The aim of the study is to assess safety, tolerability and preliminary efficacy of XSTEM-OA when administered as a single intra-articular injection to patients with symptomatic knee osteoarthritis. The study is divided into two parts; a dose escalation (Part A) and an optional dose expansion part (Part: B). Three dose levels are planned to be evaluated in Part A and selected dose level(s) may be further expanded in Part B.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
24
XSTEM-OA is an allogeneic, adipose tissue-derived, integrin alpha10beta1-selected and expanded mesenchymal stem cell (MSC) product for the treatment of osteoarthritis.
Genesis Research Services
Broadmeadow, New South Wales, Australia
Emeritus Research
Camberwell, Victoria, Australia
Safety and tolerability: Adverse events (AEs)
Incidence, nature and severity of treatment-related AEs assessed by the Common Terminology Criteria for Adverse Events (CTCAE)
Time frame: From start of study until 24 months after injection
Safety and tolerability: 12-lead electrocardiogram (ECG)
Change in 12-lead electrocardiograms (ECGs) compared to baseline.
Time frame: From start of study until 18 months after injection
Safety and tolerability: Laboratory examinations
Changes in laboratory tests compared to baseline. The clinical laboratory tests include haematology, chemistry, coagulation and urinalysis.
Time frame: From start of study until 18 months after injection
Safety and tolerability: Physical examinations
Changes in physical examination compared to baseline.
Time frame: From start of study until 18 months after injection
Safety and tolerability: Vital signs
Changes in vital signs compared to baseline. Vital signs include blood pressure, pulse rate, respiratory rate and oral body temperature.
Time frame: From start of study until 18 months after injection
Preliminary efficacy: Changes in Visual Analogue Scale (VAS) for pain compared to baseline
Time frame: From start of study until 18 months after injection
Preliminary efficacy: Changes in Knee injury and Osteoarthritis Outcome Score (KOOS) compared to baseline
Time frame: From start of study until 18 months after injection
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Preliminary efficacy: Change in EuroQoL 5 Dimension 5 Level test (EQ-5D-5L) compared to baseline
Time frame: From start of study until 18 months after injection
Preliminary efficacy: Change in 40 m fast paced walk test compared to baseline
Time frame: From start of study until 18 months after injection
Preliminary efficacy: Change in cartilage structure and morphology compared to baseline, based on MRI assessment of cartilage volume and composition
Time frame: From start of study until 18 months after injection
Preliminary efficacy: Change in whole knee health compared to baseline, based on MRI assessment by the MRI Osteoarthritis Knee Score (MOAKS)
Time frame: From start of study until 18 months after injection
Preliminary efficacy: Change in inflammatory activity compared to baseline, based on MRI assessment of synovitis
Time frame: From start of study until 18 months after injection
Preliminary efficacy: Changes in joint space narrowing based on x-ray compared to baseline
Time frame: From start of study until 18 months after injection