ACP Max™ PRP System for Knee Osteoarthritis: A Feasibility Trial

Study Purpose

This study is a prospective, multicenter (up to 4 sites), randomized, double-blind, two-arm study. Forty-five (45) patients will be randomized to receive a single 4-6 ml intra-articular (IA) injection of either the output of ACP Max™ (n=30) or 6 ml of Depo-Medrol® (methylprednisolone acetate) (n=15).

Recruitment Criteria

Accepts Healthy Volunteers

Healthy volunteers are participants who do not have a disease or condition, or related conditions or symptoms

No
Study Type

An interventional clinical study is where participants are assigned to receive one or more interventions (or no intervention) so that researchers can evaluate the effects of the interventions on biomedical or health-related outcomes.


An observational clinical study is where participants identified as belonging to study groups are assessed for biomedical or health outcomes.


Searching Both is inclusive of interventional and observational studies.

Interventional
Eligible Ages 18 Years - 75 Years
Gender All
More Inclusion & Exclusion Criteria

Inclusion Criteria:

1. Subject voluntarily decides to participate and signs the consent form. 2. Subject is ≥ 18 to 75 years of age. 3. Subject presents with symptomatic knee OA despite at least 6 months of one of the following conservative treatments; oral medications, analgesics, and/or anti-inflammatory medications. 4. Subject has documented radiographic evidence of OA in the tibiofemoral or patellofemoral compartment of the target knee (Kellgren-Lawrence Grades II-III), using radiographs performed within 12 weeks of screening. 5. Subject has a WOMAC pain score (WOMAC A) of at least 8 out of 20 and at least moderate degree of difficulty (a score of 2) for at least 2 questions on performing daily activities. 6. Subject consents to a washout period of NSAIDs and analgesics 7 days before each study visit (except low-dose aspirin for prevention of cardiovascular disease). 7. Subject has a Body Mass Index ≤ 35 kg/m2.

Exclusion Criteria:

1. Subject has Grade I or IV in the target knee according to the Kellgren-Lawrence grading scale. 2. Subject has clinically 3+ effusion of the target knee (stroke test grading system). 3. Subject has significant (> 10°) valgus or varus deformities as evidenced by standard of care x-ray. 4. Subject has received an IA injection of corticosteroids in the target knee within 4 months prior to screening. 5. Subject did not achieve initial pain relief from prior corticosteroid injections. 6. Subject has received an IA injection of HA in the target knee within 6 months prior to screening. 7. Subject has received an IA injection of PRP in the target knee at any time prior to screening. 8. Subject has a history of coagulopathy. 9. Subject has joint pain reflected by a VAS score of > 35 mm out of 100 mm scale in the contralateral knee at the time of screening. 10. Subject had prior open surgery on the target knee within 12 months or knee arthroscopy within 6 months. 11. Subject has an inflammatory disease of either knee other than OA. 12. Subject which, in the investigator's opinion, has an underlying medical condition(s) that could interfere with the evaluation of the outcome. 13. Subject with a positive pregnancy test or breastfeeding. 14. Subject plans to participate in other clinical trials involving medical or surgical intervention in the next 12 months. 15. Subject with any condition (including cognitive impairment) that, in the investigator's opinion, might interfere with the evaluation of the study objectives. 16. Subject has rheumatoid arthritis or gout. 17. Subject has an infection at the affected joint. 18. Subject has a history of major trauma to the target knee within one year. 19. Subject with plans to undergo any elective orthopedic surgery in the next 12 months. 20. Subject requires pain management therapy not related to the target knee (with the exception of acetaminophen). 21. Subject has a known hypersensitivity to Depo-Medrol and its constituents.

Trial Details

Trial ID:

This trial id was obtained from ClinicalTrials.gov, a service of the U.S. National Institutes of Health, providing information on publicly and privately supported clinical studies of human participants with locations in all 50 States and in 196 countries.

NCT05765266
Phase

Phase 1: Studies that emphasize safety and how the drug is metabolized and excreted in humans.

Phase 2: Studies that gather preliminary data on effectiveness (whether the drug works in people who have a certain disease or condition) and additional safety data.

Phase 3: Studies that gather more information about safety and effectiveness by studying different populations and different dosages and by using the drug in combination with other drugs.

Phase 4: Studies occurring after FDA has approved a drug for marketing, efficacy, or optimal use.

N/A
Lead Sponsor

The sponsor is the organization or person who oversees the clinical study and is responsible for analyzing the study data.

Arthrex, Inc.
Principal Investigator

The person who is responsible for the scientific and technical direction of the entire clinical study.

N/A
Principal Investigator Affiliation N/A
Agency Class

Category of organization(s) involved as sponsor (and collaborator) supporting the trial.

Industry
Overall Status Not yet recruiting
Countries United States
Conditions

The disease, disorder, syndrome, illness, or injury that is being studied.

Knee Osteoarthritis
Additional Details

All subjects will have a screening visit and a treatment visit followed by six follow-up visits: 10 days, 6 weeks, 3 months, 6 months, 9 months, and 12 months.

Arms & Interventions

Arms

Experimental: ACP Max™

Single 4-6 ml intra-articular (IA) injection of the output of ACP Max™

Active Comparator: 40 mg of methylprednisolone acetate

Single IA injection of 40 mg of methylprednisolone acetate (1 ml of solution) mixed with 5 ml of Normal Saline for a total of 6 ml.

Interventions

Device: - ACP Max™

Single 4-6 ml intra-articular (IA) injection of the output of ACP Max™

Device: - Depo-Medrol®

Single IA injection of 40 mg of methylprednisolone acetate (1 ml of solution) mixed with 5 ml of Normal Saline for a total of 6 ml.

Contact a Trial Team

If you are interested in learning more about this trial, find the trial site nearest to your location and contact the site coordinator via email or phone. We also strongly recommend that you consult with your healthcare provider about the trials that may interest you and refer to our terms of service below.

The Center for Clinical Research, Winston-Salem, North Carolina

Status

Address

The Center for Clinical Research

Winston-Salem, North Carolina, 27103

Site Contact

Heather Reyna

[email protected]

336-765-6181 #161

AMR Knoxville, Knoxville, Tennessee

Status

Address

AMR Knoxville

Knoxville, Tennessee, 37920

Site Contact

Jeanne Baach

[email protected]

865-305-3784

Spectrum Medical, Inc., Danville, Virginia

Status

Address

Spectrum Medical, Inc.

Danville, Virginia, 24541

Site Contact

April Marshall, RN, CCRC

[email protected]

434-793-4711 #1149