CClinicalTrials.gg
TerminatedNCT01400607Updated Aug 31, 2017

Neocartilage Implant to Treat Cartilage Lesions of the Knee

A Phase 3 interventional study of Neocartilage Implant/DeNovo® ET (Engineered Tissue Graft) and Microfracture in Articular Cartilage Disorder, Degeneration; Articular Cartilage and Chronic Cartilage Injury, sponsored by ISTO Technologies, Inc.. Terminated at 9 sites in United States. Open to participants aged 18 Years to 60 Years. Per ClinicalTrials.gov, last updated 2017-08-31.

Sponsored by ISTO Technologies, Inc. · Phase 3, Interventional, and Treatment

Why this study was terminated
Poor enrollment
Phase
Phase 3
Study type
Interventional
Enrollment
14
Allocation
Randomized
Ages
18 Years to 60 Years
Sex
All
01

Study summary

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.

Read the detailed 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.

02

Conditions studied

  • Articular Cartilage Disorder
  • Degeneration; Articular Cartilage
  • Chronic Cartilage Injury
  • Acute Cartilage Injury
  • Defect of Articular Cartilage

Keywords

  • cartilage
  • knee surgery
  • cartilage injury
  • knee pain
  • cartilage repair
  • cartilage damage
  • cartilage lesion
  • cartilage defect
  • articular cartilage lesion
  • articular cartilage defect
  • juvenile
  • cells
  • ISTO Technologies
  • Neocartilage
  • RevaFlex
03

In context

Cartilage Diseases

73 studies on the registry are indexed under Cartilage Diseases; 5 are open to participants now.

This study's enrollment of 14 is below the median of 47 across 49 interventional studies indexed under Cartilage Diseases.

Browse Cartilage Diseases studies →

Lead sponsor

ISTO Technologies, Inc. is the lead sponsor of 3 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 60 Years
Sexes eligible
All
Accepts healthy volunteers
No

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

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
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
14 participants (actual)

Study arms

  • Active comparator
    Neocartilage Implant

    Neocartilage Implant surgically implanted and affixed to subchondral bone using commercial fibrin during mini-open knee arthrotomy.

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

  • Other
    Microfracture

    Standard of care cartilage repair technique.

    Other: Microfracture

Interventions

  • BiologicalNeocartilage Implant/DeNovo® ET (Engineered Tissue Graft)

    The Neocartilage Implant is a cartilage repair technology cultured from juvenile human cartilage cells.

    Also known as: RevaFlex

  • OtherMicrofracture

    Marrow stimulation using the microfracture technique; performed arthroscopically

    Also known as: marrow stimulation

06

What researchers measure

Primary outcomes

  1. Knee Injury and Osteoarthritis Outcomes Scores (KOOS)

    Knee Injury and Osteoarthritis Outcomes Scores (KOOS) Pain and Function in Daily Living (ADL) subscales.

    Time frame: 36 months

Secondary outcomes

  1. IKDC Knee Examination

    Time frame: Baseline, 6 week, 6, 12, 18, 24 months and annually through 5 years

  2. Subject reported questionnaires

    Various questionnaires are required to be completed by the subject before and after treatment throughout the study.

    Time frame: Baseline, 6 week, 6, 12, 18, 24 months and annually through 5 years

07

Study locations

9 sites
  • Kerlan Jobe Orthopaedic Clinic
    Los Angeles, California 90045, United States
  • Santa Monica Orthopaedic & Sports Medicine Group
    Santa Monica, California 90404, United States
  • Rush University Medical Center
    Chicago, Illinois 60612, United States
  • Hospital for Special Surgery -Sports Medicine and Shoulder Service
    New York, New York 10021, United States
  • Insall Scott Kelly Institute for Orthopaedics & Sports Medicine
    New York, New York 10065, United States
  • Cleveland Clinic
    Cleveland, Ohio 44195, United States
  • The Ohio State University Sports Medicine Center
    Columbus, Ohio 43221, United States
  • The Hawkins Foundation
    Greenville, South Carolina 29615, United States
  • The Methodist Hospital Research Institute
    Houston, Texas 77030, United States
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 31, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT01400607
Lead sponsor
ISTO Technologies, Inc.
Responsible party
Sponsor
First posted
Jul 22, 2011
Start date
Jul 2011
Primary completion
Sep 2020 (estimated)
Completion
Sep 2020 (estimated)
Last update
Aug 31, 2017

Study contacts

Michaela Purcell
study director · ISTO Technologies, Inc.

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in Sep 2016. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion