ClinicalTrials.gg
CompletedNCT01471236Updated Mar 6, 2025

Evaluation of the Agili-C Biphasic Implant in the Knee Joint

An interventional study of Agili-C Bi-phasic Implant and mini-arthrotomy in Cartilage Diseases and Osteochondritis Dissecans, sponsored by Smith & Nephew, Inc.. Completed at 9 sites in 8 countries. Open to participants aged 18 Years to 55 Years. Per ClinicalTrials.gov, last updated 2025-03-06.

Primary conditionOsteochondritis DissecansRegistry: Cartilage DiseasesReclassifiedWhy we changed it
Registry
Cartilage Diseases — the first condition term the registry derived for this study.
ClinicalTrials.gg
Osteochondritis Dissecans
Why
  1. The study's listed conditions name Osteochondritis Dissecans, a narrower term within Cartilage Diseases.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by Smith & Nephew, Inc. · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
65
Allocation
Not applicable
Ages
18 Years to 55 Years
Sex
All
01

Study summary

The purpose of this study is to determine the performance of the Agili-C implants. The study hypothesis is that Agili-C implants are effective in the treatment of focal cartilage and cartilage-bone joint surface defects.

Read the detailed description

Agili-C implant is a bi-phasic, porous resorbable tissue regeneration scaffold for the treatment of focal articular cartilage and for osteochondral defects. Up to 50 patients are to be included in the study. Patients suffering from isolated, single and focal cartilage or osteochondral defect at the knee joint are considered for study inclusion.

02

Conditions studied

  • Cartilage Diseases
  • Osteochondritis Dissecans

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Keywords

  • cartilage
  • bone
03

In context

Osteochondritis Dissecans Reclassified

30 studies on the registry are indexed under Osteochondritis Dissecans; 7 are open to participants now.

This study's enrollment of 65 is above the median of 45 across 17 interventional studies indexed under Osteochondritis Dissecans.

Browse Osteochondritis Dissecans studies →

Lead sponsor

Smith & Nephew, Inc. is the lead sponsor of 134 studies on the registry; 11 are open to participants now.

Of its 11 completed or terminated interventional studies of FDA-regulated products, 10 (91%) have results posted.

Compared within Osteochondritis Dissecans, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Cartilage Diseases. The counts are of registry records indexed under each term, refreshed daily. How we classify →

04

Who can participate

Ages eligible
18 Years to 55 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. 18 to 55 years
  2. Symptomatic, single, focal, full or near full-thickness (ICRS cartilage defect description grades 3 and 4) chondral or osteochondral isolated lesion of the femoral condyle, trochlea or the tibial plateau

    • Defect area is less than 2 cm² after debridement. The defect is completely surrounded on all sides by healthy cartilage.
    • Osteochondral defect ICRS Cartilage defect description type 1, 2, 3, 4A. Maximal defect depth should be up to 3 millimeters.
  3. Primary or secondary articular cartilage repair.
  4. Knee is stable or can be stabilized as a concomitant procedure.
  5. Must be physically and mentally willing and able to comply with post-operative rehabilitation and routinely schedule clinical and radiographic visits.
  6. Signed .
  7. Any misalignments should be fully corrected at the end of the operative procedure.

Exclusion criteria

Exclusion Criteria

  1. Uncorrected axial misalignments >5° that cannot be corrected.
  2. Patellar cartilage defects or pathology.
  3. Meniscal resection of more than 50%, either in a previous procedure or concomitant with articular cartilage repair.
  4. Any tumor of the ipsilateral knee, any concurrent malignant tumor or any tumor in the past or in the present.
  5. Active acute or chronic infection of the treated knee.
  6. Inflammatory arthropathy or crystal-deposition arthropathy.
  7. Systemic cartilage and/or bone disorder; This implants integration is dependent on surrounding live bleeding bone; therefore it must not be implanted within sequestrated or necrotic bone.
  8. Bony defect depth over 3 millimeters.
  9. >35.
  10. Asymptomatic articular cartilage defects.
  11. Bipolar articular cartilage defects.
  12. Osteoarthritis of the operated knee.
  13. Oral medications such as systemic therapy taken less than one year prior to surgery or chemotherapy.

    • Previous operative treatment of Arthroscopic marrow stimulation technique or cell therapy operated within the last 6 months
    • Any previous operation of cartilage treatment within the last 6 months
  14. Patients who are sensitive to materials containing calcium carbonate or hyaluronate
  15. Pregnant women, women who plan to become pregnant and breastfeeding women.
  16. Evidence of any significant systemic disease (such as but not limited to infection, hepatitis infection or HTLV infection), known coagulopathies, severe vascular or neurological disease or acute injury that might compromise the patient's welfare.
  17. Substance abuse or alcohol abuse.
  18. Participation in another clinical trials in parallel to this study.
  19. Type I diabetes.
  20. Unable to undergo MRI or X-ray.
  21. Any reasons making the patient a poor candidate in the opinion of the investigator.
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
65 participants (actual)

Study arms

  • Experimental
    Agili-c bi-phasic implant

    mini-arthrotomy

    Device: Agili-C Bi-phasic Implant · Procedure: mini-arthrotomy

Interventions

  • DeviceAgili-C Bi-phasic Implant

    The implantation site should be created in perpendicular manner to the articular cartilage. The surrounding tissue will be cleaned and scraped to prepare a clean site. The implant will be placed in the correct orientation (drilled channels pointing towards the joint side and chamfer towards the bone). The implant will be inserted gently in a pressed fit manner.

    Also known as: Agili-C implant

  • Proceduremini-arthrotomy

    The procedure will be conducted according to hospital practice. The implants will be positioned via open incision, depending on lesion location, and Investigator's final decision. Related treatments during the procedure should be recorded. Device positioning details medications and adverse events during the procedure will be recorded. MOCART (off-site), X-ray evaluation (off-site), ICRS Cartilage injury mapping system, Articular cartilage injury Classification and the Osteochondritis Dissecans classification will be recorded.

06

What researchers measure

Primary outcomes

  1. improvement in KOOS pain subscales

    The primary efficacy endpoint for this trial will be the change from baseline up to 24 months visit in pain score as measured by the KOOS pain subscale

    Time frame: 24 months

Secondary outcomes

  1. KOOS total score

    * Change from baseline to 3, 6, 9, 12, 18 and 24 months visits as measured by the KOOS total score and subscales. * Change from baseline to 18 and 24 months visit in IKDC current health assessment. * Change from baseline to 3, 6, 12, 18 and 24 months visit in Lysholm with Tegner knee score. * Change from baseline to 3, 6, 12 , 18 and 24 months visit in IKDC knee examination form 2000 * Change from baseline to 3, 6, 12 , 18 and 24 months visit in IKDC subjective knee evaluation * Change in MOCART scoring as measured at 3, 6, 12 , 18 and 24 months visit

    Time frame: 24 months

Other outcomes

  1. number of SAE

    Complications and adverse events, device-related or not, will be evaluated over the course of the clinical trial, including subsequent surgical interventions

    Time frame: 24 months

07

Study locations

9 sites
  • Clinical Hospital ''Sveti Duh''
    Zagreb, Croatia
  • Fakultní nemocnice Brno
    Brno, Czechia
  • Uzsoki Street Hospital
    Budapest, Hungary
  • Rizzoli Orthopaedic Institute
    Bologna, Italy
  • Avimed Hospital
    Katowice, Poland
  • County Hospital of Timisoara,
    Timisoara, Romania
  • Institut Za Ortopediju "Banjica"
    Belgrade, Serbia
  • Clinical center of Vojvodina
    Novi Sad, Serbia
  • University Medical Centre, Ljubljana
    Ljubljana, Slovenia
08

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Jun 2011, a primary completion of Nov 2018 and a completion of Nov 2018. It does not say whether these dates are actual or estimated.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 10, 2011
First posted
Nov 15, 2011
Start
Jun 2011
Primary completionActual
Nov 19, 2018
CompletionActual
Nov 19, 2018
Last update
Mar 6, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Mar 6, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT01471236
Responsible party
Sponsor
First posted
Nov 15, 2011
Start date
Jun 2011
Primary completion
Nov 19, 2018
Completion
Nov 19, 2018
Last update
Mar 6, 2025

Study contacts

Elizaveta Kon, MD
principal investigator

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Feb 2020. You cannot join it, but the record below documents what was studied.

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