Pivotal Study to Evaluate the Safety and Efficacy of GelrinC for Treatment of Cartilage Defects

NCT ID: NCT03262909

Last Updated: 2022-03-22

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

NA

Total Enrollment

181 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-11-14

Study Completion Date

2024-11-30

Brief Summary

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Multicenter, open-label, controlled, non-randomized, double arm trial with a prospective treatment arm (GelrinC). This study compares the efficacy and safety of GelrinC to a historical control arm (microfracture) in the treatment of cartilage defects in the knee.

Detailed Description

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Conditions

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Articular Cartilage Defects in the Knee Joint

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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GelrinC prospective treatment arm

Patients will undergo GelrinC implantation.

Group Type EXPERIMENTAL

GelrinC

Intervention Type DEVICE

Patients will undergo GelrinC implantation.

Microfracture historical control arm

Microfracture historical control arm

Group Type OTHER

Microfracture historical control arm

Intervention Type OTHER

Patients undergo an arthroscopy for evaluation purposes, followed by lesion debridement, and a standard microfracture procedure.

Interventions

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GelrinC

Patients will undergo GelrinC implantation.

Intervention Type DEVICE

Microfracture historical control arm

Patients undergo an arthroscopy for evaluation purposes, followed by lesion debridement, and a standard microfracture procedure.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Age between 18 and 50.
* Single contained symptomatic lesion located on the femoral condyle of the femur graded as ICRS III or IV with less than 5 mm of bone loss below the subchondral plate.
* Lesion size between 1 and 5 cm2 post debridement, less than or equal to 2.5 cm in diameter.
* BMI ≤35
* Contralateral knee is asymptomatic, stable, fully functional and not medically treated.

Exclusion Criteria

* Presence of an additional grade III or IV symptomatic lesion.
* Recent Osteochondritis Dissecans within 1 year of baseline visit.
* Untreated ACL and/or PCL deficiency or Complex ligamentous instability of the knee.
* Patient is excluded if presenting untreated current meniscal tear or if previous menisci resection was within the last 6 months.
* Previous tendon repair or ligament reconstruction within the last 6 months.
* Failed Mosaicplasty or ACI or MACI or any other cartilage repair product.
* Microfracture performed less than 1 year before baseline visit.
Minimum Eligible Age

18 Years

Maximum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Regentis Biomaterials

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Horizon Clinical Research

La Mesa, California, United States

Site Status

Hoag Orthopedics

Orange, California, United States

Site Status

University of Colorado

Denver, Colorado, United States

Site Status

Shrock Clinical Research

Fort Lauderdale, Florida, United States

Site Status

Andrews Institute

Gulf Breeze, Florida, United States

Site Status

Jewett Orthopaedic Clinic

Orlando, Florida, United States

Site Status

Optim Orthopedics

Savannah, Georgia, United States

Site Status

Midwest Orthopaedics at Rush

Chicago, Illinois, United States

Site Status

Peninsula Orthopaedic Associates

Salisbury, Maryland, United States

Site Status

Tria Institute

Bloomington, Minnesota, United States

Site Status

Alpine Orthopedics

Bozeman, Montana, United States

Site Status

University Orthopedics Center

Altoona, Pennsylvania, United States

Site Status

Mansfield Orthopedics

Morrisville, Vermont, United States

Site Status

Countries

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United States

References

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Trattnig S, Ohel K, Mlynarik V, Juras V, Zbyn S, Korner A. Morphological and compositional monitoring of a new cell-free cartilage repair hydrogel technology - GelrinC by MR using semi-quantitative MOCART scoring and quantitative T2 index and new zonal T2 index calculation. Osteoarthritis Cartilage. 2015 Dec;23(12):2224-2232. doi: 10.1016/j.joca.2015.07.007. Epub 2015 Jul 14.

Reference Type BACKGROUND
PMID: 26187572 (View on PubMed)

Berdichevski A, Shachaf Y, Wechsler R, Seliktar D. Protein composition alters in vivo resorption of PEG-based hydrogels as monitored by contrast-enhanced MRI. Biomaterials. 2015 Feb;42:1-10. doi: 10.1016/j.biomaterials.2014.11.015. Epub 2014 Dec 9.

Reference Type BACKGROUND
PMID: 25542788 (View on PubMed)

Shah SS, Lee S, Mithoefer K. Next-Generation Marrow Stimulation Technology for Cartilage Repair: Basic Science to Clinical Application. JBJS Rev. 2021 Jan 19;9(1):e20.00090. doi: 10.2106/JBJS.RVW.20.00090.

Reference Type DERIVED
PMID: 33512974 (View on PubMed)

Other Identifiers

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CLN-GR-01

Identifier Type: -

Identifier Source: org_study_id

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