Efficacy of Intra-articular Injection of Human Amniotic Suspension Allograft and Platelet-rich Plasma in the Treatment of Knee Osteoarthritis.

NCT ID: NCT04698265

Last Updated: 2021-01-06

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

150 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-01-01

Study Completion Date

2023-01-31

Brief Summary

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A double-blind, randomized controlled trial designed to evaluate the symptomatic modulating efficacy of amniotic suspension allograft (ASA) in comparison to platelet-rich plasma (PRP), hyaluronic acid (HA) and normal saline (NS) in the injection treatment of knee osteoarthritis. The hypothesis is that ASA would provide the greatest functional improvement.

Detailed Description

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At least 150 subjects with osteoarthritic knee will be recruited and computer randomized 1:1:1:1 to single injection of ASA (40mg), ASA (20mg), PRP + HA, and NS groups. Both subjects and evaluaters were blinded to allocations. Functional and radiologic outcomes were measured at baseline, and 1 week, 1, 3, 6, 12 months postinjection.

Conditions

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Knee Osteoarthristis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Human amniotic suspension allograft (ASA), 40 mg

Human amniotic suspension allograft (ASA) contains particulated human amniotic membrane and cells derived from the amniotic fluid. The allograft is freeze-dried, terminally sterilized with low dose gamma irradiation. Arm 1 uses 40 mg ASA stored in a sterile vial (Amniogen, HTC Regenerative Ltd. New Taipei, Taiwan).

Group Type EXPERIMENTAL

Human amniotic suspension allograft (ASA)

Intervention Type BIOLOGICAL

Human amniotic suspension allograft (ASA) intra-articular injection.

Human amniotic suspension allograft (ASA), 20 mg

Human amniotic suspension allograft (ASA) contains particulated human amniotic membrane and cells derived from the amniotic fluid. The allograft is freeze-dried, terminally sterilized with low dose gamma irradiation. Arm 2 uses 20 mg ASA stored in a sterile vial (Amniogen, HTC Regenerative Ltd. New Taipei, Taiwan).

Group Type EXPERIMENTAL

Human amniotic suspension allograft (ASA)

Intervention Type BIOLOGICAL

Human amniotic suspension allograft (ASA) intra-articular injection.

CellularMatrix (a combination of platelet-rich plasma and hyaluronic acid)

CellularMatrix (RegenLab SA, Switzerland) is composed of sterile and non-pyrogenic tubes allowing the mix of Platelet Rich Plasma (PRP) with Hyaluronic Acid (HA) in the same proportion (2mL of PRP for 2mL of HA).

Group Type EXPERIMENTAL

Human amniotic suspension allograft (ASA)

Intervention Type BIOLOGICAL

Human amniotic suspension allograft (ASA) intra-articular injection.

Normal saline

4ml of normal saline

Group Type PLACEBO_COMPARATOR

Human amniotic suspension allograft (ASA)

Intervention Type BIOLOGICAL

Human amniotic suspension allograft (ASA) intra-articular injection.

Interventions

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Human amniotic suspension allograft (ASA)

Human amniotic suspension allograft (ASA) intra-articular injection.

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* Age between 20 and 80 years
* Ability to provide informed consent
* Unilateral or bilateral knee VAS pain score ≥ 4 of 10 (worst possible pain) for more than 4 months
* Diagnosis of OA Kellgren-Lawrence I-III by radiography (triple-film of bilateral lower limb, standard knee anterior-posterior view in full extension, lateral view in 30-degrees flexion, and 45°Merchant views)
* No prior PRP injection of knee
* No prior surgical procedure of the participating knee
* BMI\<40 kg/m2

Exclusion Criteria

* Lawrence stage IV
* Major axial deviation (varus\> 5°, valgus \> 5°)
* Any concomitant symptomatic knee disorder (i.e. ligamentous/ meniscal injury)
* Systemic inflammatory arthropathy
* Hematologic diseases
* Severe cardiovascular disease
* Neurological disorders
* Active infection
* Immuno-compromised
* Therapy with anticoagulants or antiaggregants
* Use of NSAIDs and/or chondroprotective supplements, such as glucosamines and chondroitin sulfates, within 7 days prior to trial
* Recent intra-articular injection of corticosteroids (within 30 days)
* Prior treatment with HA in past 6 monthsHb\< 11 g/dL
* Platelet count \< 150,000/mm3
Minimum Eligible Age

20 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Kaohsiung Veterans General Hospital.

OTHER

Sponsor Role lead

Responsible Party

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Yin Ming, Huang

Chief resident of Orthopedic.

Responsibility Role PRINCIPAL_INVESTIGATOR

Central Contacts

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Kuan-Yu Lin

Role: CONTACT

+886-7-3422121 ext. 3051

Yin-Ming Huang

Role: CONTACT

+886-7-3422121 ext. 3051

Other Identifiers

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KSVGH20-CT9-11, ASA RCT 1.0

Identifier Type: -

Identifier Source: org_study_id

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