A Phase 2 interventional study of JointStem and Synvisc-One in Osteoarthritis, Knee, sponsored by Nature Cell Co. Ltd.. Completed at 2 sites in United States. Open to participants aged 22 Years to 60 Years. Per ClinicalTrials.gov, last updated 2021-08-10.
Sponsored by Nature Cell Co. Ltd. · Phase 2, Interventional, and Treatment
This study is a double-blind, randomized, controlled study with two arms to evaluate JointStem as a treatment for subjects with osteoarthritis. Following a 2-week screening period, approximately 30 subjects will be randomly assigned into one of the following two arms in a 2:1 ratio (2 JointStem : 1 positive control). After each subject completes 6-month visit (Visit 6) and the data management team confirms all data have no issue, the individual database will be locked and the blinding will be open for the statistical analysis.Only subjects who are assigned will be requested to visit the study center for 9-month and 12-month follow-up visits (Visits 7 and 8). To see long-term effects of JointStem, all subjects who complete Visit 6 will be requested to visit the study center at 24-month after the injection.
4,398 studies on the registry are indexed under Osteoarthritis; 582 are open to participants now.
This study's enrollment of 28 is below the median of 70 across 3,440 interventional studies indexed under Osteoarthritis.
Browse Osteoarthritis studies →Nature Cell Co. Ltd. is the lead sponsor of 5 studies on the registry; none are open to participants now.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
autologous adipose tissue derived mesenchymal stem cells (AdMSC)
Drug: JointStem
hyaluronic acid
Drug: Synvisc-One
Also known as: Active Comparator
Change From Baseline on Western Ontario and McMaster Universities Arthritis Index (WOMAC) Score in JointStem Group
Comparing the baseline and 6-month WOMAC scores in JointStem group Score range: 0-2,400 A score of 2,400 represents the most severe impairment and 0 represents the least impairment
Time frame: Baseline and 6 months
Change From Baseline on Visual Analog Scale (VAS) in JointStem Group
Comparing the baseline and 6-month VAS scores in JointStem group Score range: 0-100 A score of 100 represents the most severe pain and 0 represents the least pain.
Time frame: Baseline and 6 months
MRI Improvement Evaluation in JointStem Group
Comparing the baseline and 6-month MRI improvement values in JointStem group MRI Improvement Evaluation was conducted by an MRI analysis company called 'Qmetrics'. The main radiological features evaluated were bone marrow edema, osteophytes, and cartilage. Certain features, such as the appearance of a new cartilage defect or increase in the size of existing cartilage defects or osteophytes, is generally considered an indication of osteoarthritic progression. Similarly, the diminishing in severity or size of existing abnormalities would generally be considered to be a healing(improving) response.
Time frame: 6 months
Change From Baseline on WOMAC Between JointStem and Positive Control Groups
Comparing the changes of WOMAC scores between JointStem and positive control groups at 6 months Score range: 0-2,400 A score of 2,400 represents the most severe impairment and 0 represents the least impairment
Time frame: Baseline and 6 months
Change From Baseline on VAS Between JointStem and Positive Control Groups
Comparing the changes of VAS scores between JointStem and positive control groups at 6 months Score range: 0-100 A score of 100 represents the most severe pain and 0 represents the least pain.
Time frame: Baseline and 6 months
Change From Baseline on Knee Injury & Osteoarthritis Outcome Score (KOOS) Between JointStem and Positive Control Groups
Comparing the changes of KOOS values between JointStem and positive control groups at 6 months KOOS score = 100 - \[{(average score of each item) \* 100} / 4 \] Score range: 0-100 A score of 0 represents the most severe impairment and 100 represents the least impairment
Time frame: Baseline and 6 months
Change From Baseline on Lysholm Knee Scoring Scale Between JointStem and Positive Control Groups
Comparing the changes of Lysholm Knee Scoring Scales between JointStem and positive control groups at 6 months Score range: 0-100 A score of 0 represents the most severe impairment and 100 represents the least impairment
Time frame: Baseline and 6 months
Change From Baseline on International Knee Documentation Committee (IKDC) Between JointStem and Positive Control Groups
Comparing the changes of IKDC scores between JointStem and positive control groups at 6 months IKDC score = {(sum of each item score) / 87} \* 100 Score range: 0-100 A score of 0 represents the most severe impairment and 100 represents the least impairment
Time frame: Baseline and 6 months
Change From Baseline on RAND-36 Score Between JointStem and Positive Control Groups
Comparing the changes of RAND-36 scores between JointStem and positive control groups at 6 months Score range: 0-100 A score of 0 represents the most severe impairment and 100 represents the least impairment
Time frame: Baseline and 6 months
Change From Baseline on WOMAC in JointStem Group
Comparing the baseline and 9-month/12-month WOMAC scores in JointStem group Score range: 0-2,400 A score of 2,400 represents the most severe impairment and 0 represents the least impairment
Time frame: Baseline, 9 months and 12 months
Change From Baseline on VAS in JointStem Group
Comparing the baseline and 9-month/12-month VAS scores in JointStem group Score range: 0-100 A score of 100 represents the most severe pain and 0 represents the least pain.
Time frame: Baseline, 9 months and 12 months
Comparison of MRI Improvement Evaluation in JointStem Group
Comparing the baseline and 9-month/12-month MRI improvement values in JointStem group MRI Improvement Evaluation was conducted by an MRI analysis company called 'Qmetrics'. The main radiological features evaluated were bone marrow edema, osteophytes, and cartilage. Certain features, such as the appearance of a new cartilage defect or increase in the size of existing cartilage defects or osteophytes, is generally considered an indication of osteoarthritic progression. Similarly, the diminishing in severity or size of existing abnormalities would generally be considered to be a healing(improving) response.
Time frame: Baseline, 6 months and 12 months
Change of Lysholm Knee Scoring Scale From Baseline at Months 6, 9 and 12
Comparing the baseline and 6-month/9-month/12-month Lysholm Knee Scoring Scale in JointStem group Score range: 0-100 A score of 0 represents the most severe impairment and 100 represents the least impairment
Time frame: Baseline, 6 months, 9 months and 12 months
Change of KOOS Score From Baseline at Month 6, 9 and 12 for JointStem Group
Comparing the baseline and 6-month/9-month/12-month KOOS scores in JointStem group KOOS score = 100 - \[{(average score of each item) \* 100} / 4 \] Score range: 0-100 A score of 0 represents the most severe impairment and 100 represents the least impairment
Time frame: baseline, 6 month, 9 month, 12 month
Change of IKDC Score From Baseline at Month 6, 9 and 12 for JointStem Group
Comparing the baseline and 6-month/9-month/12-month IKDC scores in JointStem group IKDC score = {(sum of each item score) / 87} \* 100 Score range: 0-100 A score of 0 represents the most severe impairment and 100 represents the least impairment
Time frame: baseline, 6 month, 9 month, 12 month
Change of RAND-36 Score From Baseline at Month 6, 9 and 12 for JointStem Group
Comparing the baseline and 6-month/9-month/12-month RAND-36 scores in JointStem group Score range: 0-100 A score of 0 represents the most severe impairment and 100 represents the least impairment
Time frame: baseline, 6 month, 9 month, 12 month
| Milestone | JointStem | Synvisc-One |
|---|---|---|
| Started | 19 | 9 |
| Completed | 17 | 9 |
| Not completed | 2 | 0 |
| Withdrew: Lost to follow-up | 2 | 0 |
Comparing the baseline and 6-month WOMAC scores in JointStem group Score range: 0-2,400 A score of 2,400 represents the most severe impairment and 0 represents the least impairment
| score on a scale | JointStem | Synvisc-One |
|---|---|---|
| Change From Baseline on Western Ontario and McMaster Universities Arthritis Index (WOMAC) Score in JointStem Group | -20.121 ± 21.0415 | — |
Comparing the baseline and 6-month VAS scores in JointStem group Score range: 0-100 A score of 100 represents the most severe pain and 0 represents the least pain.
| score on a scale | JointStem | Synvisc-One |
|---|---|---|
| Change From Baseline on Visual Analog Scale (VAS) in JointStem Group | -32.5 ± 23.93 | — |
Comparing the baseline and 6-month MRI improvement values in JointStem group MRI Improvement Evaluation was conducted by an MRI analysis company called 'Qmetrics'. The main radiological features evaluated were bone marrow edema, osteophytes, and cartilage. Certain features, such as the appearance of a new cartilage defect or increase in the size of existing cartilage defects or osteophytes, is generally considered an indication of osteoarthritic progression. Similarly, the diminishing in severity or size of existing abnormalities would generally be considered to be a healing(improving) response.
| Participants | JointStem | Synvisc-One |
|---|---|---|
| Improvement | 5 | 0 |
| No Change | 5 | 0 |
| Progress | 8 | 0 |
Comparing the changes of WOMAC scores between JointStem and positive control groups at 6 months Score range: 0-2,400 A score of 2,400 represents the most severe impairment and 0 represents the least impairment
| score on a scale | JointStem | Synvisc-One |
|---|---|---|
| Change From Baseline on WOMAC Between JointStem and Positive Control Groups | -20.505 ± 3.665 | -17.129 ± 5.3281 |
Comparing the changes of VAS scores between JointStem and positive control groups at 6 months Score range: 0-100 A score of 100 represents the most severe pain and 0 represents the least pain.
| score on a scale | JointStem | Synvisc-One |
|---|---|---|
| Change From Baseline on VAS Between JointStem and Positive Control Groups | -31.9 ± 4.90 | -30.6 ± 7.13 |
Comparing the changes of KOOS values between JointStem and positive control groups at 6 months KOOS score = 100 - \[{(average score of each item) \* 100} / 4 \] Score range: 0-100 A score of 0 represents the most severe impairment and 100 represents the least impairment
| score on a scale | JointStem | Synvisc-One |
|---|---|---|
| Symptoms | 9.70 ± 2.888 | 14.83 ± 4.22 |
| Pain | 21.40 ± 3.975 | 19.04 ± 5.78 |
| ADL | 18.53 ± 3.937 | 15.94 ± 5.72 |
| Sport/Rec | 25.00 ± 5.123 | 26.68 ± 7.482 |
| QOL | 22.68 ± 5.383 | 11.15 ± 7.884 |
Comparing the changes of Lysholm Knee Scoring Scales between JointStem and positive control groups at 6 months Score range: 0-100 A score of 0 represents the most severe impairment and 100 represents the least impairment
| score on a scale | JointStem | Synvisc-One |
|---|---|---|
| Change From Baseline on Lysholm Knee Scoring Scale Between JointStem and Positive Control Groups | 18.9 ± 3.97 | 19.9 ± 5.78 |
Comparing the changes of IKDC scores between JointStem and positive control groups at 6 months IKDC score = {(sum of each item score) / 87} \* 100 Score range: 0-100 A score of 0 represents the most severe impairment and 100 represents the least impairment
| score on a scale | JointStem | Synvisc-One |
|---|---|---|
| Change From Baseline on International Knee Documentation Committee (IKDC) Between JointStem and Positive Control Groups | 55.74 ± 2.223 | 54.24 ± 3.238 |
Comparing the changes of RAND-36 scores between JointStem and positive control groups at 6 months Score range: 0-100 A score of 0 represents the most severe impairment and 100 represents the least impairment
| score on a scale | JointStem | Synvisc-One |
|---|---|---|
| Physical Functioning | 17.2 ± 3.80 | 14.9 ± 5.52 |
| Role Limitation (Physical) | 20.7 ± 8.04 | 17.4 ± 11.73 |
| Role Limitation (Emotional) | 6.7 ± 6.615 | -6.74 ± 9.654 |
| Energy/Fatigue | 5.2 ± 3.91 | 4.5 ± 5.76 |
| Emotional well-being | -3.4 ± 2.31 | 0.5 ± 3.45 |
| Social Functioning | 14.71 ± 2.964 | 16.16 ± 4.312 |
| Pain | 21.59 ± 4.211 | 14.7 ± 6.18 |
| General Health | 2.91 ± 2.516 | 3.13 ± 3.668 |
Comparing the baseline and 9-month/12-month WOMAC scores in JointStem group Score range: 0-2,400 A score of 2,400 represents the most severe impairment and 0 represents the least impairment
| score on a scale | JointStem | Synvisc-One |
|---|---|---|
| Change from baseline at Month 9 | -21.216 ± 20.9653 | — |
| Change from baseline at Month 12 | -21.711 ± 19.7521 | — |
Comparing the baseline and 9-month/12-month VAS scores in JointStem group Score range: 0-100 A score of 100 represents the most severe pain and 0 represents the least pain.
| score on a scale | JointStem | Synvisc-One |
|---|---|---|
| Change from baseline at Month 9 | -31.5 ± 25.52 | — |
| Change from baseline at Month 12 | -35 ± 24.56 | — |
Comparing the baseline and 9-month/12-month MRI improvement values in JointStem group MRI Improvement Evaluation was conducted by an MRI analysis company called 'Qmetrics'. The main radiological features evaluated were bone marrow edema, osteophytes, and cartilage. Certain features, such as the appearance of a new cartilage defect or increase in the size of existing cartilage defects or osteophytes, is generally considered an indication of osteoarthritic progression. Similarly, the diminishing in severity or size of existing abnormalities would generally be considered to be a healing(improving) response.
| Participants | JointStem | Synvisc-One |
|---|---|---|
| Month 6 Improved -> Month 12 Improved | 3 | — |
| Month 6 Improved -> Month 12 No Change | 1 | — |
| Month 6 Improved -> Month 12 Progress | 1 | — |
| Month 6 No Change -> Month 12 Improved | 1 | — |
| Month 6 No Change -> Month 12 No Change | 2 | — |
| Month 6 No Change -> Month 12 Progress | 2 | — |
| Month 6 Progress -> Month 12 Improved | 2 | — |
| Month 6 Progress -> Month 12 No Change | 0 | — |
| Month 6 Progress -> Month 12 Progress | 6 | — |
Comparing the baseline and 6-month/9-month/12-month Lysholm Knee Scoring Scale in JointStem group Score range: 0-100 A score of 0 represents the most severe impairment and 100 represents the least impairment
| score on a scale | JointStem | Synvisc-One |
|---|---|---|
| Change from baseline at Month 6 | 18.3 ± 22.29 | — |
| Change from baseline at Month 9 | 16.1 ± 25.34 | — |
| Change from baseline at Month 12 | 17.1 ± 23.78 | — |
Comparing the baseline and 6-month/9-month/12-month KOOS scores in JointStem group KOOS score = 100 - \[{(average score of each item) \* 100} / 4 \] Score range: 0-100 A score of 0 represents the most severe impairment and 100 represents the least impairment
| score on a scale | JointStem | Synvisc-One |
|---|---|---|
| Change from baseline at Month 6 (Symptoms) | 9.02 ± 15.381 | — |
| Change from baseline at Month 9 (Symptoms) | 15.03 ± 13.677 | — |
| Change from baseline at Month 12 (Symptoms) | 15.41 ± 18.229 | — |
| Change from baseline at Month 6 (Pain) | 21.65 ± 20.386 | — |
| Change from baseline at Month 9 (Pain) | 23.98 ± 23.200 | — |
| Change from baseline at Month 12 (Pain) | 25.31 ± 21.219 | — |
| Change from baseline at Month 6 (ADL) | 18.66 ± 23.842 | — |
| Change from baseline at Month 9 (ADL) | 18.42 ± 25.017 | — |
| Change from baseline at Month 12 (ADL) | 21.90 ± 23.237 | — |
| Change from baseline at Month 6 (Sport/Rec) | 25.53 ± 23.915 | — |
| Change from baseline at Month 9 (Sport/Rec) | 28.42 ± 25.279 | — |
| Change from baseline at Month 12 (Sport/Rec) | 33.68 ± 24.486 | — |
| Change from baseline at Month 6 (QOL) | 23.36 ± 24.829 | — |
| Change from baseline at Month 9 (QOL) | 29.95 ± 27.228 | — |
| Change from baseline at Month 12 (QOL) | 28.96 ± 29.121 | — |
Comparing the baseline and 6-month/9-month/12-month IKDC scores in JointStem group IKDC score = {(sum of each item score) / 87} \* 100 Score range: 0-100 A score of 0 represents the most severe impairment and 100 represents the least impairment
| score on a scale | JointStem | Synvisc-One |
|---|---|---|
| Change from baseline at Month 6 | 7.03 ± 11.379 | — |
| Change from baseline at Month 9 | 10.95 ± 12.047 | — |
| Change from baseline at Month 12 | 9.63 ± 10.380 | — |
Comparing the baseline and 6-month/9-month/12-month RAND-36 scores in JointStem group Score range: 0-100 A score of 0 represents the most severe impairment and 100 represents the least impairment
| score on a scale | JointStem | Synvisc-One |
|---|---|---|
| Change from baseline at Month 6 (Physical Functioning) | 17.4 ± 22.13 | — |
| Change from baseline at Month 9 (Physical Functioning) | 18.7 ± 23.38 | — |
| Change from baseline at Month 12 (Physical Functioning) | 17.1 ± 28.69 | — |
| Change from baseline at Month 6 (Role Limitation_Physical) | 22.4 ± 36.22 | — |
| Change from baseline at Month 9 (Role Limitation_Physical) | 30.3 ± 38.71 | — |
| Change from baseline at Month 12 (Role Limitation_Physical) | 31.6 ± 40.69 | — |
| Change from baseline at Month 6 (Role Limitation_Emotional) | 8.77 ± 33.048 | — |
| Change from baseline at Month 9 (Role Limitation_Emotional) | 7.02 ± 30.604 | — |
| Change from baseline at Month 12 (Role Limitation_Emotional) | 8.77 ± 33.048 | — |
| Change from baseline at Month 6 (Energy/Fatigue) | 2.9 ± 20.70 | — |
| Change from baseline at Month 9 (Energy/Fatigue) | 5.3 ± 16.45 | — |
| Change from baseline at Month 12 (Energy/Fatigue) | 7.6 ± 18.81 | — |
| Change from baseline at Month 6 (Emotional well-being) | -3.4 ± 10.61 | — |
| Change from baseline at Month 9 (Emotional well-being) | -3.6 ± 11.31 | — |
| Change from baseline at Month 12 (Emotional well-being) | -4.0 ± 14.79 | — |
| Change from baseline at Month 6 (Social Functioning) | 13.82 ± 23.531 | — |
| Change from baseline at Month 9 (Social Functioning) | 14.47 ± 20.943 | — |
| Change from baseline at Month 12 (Social Functioning) | 7.24 ± 25.109 | — |
| Change from baseline at Month 6 (Pain) | 23.16 ± 21.982 | — |
| Change from baseline at Month 9 (Pain) | 23.95 ± 22.100 | — |
| Change from baseline at Month 12 (Pain) | 24.34 ± 21.967 | — |
| Change from baseline at Month 6 (General Health) | 3.51 ± 13.566 | — |
| Change from baseline at Month 9 (General Health) | 5.71 ± 10.502 | — |
| Change from baseline at Month 12 (General Health) | 2.85 ± 18.636 | — |
Collected over 1 year. Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| JointStem | 0/19 (0%) | 0/19 (0%) | 18/19 (94.7%) |
| Synvisc-One | 0/9 (0%) | 0/9 (0%) | 4/9 (44.4%) |
| Event | JointStem | Synvisc-One |
|---|---|---|
| Injection site painGeneral disorders | 9/19 | 1/9 |
| ArthralgiaMusculoskeletal and connective tissue disorders | 7/19 | 2/9 |
| Joint swellingMusculoskeletal and connective tissue disorders | 5/19 | 0/9 |
| Stiff kneesMusculoskeletal and connective tissue disorders | 4/19 | 1/9 |
| TendonitisMusculoskeletal and connective tissue disorders | 0/19 | 1/9 |
| BronchitisInfections and infestations | 2/19 | 1/9 |
| PneumoniaInfections and infestations | 0/19 | 1/9 |
| Ligament sprainInjury, poisoning and procedural complications | 2/19 | 1/9 |
| Ligament ruptureInjury, poisoning and procedural complications | 0/19 | 1/9 |
| NasopharyngitisInfections and infestations | 2/19 | 0/9 |
| Age, Continuous(years) | JointStem | Synvisc-One | Total |
|---|---|---|---|
| Mean | 52.3 ± 6.98 | 52.1 ± 9.56 | 52.3 ± 7.72 |
| Sex: Female, Male(Participants) | JointStem | Synvisc-One | Total |
|---|---|---|---|
| Female | 8 | 2 | 10 |
| Male | 11 | 7 | 18 |
| Ethnicity (NIH/OMB)(Participants) | JointStem | Synvisc-One | Total |
|---|---|---|---|
| Hispanic or Latino | 1 | 1 | 2 |
| Not Hispanic or Latino | 18 | 8 | 26 |
| Unknown or Not Reported | 0 | 0 | 0 |
| Race (NIH/OMB)(Participants) | JointStem | Synvisc-One | Total |
|---|---|---|---|
| American Indian or Alaska Native | 0 | 0 | 0 |
| Asian | 0 | 0 | 0 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 |
| Black or African American | 2 | 1 | 3 |
| White | 16 | 7 | 23 |
| More than one race | 0 | 0 | 0 |
| Unknown or Not Reported | 1 | 1 | 2 |
| Height(cm) | JointStem | Synvisc-One | Total |
|---|---|---|---|
| Mean | 173.66 ± 9.222 | 169.46 ± 10.073 | 172.31 ± 9.527 |
| Weight(kg) | JointStem | Synvisc-One | Total |
|---|---|---|---|
| Mean | 81.31 ± 14.642 | 71.66 ± 20.569 | 78.2 ± 17.01 |
| BMI(kg/m^2) | JointStem | Synvisc-One | Total |
|---|---|---|---|
| Mean | 26.903 ± 4.1938 | 24.572 ± 4.6408 | 26.154 ± 4.3971 |
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