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Trial registered on ANZCTR
Registration number
ACTRN12611000274976
Ethics application status
Not yet submitted
Date submitted
11/03/2011
Date registered
15/03/2011
Date last updated
27/05/2014
Type of registration
Prospectively registered
Titles & IDs
Public title
Adipose-derived stem cells in patients with knee osetoarthritis: A randomised controlled trial evaluating pain, function and cartillage repair
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Scientific title
Adipose-derived stem cells in patients with knee osetoarthritis: A randomised controlled trial evaluating pain, function and cartillage repair
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Secondary ID [1]
259772
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nil
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Universal Trial Number (UTN)
U1111-1119-9065
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
osteoarthritis
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osteochondral defect
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stem cell research
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Condition category
Condition code
Musculoskeletal
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Osteoarthritis
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Three injections each of 5ml stromal vascular fraction containing adipose-derived stem cells two months apart. Time-points for injections: 1) initial injection, 2) two months following initial injection and 3) four months following initial injection. This results in a total treatment duration of five months.
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Intervention code [1]
264201
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Treatment: Other
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Comparator / control treatment
Three injections each of 2ml (16 mg) of Hylan G-F 20 two months apart. Time-points for injections: 1) initial injection, 2) two months following initial injection and 3) four months following initial injection. This results in a total treatment duration of five months.
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Control group
Active
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Outcomes
Primary outcome [1]
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Pain measured using 100mm Visual Analogue Score (VAS)
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Assessment method [1]
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Timepoint [1]
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Baseline, daily for the first two weeks, weekly for the subsequent two weeks and four and eight weeks, and six and 12 months, following the final injection
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Primary outcome [2]
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Knee Injury and Osteoarthritis Outcome Score
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Assessment method [2]
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Timepoint [2]
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Baseline, four and eight weeks, and six and 12 months, following the final injection
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Secondary outcome [1]
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Maximum single leg hop for distance. Participant hops as far as possible and the distance (in cm) from the toe in starting position to heel in landing position is measured by the researcher using a tape measure. The best of three hops is recorded.
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Assessment method [1]
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Timepoint [1]
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Baseline, four and eight weeks, and six and 12 months, following the final injection
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Secondary outcome [2]
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Maximum number of knee bends performed in 30 seconds. Participant bends the knee without bending forward from the hip (until they cannot see a line along the toes, equivalent to about 30 degrees of knee flexion) as many times as possible in 30 seconds. Time is recorded using a stopwatch and number of bends are counted by the researcher.
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Assessment method [2]
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Timepoint [2]
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Baseline, four and eight weeks, and six and 12 months, following the final injection
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Secondary outcome [3]
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Whole Organ Magnetic Resonance Imaging Score
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Assessment method [3]
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Timepoint [3]
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Baseline, six and 12 months, following the final injection
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Eligibility
Key inclusion criteria
A diagnosis of OA assessed via the International Cartilage Repair Society guidelines and a visual analogue pain score of greater than 50 out of 100
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Minimum age
18
Years
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Maximum age
80
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
No systemic or inflammatory joint disease, no history of crystalline or neuropathic arthropathy, no cancer or other tumour-like lesions, not pregnant or lactating, not drug abusing, no other intra articular lesion in the previous six months, no allergy to any test substance and not immunosuppressed
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Recruited via a sports medicine clinic and provided with a full medical examination and assessment of the affected knee joint to determine study eligibility. Eligible participants will be allocated to either the control or intervention group by an independent clinic staff member using a central concealed computer randomisation process.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Random order concealed allocation of participants into either the control or intervention group will be performed by
simple randomisation using a randomisation table created by computer software (i.e., computerised sequence generation). There will be no stratified allocation.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 2 / Phase 3
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Withdrawn
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Reason for early stopping/withdrawal
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Date of first participant enrolment
Anticipated
15/05/2011
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
60
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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Australian Catholic University
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Address [1]
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115 Victoria Pde Fitzroy VIC 3095
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Country [1]
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Australia
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Primary sponsor type
Individual
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Name
Kade Paterson
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Address
Australian Catholic University, 115 Victoria Pde, Fitzroy VIC 3095
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Country
Australia
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Secondary sponsor category [1]
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Individual
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Name [1]
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Dan Bates
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Address [1]
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Lakeside Sports Medicine Centre, Melbourne Sports and Aquatic Centre, Aughtie Drive, Albert Park, VIC 3206
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Country [1]
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Australia
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Ethics approval
Ethics application status
Not yet submitted
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Ethics committee name [1]
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Australian Catholic University Human Research Ethics Committee
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Ethics committee address [1]
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Australian Catholic University, Level 5, 250 Victoria Parade, Fitzroy VIC 3065
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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04/03/2011
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Approval date [1]
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Ethics approval number [1]
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Summary
Brief summary
Knee osteoarthritis (OA) is a progressive degenerative condition of articular cartilage and subchondral bone that leads to significant physical and psychological disability, and adversely affects daily function and quality of life. Current treatment of knee OA is associated with limitations and side effects that restrict their ability to effectively treat the symptoms of the condition and stop its progression. Recent research has demonstrated that Human adipose-derived stem cells (ADSCs) are safe for use in Humans and can differentiate into cartilage and bone, suggesting a potential treatment in osteoarthritis. This study aims to assess the changes in pain, cartilage and bone appearance, activity levels and lower extremity functional ability of patients with knee OA following intra-articular ADSC injection compared to usual treatment of Hylan G-F 20 (Synvisc [Registered Trademark]).
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Kade Paterson
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Address
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Centre for Health, Exercise & Sports Medicine
Department of Physiotherapy, Melbourne School of Health Sciences
The University of Melbourne, Victoria, 3010
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Country
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Australia
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Phone
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+61 3 8344 0425
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Fax
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+61 3 8344 3771
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Email
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[email protected]
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Contact person for public queries
Name
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Kade Paterson
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Address
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Centre for Health, Exercise & Sports Medicine
Department of Physiotherapy, Melbourne School of Health Sciences
The University of Melbourne, Victoria, 3010
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Country
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Australia
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Phone
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+61 3 8344 0425
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Fax
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+61 3 8344 3771
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Email
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[email protected]
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Contact person for scientific queries
Name
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Kade Paterson
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Address
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Centre for Health, Exercise & Sports Medicine
Department of Physiotherapy, Melbourne School of Health Sciences
The University of Melbourne, Victoria, 3010
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Country
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Australia
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Phone
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+61 3 8344 0425
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Fax
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+61 3 8344 3771
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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