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A Phase 2 Study to Evaluate the Efficacy and Safety of JointStem in Treatment of Osteoarthritis

A Phase 2, Double-Blind, Randomized, Controlled Study to Evaluate the Efficacy and Safety of JointStem, Autologous Adipose Tissue Derived Mesenchymal Stem Cells, in Treatment of Osteoarthritis

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02674399
Enrollment
28
Registered
2016-02-04
Start date
2016-02-16
Completion date
2018-12-28
Last updated
2021-08-10

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Osteoarthritis, Knee

Brief summary

This study is a double-blind, randomized, controlled study with two arms to evaluate JointStem as a treatment for subjects with osteoarthritis. Following a 2-week screening period, approximately 30 subjects will be randomly assigned into one of the following two arms in a 2:1 ratio (2 JointStem : 1 positive control). After each subject completes 6-month visit (Visit 6) and the data management team confirms all data have no issue, the individual database will be locked and the blinding will be open for the statistical analysis.Only subjects who are assigned will be requested to visit the study center for 9-month and 12-month follow-up visits (Visits 7 and 8). To see long-term effects of JointStem, all subjects who complete Visit 6 will be requested to visit the study center at 24-month after the injection.

Interventions

Sponsors

KCRN Research, LLC
CollaboratorINDUSTRY
Nature Cell Co. Ltd.
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
22 Years to 60 Years
Healthy volunteers
No

Inclusion criteria

* Subject who can give written informed consent * Male or female of any race, aged 22-60 * Subject who had osteoarthritis of knee diagnosed at least six months prior to Screening * Subject who has joint pain ≥ 40mm on VAS (Visual Analog Scale) at Screening * Subject who has swelling, tenderness and active range of motion ≥ Grade I at Screening * Subject who seeks invasive interventions of intra-articular injections * Subject who is willing to discontinue all pain medications for osteoarthritis except rescue medication (\< acetaminophen 3.25 g per day) at least 72 hours prior to screening and throughout the duration of study * Subject who has radiographic evidence of grade 3 to 4 osteoarthritis based on the Kellgren and Lawrence radiographic criteria. * Female subject who is neither pregnant nor lactating * Subject who is able to comply with lifestyle guidelines, scheduled visits, treatment plan, laboratory tests, and other study procedures

Exclusion criteria

* Subject who has Body Mass Index (BMI) \> 35 kg/m2 * Subject who has unstable knees * Subject who took any NSAID within two weeks from Screening * Subject who had any intra-articular injection therapy in any joint within 2 months from Screening * Subject who has any clinically significant disease, which is judged by the investigator to affect this clinical trial * Subject who has inflammatory arthropathy (rheumatoid, psoriatic, or avascular necrosis), and post traumatic or septic arthritis * Subject who has chondrocalcinosis, Paget's disease, Villonodular synovitis, and other non-OA joint diseases * Subject who has HIV/viral hepatitis * Subject who had knee surgery or radiation therapy in the affected joint within 6 months from Screening * Subject who had CVA attack within 6 months from Screening * Subject for whom the investigator judges the liposuction can cause any problem * Subject who has significant lab abnormalities * Subject who has history of local anesthetic allergy * Subject who took immunosuppressants such as Cyclosporin A or azathioprine within 6 weeks from Screening * (If a subject uses aspirin or plavix) Subject for whom it is determined that it would not be safe to stop the aspirin/plavix therapy for 2 weeks prior to Visit 2 * Subject who uses anticoagulants which cannot be stopped or corrected * Subject who had oral or intra-muscular corticosteroids within 30 days from Visit 2 * Subject who had intra-articular corticosteroid injection in any joint within 30 days from Visit 2 * Subject who had intra-articular hyaluronic acid injection within 30 days from Visit 2 * Subject who has known hypersensitivity (allergy) to hyaluronan (sodium hyaluronate) preparations or gram positive proteins * Subject who has knee joint infections or skin diseases or infections in the area of the injection site * Subject who has known systemic bleeding disorders * Subject who is an active drug/EtOH abuser * Subject who was enrolled in any other clinical trials within 2 months from Screening * Subject who the principal investigator considers inappropriate for the study due to any other reasons than those listed above * Subject whose MRI scan results at screening do not demonstrate any sign of cartilage damage

Design outcomes

Primary

MeasureTime frameDescription
Change From Baseline on Western Ontario and McMaster Universities Arthritis Index (WOMAC) Score in JointStem GroupBaseline and 6 monthsComparing the baseline and 6-month WOMAC scores in JointStem group Score range: 0-2,400 A score of 2,400 represents the most severe impairment and 0 represents the least impairment
Change From Baseline on Visual Analog Scale (VAS) in JointStem GroupBaseline and 6 monthsComparing the baseline and 6-month VAS scores in JointStem group Score range: 0-100 A score of 100 represents the most severe pain and 0 represents the least pain.
MRI Improvement Evaluation in JointStem Group6 monthsComparing the baseline and 6-month MRI improvement values in JointStem group MRI Improvement Evaluation was conducted by an MRI analysis company called 'Qmetrics'. The main radiological features evaluated were bone marrow edema, osteophytes, and cartilage. Certain features, such as the appearance of a new cartilage defect or increase in the size of existing cartilage defects or osteophytes, is generally considered an indication of osteoarthritic progression. Similarly, the diminishing in severity or size of existing abnormalities would generally be considered to be a healing(improving) response.

Secondary

MeasureTime frameDescription
Change From Baseline on Lysholm Knee Scoring Scale Between JointStem and Positive Control GroupsBaseline and 6 monthsComparing the changes of Lysholm Knee Scoring Scales between JointStem and positive control groups at 6 months Score range: 0-100 A score of 0 represents the most severe impairment and 100 represents the least impairment
Change From Baseline on International Knee Documentation Committee (IKDC) Between JointStem and Positive Control GroupsBaseline and 6 monthsComparing the changes of IKDC scores between JointStem and positive control groups at 6 months IKDC score = {(sum of each item score) / 87} \* 100 Score range: 0-100 A score of 0 represents the most severe impairment and 100 represents the least impairment
Change From Baseline on RAND-36 Score Between JointStem and Positive Control GroupsBaseline and 6 monthsComparing the changes of RAND-36 scores between JointStem and positive control groups at 6 months Score range: 0-100 A score of 0 represents the most severe impairment and 100 represents the least impairment
Change From Baseline on WOMAC in JointStem GroupBaseline, 9 months and 12 monthsComparing the baseline and 9-month/12-month WOMAC scores in JointStem group Score range: 0-2,400 A score of 2,400 represents the most severe impairment and 0 represents the least impairment
Change From Baseline on VAS in JointStem GroupBaseline, 9 months and 12 monthsComparing the baseline and 9-month/12-month VAS scores in JointStem group Score range: 0-100 A score of 100 represents the most severe pain and 0 represents the least pain.
Change From Baseline on WOMAC Between JointStem and Positive Control GroupsBaseline and 6 monthsComparing the changes of WOMAC scores between JointStem and positive control groups at 6 months Score range: 0-2,400 A score of 2,400 represents the most severe impairment and 0 represents the least impairment
Change of Lysholm Knee Scoring Scale From Baseline at Months 6, 9 and 12Baseline, 6 months, 9 months and 12 monthsComparing the baseline and 6-month/9-month/12-month Lysholm Knee Scoring Scale in JointStem group Score range: 0-100 A score of 0 represents the most severe impairment and 100 represents the least impairment
Change of KOOS Score From Baseline at Month 6, 9 and 12 for JointStem Groupbaseline, 6 month, 9 month, 12 monthComparing the baseline and 6-month/9-month/12-month KOOS scores in JointStem group KOOS score = 100 - \[{(average score of each item) \* 100} / 4 \] Score range: 0-100 A score of 0 represents the most severe impairment and 100 represents the least impairment
Change of IKDC Score From Baseline at Month 6, 9 and 12 for JointStem Groupbaseline, 6 month, 9 month, 12 monthComparing the baseline and 6-month/9-month/12-month IKDC scores in JointStem group IKDC score = {(sum of each item score) / 87} \* 100 Score range: 0-100 A score of 0 represents the most severe impairment and 100 represents the least impairment
Change of RAND-36 Score From Baseline at Month 6, 9 and 12 for JointStem Groupbaseline, 6 month, 9 month, 12 monthComparing the baseline and 6-month/9-month/12-month RAND-36 scores in JointStem group Score range: 0-100 A score of 0 represents the most severe impairment and 100 represents the least impairment
Comparison of MRI Improvement Evaluation in JointStem GroupBaseline, 6 months and 12 monthsComparing the baseline and 9-month/12-month MRI improvement values in JointStem group MRI Improvement Evaluation was conducted by an MRI analysis company called 'Qmetrics'. The main radiological features evaluated were bone marrow edema, osteophytes, and cartilage. Certain features, such as the appearance of a new cartilage defect or increase in the size of existing cartilage defects or osteophytes, is generally considered an indication of osteoarthritic progression. Similarly, the diminishing in severity or size of existing abnormalities would generally be considered to be a healing(improving) response.
Change From Baseline on VAS Between JointStem and Positive Control GroupsBaseline and 6 monthsComparing the changes of VAS scores between JointStem and positive control groups at 6 months Score range: 0-100 A score of 100 represents the most severe pain and 0 represents the least pain.
Change From Baseline on Knee Injury & Osteoarthritis Outcome Score (KOOS) Between JointStem and Positive Control GroupsBaseline and 6 monthsComparing the changes of KOOS values between JointStem and positive control groups at 6 months KOOS score = 100 - \[{(average score of each item) \* 100} / 4 \] Score range: 0-100 A score of 0 represents the most severe impairment and 100 represents the least impairment

Countries

United States

Participant flow

Participants by arm

ArmCount
JointStem
autologous adipose tissue derived mesenchymal stem cells (AdMSC) JointStem
19
Synvisc-One
hyaluronic acid Synvisc-One
9
Total28

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyLost to Follow-up20

Baseline characteristics

CharacteristicJointStemTotalSynvisc-One
Age, Continuous52.3 years
STANDARD_DEVIATION 6.98
52.3 years
STANDARD_DEVIATION 7.72
52.1 years
STANDARD_DEVIATION 9.56
BMI26.903 kg/m^2
STANDARD_DEVIATION 4.1938
26.154 kg/m^2
STANDARD_DEVIATION 4.3971
24.572 kg/m^2
STANDARD_DEVIATION 4.6408
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants2 Participants1 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
18 Participants26 Participants8 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Height173.66 cm
STANDARD_DEVIATION 9.222
172.31 cm
STANDARD_DEVIATION 9.527
169.46 cm
STANDARD_DEVIATION 10.073
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Black or African American
2 Participants3 Participants1 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants2 Participants1 Participants
Race (NIH/OMB)
White
16 Participants23 Participants7 Participants
Sex: Female, Male
Female
8 Participants10 Participants2 Participants
Sex: Female, Male
Male
11 Participants18 Participants7 Participants
Weight81.31 kg
STANDARD_DEVIATION 14.642
78.2 kg
STANDARD_DEVIATION 17.01
71.66 kg
STANDARD_DEVIATION 20.569

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 190 / 9
other
Total, other adverse events
18 / 194 / 9
serious
Total, serious adverse events
0 / 190 / 9

Outcome results

Primary

Change From Baseline on Visual Analog Scale (VAS) in JointStem Group

Comparing the baseline and 6-month VAS scores in JointStem group Score range: 0-100 A score of 100 represents the most severe pain and 0 represents the least pain.

Time frame: Baseline and 6 months

Population: The primary endpoints were evaluated only in the JointsStem group.

ArmMeasureValue (MEAN)Dispersion
JointStemChange From Baseline on Visual Analog Scale (VAS) in JointStem Group-32.5 score on a scaleStandard Deviation 23.93
Primary

Change From Baseline on Western Ontario and McMaster Universities Arthritis Index (WOMAC) Score in JointStem Group

Comparing the baseline and 6-month WOMAC scores in JointStem group Score range: 0-2,400 A score of 2,400 represents the most severe impairment and 0 represents the least impairment

Time frame: Baseline and 6 months

Population: The primary endpoints were evaluated only in the JointsStem group.

ArmMeasureValue (MEAN)Dispersion
JointStemChange From Baseline on Western Ontario and McMaster Universities Arthritis Index (WOMAC) Score in JointStem Group-20.121 score on a scaleStandard Deviation 21.0415
Primary

MRI Improvement Evaluation in JointStem Group

Comparing the baseline and 6-month MRI improvement values in JointStem group MRI Improvement Evaluation was conducted by an MRI analysis company called 'Qmetrics'. The main radiological features evaluated were bone marrow edema, osteophytes, and cartilage. Certain features, such as the appearance of a new cartilage defect or increase in the size of existing cartilage defects or osteophytes, is generally considered an indication of osteoarthritic progression. Similarly, the diminishing in severity or size of existing abnormalities would generally be considered to be a healing(improving) response.

Time frame: 6 months

Population: The primary endpoints were evaluated only in the JointsStem group. And one patient was excluded from the table due to absence of MRI values.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
JointStemMRI Improvement Evaluation in JointStem GroupImprovement5 Participants
JointStemMRI Improvement Evaluation in JointStem GroupNo Change5 Participants
JointStemMRI Improvement Evaluation in JointStem GroupProgress8 Participants
Synvisc-OneMRI Improvement Evaluation in JointStem GroupImprovement0 Participants
Synvisc-OneMRI Improvement Evaluation in JointStem GroupNo Change0 Participants
Synvisc-OneMRI Improvement Evaluation in JointStem GroupProgress0 Participants
Secondary

Change From Baseline on International Knee Documentation Committee (IKDC) Between JointStem and Positive Control Groups

Comparing the changes of IKDC scores between JointStem and positive control groups at 6 months IKDC score = {(sum of each item score) / 87} \* 100 Score range: 0-100 A score of 0 represents the most severe impairment and 100 represents the least impairment

Time frame: Baseline and 6 months

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
JointStemChange From Baseline on International Knee Documentation Committee (IKDC) Between JointStem and Positive Control Groups55.74 score on a scaleStandard Error 2.223
Synvisc-OneChange From Baseline on International Knee Documentation Committee (IKDC) Between JointStem and Positive Control Groups54.24 score on a scaleStandard Error 3.238
Secondary

Change From Baseline on Knee Injury & Osteoarthritis Outcome Score (KOOS) Between JointStem and Positive Control Groups

Comparing the changes of KOOS values between JointStem and positive control groups at 6 months KOOS score = 100 - \[{(average score of each item) \* 100} / 4 \] Score range: 0-100 A score of 0 represents the most severe impairment and 100 represents the least impairment

Time frame: Baseline and 6 months

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
JointStemChange From Baseline on Knee Injury & Osteoarthritis Outcome Score (KOOS) Between JointStem and Positive Control GroupsPain21.40 score on a scaleStandard Error 3.975
JointStemChange From Baseline on Knee Injury & Osteoarthritis Outcome Score (KOOS) Between JointStem and Positive Control GroupsSport/Rec25.00 score on a scaleStandard Error 5.123
JointStemChange From Baseline on Knee Injury & Osteoarthritis Outcome Score (KOOS) Between JointStem and Positive Control GroupsADL18.53 score on a scaleStandard Error 3.937
JointStemChange From Baseline on Knee Injury & Osteoarthritis Outcome Score (KOOS) Between JointStem and Positive Control GroupsQOL22.68 score on a scaleStandard Error 5.383
JointStemChange From Baseline on Knee Injury & Osteoarthritis Outcome Score (KOOS) Between JointStem and Positive Control GroupsSymptoms9.70 score on a scaleStandard Error 2.888
Synvisc-OneChange From Baseline on Knee Injury & Osteoarthritis Outcome Score (KOOS) Between JointStem and Positive Control GroupsQOL11.15 score on a scaleStandard Error 7.884
Synvisc-OneChange From Baseline on Knee Injury & Osteoarthritis Outcome Score (KOOS) Between JointStem and Positive Control GroupsSymptoms14.83 score on a scaleStandard Error 4.22
Synvisc-OneChange From Baseline on Knee Injury & Osteoarthritis Outcome Score (KOOS) Between JointStem and Positive Control GroupsPain19.04 score on a scaleStandard Error 5.78
Synvisc-OneChange From Baseline on Knee Injury & Osteoarthritis Outcome Score (KOOS) Between JointStem and Positive Control GroupsADL15.94 score on a scaleStandard Error 5.72
Synvisc-OneChange From Baseline on Knee Injury & Osteoarthritis Outcome Score (KOOS) Between JointStem and Positive Control GroupsSport/Rec26.68 score on a scaleStandard Error 7.482
Secondary

Change From Baseline on Lysholm Knee Scoring Scale Between JointStem and Positive Control Groups

Comparing the changes of Lysholm Knee Scoring Scales between JointStem and positive control groups at 6 months Score range: 0-100 A score of 0 represents the most severe impairment and 100 represents the least impairment

Time frame: Baseline and 6 months

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
JointStemChange From Baseline on Lysholm Knee Scoring Scale Between JointStem and Positive Control Groups18.9 score on a scaleStandard Error 3.97
Synvisc-OneChange From Baseline on Lysholm Knee Scoring Scale Between JointStem and Positive Control Groups19.9 score on a scaleStandard Error 5.78
Secondary

Change From Baseline on RAND-36 Score Between JointStem and Positive Control Groups

Comparing the changes of RAND-36 scores between JointStem and positive control groups at 6 months Score range: 0-100 A score of 0 represents the most severe impairment and 100 represents the least impairment

Time frame: Baseline and 6 months

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
JointStemChange From Baseline on RAND-36 Score Between JointStem and Positive Control GroupsEnergy/Fatigue5.2 score on a scaleStandard Error 3.91
JointStemChange From Baseline on RAND-36 Score Between JointStem and Positive Control GroupsRole Limitation (Physical)20.7 score on a scaleStandard Error 8.04
JointStemChange From Baseline on RAND-36 Score Between JointStem and Positive Control GroupsPhysical Functioning17.2 score on a scaleStandard Error 3.8
JointStemChange From Baseline on RAND-36 Score Between JointStem and Positive Control GroupsSocial Functioning14.71 score on a scaleStandard Error 2.964
JointStemChange From Baseline on RAND-36 Score Between JointStem and Positive Control GroupsRole Limitation (Emotional)6.7 score on a scaleStandard Error 6.615
JointStemChange From Baseline on RAND-36 Score Between JointStem and Positive Control GroupsPain21.59 score on a scaleStandard Error 4.211
JointStemChange From Baseline on RAND-36 Score Between JointStem and Positive Control GroupsGeneral Health2.91 score on a scaleStandard Error 2.516
JointStemChange From Baseline on RAND-36 Score Between JointStem and Positive Control GroupsEmotional well-being-3.4 score on a scaleStandard Error 2.31
Synvisc-OneChange From Baseline on RAND-36 Score Between JointStem and Positive Control GroupsGeneral Health3.13 score on a scaleStandard Error 3.668
Synvisc-OneChange From Baseline on RAND-36 Score Between JointStem and Positive Control GroupsPhysical Functioning14.9 score on a scaleStandard Error 5.52
Synvisc-OneChange From Baseline on RAND-36 Score Between JointStem and Positive Control GroupsRole Limitation (Physical)17.4 score on a scaleStandard Error 11.73
Synvisc-OneChange From Baseline on RAND-36 Score Between JointStem and Positive Control GroupsRole Limitation (Emotional)-6.74 score on a scaleStandard Error 9.654
Synvisc-OneChange From Baseline on RAND-36 Score Between JointStem and Positive Control GroupsEnergy/Fatigue4.5 score on a scaleStandard Error 5.76
Synvisc-OneChange From Baseline on RAND-36 Score Between JointStem and Positive Control GroupsEmotional well-being0.5 score on a scaleStandard Error 3.45
Synvisc-OneChange From Baseline on RAND-36 Score Between JointStem and Positive Control GroupsSocial Functioning16.16 score on a scaleStandard Error 4.312
Synvisc-OneChange From Baseline on RAND-36 Score Between JointStem and Positive Control GroupsPain14.7 score on a scaleStandard Error 6.18
Secondary

Change From Baseline on VAS Between JointStem and Positive Control Groups

Comparing the changes of VAS scores between JointStem and positive control groups at 6 months Score range: 0-100 A score of 100 represents the most severe pain and 0 represents the least pain.

Time frame: Baseline and 6 months

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
JointStemChange From Baseline on VAS Between JointStem and Positive Control Groups-31.9 score on a scaleStandard Error 4.9
Synvisc-OneChange From Baseline on VAS Between JointStem and Positive Control Groups-30.6 score on a scaleStandard Error 7.13
Secondary

Change From Baseline on VAS in JointStem Group

Comparing the baseline and 9-month/12-month VAS scores in JointStem group Score range: 0-100 A score of 100 represents the most severe pain and 0 represents the least pain.

Time frame: Baseline, 9 months and 12 months

Population: This measure was evaluated only in the JointsStem group.

ArmMeasureGroupValue (MEAN)Dispersion
JointStemChange From Baseline on VAS in JointStem GroupChange from baseline at Month 9-31.5 score on a scaleStandard Deviation 25.52
JointStemChange From Baseline on VAS in JointStem GroupChange from baseline at Month 12-35 score on a scaleStandard Deviation 24.56
Secondary

Change From Baseline on WOMAC Between JointStem and Positive Control Groups

Comparing the changes of WOMAC scores between JointStem and positive control groups at 6 months Score range: 0-2,400 A score of 2,400 represents the most severe impairment and 0 represents the least impairment

Time frame: Baseline and 6 months

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
JointStemChange From Baseline on WOMAC Between JointStem and Positive Control Groups-20.505 score on a scaleStandard Error 3.665
Synvisc-OneChange From Baseline on WOMAC Between JointStem and Positive Control Groups-17.129 score on a scaleStandard Error 5.3281
Secondary

Change From Baseline on WOMAC in JointStem Group

Comparing the baseline and 9-month/12-month WOMAC scores in JointStem group Score range: 0-2,400 A score of 2,400 represents the most severe impairment and 0 represents the least impairment

Time frame: Baseline, 9 months and 12 months

Population: This measure was evaluated only in the JointsStem group.

ArmMeasureGroupValue (MEAN)Dispersion
JointStemChange From Baseline on WOMAC in JointStem GroupChange from baseline at Month 9-21.216 score on a scaleStandard Deviation 20.9653
JointStemChange From Baseline on WOMAC in JointStem GroupChange from baseline at Month 12-21.711 score on a scaleStandard Deviation 19.7521
Secondary

Change of IKDC Score From Baseline at Month 6, 9 and 12 for JointStem Group

Comparing the baseline and 6-month/9-month/12-month IKDC scores in JointStem group IKDC score = {(sum of each item score) / 87} \* 100 Score range: 0-100 A score of 0 represents the most severe impairment and 100 represents the least impairment

Time frame: baseline, 6 month, 9 month, 12 month

Population: This measure was evaluated only in the JointsStem group.

ArmMeasureGroupValue (MEAN)Dispersion
JointStemChange of IKDC Score From Baseline at Month 6, 9 and 12 for JointStem GroupChange from baseline at Month 67.03 score on a scaleStandard Deviation 11.379
JointStemChange of IKDC Score From Baseline at Month 6, 9 and 12 for JointStem GroupChange from baseline at Month 910.95 score on a scaleStandard Deviation 12.047
JointStemChange of IKDC Score From Baseline at Month 6, 9 and 12 for JointStem GroupChange from baseline at Month 129.63 score on a scaleStandard Deviation 10.38
Secondary

Change of KOOS Score From Baseline at Month 6, 9 and 12 for JointStem Group

Comparing the baseline and 6-month/9-month/12-month KOOS scores in JointStem group KOOS score = 100 - \[{(average score of each item) \* 100} / 4 \] Score range: 0-100 A score of 0 represents the most severe impairment and 100 represents the least impairment

Time frame: baseline, 6 month, 9 month, 12 month

Population: This measure was evaluated only in the JointsStem group.

ArmMeasureGroupValue (MEAN)Dispersion
JointStemChange of KOOS Score From Baseline at Month 6, 9 and 12 for JointStem GroupChange from baseline at Month 6 (Symptoms)9.02 score on a scaleStandard Deviation 15.381
JointStemChange of KOOS Score From Baseline at Month 6, 9 and 12 for JointStem GroupChange from baseline at Month 9 (Symptoms)15.03 score on a scaleStandard Deviation 13.677
JointStemChange of KOOS Score From Baseline at Month 6, 9 and 12 for JointStem GroupChange from baseline at Month 12 (Symptoms)15.41 score on a scaleStandard Deviation 18.229
JointStemChange of KOOS Score From Baseline at Month 6, 9 and 12 for JointStem GroupChange from baseline at Month 6 (Pain)21.65 score on a scaleStandard Deviation 20.386
JointStemChange of KOOS Score From Baseline at Month 6, 9 and 12 for JointStem GroupChange from baseline at Month 9 (Pain)23.98 score on a scaleStandard Deviation 23.2
JointStemChange of KOOS Score From Baseline at Month 6, 9 and 12 for JointStem GroupChange from baseline at Month 12 (Pain)25.31 score on a scaleStandard Deviation 21.219
JointStemChange of KOOS Score From Baseline at Month 6, 9 and 12 for JointStem GroupChange from baseline at Month 6 (ADL)18.66 score on a scaleStandard Deviation 23.842
JointStemChange of KOOS Score From Baseline at Month 6, 9 and 12 for JointStem GroupChange from baseline at Month 9 (ADL)18.42 score on a scaleStandard Deviation 25.017
JointStemChange of KOOS Score From Baseline at Month 6, 9 and 12 for JointStem GroupChange from baseline at Month 12 (ADL)21.90 score on a scaleStandard Deviation 23.237
JointStemChange of KOOS Score From Baseline at Month 6, 9 and 12 for JointStem GroupChange from baseline at Month 6 (Sport/Rec)25.53 score on a scaleStandard Deviation 23.915
JointStemChange of KOOS Score From Baseline at Month 6, 9 and 12 for JointStem GroupChange from baseline at Month 9 (Sport/Rec)28.42 score on a scaleStandard Deviation 25.279
JointStemChange of KOOS Score From Baseline at Month 6, 9 and 12 for JointStem GroupChange from baseline at Month 12 (Sport/Rec)33.68 score on a scaleStandard Deviation 24.486
JointStemChange of KOOS Score From Baseline at Month 6, 9 and 12 for JointStem GroupChange from baseline at Month 6 (QOL)23.36 score on a scaleStandard Deviation 24.829
JointStemChange of KOOS Score From Baseline at Month 6, 9 and 12 for JointStem GroupChange from baseline at Month 9 (QOL)29.95 score on a scaleStandard Deviation 27.228
JointStemChange of KOOS Score From Baseline at Month 6, 9 and 12 for JointStem GroupChange from baseline at Month 12 (QOL)28.96 score on a scaleStandard Deviation 29.121
Secondary

Change of Lysholm Knee Scoring Scale From Baseline at Months 6, 9 and 12

Comparing the baseline and 6-month/9-month/12-month Lysholm Knee Scoring Scale in JointStem group Score range: 0-100 A score of 0 represents the most severe impairment and 100 represents the least impairment

Time frame: Baseline, 6 months, 9 months and 12 months

Population: This measure was evaluated only in the JointsStem group.

ArmMeasureGroupValue (MEAN)Dispersion
JointStemChange of Lysholm Knee Scoring Scale From Baseline at Months 6, 9 and 12Change from baseline at Month 618.3 score on a scaleStandard Deviation 22.29
JointStemChange of Lysholm Knee Scoring Scale From Baseline at Months 6, 9 and 12Change from baseline at Month 916.1 score on a scaleStandard Deviation 25.34
JointStemChange of Lysholm Knee Scoring Scale From Baseline at Months 6, 9 and 12Change from baseline at Month 1217.1 score on a scaleStandard Deviation 23.78
Secondary

Change of RAND-36 Score From Baseline at Month 6, 9 and 12 for JointStem Group

Comparing the baseline and 6-month/9-month/12-month RAND-36 scores in JointStem group Score range: 0-100 A score of 0 represents the most severe impairment and 100 represents the least impairment

Time frame: baseline, 6 month, 9 month, 12 month

Population: This measure was evaluated only in the JointsStem group

ArmMeasureGroupValue (MEAN)Dispersion
JointStemChange of RAND-36 Score From Baseline at Month 6, 9 and 12 for JointStem GroupChange from baseline at Month 6 (Physical Functioning)17.4 score on a scaleStandard Deviation 22.13
JointStemChange of RAND-36 Score From Baseline at Month 6, 9 and 12 for JointStem GroupChange from baseline at Month 9 (Physical Functioning)18.7 score on a scaleStandard Deviation 23.38
JointStemChange of RAND-36 Score From Baseline at Month 6, 9 and 12 for JointStem GroupChange from baseline at Month 12 (Physical Functioning)17.1 score on a scaleStandard Deviation 28.69
JointStemChange of RAND-36 Score From Baseline at Month 6, 9 and 12 for JointStem GroupChange from baseline at Month 6 (Role Limitation_Physical)22.4 score on a scaleStandard Deviation 36.22
JointStemChange of RAND-36 Score From Baseline at Month 6, 9 and 12 for JointStem GroupChange from baseline at Month 9 (Role Limitation_Physical)30.3 score on a scaleStandard Deviation 38.71
JointStemChange of RAND-36 Score From Baseline at Month 6, 9 and 12 for JointStem GroupChange from baseline at Month 12 (Role Limitation_Physical)31.6 score on a scaleStandard Deviation 40.69
JointStemChange of RAND-36 Score From Baseline at Month 6, 9 and 12 for JointStem GroupChange from baseline at Month 6 (Role Limitation_Emotional)8.77 score on a scaleStandard Deviation 33.048
JointStemChange of RAND-36 Score From Baseline at Month 6, 9 and 12 for JointStem GroupChange from baseline at Month 9 (Role Limitation_Emotional)7.02 score on a scaleStandard Deviation 30.604
JointStemChange of RAND-36 Score From Baseline at Month 6, 9 and 12 for JointStem GroupChange from baseline at Month 12 (Role Limitation_Emotional)8.77 score on a scaleStandard Deviation 33.048
JointStemChange of RAND-36 Score From Baseline at Month 6, 9 and 12 for JointStem GroupChange from baseline at Month 6 (Energy/Fatigue)2.9 score on a scaleStandard Deviation 20.7
JointStemChange of RAND-36 Score From Baseline at Month 6, 9 and 12 for JointStem GroupChange from baseline at Month 9 (Energy/Fatigue)5.3 score on a scaleStandard Deviation 16.45
JointStemChange of RAND-36 Score From Baseline at Month 6, 9 and 12 for JointStem GroupChange from baseline at Month 12 (Energy/Fatigue)7.6 score on a scaleStandard Deviation 18.81
JointStemChange of RAND-36 Score From Baseline at Month 6, 9 and 12 for JointStem GroupChange from baseline at Month 6 (Emotional well-being)-3.4 score on a scaleStandard Deviation 10.61
JointStemChange of RAND-36 Score From Baseline at Month 6, 9 and 12 for JointStem GroupChange from baseline at Month 9 (Emotional well-being)-3.6 score on a scaleStandard Deviation 11.31
JointStemChange of RAND-36 Score From Baseline at Month 6, 9 and 12 for JointStem GroupChange from baseline at Month 12 (Emotional well-being)-4.0 score on a scaleStandard Deviation 14.79
JointStemChange of RAND-36 Score From Baseline at Month 6, 9 and 12 for JointStem GroupChange from baseline at Month 6 (Social Functioning)13.82 score on a scaleStandard Deviation 23.531
JointStemChange of RAND-36 Score From Baseline at Month 6, 9 and 12 for JointStem GroupChange from baseline at Month 9 (Social Functioning)14.47 score on a scaleStandard Deviation 20.943
JointStemChange of RAND-36 Score From Baseline at Month 6, 9 and 12 for JointStem GroupChange from baseline at Month 12 (Social Functioning)7.24 score on a scaleStandard Deviation 25.109
JointStemChange of RAND-36 Score From Baseline at Month 6, 9 and 12 for JointStem GroupChange from baseline at Month 6 (Pain)23.16 score on a scaleStandard Deviation 21.982
JointStemChange of RAND-36 Score From Baseline at Month 6, 9 and 12 for JointStem GroupChange from baseline at Month 9 (Pain)23.95 score on a scaleStandard Deviation 22.1
JointStemChange of RAND-36 Score From Baseline at Month 6, 9 and 12 for JointStem GroupChange from baseline at Month 12 (Pain)24.34 score on a scaleStandard Deviation 21.967
JointStemChange of RAND-36 Score From Baseline at Month 6, 9 and 12 for JointStem GroupChange from baseline at Month 6 (General Health)3.51 score on a scaleStandard Deviation 13.566
JointStemChange of RAND-36 Score From Baseline at Month 6, 9 and 12 for JointStem GroupChange from baseline at Month 9 (General Health)5.71 score on a scaleStandard Deviation 10.502
JointStemChange of RAND-36 Score From Baseline at Month 6, 9 and 12 for JointStem GroupChange from baseline at Month 12 (General Health)2.85 score on a scaleStandard Deviation 18.636
Secondary

Comparison of MRI Improvement Evaluation in JointStem Group

Comparing the baseline and 9-month/12-month MRI improvement values in JointStem group MRI Improvement Evaluation was conducted by an MRI analysis company called 'Qmetrics'. The main radiological features evaluated were bone marrow edema, osteophytes, and cartilage. Certain features, such as the appearance of a new cartilage defect or increase in the size of existing cartilage defects or osteophytes, is generally considered an indication of osteoarthritic progression. Similarly, the diminishing in severity or size of existing abnormalities would generally be considered to be a healing(improving) response.

Time frame: Baseline, 6 months and 12 months

Population: This measure was evaluated only in the JointsStem group. And one patient was excluded from the table due to absence of MRI values.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
JointStemComparison of MRI Improvement Evaluation in JointStem GroupMonth 6 Improved -> Month 12 Improved3 Participants
JointStemComparison of MRI Improvement Evaluation in JointStem GroupMonth 6 Improved -> Month 12 No Change1 Participants
JointStemComparison of MRI Improvement Evaluation in JointStem GroupMonth 6 Improved -> Month 12 Progress1 Participants
JointStemComparison of MRI Improvement Evaluation in JointStem GroupMonth 6 No Change -> Month 12 Improved1 Participants
JointStemComparison of MRI Improvement Evaluation in JointStem GroupMonth 6 No Change -> Month 12 No Change2 Participants
JointStemComparison of MRI Improvement Evaluation in JointStem GroupMonth 6 No Change -> Month 12 Progress2 Participants
JointStemComparison of MRI Improvement Evaluation in JointStem GroupMonth 6 Progress -> Month 12 Improved2 Participants
JointStemComparison of MRI Improvement Evaluation in JointStem GroupMonth 6 Progress -> Month 12 No Change0 Participants
JointStemComparison of MRI Improvement Evaluation in JointStem GroupMonth 6 Progress -> Month 12 Progress6 Participants

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026