Primary osteoarthritis is a debilitating disease characterized by extensive damage to the joints and excruciating pain leading to loss of activity and depression. Despite advances in diagnosis, the quest for the development of a disease-modifying osteoarthritis drug has proven unsuccessful. Human cartilage only has limited regenerative potential. Transplantation is a promising strategy given the high proliferative capacity of MSCs and their potential to differentiate into cartilage-producing cells - chondrocytes. The acquisition of MSC does not require invasive surgical intervention or cartilage extraction from other sites as required by other cell-based strategies. The investigators inject allogeneic human mesenchymal stem cells to the cartilage lesions in patients via intra-articular injection method, and to investigate the efficacy and safety.
Osteoarthritis is one of the commonest diseases in the world, with a global disease burden of 83%. Plain radiograph remained the main modality in diagnosing osteoarthritis. Chondrogen is a mesenchymal stem cell-derived from umbilical cord tissue product. The mesenchymal stem cell is used for the study because of its ability to proliferate and differentiate into various tissues such as chondrocytes, adipocytes, and osteocytes. Various clinical studies have been conducted for arthritis, orthopedic, joint, and cartilage. This study will enroll 100 patients age 30-70 years old. They will be divided into 2 groups which are the group which will receive the investigational drug (ChondrogenTM and HA) and another group will receive a placebo (saline and HA). It will be a randomized double-blinded study where the participants and the investigator would not know what are the things being received. This study will be conducted for 24 months. The injection will be given on the baseline day after screening the volunteers. The patients will be assessed on VAS, WOMAC, IKDC, KOOS PROMIS29, the interleukins, and MRI.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
100
Mesenchymal stem cell-derived from umbilical cord Wharton Jelly and hyaluronic acid
Consist of saline and hyaluronic acid
Department of Orthopedic & Traumatology, Faculty of Medicine, Hospital Canselor Tuanku Mukhriz, UKM Medical Centre, Jalan Yaacob Latiff, Bandar Tun Razak, Cheras, 56000 Kuala Lumpur.
Cheras, Kuala Lumpur, Malaysia
VAS score
Change from Baseline in Visual Analogue Scale (VAS)
Time frame: 12 months
WOMAC score
Change from Baseline in Western Ontario and McMaster Universities Osteoarthritis Index Score (WOMAC)
Time frame: 12 months
IKDC score
Change from Baseline in knee function change and improvement (IKDC)
Time frame: 12 months
KOOS score
Change from Baseline in Knee Injury and Osteoarthritis Outcome Score (KOOS)
Time frame: 12 months
PROMIS29 score
Change in Patient-Reported Outcomes Measurement Information System (PROMIS29) scores
Time frame: 12 months
Kellegren-Lawrence grading
Number of participants evaluated by X-ray and MRI of knee OA from baseline Kellegren-Lawrence grading system.
Time frame: 12 months
Interleukins
Changes of interleukins (IL-1b, IL-6, PGE-2, TGF-b, TNF-a, IGF-1) of articular cavity fluid from baseline to week 12
Time frame: 12 months
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