Autologous Stromal Vascular Fraction in the Treatment of Thumb Basal Joint Osteoarthritis

NCT ID: NCT04455763

Last Updated: 2021-01-19

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

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-01-14

Study Completion Date

2023-03-31

Brief Summary

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Trial purpose is to research the outcome after thumb carpometacarpal injection with stromal vascular fraction (SVF) derived from adipose tissue. The study compares SVF injection therapy with thumb splinting vs. splinting only.

Patients with radiologically and clinically confirmed Eaton-Glickel II osteoarthritis are randomized (1:1 computer generated sequence with random block size) to two parallel groups and will undergo SVF injection and splinting vs. splinting only.

Baseline data is collected preoperatively and patients are followed at 1, 3 and 6 months after enrollment. The primary end-point is 6 months and the primary outcome is pain visual analogue scale and patient-rated wrist evaluation (PRWE).

Detailed Description

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Conditions

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Thumb Osteoarthritis

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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SVF

Thumb carpometacarpal injection with adipose-derived SVF combined with splinting

Group Type EXPERIMENTAL

SVF

Intervention Type PROCEDURE

Adipose-derived stromal vascular fraction

Splint

Intervention Type OTHER

Thumb brace (Actimove® Rhizo Forte)

Splint

Thumb carpometacarpal osteoarthrosis treated with splinting only

Group Type ACTIVE_COMPARATOR

Splint

Intervention Type OTHER

Thumb brace (Actimove® Rhizo Forte)

Interventions

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SVF

Adipose-derived stromal vascular fraction

Intervention Type PROCEDURE

Splint

Thumb brace (Actimove® Rhizo Forte)

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Age 40-70 years
* Eaton-Glickel II thumb CMC osteoarthrosis
* Symptom duration \> 3 months
* Pain visual analogue score \> 30 mm
* \< 3 months of treatment with thumb splinting
* American Society of Anaesthesiologists physical status (ASA) I-III
* Fluent in written and spoken Finnish

Exclusion Criteria

* Age \<40 or \>70 years
* Eaton-Glickel I, III-IV
* Symptom duration \< 3 months
* Pain VAS \< 30 mm
* Post-traumatic osteoarthrosis of thumb CMC I
* Rheumatoid arthritis or other inflammatory joint disease
* The use of per oral corticosteroids or other immunomodulatory drugs
* Less than 6 months after another operation of the same upper limb
* Other condition of the same upper limb requiring surgery
* Malnutrition
* Neurological condition affecting upper limb function
* Heavy smoking (\> 20 cigarettes per day)
* Alcohol or drug abuse
* Previous history or active cancer
* Previous history of allergic reaction to local anaesthetic
Minimum Eligible Age

40 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Helsinki University Central Hospital

OTHER

Sponsor Role collaborator

Töölö Hospital

OTHER

Sponsor Role lead

Responsible Party

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Samuli Aspinen

Principal investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Samuli Aspinen, M.D., Ph.D.

Role: PRINCIPAL_INVESTIGATOR

HUS Töölö Hospital

Locations

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Töölö Hospital (Helsinki University Hospital)

Helsinki, , Finland

Site Status RECRUITING

Countries

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Finland

Central Contacts

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Samuli Aspinen, M.D., Ph.D.

Role: CONTACT

+358406360546

Jussi Kosola, M.D., Ph.D.

Role: CONTACT

Facility Contacts

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Samuli Aspinen, M.D., Ph.D.

Role: primary

+358406360546

Jorma Ryhänen, adj. prof

Role: backup

Other Identifiers

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1866/2020

Identifier Type: -

Identifier Source: org_study_id

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