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APSS-33-00: A Multicenter, Pilot Study of Autologous Protein Solution (APS) in Knee Osteoarthritis (OA) (PROGRESS II)

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Zimmer Biomet

Status

Completed

Conditions

Osteoarthritis, Knee

Treatments

Device: Saline
Device: APS

Study type

Interventional

Funder types

Industry

Identifiers

NCT02138890
BBI.CR.APS1.14

Details and patient eligibility

About

This double-blind, multicenter, randomized, controlled trial (RCT) will evaluate the efficacy of a single dose of Autologous Protein Solution (APS) in patients with osteoarthritis (OA) of the knee who have failed at least 1 conservative osteoarthritis (OA) therapy (e.g. physiotherapy, simple analgesics, intra-articular injection).

Full description

A double-blind, multicenter, randomized, controlled trial (RCT) that will evaluate the efficacy of a single dose of Autologous Protein Solution (APS) in patients with Osteoarthritis (OA) of the knee who have failed at least 1 conservative OA therapy (e.g. physiotherapy, simple analgesics, intra-articular injection).

Enrollment

46 patients

Sex

All

Ages

40 to 75 years old

Volunteers

No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria:

  • Male or female ≥40 years and ≤75 years.
  • Willingness and ability to comply with the study procedures and visit schedules and ability to follow verbal and written instructions.
  • Diagnosis of knee osteoarthritis (OA) Grade 2 or 3 according to the Kellgren-Lawrence scale
  • Body mass index (BMI) ≤ 40.
  • Failed at least 1 conservative OA therapy
  • Signed an independent ethics committee (IEC) approved informed consent form (ICF).

Main Exclusion Criteria:

  • Intra-articular Hyaluronic (HA) injection within 6 months- On Day 1 (pre-injection), presence of active infection or abnormal effusion in the knee as noted by a physical examination (e.g., erythema, redness, heat, swelling).
  • Presence of symptomatic OA in the non-study knee.
  • Diagnosed with rheumatoid arthritis (RA), Reiter's syndrome, psoriatic arthritis, ankylosing spondylitis, chondromalacia, arthritis secondary to other inflammatory diseases (e.g., inflammatory bowel disease [IBD], sarcoidosis, or amyloidosis) or of metabolic origin.
  • Diagnosis of isolated patella-femoral joint osteoarthritis.
  • Valgus/varus deformity judged by the investigator to be clinically significant.
  • Disease of spine, hip or other lower extremity joints of sufficient degree to affect assessment of the signal knee. Patients with TKR at the contra-lateral knee or THR in either hip may be enrolled provided sufficient pain relief after TKR or THR which does not require additional analgesic relief.
  • Untreated acute traumatic injury of the index knee.
  • Presence of a symptomatic meniscal tear in the index knee
  • Limited daily activity for reasons other than OA.
  • Presence of surgical hardware or other foreign body in the index knee.

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Quadruple Blind

46 participants in 2 patient groups, including a placebo group

APS injection
Experimental group
Description:
Autologous Protein Solution
Treatment:
Device: APS
Control
Placebo Comparator group
Description:
Saline
Treatment:
Device: Saline

Trial contacts and locations

4

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Data sourced from clinicaltrials.gov

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