Treatment of Tendon Injury Using Mesenchymal Stem Cells

NCT ID: NCT01856140

Last Updated: 2022-03-18

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

EARLY_PHASE1

Total Enrollment

12 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-05-31

Study Completion Date

2018-04-30

Brief Summary

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Main purpose of this study is to evaluate efficacy and safety of allogenic adipose-derived mesenchymal stem cells(ALLO-ASC) in treatment of tendon injury. ALLO-ASC will be administrated to the patients with lateral epicondylitis by ultrasonographic guided injection.

Detailed Description

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Injection volume depends on the size of lesion on ultrasound examination. And all injection will be done under ultrasound guidance. First the investigators will administrate 1 million cells/ml (Group 1 for 6 participants). After monitoring the safety of injection for 2 weeks (the investigators will use WHO recommendations for grading of acute and subacute toxic effects), the investigators decide to increase the quantity as 10 million cells/ml (Group 2 for participants).

The investigators will compare the efficacy difference as quantity increase. For efficacy measurement, VAS/modified Mayo clinic performance index for elbow/lesion measurement by ultrasound will be used at 6 and 12 weeks after injections.

Conditions

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Lateral Epicondylitis

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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1 million cells/ml of ALLO-ASC

1 million cells/ml of ALLO-ASC(allogeneic adipose derived mesenchymal stem cell) will be injected by ultrasound guided intervention.

Group Type EXPERIMENTAL

ALLO-ASC(allogeneic adipose derived mesenchymal stem cell) injection

Intervention Type BIOLOGICAL

10 million cells/ml of ALLO-ASC

10 million cells/ml of ALLO-ASC(allogeneic adipose derived mesenchymal stem cell) will be injected by ultrasound guided intervention.

Group Type ACTIVE_COMPARATOR

ALLO-ASC(allogeneic adipose derived mesenchymal stem cell) injection

Intervention Type BIOLOGICAL

Interventions

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ALLO-ASC(allogeneic adipose derived mesenchymal stem cell) injection

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* clinically diagnosed as lateral epicondylitis (tennis elbow)
* recurrent pain in spite of conservative treatment such as physical therapy, medication, steroid injection
* symptom duration is over 6 months
* defect in common extensor tendon can be observed under ultrasound
* patient that can understand the clinical trials

Exclusion Criteria

* patient that underwent other injection treatment within 6 weeks
* some associated diseases (such as arthritis, synovitis, entrapment of related nerve, radiculopathy to the target lesion, generalized pain syndrome, rheumatoid arthritis, pregnancy, impaired sensibility, paralysis, history of allergic or hypersensitive reaction to bovine-derived proteins or fibrin glue)
* patient that enrolled other clinical trials within 30 days
* history of drug/alcohol addiction, habitual smoker
Minimum Eligible Age

19 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Medical Research Collaborating Center, Seoul, Korea

OTHER

Sponsor Role collaborator

Seoul National University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Sun Gun Chung

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Sun Gun Chung, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Seoul National University College of Medicine

Locations

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Seoul National University College of Medicine

Seoul, , South Korea

Site Status

Countries

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South Korea

References

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Coombes BK, Bisset L, Vicenzino B. Efficacy and safety of corticosteroid injections and other injections for management of tendinopathy: a systematic review of randomised controlled trials. Lancet. 2010 Nov 20;376(9754):1751-67. doi: 10.1016/S0140-6736(10)61160-9. Epub 2010 Oct 21.

Reference Type BACKGROUND
PMID: 20970844 (View on PubMed)

Price R, Sinclair H, Heinrich I, Gibson T. Local injection treatment of tennis elbow--hydrocortisone, triamcinolone and lignocaine compared. Br J Rheumatol. 1991 Feb;30(1):39-44. doi: 10.1093/rheumatology/30.1.39.

Reference Type BACKGROUND
PMID: 1991216 (View on PubMed)

Sanchez M, Azofra J, Anitua E, Andia I, Padilla S, Santisteban J, Mujika I. Plasma rich in growth factors to treat an articular cartilage avulsion: a case report. Med Sci Sports Exerc. 2003 Oct;35(10):1648-52. doi: 10.1249/01.MSS.0000089344.44434.50.

Reference Type BACKGROUND
PMID: 14523300 (View on PubMed)

Johnson GW, Cadwallader K, Scheffel SB, Epperly TD. Treatment of lateral epicondylitis. Am Fam Physician. 2007 Sep 15;76(6):843-8.

Reference Type BACKGROUND
PMID: 17910298 (View on PubMed)

Solveborn SA, Buch F, Mallmin H, Adalberth G. Cortisone injection with anesthetic additives for radial epicondylalgia (tennis elbow). Clin Orthop Relat Res. 1995 Jul;(316):99-105.

Reference Type BACKGROUND
PMID: 7634730 (View on PubMed)

Maffulli N, Longo UG, Denaro V. Novel approaches for the management of tendinopathy. J Bone Joint Surg Am. 2010 Nov 3;92(15):2604-13. doi: 10.2106/JBJS.I.01744.

Reference Type BACKGROUND
PMID: 21048180 (View on PubMed)

Mishra A, Pavelko T. Treatment of chronic elbow tendinosis with buffered platelet-rich plasma. Am J Sports Med. 2006 Nov;34(11):1774-8. doi: 10.1177/0363546506288850. Epub 2006 May 30.

Reference Type BACKGROUND
PMID: 16735582 (View on PubMed)

Kon E, Filardo G, Delcogliano M, Presti ML, Russo A, Bondi A, Di Martino A, Cenacchi A, Fornasari PM, Marcacci M. Platelet-rich plasma: new clinical application: a pilot study for treatment of jumper's knee. Injury. 2009 Jun;40(6):598-603. doi: 10.1016/j.injury.2008.11.026. Epub 2009 Apr 19.

Reference Type BACKGROUND
PMID: 19380129 (View on PubMed)

Sanchez M, Anitua E, Azofra J, Andia I, Padilla S, Mujika I. Comparison of surgically repaired Achilles tendon tears using platelet-rich fibrin matrices. Am J Sports Med. 2007 Feb;35(2):245-51. doi: 10.1177/0363546506294078. Epub 2006 Nov 12.

Reference Type BACKGROUND
PMID: 17099241 (View on PubMed)

Slater M, Patava J, Kingham K, Mason RS. Involvement of platelets in stimulating osteogenic activity. J Orthop Res. 1995 Sep;13(5):655-63. doi: 10.1002/jor.1100130504.

Reference Type BACKGROUND
PMID: 7472743 (View on PubMed)

Other Identifiers

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SNUH-RM-SGChung-ASC-01

Identifier Type: -

Identifier Source: org_study_id

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