ClinicalTrials.gg
RecruitingNCT06163573Updated Sep 10, 2026

Treatment of Patellofemoral Osteoarthritis With Engineered Cartilage.

A Phase 2 interventional study of N-TEC and Platelet rich plasma in Patellofemoral Osteoarthritis, sponsored by University Hospital, Basel, Switzerland. Recruiting at 9 sites in 3 countries. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2026-09-10.

Sponsored by University Hospital, Basel, Switzerland · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Started Jun 2024; still recruiting 2 years 5 months later.

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Phase
Phase 2
Study type
Interventional
Enrollment
75
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 41 studies in Osteoarthritis with a site in Switzerland — 4 open to participants now, 15 under way, none of them phase 3. Osteoarthritis · Switzerland.

Planned enrollment
14th of 24
75 · median 85
Started
2024
with 1 other
Phase 2
3 of 41
2 open now
Primary completion
2028-09
later than 9 of 14 live
Registered
36th of 41
by date
Lead sponsor
5 of 41
University Hospital, Basel, Switzerland

Among the 41 studies in Osteoarthritis with a site in Switzerland, this one is the 14th largest by planned enrollment of the 24 interventional ones that give a count, is one of 2 that started in 2024, is one of 3 in phase 2, reaches primary completion later than 9 of the 14 other live ones, and was the 36th registered.

Osteoarthritis

2,974 studies on the registry are indexed under Osteoarthritis; 437 are open to participants now.

Browse Osteoarthritis studies →

Open to participants now

4 of the 41 studies in Osteoarthritis with a site in Switzerland are open now. Recruiting first, the newest first:

All 4 open studies →

A study can be open while its sites in Switzerland have not opened yet or have stopped. Only those recruiting at a site in Switzerland →

Who these studies take

Of the 286 Osteoarthritis studies recruiting now, 158 (55%) set no upper age limit and 71 (25%) stop at 75 or younger; 22 take children under 18; 30 take healthy volunteers.

This study: 18 Years to 65 Years · all sexes · no healthy volunteers.

The full table on the hub →

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 41 studies in Osteoarthritis with a site in Switzerland, or all of them as a file.
02

Study summary

The purpose of this investigator-initiated study is to assess the efficacy of treating patellofemoral osteoarthritis with an Advanced Therapy Medicinal Product (ATMP), autologous nasal chondrocyte tissue engineered cartilage (N-TEC), in comparison with a standard therapy using platelet rich plasma injections.

The engineered cartilage graft is obtained by culturing expanded autologous nasal chondrocytes within a collagen type I/III membrane.

Read the detailed description

Knee osteoarthritis (OA) is one of the most common causes for pain and disability with over 260 million people affected worldwide. Recent studies found that knee OA often starts in the patello-femoral compartment of the knee (PFOA) and is diagnosed in \~39% of people with knee pain aged above 30 years. Thus, PFOA and progression to full OA plays a crucial role in the reduction of quality of life of many people and in the raise of healthcare costs.

The goal of this phase II trial is to (i) evaluate the efficacy of autologous Nasal Chondrocytes Tissue Engineered Cartilage (N-TEC) in comparison to an active comparator (Platelet Rich Plasma (PRP) injections) based on patients' self-assessed outcome scores (Knee Osteoarthritis Outcome Score (KOOS Pain), and to (ii) verify tissue regeneration as the postulated mode of action and thus the disease-modifying properties of the graft, as previously indicated in animal studies (x-ray, MRI). This proposed phase II trial will evaluate whether N-TEC improves the clinical efficacy, leading to an increase of at least 15 points higher in the main primary outcome (KOOS (pain) change at 24 months) than the comparator group. Secondary endpoints will include amongst others KOOS subscales (symptoms, pain, activity of daily living (ADL), sports, Quality of Life (QOL)), Kujala Anterior Knee Pain Scale, Western Ontario and McMaster Universities Osteoarthritis score (WOMAC), Marx Activity Rating Scale (MARS) and EQ-5d assessment at 6, 12 and 24 months compared to baseline and between groups. Further secondary endpoints will be the number of subjects non-responding to treatment (i.e., improvement in KOOS Pain below 13 units on a scale of 0-100) and treatment failures (deterioration of more than 13 points compared to baseline or switching to other regenerative treatments or joint replacement to evaluate efficacy). Adverse events will be recorded during the full course of the trial to assess safety. This will require enrolling a total of 75 patients in a multicenter, prospective study involving 9 clinical centers.

03

Conditions studied

  • Patellofemoral Osteoarthritis

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Keywords

  • Nasal chondrocytes
  • Tissue engineering
  • Knee cartilage
  • Patellofemoral osteoarthritis
04

Who can participate

Ages eligible
18 Years to 65 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

  • Patient age is ≥18 and ≤ 65 years at time of screening.
  • Symptomatic PFOA grade 1-3 according to Iwano Classification
  • Chondropathy Grade 3-4 according to ICRS classification of the patella, trochlea femoris or both
  • Baseline score of \<60 on the KOOS Pain subjective knee evaluation.
  • Free range of motion of the affected knee joint or ≤ 5° of extension loss and minimum 125° flexion.
  • Patient is willing and able to give written to participate in the study and to comply with all study requirements, including attending all follow-up visits and assessments and to complete postoperative rehabilitation regimen.
  • Minimum values for women: 110g/l, 150G/l, \<1.3
  • Minimum values for men: Haemoglobin 120g/l, Platelets 150G/l, INR\<1.3
  • Non-surgical standard of care options except for PRP have been exhausted.

Exclusion criteria

Exclusion Criteria:

  • Patient is the investigator or any sub-investigator, research assistant, pharmacist, study coordinator, other staff or relative thereof directly involved in the conduct of the protocol or in a dependency or employment with the sponsor.
  • Patient is unable to understand the patient information
  • Patient is unable to undergo magnetic resonance imaging (MRI)
  • Prior surgical treatment of the target knee within 12 months (Note: prior diagnostic arthroscopy with debridement and lavage are acceptable within 12 months).
  • Radiologically apparent degenerative joint disease of the tibiofemoral joint as determined by X-ray (Kellgren and Lawrence grade > 2) or MRI or pain in the tibiofemoral joint as assessed by clinical examination
  • Patient has excessive varus or valgus deformity (>5°)
  • Patient had a patellar dislocation in the afflicted knee in the last 2 years.
  • Patient has a symptomatic meniscus lesion (or removal exceeding ½), as indicated by clinical examination (joint line tenderness and McMurray test positive) and MRI.
  • Patient has a (BMI) >35 kg/m2.
  • Patient has chronic rheumatoid arthritis, and/or infectious arthritis
  • Any concomitant painful or disabling disease of the spine, hips, or lower limbs that would interfere with evaluation of the afflicted knee.
  • Patient has a known immunological suppressive disorder or is taking immunosuppressives.
  • Patient had any intra-articular injections into the affected knee within the last 3 months before baseline visit
  • Instability of anterior, posterior collateral ligaments
  • The patient has a /AIDS infection. (regulatory requirement)
  • The patient has an acute Treponema pallidum (syphilis) infection. (regulatory requirement)
  • The patient has an active or C infection assessed according to local laboratory standards using an antibody test and if positive, confirmatory test for active infection. Patients with a cured hepatitis B or C infection are not excluded. (regulatory requirement)
  • Patient is pregnant, breast feeding or anticipates becoming pregnant within 24 months after surgery.
  • Patient is currently participating or has participated in any other clinical study within 3 months prior to the screening visit.
  • Patient has known current or recent history of illicit drug or alcohol abuse or dependence defined as the continued use of alcohol or drugs despite the development of social, legal or health problems.
  • Patient has any other condition, which, in the opinion of the investigator, would make the patient unsuitable for the study.
  • Any known allergies, especially for porcine collagen, penicillin or streptomycin (manufacturing)
  • patients with increased anesthesiological and surgical risks (e.g. known or predicted difficult airway, myocardial infarction \<60 days prior to surgery)
  • patients with increased bleeding risk (e.g. coagulopathies)
  • patients on anticoagulants whose anticoagulant therapy cannot be interrupted as appropriate to the given agent(s) and underlying condition
  • Patients with any active infections
Terms in these criteria, in plain language(7)

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.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

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.

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.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
75 participants (estimated)

Study arms

  • Experimental
    N-TEC

    N-TEC is based on autologous nasal chondrocytes expanded and further cultured on type I/III collagen membranes for 2 weeks to allow cells to produce extracellular matrix containing cartilage specific proteins. The IMP is implanted in the knee at the patellofemoral joint.

    Biological: N-TEC

  • Active comparator
    Platelet Rich Plasma

    Total of 3 injections of about 5 ml each of platelet rich plasma (PRP), autologous Conditioned Plasma ACP®, Arthrex, one injection per week for three consecutive weeks.

    Biological: Platelet rich plasma

Interventions

  • BiologicalN-TEC

    Implantation of an autologous tissue engineered cartilage graft in the patellofemoral joint for treatment of osteoarthritis.

    Also known as: Engineered cartilage graft

  • Injection of an autologous Conditioned Plasma ACP® on the basis of one injection per week for three consecutive weeks. Conditioned Plasma ACP®, Arthrex, one injection per week for three consecutive weeks.

    Also known as: PRP

06

What researchers measure

Primary outcomes

  1. Knee Injury and Osteoarthritis Outcome Score (KOOS) for pain

    mean change in Knee Injury and Osteoarthritis Outcome Score for pain from baseline to 24 months between groups Minimum score: 0 Maximum score :100 (higher score means no knee problems)

    Time frame: 24 months

Secondary outcomes

  1. Biovigilance

    Number of adverse events, adverse reactions based on severity, expectedness and relationship to treatment.

    Time frame: until 24 months

  2. Knee Injury and Osteoarthritis Outcome questionnaire

    patient self reported questionnaire for symptoms, activity of daily life, sports and quality of life Minimum score: 0 Maximum score: 100 (higher score means no knee problems)

    Time frame: until 24 months

  3. Iwano classification

    Osteoarthritis grade determined based on X-rays according to Iwano classification (grades 1 to 4).

    Time frame: until 24 months

  4. Kellgren Lawrence classification

    Osteoarthritis grade determined based on X-rays according to Kellgren Lawrence classification (grades 1 to 4).

    Time frame: until 24 months

  5. MOCART score

    Magnetic Resonance Imaging (MRI) of Cartilage Repair Tissue (MOCART) score: radiological evaluation of repair tissue. Minimum score:0; maximum score: 100.

    Time frame: until 24 months

  6. Kujala self reported questionnaire

    Anterior Knee Pain scale. Minimum score: 0 Maximum score: 100 (no knee problems)

    Time frame: until 24 months

  7. EQ5d questionnaire

    patient self reported questionnaire including five dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 levels: no problems, slight problems, moderate problems, severe problems and extreme problems.

    Time frame: until 24 months

  8. Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score

    Self reported questionnaire to evaluate the condition of patients with osteoarthritis of the knee and hip, including pain, stiffness, and physical functioning of the joints. The instrument contains 24 items measuring 3 sub-scales: physical function (17 items), pain (5 items), and stiffness (2 items).

    Time frame: until 24 months

  9. Visual Analogue Scale

    The VAS is used by patients to assess pain based on a numbered scale going from 0 (no pain) to 10 (maximal pain).

    Time frame: Unitl 24 months

  10. Global Rating Of Change (GROC) likert scale

    Widely used score to assess whether the patient condition has gotten worse, better, or stayed the same and to quantify the magnitude of that change. Minimum score: -5 ; maximal score: +5.

    Time frame: until 24 months

  11. Marx Activity Rating Scale (MARS) score

    This activity-related patient-reported outcome measure is widely used to assess the activity of a patient after treatment of the knee. It assesses how often the patient performs activities (running, cutting, deceleration and pivoting) in his healthiest and more active state. Minimum score: 0; maximum score: 16

    Time frame: until 24 months

  12. Number of non responders

    Number of treated patients showing an improvement in KOOS Pain below 13 on a scale of 0 to 100 after 24 months compared to baseline.

    Time frame: Until 24 months

  13. Number of treatment failures

    Treatment failures are treated patients who had to switch to an alternative surgical regenerative treatment or knee replacement. This clinical deterioration is defined as reduction in the KOOS score of \> 13 after 24 months compared to baseline.

    Time frame: Until 24 months

  14. MRI Osteoarthritis Knee Score (MOAKS)

    MRI Osteoarthritis Knee Score (MOAKS) is a semi quantitative score used to assess the severity and progression of osteoarthritis in the knee using magnetic resonance imaging (MRI). It evaluates various features like osteophytes, bone marrow lesions, and cartilage loss, providing a detailed picture of the disease's status.

    Time frame: Until 24 months

Other outcomes

  1. Activity level

    Patients will wear activity trackers for defined time periods to determine their activity level and assess if there is a correlation between the activity level and the clinical outcome.

    Time frame: Until 24 months

  2. Quality-adjusted life-years (QALY) outcome

    Quality-adjusted life-years (QALY) is a measure of health outcome that combines the quantity and quality of life into a single value. It represents the value of an individual's health. QALY is used in cost-effectiveness analyses to compare the value of different healthcare interventions.

    Time frame: Until 24 months

  3. One Leg Hop test

    The One Leg Hop test will be performed after patients had followed the physiotherapy program. This functional movement assessment is used to evaluate lower limb strength, power, and neuromuscular control. It involves hopping on one leg as far as possible and landing on the same leg while maintaining balance.

    Time frame: Until 24 months

  4. Y Balance test

    The Y-Balance Test will be performed after patients had followed the physiotherapy program. It is a standardized test for assessing dynamic balance and movement quality, particularly in the lower extremities. It is used to assess injury risk and support post-injury rehabilitation.

    Time frame: Until 24 months

07

Study locations

7 of 9 sites recruiting
08

References and documents

Publications

  • Seitz S, Lehoczky G, Wixmerten A, Schuster-Amft C, Miot S, Shrestha K, Schaedelin S, Martin I, Mumme M. Treatment of patellofemoral osteoarthritis with nasal chondrocyte-based engineered cartilage implantation in a randomised, controlled, multicentre phase II clinical trial: protocol for a randomised controlled trial. BMJ Open. 2025 Aug 21;15(8):e106140. doi: 10.1136/bmjopen-2025-106140. PubMed 40840982 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Jun 2024 (actual). Primary completion is estimated for Sep 2028, 51 months after the start.

Of 82 phase 2 interventional studies under Osteoarthritis, half reached primary completion within 19 months of starting (the median), counting those still running; a quarter within 10 and three quarters within 38. This study's planned 51 months is above that.

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

Registered
Nov 20, 2023
First posted
Dec 11, 2023
StartActual
Jun 6, 2024
Primary completionEst.
Sep 2028
CompletionEst.
Sep 2029
Last update
Sep 10, 2026
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 Sep 10, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06163573
Collaborators
Swiss National Science Foundation, Clinical Trial Unit, University Hospital Basel, Switzerland, Wuerzburg University Hospital
Responsible party
Sponsor
First posted
Dec 11, 2023
Start date
Jun 6, 2024
Primary completion
Sep 2028 (estimated)
Completion
Sep 2029 (estimated)
Last update
Sep 10, 2026

Study contacts

Marcus Mumme, Dr
Contact
marcus.mumme@usb.ch
0041615565885
Marcus Mumme, Dr
principal investigator · University Hospital, Basel, Switzerland

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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