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The purpose of this study is to compare the safety and preliminary efficacy of intradiscal injections of two doses of IDCT (Discogenic Cells + Sodium Hyaluronate vehicle) and one sham control in subjects with chronic low back pain due to Degenerative Disc Disease (DDD) at one lumbar level from L3 to S1.
This is a Phase I, randomized, double-blind, sham-controlled, parallel-group, multi-center study in subjects with single-level, symptomatic lumbar intervertebral disc degeneration (>6 months) and unresponsive to conservative therapy for at least 3 months. The study will compare single intradiscal injections of high and low dose IDCT with one sham control group.
6 study visits will be completed by all subjects; screening, day 1 (injection day), week 4, week 12, week 26 and week 52. The subject will be assessed for safety and efficacy utilizing VAS, ODI and JOABPEQ questionnaires alongside radiographic evaluations. The study will have a 6 month follow-up and a 6 month extension period (total 1 year).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| High Dose IDCT | Experimental | Single intradiscal injection with High Dose IDCT (9M cells) |
|
| Low Dose IDCT | Experimental | Single intradiscal injection with Low Dose IDCT (3M cells). |
|
| Sham | Sham Comparator | Sham needle puncture (outside disc) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| IDCT | Biological | Discogenic Cells + Sodium Hyaluronate Vehicle |
|
| Measure | Description | Time Frame |
|---|---|---|
| Safety as measured by number of Adverse Events | To evaluate the safety and tolerability of a single injection of IDCT in subjects with single-level, symptomatic early to moderate lumbar intervertebral disc degeneration as measured by the incidence of AEs and SAEs observed from Day 1 to week 52 | 1 year |
| Efficacy (Pain): Visual Analogue Scale (VAS) | Evaluate the effect of IDCT on pain as measured by a 0-100mm Visual Analogue Scale (VAS). 0: no pain, 100: worst pain imaginable | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Disability | Evaluate the effect of IDCT on disability as measured by the Oswestry Disability Index (ODI). Score of 0%: no disability, score of 100%: severely disabled | 1 year |
| Efficacy (Pain): JOABPEQ |
| Measure | Description | Time Frame |
|---|---|---|
| Radiographic Assessments | To evaluate morphologic changes of treated intervertebral discs using MRI & X-Ray assessments. | 1 year |
Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Chiba University Hospital | Chuo-ku | Chiba | 260-8670 | Japan | ||
| Tokai University Hospital |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 31442616 | Derived | Silverman LI, Dulatova G, Tandeski T, Erickson IE, Lundell B, Toplon D, Wolff T, Howard A, Chintalacharuvu S, Foley KT. In vitro and in vivo evaluation of discogenic cells, an investigational cell therapy for disc degeneration. Spine J. 2020 Jan;20(1):138-149. doi: 10.1016/j.spinee.2019.08.006. Epub 2019 Aug 20. |
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| ID | Term |
|---|---|
| D055959 | Intervertebral Disc Degeneration |
| ID | Term |
|---|---|
| D013122 | Spinal Diseases |
| D001847 | Bone Diseases |
| D009140 | Musculoskeletal Diseases |
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| ID | Term |
|---|---|
| C005703 | salicylhydroxamic acid |
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| Sham | Procedure | Needle puncture under the muscular layer in front of the intervertebral disc |
|
Evaluate the effect of IDCT on pain as measured by JOABPEQ. The range of the score for each domain is from 0 to 100, with higher scores indicating a better condition.
| 1 year |
| Isehara |
| Kanagawa |
| 259-1193 |
| Japan |
| Mie University Hospital | Tsu | Mie-ken | 514-8507 | Japan |
| Nagoya university hospital | Shōwaku | Nagoya | 466-8550 | Japan |
| Osaka University Hospital | Suita | Osaka | 565-0871 | Japan |
| University of Yamanashi Hospital | Chūō | Yamanashi | 409-3898 | Japan |