Osteoarthritis, Knee
Conditions
Keywords
osteoarthritis, knee, stem cell therapy, bone marrow, G-CSF
Brief summary
Patients with osteoarthritis, a degenerative joint disease, that meet inclusion criteria will be allocated into two groups: * The control group will receive Acetaminophen 750mg orally every 8 hours * The experimental group will receive Autologous Hematopoietic Stem Cells from bone marrow (BMASC) Signed informed consent is required, as well as answering a questionnaire. Patients in experimental group will receive subcutaneous G-CSF (10ug/kg/day) for 3 consecutive days and, on the 4th day a bone marrow harvest under general sedation will be performed from posterior iliac crests. The patient will remain in the recovery room while the cells are processed at the Hematology Service Laboratory. Finally, BMASC will be infused to the joint under local anesthesia. The procedure is ambulatory.
Interventions
Extraction and knee infusion of Bone Marrow Autologous Stem Cells
Acetaminophen (750mg orally TID) administration
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients with knee osteoarthritis grade II or III of the Kellgren-Lawrence radiographic scale * Age \> 30 years
Exclusion criteria
* Neurodegenerative, autoimmune, genetic or psychiatric diseases * Active infection * Recent joint infection * Knee surgery history * Knee joint fracture history
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Define safety of BM extraction and stem cell joint infusion. | 1 week | Measure possible complications of procedure (e.g. pain, bleeding, infection) and range of motion through clinical examination. Apply a questionnaire consisting of validated Womac® Scale, KSS® (Knee Society Rating System), SF-36® (Health Survey Update), and VAS (Visual Analog Scale) to correlate changes at first week to the baseline questionnaire. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Efficacy of BMSC joint infusion at 4 weeks | 4 weeks | Measure possible complications of procedure (e.g. pain, bleeding, infection) and range of motion through clinical examination. Apply a questionnaire consisting of validated Womac® Scale, KSS® (Knee Society Rating System), SF-36® (Health Survey Update), and VAS (Visual Analog Scale) to correlate changes with first week and baseline questionnaires. |
| Efficacy and final outcome of BMSC joint infusion at 6 months. | 24 weeks | Measure possible complications of procedure (e.g. pain, bleeding, infection) and range of motion through clinical examination. Apply a questionnaire consisting of validated Womac® Scale, KSS® (Knee Society Rating System), SF-36® (Health Survey Update), and VAS (Visual Analog Scale) to correlate changes with 4 week, first week and baseline questionnaires. |
Countries
Mexico