The study is being conducted to investigate the safety and activity of TissueGene-C injected into the knee joint of patients with chronic degenerative joint disease (DJD) who will be undergoing total knee replacement.
The purpose of this first human study is to investigate the safety and biological activity of intra-articularly applied TissueGene-C in patients with chronic degenerative joint disease (DJD) who will be undergoing total knee replacement. In addition, data on joint pain, range of motion, and functionality will be obtained in this patient population prior to total knee replacement. The primary objective of this study is to evaluate the safety and biological activity of intra-articularly administered TissueGene-C as evidenced by observation of the injection site for irritation or other abnormalities affecting the incidence and severity of adverse events, and the changes in physical examination findings and laboratory tests as compared to the placebo control. The secondary objectives of this study are to: 1. Evaluate the dose response of the hChonJb#7 cells in grafting at the defect as compared to the placebo control. 2. Evaluate distribution of hChonJb#7 cells out of the injection site. 3. Evaluate the regeneration of hyaline cartilage as determined by the histological analysis of the resected knee tissue. 4. Evaluate the joint for evidence of tissue overgrowth or transformation. 5. Evaluate the biological activity of TissueGene-C on joint pain, range of motion and functionality as compared to the placebo control
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
12
TissueGene-C at 3x10e6, 1x10e7 or 3x10e7 cells/joint to be administered by intra-articular injection
Placebo control (DMEM)
Sinai Hospital of Baltimore
Baltimore, Maryland, United States
Commonwealth Orthopedics
Arlington, Virginia, United States
Summary of Adverse Events
The incidence of observations at the site of administration and the incidence adverse events assessed through 28 days after treatment.
Time frame: Through 28 days post-dosing
Number of Patients Showing Engraftment at the Defect
Dose Response of the TG-C in Engrafting at the Defect as Compared to Placebo Control
Time frame: 28 Days
Number of Patients With Distribution of hChonJb#7 Cells Detected Outside of the Injection Site
Number of Patients with Distribution of hChonJb#7 Cells Detected Outside of the Injection Site as determined by PCR analysis for vector DNA.
Time frame: 12 Months
Number of Participants With Observable Evidence of Cartilage Regeneration
The evaluation of regeneration of hyaline cartilage as determined by histological analysis of resected knee tissue and observation for engraftment and cartilage production.
Time frame: Days 0, 3, 7, 11, 28 (prior to surgery), and day 29 (one day post-surgery) following dosing. Follow-up patient monitoring will be performed at 3, 6, 9, and 12 months following dosing
Number of Patients With Tissue Overgrowth or Transformation in the Knee Joint
Visual and histological analysis of knee joint tissues to determine the number of patients with tissue overgrowth or transformation
Time frame: 29
Number of Patients With Improvements in Pain and Function of the Knee Joint
Assessment of the number of patients with improvement in pain and function of the knee joint
Time frame: 28 Days
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