An Investigation of ReNu™ Knee Injection in Patients With Osteoarthritis

NCT ID: NCT02318511

Last Updated: 2020-01-18

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

NA

Total Enrollment

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-06-30

Study Completion Date

2019-02-28

Brief Summary

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This is a Prospective, Randomized study evaluating the efficacy of ReNu for the treatment of Kellgren-Lawrence grade 2 or 3 osteoarthritis. Patients will be randomized into 1 of 3 groups for injection into the effected knee: 1) ReNu - study treatment, 2) Hyaluronic Acid (HA) injection - with commonly used injection material and 3) Saline. After treatment, patients will be followed up to 12 months to evaluate improvements using common pain and function subscales.

Detailed Description

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Conditions

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Osteoarthritis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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ReNu amniotic allograft

Knee injection with ReNu. ReNu is an allograft tissue composed of particularized amniotic membrane and cell from the amniotic fluid.

Group Type EXPERIMENTAL

Knee injection

Intervention Type PROCEDURE

Injection into knee for the treatment of Osteoarthritis

ReNu amniotic allograft

Intervention Type OTHER

Saline

Knee injection with saline. Injectable saline will be used as the placebo control.

Group Type PLACEBO_COMPARATOR

Knee injection

Intervention Type PROCEDURE

Injection into knee for the treatment of Osteoarthritis

placebo saline

Intervention Type DEVICE

HA injection

Knee injection with HA. HA will be used as a viscosupplementation injection consisting of cross linked HA.

Group Type ACTIVE_COMPARATOR

Knee injection

Intervention Type PROCEDURE

Injection into knee for the treatment of Osteoarthritis

Hyaluronic Acid

Intervention Type DEVICE

Interventions

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Knee injection

Injection into knee for the treatment of Osteoarthritis

Intervention Type PROCEDURE

ReNu amniotic allograft

Intervention Type OTHER

placebo saline

Intervention Type DEVICE

Hyaluronic Acid

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Patients with moderate knee osteoarthritis determined by a combination of clinical and radiographic findings and documented by Kellgren-Lawrence radiographic classification (Grade 2 or 3)
* Grade 2 Kellgren-Lawrence radiographic changes are defined as small osteophytes, possible narrowing of joint space
* Grade 3 Kellgren-Lawrence radiographic changes are defined as moderate multiple osteophytes, definite narrowing of joints space, some sclerosis and possible deformity of bone contour.
* Patients with bilateral grade 2 or 3 Kellgren Lawrence knee osteoarthritis who have bilateral symptoms may have their more symptomatic knee injected. If equivalent symptoms are reported by the patient, then the patient will choose which knee is to be injected. The contralateral knee can be treated with local standard of care such as steroid injection, cold therapy or soft brace.
* Age 18 and older
* BMI less than 40
* 7 day average pain score of 4 or greater for the involved knee on a numeric pain scale from 1 to 10.
* Female patients must be actively practicing a contraception method, abstinence, be surgically sterilized, or be postmenopausal

Exclusion Criteria

* Pain medication (including nonsteroidal antiinflammatory drugs, NSAIDs) less than 15 days before injection (may take acetaminophen)
* Receiving pain medication other than acetaminophen for conditions unrelated to osteoarthritis of the index knee
* Regular use of anticoagulants, such as Coumadin, dabigatran or rivaroxaban; use of antiplatelet medications are not a reason for exclusion
* History of substance abuse.
* Failure to agree NOT to take additional knee symptom modifying drugs, other than acetaminophen, during the course of the study without reporting to the study team
* Pregnancy or desire to become pregnant during study duration
* Positive pregnancy test on premenopausal subject
* Morbid obesity (defined as BMI 40 or greater)
* Symptoms of locking, intermittent block to range of motion or loose body sensation which could indicate meniscal displacement or an intraarticular loose body
* Corticosteroid injection into the index knee within 3 months
* Viscosupplement injection into the index knee within 3 months
* Knee surgery of involved index knee within 12 months
* Knee surgery contralateral knee 6 months
* Worker compensation
* Acute index knee injury (injury within 3 months)
* History of Diabetes mellitus
* History of solid organ or hematologic transplantation
* History of rheumatoid arthritis or other autoimmune disorder
* Diagnosis of a non-basal cell malignancy within the preceding 5 years
* Infection requiring antibiotic treatment within the preceding 3 months
* Current therapy with any immunosuppressive medication, including corticosteroids at a dose \> 5 mg per day
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Organogenesis

INDUSTRY

Sponsor Role collaborator

NuTech Medical, Inc

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jack Farr, MD

Role: PRINCIPAL_INVESTIGATOR

OrthoIndy

Locations

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American Sports Medicine Institute

Birmingham, Alabama, United States

Site Status

Cedars-Sinai Medical Center

Los Angeles, California, United States

Site Status

Midwest Orthopedics at Rush, LLC

Chicago, Illinois, United States

Site Status

Orthoindy

Indianapolis, Indiana, United States

Site Status

Center for Clinical and Translational Science UK Chandler Medical Center, Pavilion H

Lexington, Kentucky, United States

Site Status

Brigham and Women's Hospital

Chestnut Hill, Massachusetts, United States

Site Status

Missouri Orthopaedic Institute (MOI)

Columbia, Missouri, United States

Site Status

New Mexico Orthopaedics

Albuquerque, New Mexico, United States

Site Status

New York University

New York, New York, United States

Site Status

Hospital for Special Surgery

New York, New York, United States

Site Status

The Ohio State University

Columbus, Ohio, United States

Site Status

Advanced Orthopedics

Richmond, Virginia, United States

Site Status

Countries

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United States

Other Identifiers

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RD2014-10-04

Identifier Type: -

Identifier Source: org_study_id

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