Neocartilage Implant to Treat Cartilage Lesions of the Knee

ISTO Technologies

Status and phase

Terminated

Phase 3

Conditions

Chronic Cartilage Injury

Defect of Articular Cartilage

Degeneration; Articular Cartilage

Articular Cartilage Disorder

Acute Cartilage Injury

Treatments

Biological: Neocartilage Implant/DeNovo® ET (Engineered Tissue Graft)

Other: Microfracture

Study type

Interventional

Funder types

Industry

Identifiers

NCT01400607

ISTO NEO-01-09-01

Details and patient eligibility

About

ISTO Technologies, Inc. is proposing a clinical study with 225 subjects, to establish the safety and efficacy of the Neocartilage Implant for the treatment of ICRS Grade 3 and 4 articular cartilage lesions of the knee compared to microfracture treatment.

Full description

In the United States alone, more than 500,000 cartilage lesions per year require some treatment to reduce pain, restore joint mobility, and prevent further damage caused by the progression of osteoarthritis. The lack of effective cartilage repair approaches or products for restoration of defective articular cartilage to its native, hyaline morphology only continues to exacerbate the incidence of osteoarthritis as these initial defects enlarge and degrade over a 10 to 20 year period. The repair of cartilage, especially in the knee, remains a formidable clinical challenge. Regenerative medicine approaches to cartilage repair have only begun to be explored as possible options and there is a clear trend toward biological solutions for the repair and regeneration of damaged or diseased articular cartilage. The study was designed to compare how well the Neocartilage Implant works against the microfracture therapy, a widely used and accepted cartilage repair therapy. Data to be collected include Pain and Function in Daily Living scores, symptoms, Function in Sports and Recreation, and Knee Related Quality of Life. Additionally, MRI and X-rays will be collected to evaluate the cartilage repair progress. These assessments will be used through the five years of post-operative follow-up.

Enrollment

14 patients

Sex

All

Ages

18 to 60 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Generally, the following inclusion criteria must be met, however, this is not a complete list.

Male or Female between the ages of 18 and 60
(1) or (2) articular cartilage lesions of the distal femur ranging in no more than 5 cm2 each
Ipsilateral knee compartment has intact menisci (or meniscectomized remnant with > 5mm wide rim) and stable ligaments in the affected knee
3 months out from initiation of conservative non-surgical management (e.g.hyaluronic acid injection, activity modification) or previous minimal surgical intervention (e.g., arthroscopic lavage, debridement) or 12 months out from marrow stimulation for this condition

Exclusion criteria

Generally, if a potential participant meets any of the following criterions, they will not be eligible for this study. Additionally, more criteria will be evaluated to confirm eligibility as this list is not a complete list of criteria.

Osteoarthritis
Rheumatoid arthritis
History of septic or reactive arthritis
Gout or a history of gout or pseudo-gout in the affected knee
Osteochondritis dissecans or osteochondral lesions of the knee with bone loss > 6mm deep
Bipolar articular cartilage involvement (or kissing lesions) of the ipsilateral compartment (i.e., > than ICRS Grade 2 on the opposing articular surface)
Associated damage to the underlying subchondral bone requiring an osteochondral graft
Is pregnant or breast-feeding
Has a BMI > 35 (kg/m2)
Has prior total meniscectomy of either knee
Has received, within the past three months, intra-articular hyaluronic acid therapy, or steroid therapy
Has more than two clinically relevant chondral lesion(s) on the index knee