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

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

Related trials

Other published trials that may interest you.