Articular Cartilage Defects in the Knee Joint
Conditions
Keywords
cartilage damage, cartilage defect, chondral lesion, osteochondral lesion, femur, condyle
Brief summary
Multicenter, open-label, controlled, non-randomized, double arm trial with a prospective treatment arm (GelrinC). This study compares the efficacy and safety of GelrinC to a historical control arm (microfracture) in the treatment of cartilage defects in the knee.
Interventions
Patients will undergo GelrinC implantation.
Patients undergo an arthroscopy for evaluation purposes, followed by lesion debridement, and a standard microfracture procedure.
Sponsors
Study design
Eligibility
Inclusion criteria
Main Inclusion Criteria: * Age between 18 and 50. * Single contained symptomatic lesion located on the femoral condyle of the femur graded as ICRS III or IV with less than 5 mm of bone loss below the subchondral plate. * Lesion size between 1 and 5 cm2 post debridement, less than or equal to 2.5 cm in diameter. * BMI ≤35 * Contralateral knee is asymptomatic, stable, fully functional and not medically treated. Main
Exclusion criteria
* Presence of an additional grade III or IV symptomatic lesion. * Recent Osteochondritis Dissecans within 1 year of baseline visit. * Untreated ACL and/or PCL deficiency or Complex ligamentous instability of the knee. * Patient is excluded if presenting untreated current meniscal tear or if previous menisci resection was within the last 6 months. * Previous tendon repair or ligament reconstruction within the last 6 months. * Failed Mosaicplasty or ACI or MACI or any other cartilage repair product. * Microfracture performed less than 1 year before baseline visit.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The change of physical functioning as assessed by patient reported outcome measure (Knee injury and Osteoarthritis Outcome Score (KOOS). | 24 months post-surgery |
| The change of physical pain as assessed by patient reported outcome measure (Knee injury and Osteoarthritis Outcome Score (KOOS). | 24 months post-surgery |
Countries
United States