Saline-Controlled Study of nSTRIDE APS for Knee Osteoarthritis

NCT ID: NCT02905240

Last Updated: 2023-11-07

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

332 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-11-30

Study Completion Date

2020-06-30

Brief Summary

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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.

Detailed Description

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A double-blind, multicenter, randomized, saline-controlled trial (RCT) that will evaluate the efficacy of a single dose of Autologous Protein Solution (APS) in patients with symptomatic osteoarthritis (OA) of the knee who have not been able to get satisfactory pain relief with prior treatment.

Conditions

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Osteoarthritis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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nSTRIDE APS

Autologous Protein Solution prepared using the nSTRIDE APS Kit

Group Type EXPERIMENTAL

nSTRIDE APS

Intervention Type DEVICE

single intra-articular injection

Saline

Saline control

Group Type OTHER

Saline

Intervention Type DEVICE

single intra-articular injection

Interventions

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nSTRIDE APS

single intra-articular injection

Intervention Type DEVICE

Saline

single intra-articular injection

Intervention Type DEVICE

Other Intervention Names

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Autologous Protein Solution

Eligibility Criteria

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Inclusion Criteria

* Male or female ≥ 21 and ≤ 80 years old at the time of screening
* Willingness and ability to comply with the study procedures and visit schedules and ability to follow oral and written instructions
* A standing radiograph of the knee showing a Kellgren-Lawrence grade of 2 to 4 and an absence of severe osteoarthritis
* Body Mass Index ≤ 40
* A qualifying WOMAC LK 3.1 pain subscale total score
* Has undergone at least one prior conservative osteoarthritis treatment
* Signed an institutional review board approved informed consent

Exclusion Criteria

* Presence of clinically observed active infection in the index knee
* Presence of symptomatic osteoarthritis in the non-study knee
* Diagnosed with rheumatoid arthritis, Reiter's syndrome, psoriatic arthritis, gout, ankylosing spondylitis, or arthritis secondary to other inflammatory diseases; HIV, viral hepatitis; chondrocalcinosis, Paget's disease, or villonodular synovitis
* Diagnosed with leukemia, known presence of metastatic malignant cells, or ongoing or planned chemotherapeutic treatment
* Untreated symptomatic injury of the index knee
* Presence of surgical hardware or other foreign body intended to treat arthritis or cartilage-related pathology in the index knee
* Previous cartilage repair procedure on the injured cartilage surface of the index knee
* Arthroplasty or open surgery of the index knee within 6 months of screening
* Intra-articular steroid injection in the index knee within 3 months of screening
* Intra-articular hyaluronic acid injection in the index knee within 6 months of screening
* Other intra-articular therapy in the index knee within 6 months prior to screening
* Orally administered systemic steroid use within 2 weeks of screening
* Planned/anticipated surgery of the index knee during the study period
* Skin breakdown at the knee where the injection is planned to take place
* Pregnant or nursing mothers or women planning on getting pregnant during the time they will be participating in the study
* Participated in any investigational drug or device trial within 30 days prior to screening
* Participated in any investigational biologic trial within 60 days prior to screening
Minimum Eligible Age

21 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Zimmer Biomet

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Frederick M Azar, M.D.

Role: PRINCIPAL_INVESTIGATOR

Campbell Clinic

Locations

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University of Alabama

Birmingham, Alabama, United States

Site Status

AVANT Research Associates, LLC

Guntersville, Alabama, United States

Site Status

Tucson Orthopaedic Institute, PC

Tucson, Arizona, United States

Site Status

CORE Orthopaedic Medical Center

Encinitas, California, United States

Site Status

University of California at Los Angeles

Los Angeles, California, United States

Site Status

University of California, San Francisco

San Francisco, California, United States

Site Status

Andrews Research and Education Foundation (AREF)

Gulf Breeze, Florida, United States

Site Status

Florida Hospital Orthopaedic Institute and Fracture Care Center

Orlando, Florida, United States

Site Status

Comprehensive Clinical Trials, LLC

West Palm Beach, Florida, United States

Site Status

Orthoillinois, Ltd.

Rockford, Illinois, United States

Site Status

Orthopedic & Sports Medicine Center

Elkhart, Indiana, United States

Site Status

OrthoIndy

Greenwood, Indiana, United States

Site Status

Kansas University Medical Center Research Institute, Inc.

Kansas City, Kansas, United States

Site Status

Brigham and Women's Mass General Health Care Center

Foxborough, Massachusetts, United States

Site Status

Northwell Health - Great Neck

Great Neck, New York, United States

Site Status

Northwell Health - Lenox Hill

New York, New York, United States

Site Status

Duke University Medical Center

Durham, North Carolina, United States

Site Status

Wake Forest School of Medicine

Winston-Salem, North Carolina, United States

Site Status

University of Cincinnati College of Medicine

Cincinnati, Ohio, United States

Site Status

Ohio State University

Columbus, Ohio, United States

Site Status

Joint Implant Surgeons, Inc

New Albany, Ohio, United States

Site Status

University of Pittsburgh Medical Center

Pittsburgh, Pennsylvania, United States

Site Status

The Campbell Foundation

Germantown, Tennessee, United States

Site Status

Baylor College of Medicine

Houston, Texas, United States

Site Status

Texas Center for Joint Replacement

Plano, Texas, United States

Site Status

University of Virginia

Charlottesville, Virginia, United States

Site Status

OrthoVirginia

Richmond, Virginia, United States

Site Status

Countries

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United States

References

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King W, van der Weegen W, Van Drumpt R, Soons H, Toler K, Woodell-May J. White blood cell concentration correlates with increased concentrations of IL-1ra and improvement in WOMAC pain scores in an open-label safety study of autologous protein solution. J Exp Orthop. 2016 Dec;3(1):9. doi: 10.1186/s40634-016-0043-7. Epub 2016 Feb 9.

Reference Type BACKGROUND
PMID: 26915009 (View on PubMed)

van Drumpt RA, van der Weegen W, King W, Toler K, Macenski MM. Safety and Treatment Effectiveness of a Single Autologous Protein Solution Injection in Patients with Knee Osteoarthritis. Biores Open Access. 2016 Aug 1;5(1):261-8. doi: 10.1089/biores.2016.0014. eCollection 2016.

Reference Type BACKGROUND
PMID: 27668131 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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APSS-44-00

Identifier Type: -

Identifier Source: org_study_id

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