Clinical trial • Phase II • Musculoskeletal
N-TEC for Patellofemoral osteoarthritis | Knee osteoarthritis
Phase II trial of N-TEC for Patellofemoral osteoarthritis | Knee osteoarthritis.
Overview
- Trial Therapeutic Area
- Musculoskeletal
- Trial Disease
- Patellofemoral osteoarthritis | Knee osteoarthritis
- Trial Stage
- Phase II
- Drug Modality
- Cell therapy
Key dates
- Initial CTIS Submission Date
- 14-02-2025
- First CTIS Authorization Date
- 10-06-2025
Trial design
Randomised, amic and pfa (current standard of care); no doses or schedules specified-controlled Phase II trial in Austria, Croatia, Italy and others.
- Randomised
- Yes
- Comparator
- AMIC and PFA (current standard of care); no doses or schedules specified
- Target Sample Size
- 28
- Trial Duration For Participant
- 730
Eligibility
Recruits 28 No vulnerable population selected. Only adults (≥18 years) are eligible; participants must be willing and able to give written informed consent and those unwilling, unable or lacking capacity to consent are excluded. No assent process or enrolment of minors is described..
- Pregnancy Exclusion
- Patient is pregnant, breast feeding or anticipates becoming pregnant within 24 months after surgery
- Vulnerable Population
- No vulnerable population selected. Only adults (≥18 years) are eligible; participants must be willing and able to give written informed consent and those unwilling, unable or lacking capacity to consent are excluded. No assent process or enrolment of minors is described.
Inclusion criteria
- {"criterion_text":"- Patient age is ≥18 and ≤ 70 years at time of screening"}
- {"criterion_text":"- Symptomatic PFOA grade 1-4 according to Iwano Classification"}
- {"criterion_text":"- Chondropathy Grade 3-4 according to ICRS classification of the patella, trochlea femoris or both"}
- {"criterion_text":"- Baseline score of <75 on the KOOS-5 subjective knee evaluation"}
- {"criterion_text":"- Free range of motion of the affected knee joint or ≤ 5° of extension loss and minimum 125° flexion"}
- {"criterion_text":"- Patient is willing and able to give written informed consent"}
Exclusion criteria
- {"criterion_text":"- Patient is the investigator or any sub-investigator, research assistant, pharmacist, study coordinator, other staff or relative thereof directly involved in the conduct of the protocol or in a dependency or employment with the sponsor"}
- {"criterion_text":"- Patient is pregnant, breast feeding or anticipates becoming pregnant within 24 months after surgery"}
- {"criterion_text":"- Patient is currently participating or has participated in any other clinical study involving the actually affected knee, within 3 months prior to the screening visit"}
- {"criterion_text":"- Patient is unwilling, unable or lacking the capacity to provide informed consent"}
- {"criterion_text":"- Patient has known current or recent history of illicit drug or alcohol"}
- {"criterion_text":"- Any known allergies, especially for porcine collagen, penicillin or streptomycin"}
- {"criterion_text":"- Patient is unable to undergo magnetic resonance imaging (MRI)"}
- {"criterion_text":"- Prior surgical treatment of the target knee within 12 months"}
- {"criterion_text":"- Radiologically apparent degenerative joint disease of the tibiofemoral joint as determined by X-ray (Kellgren and Lawrence grade > 2) or MRI or pain in the tibiofemoral joint as assessed by clinical examination"}
- {"criterion_text":"- Patient has excessive varus or valgus deformity (>5°), unless corrected during implantation"}
- {"criterion_text":"- Nail Patella syndrome"}
- {"criterion_text":"- Patient has a symptomatic meniscus lesion (or removal exceeding ½), as indicated by clinical examination (joint line tenderness and McMurray test positive) and MRI."}
- {"criterion_text":"- Patient has a body mass index (BMI) >35 kg/m2"}
- {"criterion_text":"- Patient has chronic rheumatoid arthritis, and/or infectious arthritis"}
- {"criterion_text":"- Patients who will likely benefit from conservative therapy, such as physiotherapy, medical training therapy and pain medication"}
- {"criterion_text":"- Any concomitant painful or disabling disease of the spine, hips, or lower limbs that would interfere with evaluation of the afflicted knee"}
- {"criterion_text":"- Patient has a known immunological suppressive disorder or is taking immunosuppressives"}
- {"criterion_text":"- Patient had any intra-articular injections into the affected knee within the last 3 months before baseline visit"}
- {"criterion_text":"- Instability of anterior, posterior and/or collateral ligaments"}
- {"criterion_text":"- The patient has a HIV/AIDS infection"}
- {"criterion_text":"- The patient has an acute Treponema pallidum (syphilis) infection"}
- {"criterion_text":"- The patient has an active hepatitis B or C infection with verified antigens. Patients with a cured hepatitis B or C infection and/or verified antibodies are not excluded"}
- {"criterion_text":"- Patients with increased anesthesiological and surgical risks"}
- {"criterion_text":"- Patients with increased bleeding risk (e.g. coagulopathies)"}
- {"criterion_text":"- Patients on anticoagulants whose anticoagulant therapy cannot be interrupted as appropriate to the given agent(s) and underlying condition"}
- {"criterion_text":"- Patients with any active infections"}
- {"criterion_text":"- Patient has any other condition, which, in the opinion of the investigator, would make the patient unsuitable for the study"}
Endpoints
Primary endpoints
- {"endpoint_text":"- Change in KOOS-5 subjective score from baseline to the 24-month follow-up","definition_or_measurement_approach":"Change in KOOS-5 (subjective knee evaluation) from baseline to 24 months as measured by the KOOS-5 questionnaire."}
Secondary endpoints
- {"endpoint_text":"- Mean KOOS subscores at all timepoints (baseline, 6, 12 and 24 months)","definition_or_measurement_approach":"Mean KOOS subscores measured at baseline, 6, 12 and 24 months."}
- {"endpoint_text":"- Kujala Anterior Knee Pain Scale at 6, 12 and 24 months","definition_or_measurement_approach":"Kujala score assessed at 6, 12 and 24 months."}
- {"endpoint_text":"- WOMAC Score at baseline, 6, 12 and 24 months","definition_or_measurement_approach":"WOMAC assessed at baseline, 6, 12 and 24 months."}
- {"endpoint_text":"- EQ-5D-5L at baseline 6, 12 and 24 months","definition_or_measurement_approach":"EQ-5D-5L assessed at baseline, 6, 12 and 24 months."}
- {"endpoint_text":"- GROC likert scale at baseline, 6, 12 and 24 months","definition_or_measurement_approach":"GROC Likert scale measured at baseline, 6, 12 and 24 months."}
- {"endpoint_text":"- Marx Activity Rating Scale at baseline, 6, 12 and 24 months","definition_or_measurement_approach":"Marx Activity Rating Scale assessed at baseline, 6, 12 and 24 months."}
- {"endpoint_text":"- VAS Score at baseline, 6, 12 and 24 months","definition_or_measurement_approach":"Visual Analog Scale (VAS) for pain measured at baseline, 6, 12 and 24 months."}
- {"endpoint_text":"- Patient Satisfaction Questionnaire at 24 months","definition_or_measurement_approach":"Patient satisfaction assessed by questionnaire at 24 months."}
- {"endpoint_text":"- MRI at baseline, 6, 12 and 24 months","definition_or_measurement_approach":"MRI imaging performed at baseline, 6, 12 and 24 months to assess graft integration and repair tissue maturation."}
- {"endpoint_text":"- X-ray at baseline, 6, 12 and 24 months","definition_or_measurement_approach":"X-ray imaging at baseline, 6, 12 and 24 months to assess structural changes."}
- {"endpoint_text":"- Safety (number of SARs and SUSARs)","definition_or_measurement_approach":"Safety evaluated based on the number of SARs and SUSARs reported."}
- {"endpoint_text":"- Number of treatment failures at 24 months","definition_or_measurement_approach":"Count of treatment failures assessed at 24 months."}
Recruitment
- Planned Sample Size
- 28
- Recruitment Window Months
- 56
- Consent Approach
- Written informed consent is required from participants ('Patient is willing and able to give written informed consent'). Participants must have capacity to consent; those unwilling, unable or lacking capacity are excluded. Subject information and informed consent forms are available in multiple languages (English, German, Italian, Polish, Croatian, Dutch, Swedish) as per the uploaded SIS/ICF and patient-facing documents.
Geography
- Total Number Of Sites
- 9
- Total Number Of Participants
- 122
Austria
- Earliest CTIS Part Ii Submission Date
- 30-04-2025
- Latest Decision Or Authorization Date
- 11-06-2025
- Processing Time Days
- 42
- Number Of Sites
- 1
- Number Of Participants
- 13
Sites
- Site Name
- Orthopaedisches Spital Speising GmbH
- Department Name
- xxx
- Contact Person Name
- Christian Albrecht
- Contact Person Email
- christian.albrecht@oss.at
Croatia
- Earliest CTIS Part Ii Submission Date
- 15-05-2025
- Latest Decision Or Authorization Date
- 13-06-2025
- Processing Time Days
- 29
- Number Of Sites
- 1
- Number Of Participants
- 14
Sites
- Site Name
- University Hospital Sveti Duh
- Department Name
- Department of Orthopaedics and Traumatology
- Contact Person Name
- Alan Ivkovic
- Contact Person Email
- alan.ivkovic@gmail.com
Italy
- Earliest CTIS Part Ii Submission Date
- 12-03-2025
- Latest Decision Or Authorization Date
- 13-06-2025
- Processing Time Days
- 93
- Number Of Sites
- 2
- Number Of Participants
- 28
Sites
- Site Name
- Ospedale Galeazzi S.p.A.
- Contact Person Name
- Giuseppe Peretti
- Contact Person Email
- giuseppe.peretti@unimi.it
- Site Name
- Fondazione Policlinico Universitario Campus Bio-medico In Forma A Bbreviata Fon
- Department Name
- Department of Orthopaedic and Trauma Surgery
- Contact Person Name
- Gianluca Vadala
- Contact Person Email
- g.vadala@policlinicocampus.it
Sweden
- Earliest CTIS Part Ii Submission Date
- 12-03-2025
- Latest Decision Or Authorization Date
- 10-06-2025
- Processing Time Days
- 90
- Number Of Sites
- 1
- Number Of Participants
- 13
Sites
- Site Name
- Sahlgrenska University Hospital-Vaestra Goetalandsregionen
- Department Name
- Department of Orthopaedics
- Contact Person Name
- Ola Rolfson
- Contact Person Email
- ola.rolfson@vgregion.se
Poland
- Earliest CTIS Part Ii Submission Date
- 21-05-2025
- Latest Decision Or Authorization Date
- 16-06-2025
- Processing Time Days
- 26
- Number Of Sites
- 1
- Number Of Participants
- 13
Sites
- Site Name
- Szpital Specjalistyczny Im. Stefana Zeromskiego SPZOZ W Krakowie
- Department Name
- Oddzial Chirurgii Ortopedyczno - Urazowej
- Contact Person Name
- Pawel Skowronek
- Contact Person Email
- pawelskowronek@interia.pl
Germany
- Earliest CTIS Part Ii Submission Date
- 22-05-2025
- Latest Decision Or Authorization Date
- 13-06-2025
- Processing Time Days
- 22
- Number Of Sites
- 2
- Number Of Participants
- 28
Sites
- Site Name
- Evangelisches Waldkrankenhaus Spandau Krankenhausbetriebs gGmbH
- Department Name
- Orthopädie und Traumatologie
- Contact Person Name
- Ulrich Noeth
- Contact Person Email
- Ulrich.Noeth@jsd.de
- Site Name
- Koenig-Ludwig-Haus Orthopaedische Klinik
- Department Name
- Schwerpunkt Sportorthopädie und Arthroskopische Operationen
- Contact Person Name
- Stephan Reppenhagen
- Contact Person Email
- s-reppenhagen.klh@uni-wuerzburg.de
Netherlands
- Earliest CTIS Part Ii Submission Date
- 12-05-2025
- Latest Decision Or Authorization Date
- 16-06-2025
- Processing Time Days
- 35
- Number Of Sites
- 1
- Number Of Participants
- 13
Sites
- Site Name
- Academisch Ziekenhuis Maastricht
- Contact Person Name
- Pieter Emans
- Contact Person Email
- p.emans@mumc.nl
Sponsor
Primary sponsor
- Full Name
- Universitaetsspital Basel
- Organisation Type
- Hospital/Clinic/Other health care facility
- Country Of Registered Address
- Switzerland
Third parties
- {"country":"","full_name":"European Commission (Horizon Europe)","duties_or_roles":"Monetary support / funding","organisation_type":""}
Investigational products
- Investigational Product Name
- N-TEC
- Active Substance
- N-TEC
- Modality
- Cell therapy
- Routes Of Administration
- IMPLANTATION
- Route
- IMPLANTATION
- Maximum Dose
- 40 cm2
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