, Nikbin B. Mesenchymal stem cell therapy for knee osteoarthritis. Preliminary report of four patients. Int J Rheum Dis. 2011 May;14(2):211-5. doi: 10.1111/j.1756-185X.2011.01599.x. Epub 2011 Mar 4.

Reference Type RESULT
PMID: 21518322 (View on PubMed)

de Girolamo L, Bertolini G, Cervellin M, Sozzi G, Volpi P. Treatment of chondral defects of the knee with one step matrix-assisted technique enhanced by autologous concentrated bone marrow: in vitro characterisation of mesenchymal stem cells from iliac crest and subchondral bone. Injury. 2010 Nov;41(11):1172-7. doi: 10.1016/j.injury.2010.09.027. Epub 2010 Oct 8.

Reference Type RESULT
PMID: 20934693 (View on PubMed)

Chen FM, Wu LA, Zhang M, Zhang R, Sun HH. Homing of endogenous stem/progenitor cells for in situ tissue regeneration: Promises, strategies, and translational perspectives. Biomaterials. 2011 Apr;32(12):3189-209. doi: 10.1016/j.biomaterials.2010.12.032.

Reference Type RESULT
PMID: 21300401 (View on PubMed)

Garay-Mendoza D, Villarreal-Martinez L, Garza-Bedolla A, Perez-Garza DM, Acosta-Olivo C, Vilchez-Cavazos F, Diaz-Hutchinson C, Gomez-Almaguer D, Jaime-Perez JC, Mancias-Guerra C. The effect of intra-articular injection of autologous bone marrow stem cells on pain and knee function in patients with osteoarthritis. Int J Rheum Dis. 2018 Jan;21(1):140-147. doi: 10.1111/1756-185X.13139. Epub 2017 Jul 27.

Reference Type DERIVED
PMID: 28752679 (View on PubMed)

Related Links

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http://www.ortopedia.org/

Traumatology Service Web Site

Other Identifiers

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HE11-022

Identifier Type: -

Identifier Source: org_study_id

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