The study is a prospective, multicenter, single-arm non-interventional study to evaluate the efficacy, safety and health economics of NOVOCART® Inject in the treatment of cartilage defects of the knee in pediatric patients with radiologically proven closed epiphyseal growth plates.
In this non-interventional study NOVOCART® Inject, which is marketed in Germany under a license according to Section 4b of the AMG, will be used in routine clinical practice according to the current authorized Summary of Product Characteristics (SmPC). As stated in this SmPC, NOVOCART® Inject may only be used by physicians who are trained on the product. The treatment with NOVOCART® Inject requires two surgeries. During the first surgery cartilage tissue will be harvested arthroscopically and sent to TETEC AG for NOVOCART® Inject manufacturing, then NOVOCART® Inject will be transplanted during a second surgery about 3 to 4 weeks later. All patients will be followed up for 5 years post NOVOCART® Inject implantation and data will be collected preoperatively and at 3, 6, 12, 18, 24, 36, 48 and 60 months as outlined at the end of this synopsis. NOVOCART® Inject 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® Inject implantation (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 by TETEC AG.
Study Type
OBSERVATIONAL
Autologous Chondrocyte Implantation
St. Josefs-Hospital Cloppenburg gemeinnützige GmbH
Cloppenburg, Germany
Universitätsklinikum Freiburg
Freiburg im Breisgau, Germany
OCM Klinik GmbH München
München, Germany
Klinikum rechts der Isar, Technische Universität München
München, Germany
Responder rate of overall KOOS
The overall Knee injury and Osteoarthritis Outcome Score (KOOS5) responder rate defined as the proportion of patients with ≥ 10 points improvement in the KOOS5 from baseline.
Time frame: 24-months Follow-up
Change of overall KOOS from baseline
Change of overall KOOS from baseline to the 24-month assessment, Knee Injury and Osteoarthritis Outcome Score, score 0-100, higher score shows better outcome
Time frame: 24-months Follow-up
Change of the 5 sub-scores of the KOOS from baseline
Change of the 5 sub-scores of the KOOS from baseline to the 24-month assessment, Knee Injury and Osteoarthritis Outcome Score, score 0-100, higher score shows better outcome
Time frame: 24-months Follow-up
Change of the IKDC subjective score from baseline
Change from baseline to the 24-month visit in the IKDC subjective score, international knee documentation committee, score 0-100, higher score shows better outcome
Time frame: 24-months Follow-up
Change in the IKDC surgeon's part from baseline
Change from baseline to the 24-month visit in the IKDC surgeon's part. international knee documentation committee, score 0-100, higher score shows better outcome
Time frame: 24-months Follow-up
MOCART (MRI imaging)
In vivo performance measured by the assessment of the Magnetic Resonance, Observation of Cartilage Repair Tissue (MOCART) score, Magnetic Resonance Observation of Cartilage Repair Tissue, score 0-100, higher score shows better outcome
Time frame: 24-months Follow-up
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Universitätsklinikum Regensburg
Regensburg, Germany
Universitätsklinikum Tübingen
Tübingen, Germany
IKDC subjective score responder rate
IKDC subjective score responder rate, defined as the proportion of patients with \> 20.5 points improvement in the IKDC subjective score from baseline to the 24-month visit
Time frame: 24-months Follow-up
Proportion of patients with treatment failure
Proportion of patients with treatment failure
Time frame: 24-months Follow up, 60-months Follow-up
Number of postop physical therapy
Number of postop physical therapy
Time frame: 24-months Follow up, 60-months Follow-up
Number of postop doctor visits
Number of postop doctor visits
Time frame: 24-months Follow up, 60-months Follow-up
Days of hospitalisation
Days of hospitalisation
Time frame: 24-months Follow up, 60-months Follow-up
Work/school status checklist
Work/school status, changes due to injury in work or school status (pupil, worker full or part time, not working, job seeking)
Time frame: 24-months Follow up, 60-months Follow-up
Days of work/school missed
Days of work/school missed
Time frame: 24-months Follow up, 60-months Follow-up
Patient satisfaction
Patient questionnaire, 4 questions with 3 answer choices better, same, worse
Time frame: 24-months Follow up, 60-months Follow-up
Treatment-related adverse reactions (ARs)
Treatment-related adverse reactions (ARs)
Time frame: 24-months Follow up, 60-months Follow-up
Rate of unplanned re-operations
Rate of unplanned re-operations: all unplanned reoperations and those related to NOVOCART® Inject treatment
Time frame: 24-months Follow up, 60-months Follow-up
Surgical time
cut-to-suture time
Time frame: 24-months Follow up, 60-months Follow-up
Length of incision
Length of incision
Time frame: 24-months Follow up, 60-months Follow-up