ClinicalTrials.gg
CompletedNCT02993510Updated Feb 23, 2017

A Randomized Controlled Trial Comparing Chondro-Gide® to Microfracture Alone for Treatment of Knee Cartilage Defects.

A Phase 3 interventional study of Microfracture and Chondro-Gide sutured in Cartilage Injury and Osteochondritis Dissecans, sponsored by Geistlich Pharma AG. Completed at 7 sites in Germany. Open to participants aged 18 Years to 50 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2017-02-23.

Sponsored by Geistlich Pharma AG · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
67
Allocation
Randomized
Ages
18 Years to 50 Years
Sex
All
01

Study summary

The purpose of this study is to evaluate the safety and effectiveness of using Chondro-Gide® collagen membrane either sutured or glued compared to microfracture alone in the treatment of symptomatic cartilage defects of the knee.

Read the detailed description
  • Prospective, randomized, active treatment-controlled, open-label multicenter study (up to 40 sites in the US and EU).
  • All subjects that meet preoperative screening eligibility criteria will be randomized to treatment with Chondro-Gide® either sutured or glued or Microfracture alone.
  • Eligible and consenting subjects are randomized in a 1:1:1 ratio using centralized randomization list to receive one of the following treatments: Group I: Microfracture alone; Group II: Microfracture covered with a Chondro-Gide® membrane glued with fibrin glue (AMIC glued); Group III: Microfracture covered with a Chondro-Gide® membrane sutured (AMIC sutured)
  • All subjects will be assessed at intervals post-procedure (6 weeks, 3 months, and 1,2 and 5 years).
  • Subjects will be required to follow a strict pre-specified post-surgery rehabilitation protocol specific to the defect location.
  • Measures to assess effectiveness and safety will be conducted at all follow-ups.
  • Safety will be assessed by the collection of adverse events at all timepoints.
02

Conditions studied

  • Cartilage Injury
  • Osteochondritis Dissecans

Keywords

  • microfracture
  • enhanced marrow stimulation
  • articular cartilage
  • Autologous Matrix-Induced Chondrogenesis
  • Chondro-Gide®
  • knee surgery
  • AMIC
03

In context

Osteochondritis Dissecans

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

This study's enrollment of 67 is above the median of 45 across 17 interventional studies indexed under Osteochondritis Dissecans.

Browse Osteochondritis Dissecans studies →

Lead sponsor

Geistlich Pharma AG is the lead sponsor of 13 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 50 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

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

  • Male or female between 18 and 50
  • One or two cartilage defects Grade III or IV according to Outerbridge classification
  • Defect size between 2 and 10 cm2 (inclusive)
  • Intact normal surrounding cartilage to suture the Chondro-Gide® membrane
  • Patient willing to fulfill a strict postoperative physiotherapy scheme

Exclusion criteria

Exclusion Criteria:

  • More than 2 defects
  • Defects on both knees
  • X-ray signs of osteoarthritis
  • Bone lesion > 0.7 cm in the defect
  • Knee instability, varus or valgus deformation, status after complete meniscus resection, status after mosaicplasty, patella dysplasia
  • Rheumatoid, infectious disease
  • Skin lesion on the operated knee
  • Treatment with cartilage building medication
  • Drug and alcohol abuse
  • Chronic heart disease, endocrine or metabolic disease, Haemophilia A/B
  • Pregnancy or lactation
  • Collagen allergy
  • Participation in other Trials
Terms in these criteria, in plain language(1)

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.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
67 participants (actual)

Study arms

  • Active comparator
    microfracture

    Microfracture is an arthroscopic surgical technique involving placement of microfracture penetrations within the cartilage defect to provide stem cells and growth factors from the bone marrow to aid cartilage repair

    Procedure: Microfracture

  • Experimental
    Microfracture with Chondro-Gide sutured

    Microfracture covered with a collagen membrane (Chondro-Gide®) using atraumatic sutures in a one-step mini-arthrotomy procedure

    Device: Chondro-Gide sutured

  • Experimental
    Microfracture with Chondro-Gide glued

    Microfracture covered with a collagen membrane (Chondro-Gide®) using fibrin glue in a one-step mini-arthrotomy procedure

    Device: Chondro-Gide glued

Interventions

  • ProcedureMicrofracture

    Microfracture is a well-established arthroscopic surgical technique for cartilage repair which involves several systematic steps, including debridement to a stable cartilage margin, careful removal of the calcified cartilage layer, and homogeneous placement of microfracture penetrations within the cartilage defect, with resultant complete defect fill by a well-anchored clot

  • DeviceChondro-Gide sutured

    Implantation of Chondro-Gide membrane using atraumatic sutures following microfracture via mini-arthrotomy

  • DeviceChondro-Gide glued

    Implantation of Chondro-Gide membrane using Fibrin glue following microfracture via mini-arthrotomy

06

What researchers measure

Primary outcomes

  1. Histological evaluation of structural repair of evaluable biopsies harvested from the core of the index lesion during arthroscopy at 2 years

    The macroscopically assessed integration, surface properties and extent of filling of the defect and the microscopically assessed using the International Cartilage Repair Society (ICRS) score

    Time frame: 2 years post-surgery

  2. MRI (magnetic resonance imaging) assessment of structural repair parameters.

    Structural repair is assessed with magnetic resonance imaging (MRI, 1.5T) by an independent and blinded radiologist, with a focus on the extent, signal intensity and surface of the defect filling, integration to adjacent cartilage, and bone marrow lesion (BML).

    Time frame: 6 months and 1,2 and 5 years post-surgery

Secondary outcomes

  1. Change from Baseline in the patient's evaluation of overall knee condition using the Modified Cincinnati Knee Rating System.

    The Change from Baseline will be evaluated.

    Time frame: 6 months and 1,2 and 5 years post-surgery

  2. Change from Baseline in the patient's evaluation of pain using the Visual Analog Scale (VAS).

    The Change from Baseline will be evaluated.

    Time frame: 6 months and 1,2 and 5 years post-surgery

  3. Change from Baseline in the patient's evaluation of overall knee condition using the International Cartilage Repair Society (ICRS) "Cartilage Injury Evaluation Package".

    The Change from Baseline will be evaluated.

    Time frame: 6 months and 1,2 and 5 years post-surgery

  4. Adverse Events (AE) Review

    The incidence, timing, severity, and relationship to treatment of all Adverse Events (AE), will be collected for all participants.

    Time frame: 5 years post-surgery

07

Study locations

7 sites
  • University of Regensburg
    Bad Abbach, Germany
  • Universitätsklinikum Freiburg
    Freiburg, Germany
  • Universitätsklinikum Giessen
    Giessen, Germany
  • Orthopedikum Hamburg
    Hamburg, Germany
  • Unfallklinik Hannover
    Hanover, Germany
  • University of Schleswig-Holstein
    Lubeck, Germany
  • Sportklinik Ravensburg
    Ravensburg, Germany
08

References and documents

Publications

  • Anders S, Volz M, Frick H, Gellissen J. A Randomized, Controlled Trial Comparing Autologous Matrix-Induced Chondrogenesis (AMIC(R)) to Microfracture: Analysis of 1- and 2-Year Follow-Up Data of 2 Centers. Open Orthop J. 2013 May 3;7:133-43. doi: 10.2174/1874325001307010133. Print 2013. PubMed 23730377 ↗
  • Volz M, Schaumburger J, Frick H, Grifka J, Anders S. A randomized controlled trial demonstrating sustained benefit of Autologous Matrix-Induced Chondrogenesis over microfracture at five years. Int Orthop. 2017 Apr;41(4):797-804. doi: 10.1007/s00264-016-3391-0. Epub 2017 Jan 20. PubMed 28108777 ↗

Individual participant data

Plan to share: No

09

Timeline

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

The record gives a start of Dec 2003, a primary completion of Dec 2015 and a completion of Jul 2016. 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
Dec 2, 2016
First posted
Dec 15, 2016
Start
Dec 2003
Primary completionActual
Dec 2015
CompletionActual
Jul 2016
Last update
Feb 23, 2017
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 Feb 23, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02993510
Lead sponsor
Geistlich Pharma AG
Responsible party
Sponsor
First posted
Dec 15, 2016
Start date
Dec 2003
Primary completion
Dec 2015
Completion
Jul 2016
Last update
Feb 23, 2017

Study contacts

Sven Anders, MD
principal investigator · University of Regensburg

Oversight

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

Not currently enrolling

This study is completed, as verified in Feb 2017. You cannot join it, but the record below documents what was studied.

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