A Study to Determine the Safety and Efficacy of TG-C in Subjects With Symptomatic Early Hip Osteoarthritis

Studies

Study First Submitted Date 2022-03-02
Study First Posted Date 2022-03-11
Last Update Posted Date 2022-12-23
Start Month Year October 2023
Primary Completion Month Year October 2024
Verification Month Year December 2022
Verification Date 2022-12-31
Last Update Posted Date 2022-12-23

Detailed Descriptions

Sequence: 20652046
Description This protocol is designed to assess the safety and efficacy of TG-C in treating symptoms of osteoarthritis of the hip and determining disease modifying effects of TG-C. TG-C will be compared to normal saline as a control. Safety will be evaluated by observation of the injection site for irritation or other effects, the incidence and severity of adverse events, and changes in physical examination findings, radiographic criteria, and laboratory tests. Patients will be followed for 12 months for both safety and efficacy.

Conditions

Sequence: 51990926
Name Degenerative Osteoarthritis
Downcase Name degenerative osteoarthritis

Id Information

Sequence: 40018149
Id Source org_study_id
Id Value TGC-OAH-201

Design Groups

Sequence: 55393919 Sequence: 55393920 Sequence: 55393921
Group Type Active Comparator Group Type Active Comparator Group Type Placebo Comparator
Title Active Treatment (TG-C) Title Active Treatment 2 (TG-C) Title Placebo Control (Normal Saline)
Description TG-C at 1.0 x 10e7 cells per single 2 mL intraarticular injection Description TG-C at 3.0 x 10e6 cells per single 2 mL intraarticular injection Description Normal saline, single 2 mL intraarticular injection

Interventions

Sequence: 52302631 Sequence: 52302632
Intervention Type Biological Intervention Type Biological
Name TG-C Name Placebo Control
Description 2 mL injection of non-transduced human chondrocytes and irradiated transduced human GP2-293 cells expressing TGF-B1. Description 2 mL normal saline injection

Keywords

Sequence: 79582992
Name hip
Downcase Name hip

Design Outcomes

Sequence: 176744777 Sequence: 176744778 Sequence: 176744779 Sequence: 176744780 Sequence: 176744781 Sequence: 176744782 Sequence: 176744783 Sequence: 176744784 Sequence: 176744785 Sequence: 176744786 Sequence: 176744787
Outcome Type primary Outcome Type secondary Outcome Type secondary Outcome Type secondary Outcome Type secondary Outcome Type secondary Outcome Type other Outcome Type other Outcome Type other Outcome Type other Outcome Type other
Measure Change in Hip Pain as Assessed by VAS Measure Hip Disability and Osteoarthritis Outcome Score (HOOS) Measure Timed Up and Go Test (TUG) Measure UCLA Activity Score Measure Joint Space Width (JSW) on standing X-ray Measure WOMAC® (Western Ontario and McMaster Universities Osteoarthritis Index) total score Measure Physical Component Score (PCS) of the Short Form 12-Item Health Survey (SF-12 Questionnaire) Measure Clinician Global Impression of Change (CGI-C) Measure Clinician Global Impression of Severity (CGI-S) Measure Patient Global Impression of Severity (PGI-S) Measure Patient Global Impression of Change (PGI-C)
Time Frame Baseline to Month 12 Time Frame Baseline to Month 12 Time Frame Baseline to Months 1, 3, 6, 9, and 12 Time Frame Baseline to Months 1, 3, 6, 9, and 12 Time Frame Baseline to Month 12 Time Frame Baseline to Month 12 Time Frame 12 months Time Frame Week 1 and Months 1, 3, 6, 9, and 12 Time Frame Baseline and at Months 1, 3, 6, 9, and 12 Time Frame Baseline and at Months 1, 3, 6, 9, and 12 Time Frame Week 1 and Months 1, 3, 6, 9, and 12
Description Assessment of change from baseline in target hip pain using the Visual Analog Scale (VAS). The VAS is a method for the assessment of the intensity of pain. The VAS is a horizontal line, 100 mm in length and anchored by word descriptors at each end (no pain, very severe pain). The patient marks on the line at the point that represents their current state. The VAS score is determined by measuring in millimeters from the left hand end to the point of the mark. The score ranges from "0" or no pain to "100" very severe pain. Description The HOOS questionnaire was built upon the Western Ontario and MacMaster Universities Osteoarthritis Index (WOMAC®). Questions from the WOMAC® were used as the basis for the survey, and 2 dimensions were added: sport and recreation and hip-related quality of life. The HOOS is composed of 40 questions in 5 subscales: Pain (10 items), Symptoms (5 items), Activity of Daily Living (17 items), Sport and Recreation Function (4 items), and Hip-Related Quality of Life (4 items). A total score, ranging from 0 to 100 is calculated. Higher scores represent better functioning. Description The TUG test is used to determine the time needed to progress from sitting to standing and walking. In addition, the test helps to evaluate the probability for falls. The individual starts in a seated position in a chair with armrests and, upon command, stands up, walks 3 meters, turns around, walks back to the chair, and sits down. The time stops when the subject is seated. The use of walking aids should be recorded and kept consistent between tests. Description The UCLA Activity Score includes 10 statements that cover the range of activity states from being "wholly inactive, dependent on others, and cannot leave residence" to "regularly participate in impact sports." The respondents are instructed to select one statement that is most representative of their current activity. Lower scores on the scale reflect a low level of activity and higher scores reflect more activity. Description To evaluate the effects of 2 dose levels of TG-C on the structural features of the hip joint Description To evaluate the effects of 2 dose levels of TG-C on symptoms of OA of the hip. The test questions are scored on a scale of 0-4, which correspond to: None (0), Mild (1), Moderate (2), Severe (3), and Extreme (4). Higher scores on the WOMAC indicate worse pain, stiffness, and functional limitations. Description Evaluation the Health-Related Quality of Life (HRQoL) as measured by the physical component score (PCS) of the 12-Item Short-Form Health Survey version 2 (SF-12v2®) questionnaire addresses physical functioning, role-physical, bodily pain, general health perceptions, vitality, social functioning, role-emotional, and mental health. The mean score is set to 50. Scores >50 indicate better physical or mental health than the mean, and scores <50 indicate worse physical or mental health than the mean. Description The CGI-C asks clinicians to choose the response that best describes the overall change in the patient's OA since they received the study medication as "much better," "moderately better," "a little better," "no change," "a little worse," "moderately worse," or" much worse." Clinicians are also asked to indicate if the change that the patient has experienced is clinically meaningful. Description clinician to choose the response that best describes the severity of the patient's overall OA as "none," "mild," "moderate," or "severe." Description patients to select the response that best describes the severity of their OA, their OA-related pain, and their OA-related stiffness and their difficulty with activities as a result of their OA as "none," "mild," "moderate," or "severe." Description patients to choose the response that best describes the overall change in their OA, their OA-related pain, and their OA-related stiffness and the change in their difficulty with activities as a result of their OA since they received the study medication as "much better," "moderately better," "a little better," "no change," "a little worse," "moderately worse," or "much worse." Patients are also asked to indicate if the change that they have experienced is meaningful to them ("yes," "no," or "not applicable" in the case of no change)

Browse Conditions

Sequence: 192773446 Sequence: 192773447 Sequence: 192773448 Sequence: 192773449 Sequence: 192773450 Sequence: 192773451
Mesh Term Osteoarthritis Mesh Term Osteoarthritis, Hip Mesh Term Arthritis Mesh Term Joint Diseases Mesh Term Musculoskeletal Diseases Mesh Term Rheumatic Diseases
Downcase Mesh Term osteoarthritis Downcase Mesh Term osteoarthritis, hip Downcase Mesh Term arthritis Downcase Mesh Term joint diseases Downcase Mesh Term musculoskeletal diseases Downcase Mesh Term rheumatic diseases
Mesh Type mesh-list Mesh Type mesh-list Mesh Type mesh-ancestor Mesh Type mesh-ancestor Mesh Type mesh-ancestor Mesh Type mesh-ancestor

Sponsors

Sequence: 48150241
Agency Class INDUSTRY
Lead Or Collaborator lead
Name Kolon TissueGene, Inc.

Overall Officials

Sequence: 29181548
Role Study Chair
Name Moon Jong Noh, PhD
Affiliation Kolon TissueGene, Inc.

Central Contacts

Sequence: 11968597
Contact Type primary
Name Diana Halim, MS
Phone (301) 921-6000
Email dhalim@tissuegene.com
Phone Extension 187
Role Contact

Design Group Interventions

Sequence: 67907063 Sequence: 67907064 Sequence: 67907065
Design Group Id 55393919 Design Group Id 55393920 Design Group Id 55393921
Intervention Id 52302631 Intervention Id 52302631 Intervention Id 52302632

Eligibilities

Sequence: 30659341
Gender All
Minimum Age 18 Years
Maximum Age 80 Years
Healthy Volunteers No
Criteria Inclusion Criteria: Aged 18 to 80 years old The subject has a diagnosis of Grade ≤2 primary OA of the target hip Pain ≥ 40 on VAS scale The subject has groin pain that is elicited by hip rotation on physical examination No history of significant organ system disorders. Body mass index (BMI) <40 kg/m2 Systolic blood pressure of 100 to 160 mmHg and diastolic blood pressure of 60 to 90 mmHg. Using birth control Written informed consent Exclusion Criteria: The subject exhibits severe symptoms in the target hip that result in difficulty or an inability to walk. The subject has severe hip OA ipsilateral to the target hip. Previous cartilage transplantation procedure to the injured cartilage surface. Major injury to the target hip within 12 months of screening. Active dermal ulcer or infection in the proximity of the target hip within 1 month before screening. The subject has had surgery on the target hip within the last 6 months. Total hip replacement surgery or other surgery on the target hip in the next 12 months. MRI indicates bone marrow infiltration, fracture, osteonecrosis/bone infarct, osteochondritis dissecans, tumor, moderate to severe dysplasia, avascular necrosis, post-traumatic arthritis, transient osteoporosis, slipped-cap femoral epiphysis, juvenile idiopathic arthritis, or axial juvenile spondyloarthritis. Hip conditions including but not limited to any autoimmune or infectious cause for arthritis; metabolic joint disease; neuropathic disorders, groin pain from non-orthopedic sources, or tumors, congestive heart failure, or chronic kidney disease. Uncontrolled diabetes based on a hemoglobin A1c (HbA1c) value >8% at the screening Visit. Increased risk for post-procedure bleeding or post-procedure infection. Ongoing infectious disease, including, but not limited to, HIV, hepatitis C, or current or prior hepatitis B. Cognitive impairment that would limit his/her ability to provide informed consent or to complete assessments and questionnaires. 1 year history of drug or alcohol abuse. Contraindication to or cannot undergo MRI. Active malignancy within the last 5 years. Pregnant or is lactating. Taken steroidal or NSAIDs within 14 days before the Baseline Visit Using topical analgesics on the target hip Receiving chronic narcotic treatment at screening. Received any injection to the target hip within the 3 months before the Baseline Visit. Taking antiplatelet or anticoagulants. Participated in an investigational study within 13 weeks before the Screening Visit or in the next 25 months. Unable to comply with the requisite study follow-up and all of the follow-up office visits.
Adult True
Child False
Older Adult True

Calculated Values

Sequence: 254271396
Registered In Calendar Year 2022
Were Results Reported False
Has Single Facility False
Minimum Age Num 18
Maximum Age Num 80
Minimum Age Unit Years
Maximum Age Unit Years
Number Of Primary Outcomes To Measure 1
Number Of Secondary Outcomes To Measure 5
Number Of Other Outcomes To Measure 5

Designs

Sequence: 30406164
Allocation Randomized
Intervention Model Parallel Assignment
Observational Model
Primary Purpose Treatment
Time Perspective
Masking Quadruple
Masking Description Double-blind
Subject Masked True
Caregiver Masked True
Investigator Masked True
Outcomes Assessor Masked True

Intervention Other Names

Sequence: 26576929 Sequence: 26576930
Intervention Id 52302631 Intervention Id 52302632
Name TissueGene-C Name Normal Saline

Responsible Parties

Sequence: 28772689
Responsible Party Type Sponsor