Orthobiologic Treatment for Knee Osteoarthritis

NCT ID: NCT06893250

Last Updated: 2025-03-25

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

ENROLLING_BY_INVITATION

Clinical Phase

PHASE2/PHASE3

Total Enrollment

160 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-09-23

Study Completion Date

2027-12-31

Brief Summary

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The goal of this randomized clinical trial is to compare treatment for osteoarthritis in the knee using platelet rich plasma (PRP) or adipose stem cells (ADS). The main questions it aims to answer are:

* Will the patients clinically benefit from the treatment, and if so, which treatment is better?
* Will there be radiological findings to support this? Participants will be randomized into one of four groups: PRP, ADS, PRP + ADS or placebo treatment (saline) and will be examined and get an X-ray and MRI of the knee taken at inclusion and after 1 and 2 years.

Detailed Description

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Patients will be randomized into one of four treatment groups and then be followed up at 6 weeks, 12 weeks, 6 months, 1 year and 2 years after intervention. They will fill out scores and be clinically evaluated, as well as radiologically examined at inclusion and at the final check up (x-ray and MRI).

Conditions

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Osteoarthritis Knee

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

FACTORIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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Platelet rich plasma (PRP)

Plasma taken from the patient is centrifuged and isolated before it is injected into the patients knee.

Group Type ACTIVE_COMPARATOR

PRP injection

Intervention Type BIOLOGICAL

Platelet rich plasma, blood from the patient that is centrifuged.

Adipose tissue stem cells

Adipose tissue is taken from the patients abdominal subcutaneous fat tissue and is injected into the knee.

Group Type ACTIVE_COMPARATOR

ADSTEM Inj. (Adult human mesenchymal stem cells)

Intervention Type BIOLOGICAL

Adipose tissue stem cells, from abdominal fat.

Platelet rich plasma + adipose tissue stem cells

A combination of platelet rich plasma and adipose tissue stem cells are taken from the patient and injected into the patients knee.

Group Type ACTIVE_COMPARATOR

Injection

Intervention Type BIOLOGICAL

PRP + adipose tissue stem cells

Placebo (saline)

Saline (NaCl) is injected into the patients knee.

Group Type PLACEBO_COMPARATOR

Saline (NaCl 0,9 %) (placebo)

Intervention Type BIOLOGICAL

Sterile saline injection.

Interventions

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PRP injection

Platelet rich plasma, blood from the patient that is centrifuged.

Intervention Type BIOLOGICAL

ADSTEM Inj. (Adult human mesenchymal stem cells)

Adipose tissue stem cells, from abdominal fat.

Intervention Type BIOLOGICAL

Injection

PRP + adipose tissue stem cells

Intervention Type BIOLOGICAL

Saline (NaCl 0,9 %) (placebo)

Sterile saline injection.

Intervention Type BIOLOGICAL

Other Intervention Names

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Platelet rich plasma PRP Mesenchymal stem cells Adipose tissue stem cells PRP Adipose tissue stem cells placebo NaCl saline

Eligibility Criteria

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Inclusion Criteria

* Symptomatic osteoarthritis in the knee grade I-III using the Kellgren-Lawrance Grading Scale
* Age 40-70 years
* Minimum VAS 3
* No use of NSAIDs or steroids the last 14 days
* No injections of hyaluronic acid the last three months
* Varus/valgus deformity \<5 degrees as evaluated on x-ray imaging

Exclusion Criteria

* Pregnant or breastfeeding women
* Cancer
* Other etiologies of knee pain (refered pain, pain from the back, dislocated meniscus on MRI, osteoarthritis grade IV using the Kellgren-Lawrance Grading Scale)
* Previous knee surgery on the affected knee
* Secondary osteoarthritis in the knee
* Previous infection in the knee
* Other diseases (rheumatoid arthritis, diabetes, systemic diseases or corticosteroid-demaning disease)
* Patients with a high risk of deep vein thrombosis
* Patients who cannot cooperate/are low compliance (psychiatric disease) or has contraindications for MRI
Minimum Eligible Age

40 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospital of North Norway

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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University Hospital in Northern Norway

Tromsø, Tromsø, Norway

Site Status

Countries

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Norway

Other Identifiers

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376638

Identifier Type: -

Identifier Source: org_study_id

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