An Amniotic Membrane Injection Comparing Two Doses (1 mL and 2mL Injection) in the Treatment of Osteoarthritis of the Knee

NCT ID: NCT04201743

Last Updated: 2020-10-05

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

WITHDRAWN

Clinical Phase

PHASE4

Study Classification

INTERVENTIONAL

Study Start Date

2020-03-30

Study Completion Date

2021-12-31

Brief Summary

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The purpose of this study is to determine the dose effect of a single injectable acellular amniotic membrane derived allograft injection for the treatment of knee osteoarthritis and to confirm whether the use of 2 mL of the same amniotic injection offers a statistically significant advantage over the 1 mL injection.

Detailed Description

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It is a prospective, double blinded, Randomized Controlled Trial study. Data will be prospectively collected of all injectable acellular amniotic membrane derived allograft knee performed at our institute (1 vs 2 mL).

60 subjects will be enrolled in this study. Subjects will be randomized 1:1 in treatment arms.

Each of the patient will be treated with one time injection to the knee. Methods for collecting data will be through validated patient-reported outcome tools (KOOS, VAS and WOMAC questionnaire) that the patient will complete pre-injection and at specified time intervals after injection: 90 days, 180 days and 365 days.

Conditions

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Osteoarthritis, Knee

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Data will be prospectively collected on all injectable acellular amniotic membrane derived allograft knee performed at our institute.

Inclusion criteria will be all patients age between 21 and 80 years with a diagnosis of osteoarthritis (OA) defined as Grade 1 to 3 on the Kellgren Lawrence grading scale.

Methods for collecting data will be through validated patient-reported outcome tools that the patient will complete pre-injection and at specified time intervals after injection: 90 days, 180 days and 365 days.
Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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1 mL NyDYN injection

30 patients (out of 60) will be doubled blinded randomized to this arm and get 1 mL NyDYN injection.

Group Type ACTIVE_COMPARATOR

Acellular amniotic membrane derived allograft injection (NuDYN)

Intervention Type DRUG

Injectable acellular amniotic membrane derived allograft (NuDYN) through routine follow-up with physical examination, pain, function and quality of life measurements and compare dose effects (1 mL versus 2 mL of NuDYN injection) in the treatment of knee osteoarthritis.

2 mL NyDYN injection

30 patients (out of 60) will be doubled blinded randomized to this arm and get 2 mL NyDYN injection.

Group Type ACTIVE_COMPARATOR

Acellular amniotic membrane derived allograft injection (NuDYN)

Intervention Type DRUG

Injectable acellular amniotic membrane derived allograft (NuDYN) through routine follow-up with physical examination, pain, function and quality of life measurements and compare dose effects (1 mL versus 2 mL of NuDYN injection) in the treatment of knee osteoarthritis.

Interventions

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Acellular amniotic membrane derived allograft injection (NuDYN)

Injectable acellular amniotic membrane derived allograft (NuDYN) through routine follow-up with physical examination, pain, function and quality of life measurements and compare dose effects (1 mL versus 2 mL of NuDYN injection) in the treatment of knee osteoarthritis.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Age of 21 to 80 years
* Diagnosis of osteoarthritis (OA) defined as Grade 1 to 3 on the Kellgren Lawrence grading scale

Exclusion Criteria

* Subject has a diagnosis of osteoarthritis (OA) defined as Grade 4 on the Kellgren Lawrence grading scale
* BMI greater than 40 kg/m2
* Subject has active infection at the injection site
* Symptomatic OA of the contralateral knee or of either hip that is not responsive to acetaminophen (Tylenol) and requires other therapy.
* Subject has rheumatoid arthritis, psoriatic arthritis or has been diagnosed with any other disorder that is the primary source of their knee pain, including but not limited to: osteonecrosis, radiculopathy, bursitis, tendinitis, tumor or cancer
* Subject has documented history of gout or pseudo-gout
* Subject has an autoimmune disease or known history of having Acquired Immunodeficiency Syndromes (AIDS) or HIV
* Subject has received any of the following to the target knee:

1. Intra-articular hyaluronic acid (HA) injection within 12 weeks prior to screening
2. Intra-articular cortisone (steroid/corticosteroid) injection into the knee joint within 12 weeks of treatment
3. Steroid or platelet rich plasma (PRP) injection within 12 weeks prior to screening
4. Has had or is planning to have major surgery or arthroscopy in the target knee within 26 weeks of treatment
* History of partial or total knee arthroplasty
* Subject has used an investigational drug, device or biologic within 12 weeks prior to treatment
* Subject has a history of immunosuppressive or chemotherapy in the last 5 years
* Subject has had prior radiation at the site
* Subject is currently taking narcotic medication for any reason.
* Subject is pregnant or plans to become pregnant within 365 days of treatment
* Subject has any significant medical condition that, in the opinion of the Investigator, would interfere with protocol evaluation and participation
* Subject is a worker's compensation patient
* Subject is a prisoner
Minimum Eligible Age

21 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Illinois Center for Orthopaedic Research and Education

OTHER

Sponsor Role lead

Responsible Party

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Ronak M. Patel

President

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Ronak Patel, MD

Role: PRINCIPAL_INVESTIGATOR

Illinois Center for Orthopedic Research and Education (iCORE)

Locations

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Hinsdale Orthopaedic Associates

Westmont, Illinois, United States

Site Status

Countries

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United States

References

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Riboh JC, Saltzman BM, Yanke AB, Cole BJ. Human Amniotic Membrane-Derived Products in Sports Medicine: Basic Science, Early Results, and Potential Clinical Applications. Am J Sports Med. 2016 Sep;44(9):2425-34. doi: 10.1177/0363546515612750. Epub 2015 Nov 19.

Reference Type BACKGROUND
PMID: 26585668 (View on PubMed)

Vines JB, Aliprantis AO, Gomoll AH, Farr J. Cryopreserved Amniotic Suspension for the Treatment of Knee Osteoarthritis. J Knee Surg. 2016 Aug;29(6):443-50. doi: 10.1055/s-0035-1569481. Epub 2015 Dec 18.

Reference Type BACKGROUND
PMID: 26683979 (View on PubMed)

Other Identifiers

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199608

Identifier Type: -

Identifier Source: org_study_id

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