Prospective, multicenter, single-arm non-interventional study to evaluate the efficacy, safety and health economics of NOVOCART 3D in the Treatment fo cartilage defects of the knee in pediatric patients wieh closed epiphyseal growth plates.
The present study is a prospective, multicenter, single-arm non-interventional study to evaluate the efficacy, safety and health economics of NOVOCART® 3D in the treatment of cartilage defects of the knee in pediatric patients with closed epiphyseal growth plates. In this non-interventional study NOVOCART® 3D, which is marketed in Germany under Paragraph 4b Medicinal Products Act, will be used in routine clinical practice according to the authorized Summary of Product Characteristics (SmPC). As stated in this SmPC, NOVOCART® 3D may only be used by physicians who are trained on the product. The treatment with NOVOCART® 3D requires two surgeries. During the first surgery cartilage biopsies will be harvested arthroscopically and sent to TETEC AG (Tissue Engineering Technologies AG) for NOVOCART® 3D manufacturing, then NOVOCART® 3D will be transplanted during a second surgery about 3 to 4 weeks later. All patients will be followed up for 5 years post NOVOCART® 3D transplantation and data will be collected at 3, 6, 12, 18, 24, 36, 48 and 60 months as outlined at the end of this synopsis. NOVOCART® 3D post treatment rehabilitation should follow the recommendations given in the SmPC and during product training. The primary and secondary variables (see below) will be assessed after a follow-up of 24 month post NOVOCART® 3D transplantation (primary analysis). Long-term data will be assessed after an additional 3 years follow-up (follow-up analysis). The collected data will be documented using dedicated case report forms (CRFs) which are created and printed by TETEC AG.
Study Type
OBSERVATIONAL
Enrollment
42
Autologous Chondrocyte Implantation
Theresienkrankenhaus und St. Hedwig-Klinik GmbH
Mannheim, Baden-Wurttemberg, Germany
Sportklinik Stuttgart
Stuttgart, Baden-Wurttemberg, Germany
Klinik und Poliklinik für Orthophädie, Physikalische Medizin und Rehabilitation Knie- und Schulterorthopädie
München, Bavaria, Germany
Klinikum rechts der Isar der technischen Universität München
München, Bavaria, Germany
Change of Overall KOOS (Knee Injury and Osteoarthritis Outcome Score)
Change of KOOS defined as the average of the 5 subscale scores (range 0-100, higher values represent a better outcome)
Time frame: 24 months Follow Up (FU)
Change of 5 subscores KOOS
Change of the 5 subscores of KOOS (range 0-100, higher values represent a better outcome)
Time frame: 24 months FU
IKDC subjective
Change of IKDC (International Knee Documentation Committee) subjective (range 0-100, higher values represent a better outcome)
Time frame: 24 month FU
pain VAS
Change in pain VAS (Visual Analogue Scale) (range 0-10, higher values represent a better outcome)
Time frame: 24 month FU
MOCART
In vivo Performance via MRI (Magnetic Resonance Imaging), MOCART Score (Magnetic Resonance Observation of Cartilage Repair Tissue) (range 0-100, higher values represent a better outcome)
Time frame: 24 month FU
KOOS responder rate
KOOS responder rate defined as Proportion of patients with \> 10 Points improvement in KOOS
Time frame: 24 month FU
IKDC subjective responder rate
IKDC subjective responder rate defined as Proportion of patients with \>20.5 Points improvement in IKDC subjective
Time frame: 24 months FU
Proportion of patients with Treatment failures
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Univerisätsklinikum Regensburg
Regensburg, Bavaria, Germany
Lubinus Clinicum Kiel
Kiel, Schleswig-Holstein, Germany
Proportion of patients with Treatment failures
Time frame: 3 months, 6 months, 12 months, 18 months, 24 months, 36 months, 48 months, 60 months
Health economics variable (Days of missing work/school ) to NOVOCART 3D treatment
Days of missing work/school due to knee pain/function issues in the target knee
Time frame: 3 months, 6 months, 12 months, 18 months, 24 months, 36 months, 48 months, 60 months
Health economics variable (Days of hospitalization ) to NOVOCART 3D treatment
Days of hospitalization due to knee pain/function issues in the target knee
Time frame: 3 months, 6 months, 12 months, 18 months, 24 months, 36 months, 48 months, 60 months
Health economics variable (Number of postoperative doctor visits) to NOVOCART 3D treatment
Number of postoperative doctor visits
Time frame: 3 months, 6 months, 12 months, 18 months, 24 months, 36 months, 48 months, 60 months