Single arm clinical investigation, post-market confirmatory interventional to assess performance, safety and tolerability of "CR500 SINGLE-DOSE GEL" medical device in patients with knee osteoarthritis (KOA).
Subjects 26-83 years old will receive CR500 SINGLE-DOSE GEL given for the treatment of osteoarthritis of the knee over a 4-week time period. The primary objective of the study is to evaluate the effect of CR500 SINGLE-DOSE GEL in the treatment of KOA.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
38
CR 500™ SINGLE-DOSE GEL is a hydrogel to be applied to intact skin, useful to attenuate the physiological degeneration of cartilage typical of osteoarthritic processes. The presence of sodium hyaluronate facilitates the movement of joints and tendons for greater mobility and flexibility
Istituto Clinico Mater Domini Casa di Cura Privata - Gruppo Humanitas
Castellanza, Varese, Italy
OA evaluation, measured by Lequesne Knee Index (LKI)
The primary efficacy endpoint of the study will be the evaluation of the clinical performance of the CR 500™, used as intended in patients affected by KOA, in variation of symptoms related to the physiological degeneration of cartilage typical of osteoarthritic processes, in terms of difference in LKI score between the end study visit and baseline visit. Lequesne Knee Index Score: minimum index score: 0 maximum index score: 24 0 means none OA \>= means extremely severe OA
Time frame: 4 weeks
Lequesne Knee Index (LKI) Score
To evaluate the clinical performance of the CR 500™ across the study by Lequesne Knee Index (LKI) score. Lequesne Knee Index Score: minimum index score: 0 maximum index score: 24 0 means none OA \>= means extremely severe OA
Time frame: 4 weeks
Lequesne Knee Index (LKI) Subscore
To evaluate the clinical performance of the CR 500™ by each Lequesne Knee Index (LKI) subscore Lequesne Knee Index Score: minimum index score: 0 maximum index score: 24 0 means none OA \>= means extremely severe OA
Time frame: 4 weeks
Symptoms Variation in terms of Lequesne Knee Index (LKI) score
To evaluate the clinical performance of the CR 500™ in the attenuation of symptoms in patients affected by KOA stratified by KOA severity as assessed by Lequesne Knee Index (LKI) score
Time frame: 4 weeks
Cluster of Subjective Symptoms evaluated by Knee Injury and Osteoarthritis Outcome Score (KOOS) questionnaire
To evaluate the different dimensions of the Knee Injury and Osteoarthritis Outcome Score (KOOS) questionnaire Koos converted into a 0-100 Score 0 means worst level of OA 100 means best level of OA Subscores: Pain, Symptoms, Sports, Quality of Life, Activities of Daily Living
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Time frame: 4 weeks
Number of participants with treatment-related adverse event as assessed by a questionnaire.
To evaluate the side effects of the product CR 500™ through a the completion of a specific questionnaire by the patient.
Time frame: 4 weeks
Product tolerability and patient satisfaction as assessed by a questionnaire using a five-points Likert scale
To evaluate the tolerability and patient satisfaction of the CR 500™ through a the completion of a specific questionnaire by the patient, the five-points Likert scale in which 1 means Strongly disagree with the assertion and 5 means Strongly agree
Time frame: 4 weeks
Evaluation of the status of the cartilage degradation by quantification of neoepitope of type II collagen (C2C)
Evaluation of the status of the cartilage degradation by quantification of neoepitope of type II collagen in synovial fluid by ELISA (ng/mL)
Time frame: 4 weeks
Evaluation of the status of the cartilage degradation by quantification of C-terminal telopeptide of type II collagen (CTX-II)
Evaluation of the status of the cartilage degradation by quantification of C-terminal telopeptide of type II collagen quantification (CTX-II) in synovial fluid by ELISA (pg/mL)
Time frame: 4 weeks
Evaluation of the status of the cartilage by quantification of type II collagen propeptide (CPII) quantification
Evaluation of the status of the cartilage by quantification of type II collagen propeptide (CPII) in synovial fluid by ELISA (ng/mL)
Time frame: 4 weeks
Evaluation of the status of the cartilage by quantification of hyaluronic acid (HA) quantification
Evaluation of the status of the cartilage by quantification of hyaluronic acid (HA) in synovial fluid by ELISA (mg/mL)
Time frame: 4 weeks
Evaluation of the inflammatory status of the knee joint by quantification of tumour necrosis factor (TNF) quantification
Evaluation of the status of the cartilage by quantification of tumour necrosis factor (TNF) in synovial fluid by ELISA (pg/mL)
Time frame: 4 weeks
Evaluation of the macrophages infiltration in the knee joint by quantification of Cluster of Differentiation 206 (CD206)
Evaluation of the macrophages infiltration in the knee joint by quantification of Cluster of Differentiation 206 (CD206) by Real Time Polymerase Chain Reaction (PCR)
Time frame: 4 weeks
Evaluation of the macrophages infiltration in the knee joint by quantification of Cluster of Differentiation 11c (CD11c)
Evaluation of the macrophages infiltration in the knee joint by quantification of Cluster of Differentiation 11c (CD11c) by Real Time PCR
Time frame: 4 weeks