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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT05344157
Registration number
NCT05344157
Ethics application status
Date submitted
4/04/2022
Date registered
25/04/2022
Titles & IDs
Public title
A First-in-Human Study of XSTEM-OA in Patients With Knee Osteoarthritis
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Scientific title
A First-in-Human Open-Label Phase 1/2a Study to Evaluate Safety, Tolerability and Efficacy of a Single Intra-Articular Injection of Allogeneic Mesenchymal Stem Cells Selected for Integrin a10ß1 (XSTEM-OA) in Adult Patients With Symptomatic Knee Osteoarthritis
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Secondary ID [1]
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XIN-XSTEM-101
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Osteoarthritis, Knee
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Condition category
Condition code
Musculoskeletal
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Osteoarthritis
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Other - XSTEM-OA
Experimental: XSTEM-OA - Single intra-articular injection of XSTEM-OA
Treatment: Other: XSTEM-OA
XSTEM-OA is an allogeneic, adipose tissue-derived, integrin alpha10beta1-selected and expanded mesenchymal stem cell (MSC) product for the treatment of osteoarthritis.
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Intervention code [1]
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Treatment: Other
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Safety and tolerability: Adverse events (AEs)
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Assessment method [1]
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Incidence, nature and severity of treatment-related AEs assessed by the Common Terminology Criteria for Adverse Events (CTCAE)
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Timepoint [1]
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From start of study until 24 months after injection
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Primary outcome [2]
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Safety and tolerability: 12-lead electrocardiogram (ECG)
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Assessment method [2]
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Change in 12-lead electrocardiograms (ECGs) compared to baseline.
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Timepoint [2]
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From start of study until 18 months after injection
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Primary outcome [3]
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Safety and tolerability: Laboratory examinations
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Assessment method [3]
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Changes in laboratory tests compared to baseline. The clinical laboratory tests include haematology, chemistry, coagulation and urinalysis.
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Timepoint [3]
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From start of study until 18 months after injection
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Primary outcome [4]
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Safety and tolerability: Physical examinations
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Assessment method [4]
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Changes in physical examination compared to baseline.
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Timepoint [4]
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From start of study until 18 months after injection
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Primary outcome [5]
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Safety and tolerability: Vital signs
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Assessment method [5]
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Changes in vital signs compared to baseline. Vital signs include blood pressure, pulse rate, respiratory rate and oral body temperature.
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Timepoint [5]
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From start of study until 18 months after injection
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Secondary outcome [1]
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Preliminary efficacy: Changes in Visual Analogue Scale (VAS) for pain compared to baseline
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Assessment method [1]
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Timepoint [1]
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From start of study until 18 months after injection
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Secondary outcome [2]
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Preliminary efficacy: Changes in Knee injury and Osteoarthritis Outcome Score (KOOS) compared to baseline
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Assessment method [2]
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Timepoint [2]
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From start of study until 18 months after injection
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Secondary outcome [3]
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Preliminary efficacy: Change in EuroQoL 5 Dimension 5 Level test (EQ-5D-5L) compared to baseline
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Assessment method [3]
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Timepoint [3]
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From start of study until 18 months after injection
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Secondary outcome [4]
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Preliminary efficacy: Change in 40 m fast paced walk test compared to baseline
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Assessment method [4]
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Timepoint [4]
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From start of study until 18 months after injection
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Secondary outcome [5]
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Preliminary efficacy: Change in cartilage structure and morphology compared to baseline, based on MRI assessment of cartilage volume and composition
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Assessment method [5]
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Timepoint [5]
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From start of study until 18 months after injection
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Secondary outcome [6]
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Preliminary efficacy: Change in whole knee health compared to baseline, based on MRI assessment by the MRI Osteoarthritis Knee Score (MOAKS)
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Assessment method [6]
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Timepoint [6]
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From start of study until 18 months after injection
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Secondary outcome [7]
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Preliminary efficacy: Change in inflammatory activity compared to baseline, based on MRI assessment of synovitis
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Assessment method [7]
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Timepoint [7]
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From start of study until 18 months after injection
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Secondary outcome [8]
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Preliminary efficacy: Changes in joint space narrowing based on x-ray compared to baseline
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Assessment method [8]
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Timepoint [8]
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From start of study until 18 months after injection
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Eligibility
Key inclusion criteria
Major inclusion criteria:
* Aged =40 and =75 years at Screening
* Radiological evidence of predominantly medial osteoarthritis in the knee, uni- or bilateral, of KL grade II to III
* Moderate to severe pain associated with osteoarthritis in the knee as measured by a VAS pain score of =35 and =90 mm
Major exclusion criteria:
* Body mass index (BMI) of =35 at Screening
* Ongoing signs or symptoms of systemic or local infection
* Known knee infection in the study knee within 6 months of Screening
* History of clinically relevant concomitant joint disease, clinically-relevant knee deformities, or any clinically significant medical history of the ligament, or realignment surgery or joint replacement surgery
* Medical history of any autoimmune disease
* History of surgery in the study knee that occured within 6 months of Screening
* Treatment with immunosuppressive therapy (systemic or local) or any medication affecting the bone or cartilage metabolism within 6 months of Screening
* Patients who are immunocompromised as caused by a disease
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Minimum age
40
Years
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Maximum age
75
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
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Study design
Purpose of the study
Treatment
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Allocation to intervention
NA
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Phase 1
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Active, not recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
22/06/2022
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
1/06/2025
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Actual
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Sample size
Target
54
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW,VIC
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Recruitment hospital [1]
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Genesis Research Services - Broadmeadow
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Recruitment hospital [2]
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Emeritus Research - Camberwell
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Recruitment postcode(s) [1]
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2292 - Broadmeadow
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Recruitment postcode(s) [2]
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3124 - Camberwell
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Xindu Pty Ltd
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Address
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Country
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Other collaborator category [1]
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Commercial sector/industry
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Name [1]
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Xintela AB
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
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Summary
Brief summary
The aim of the study is to assess safety, tolerability and preliminary efficacy of XSTEM-OA when administered as a single intra-articular injection to patients with symptomatic knee osteoarthritis. The study is divided into two parts; a dose escalation (Part A) and an optional dose expansion part (Part: B). Three dose levels are planned to be evaluated in Part A and selected dose level(s) may be further expanded in Part B.
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Trial website
https://clinicaltrials.gov/study/NCT05344157
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Per Norlén, MD, PhD
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Address
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Xintela AB
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT05344157