A Single Intra-articular Injection of aMAT vs PRP in Patients With OA of the Knee

NCT ID: NCT03117608

Last Updated: 2017-08-29

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

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

118 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-02-24

Study Completion Date

2024-02-24

Brief Summary

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The study proposes to compare performances and safety of intra-articular injections of aMAT with those of a control group (PRP injections) for the treatment of symptomatic OA of the knee. The end-points will be determined evaluating the performances of the treatment group in terms of improvement of the symptomatology, functional recovery and radiological appearance.

Detailed Description

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The clinical trial is a prospective, randomized, controlled, two-arm, single-blind study, involving 118 patients affected by symptomatic OA of the knee joint. Eligible subjects will be randomly allocated to one of the two treatment groups, with a 1:1 randomization ratio. Respectively, 59 patients treated with a single intra-articular injection of aMAT, and 59 patients treated with a single intra-articular injection of PRP.

The patients enrolled in the study will be treated according to the study protocol and followed after treatment with periodic visits and diagnostic imaging examinations, as Magnetic Resonance Imaging at twelve and twenty-four months follow-up and X-Ray, at three, six, twelve, and twenty-four months of follow-up.

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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AUTOLOGOUS MICRO-FRAGMENTED ADIPOSE TISSUE (aMAT)

injection of aMAT obtained with Lipogems® technology.

Group Type EXPERIMENTAL

injection of autologous micro-fragmented adipose tissue (aMAT)

Intervention Type BIOLOGICAL

adipose tissue will be obtained from abdominal region or buttocks and aMAT, and processed with Lipogems® technology.

platelet-rich plasma (PRP)

single injection of platelet-rich plasma

Group Type ACTIVE_COMPARATOR

injection of Platelet-rich Plasma (PRP)

Intervention Type BIOLOGICAL

injection of platelet-rich plasma

Interventions

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injection of autologous micro-fragmented adipose tissue (aMAT)

adipose tissue will be obtained from abdominal region or buttocks and aMAT, and processed with Lipogems® technology.

Intervention Type BIOLOGICAL

injection of Platelet-rich Plasma (PRP)

injection of platelet-rich plasma

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

1. Patients provided written informed consent;
2. Patients aged between 18 and 75 years;
3. Knee symptomatic OA (Kellgren-Lawrence grade 1-4)
4. Failure of conservative treatment for at least 3 months;
5. Patients agreed to actively participate in the rehabilitation protocol and follow-up program;
6. Male or female patients;
7. Women of childbearing age had to use a proven method to prevent pregnancy, before the surgical treatment.

Exclusion Criteria

1. Patients incapable to understanding and will;
2. Patients participating in previous, concurrent or not, trials (ongoing or completed within three months);
3. Patients surgically treated for the same defect within one year;
4. Patients affected by malignancy;
5. Patients affected by metabolic or thyroid disorders;
6. Patients used to alcohol or drug (medication) abuse;
7. Patients affected by synovitis;
8. Varus or valgus misalignment exceeding 15°;
9. Body Mass Index \> 40;
10. Patients with trauma within 6 months pre-operative.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Lipogems International spa

INDUSTRY

Sponsor Role lead

Responsible Party

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Prof. Marcacci

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Silvia Versari

Role: STUDY_DIRECTOR

Lipogems International spa

Locations

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Rizzoli Orthopaedic Institute

Bologna, , Italy

Site Status RECRUITING

Countries

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Italy

Central Contacts

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Silvia Versari

Role: CONTACT

+39 02 37072408

Marco Tiana

Role: CONTACT

+39 02 37072408

Facility Contacts

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Maurilio Marcacci

Role: primary

Giuseppe Filardo

Role: backup

Other Identifiers

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LIPOJOINT

Identifier Type: -

Identifier Source: org_study_id

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