APSS-33-00: A Multicenter, Pilot Study of Autologous Protein Solution (APS) in Knee Osteoarthritis (OA)

NCT ID: NCT02138890

Last Updated: 2021-02-05

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

View full results

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

46 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-05-31

Study Completion Date

2020-09-15

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

This double-blind, multicenter, randomized, controlled trial (RCT) will evaluate the efficacy of a single dose of Autologous Protein Solution (APS) in patients with osteoarthritis (OA) of the knee who have failed at least 1 conservative osteoarthritis (OA) therapy (e.g. physiotherapy, simple analgesics, intra-articular injection).

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

A double-blind, multicenter, randomized, controlled trial (RCT) that will evaluate the efficacy of a single dose of Autologous Protein Solution (APS) in patients with Osteoarthritis (OA) of the knee who have failed at least 1 conservative OA therapy (e.g. physiotherapy, simple analgesics, intra-articular injection).

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Osteoarthritis, Knee

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

APS injection

Autologous Protein Solution

Group Type EXPERIMENTAL

APS

Intervention Type DEVICE

Intra-articular Injection

Control

Saline

Group Type PLACEBO_COMPARATOR

Saline

Intervention Type DEVICE

Intra-articular injection

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

APS

Intra-articular Injection

Intervention Type DEVICE

Saline

Intra-articular injection

Intervention Type DEVICE

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Male or female ≥40 years and ≤75 years.
* Willingness and ability to comply with the study procedures and visit schedules and ability to follow verbal and written instructions.
* Diagnosis of knee osteoarthritis (OA) Grade 2 or 3 according to the Kellgren-Lawrence scale
* Body mass index (BMI) ≤ 40.
* Failed at least 1 conservative OA therapy
* Signed an independent ethics committee (IEC) approved informed consent form (ICF).

Exclusion Criteria

* Intra-articular Hyaluronic (HA) injection within 6 months- On Day 1 (pre-injection), presence of active infection or abnormal effusion in the knee as noted by a physical examination (e.g., erythema, redness, heat, swelling).
* Presence of symptomatic OA in the non-study knee.
* Diagnosed with rheumatoid arthritis (RA), Reiter's syndrome, psoriatic arthritis, ankylosing spondylitis, chondromalacia, arthritis secondary to other inflammatory diseases (e.g., inflammatory bowel disease \[IBD\], sarcoidosis, or amyloidosis) or of metabolic origin.
* Diagnosis of isolated patella-femoral joint osteoarthritis.
* Valgus/varus deformity judged by the investigator to be clinically significant.
* Disease of spine, hip or other lower extremity joints of sufficient degree to affect assessment of the signal knee. Patients with TKR at the contra-lateral knee or THR in either hip may be enrolled provided sufficient pain relief after TKR or THR which does not require additional analgesic relief.
* Untreated acute traumatic injury of the index knee.
* Presence of a symptomatic meniscal tear in the index knee
* Limited daily activity for reasons other than OA.
* Presence of surgical hardware or other foreign body in the index knee.
Minimum Eligible Age

40 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Zimmer Biomet

INDUSTRY

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Responsibility Role SPONSOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

DiMartino, MD

Role: PRINCIPAL_INVESTIGATOR

Bologna (Italy)

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Krems Hospital

Krems, , Austria

Site Status

Monica Hospitals

Antwerp, , Belgium

Site Status

Rizzoli Orthopaedic Institute

Bologna, , Italy

Site Status

Oslo University

Oslo, , Norway

Site Status

Countries

Review the countries where the study has at least one active or historical site.

Austria Belgium Italy Norway

References

Explore related publications, articles, or registry entries linked to this study.

Kon E, Engebretsen L, Verdonk P, Nehrer S, Filardo G. Autologous Protein Solution Injections for the Treatment of Knee Osteoarthritis: 3-Year Results. Am J Sports Med. 2020 Sep;48(11):2703-2710. doi: 10.1177/0363546520944891.

Reference Type DERIVED
PMID: 32870042 (View on PubMed)

Kon E, Engebretsen L, Verdonk P, Nehrer S, Filardo G. Clinical Outcomes of Knee Osteoarthritis Treated With an Autologous Protein Solution Injection: A 1-Year Pilot Double-Blinded Randomized Controlled Trial. Am J Sports Med. 2018 Jan;46(1):171-180. doi: 10.1177/0363546517732734. Epub 2017 Oct 10.

Reference Type DERIVED
PMID: 29016185 (View on PubMed)

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

BBI.CR.APS1.14

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.

Efficacy of AposTherapy® in Knee OA
NCT03153956 TERMINATED NA