Side Effects of Autologous Mesenchymal Stem Cell Transplantation in Ankle Joint Osteoartritis
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Purpose
Ankle osteoarthritis is a joint condition which results from damage and loss of the cartilage in a joint. Treatment options for ankle osteoarthritis are usually aimed at controlling pain and limiting motion that provokes the pain. Nonsurgical treatment approaches are tried first. If unsuccessful, surgical options are considered. Stem cell therapy is one of the therapeutic options that can repair the damaged cartilage. Bone marrow derived mesenchymal stem cells have showed the capacity of bone and cartilage regeneration.
| Condition | Intervention | Phase |
|---|---|---|
|
Osteoarthritis |
Biological: mesenchymal stem cell |
Phase 1 |
| Study Type: | Interventional |
| Study Design: | Endpoint Classification: Safety Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Phase 1 Study of Side Effects of Autologous Mesenchymal Stem Cell Transplantation in Patients With Ankle Joint Osteoarteritis |
- safety [ Time Frame: 6 months ] [ Designated as safety issue: Yes ]Evaluate Safety of intra-articular injection of autologous cultured mesenchymal stem cells in patients with ankle osteoarthritis (time frame : baseline, 2 months, 6 months)by filling the check list of side effects
- pain [ Time Frame: 6 months ] [ Designated as safety issue: No ]evaluation the pain reduction in patients with ankle joint osteoarthritis after stem cell transplantation by filling the SF36
- physical function [ Time Frame: 6 months ] [ Designated as safety issue: No ]evaluation the ability of patient to standing,walking,climb the steps after stem cell transplantation.
- defect [ Time Frame: 6 months ] [ Designated as safety issue: No ]evaluation regeneration of ankle joint by serial MRI after stem cell transplantation based on changing the size of articular defect
| Enrollment: | 6 |
| Study Start Date: | September 2010 |
| Study Completion Date: | September 2011 |
| Primary Completion Date: | September 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: stem cell recipient
patients with ankle joint osteoarthritis
|
Biological: mesenchymal stem cell
intraarticular injection of mesenchymal stem cell in patients with ankle joint osteoarthritis
Other Name: stem cell transplantation
|
Detailed Description:
In this clinical study the investigators aim to investigate the safety of intra-articular injection of cultured autologous bone marrow derived mesenchymal stem cells (BM-MSCs) to the ankle joint in patients with severe ankle osteoarthritis. Patients will undergo bone marrow aspiration and will receive cultured BM-MSCs one month later. Patients will be assessed clinically with scoring system (FAO, VAS, WOMAC) preoperatively as well as 2 and 6 months postoperative to measure pain reduction and joint function improvement. Paraclinical studies (X-Ray and MRI) will be performed before and 6 months after treatment.
Eligibility| Ages Eligible for Study: | 18 Years to 65 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Osteoarthritis diagnosed by MRI
- End stage osteoarthritis candidate for total ankle replacement
Exclusion Criteria:
- Pregnancy or lactating
- Positive tests for HIV, HCV, HBV
- Active neurologic disorder
- End organ damage
- Uncontrolled endocrine disorder
Contacts and Locations| Iran, Islamic Republic of | |
| Royan Institute | |
| Tehran, Iran, Islamic Republic of | |
| Study Chair: | Hamid Gourabi, PhD | Head of Royan Institute |
| Study Director: | Nasser Aghdami, MD,PhD | Head of Royan Cell therapy Center |
| Principal Investigator: | Mohsen Emadeddin, MD | orthopedic scientists |
More Information
Additional Information:
No publications provided
| Responsible Party: | Royan Institute |
| ClinicalTrials.gov Identifier: | NCT01436058 History of Changes |
| Other Study ID Numbers: | Royan-Bone-007 |
| Study First Received: | September 14, 2011 |
| Last Updated: | September 16, 2011 |
| Health Authority: | Iran: Ethics Committee Iran: Ministry of Health |
Keywords provided by Royan Institute:
|
side effect mesenchymal stem cell ankle osteoarthritis |
Additional relevant MeSH terms:
|
Osteoarthritis Arthritis Joint Diseases Musculoskeletal Diseases Rheumatic Diseases |
ClinicalTrials.gov processed this record on May 16, 2013