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The purpose of this study is to investigate whether the INSTRUCT therapy is safe and effective in the treatment of cartilage defects of the knee.
This is a prospective, open-label, single-arm pilot study designed to investigate the safety and efficacy of the INSTRUCT therapy in the treatment of knee cartilage defects.
All patients who meet eligibility criteria and who consent to participate will undergo the implantation of a biodegradable scaffold seeded with autologous primary chondrocytes and bone marrow cells via arthrotomy.
Patients will be followed-up for 2 years at regular intervals. Evaluations will include adverse events collection, patient reported outcomes (mostly pain and function), arthroscopic and histologic evaluations and MRIs (including dGEMRIC).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| INSTRUCT | Experimental | INSTRUCT scaffold implantation |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| INSTRUCT | Device | INSTRUCT PolyActive scaffold implantation |
|
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of related adverse events | Over 24 months | |
| Lesion filling | 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of non-related adverse events | 24 months | |
| KOOS, IKDC and pain VAS scores | At all timepoints over 24 months | |
| Histopathology assessments |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Joël Guidoux | CellCoTec B.V. | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Hospital Gent | Ghent | Belgium | ||||
| University Hospital nber 2 Dr. Jana Biziela |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 32267734 | Derived | Slynarski K, de Jong WC, Snow M, Hendriks JAA, Wilson CE, Verdonk P. Single-Stage Autologous Chondrocyte-Based Treatment for the Repair of Knee Cartilage Lesions: Two-Year Follow-up of a Prospective Single-Arm Multicenter Study. Am J Sports Med. 2020 May;48(6):1327-1337. doi: 10.1177/0363546520912444. Epub 2020 Apr 8. |
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| 6 or 12 months |
| MRI evaluation of structural repair | Discharge, 3, 6, 12 and 24 months |
| dGEMRIC assessment of structural repair | 6, 12 and 24 months |
| Bydgoszcz |
| Poland |
| NZOZ "Szpital AVIMED" sp. z o.o. | Katowice | Poland |
| NZOZ Endomedical | Poznan | Poland |
| Centrum Medycyny Sportowej (Sports Medicine Center CMS) | Warsaw | Poland |
| Royal Orthopaedic Hospital | Birmingham | United Kingdom |