Osteoarthritis, Knee
Conditions
Brief summary
The study aim to evaluate safety of exosomes (sEVs) from allogeneic mesenchymal stromal cells delivered by an intra-articular injection in the knee of patients with mild to moderate symptomatic osteoarthritis. The sEVs will be produced in a GMP-facility. We expect to enrolle 10 patients in this phase 1 trial and the follow-up will be up to 12 months.
Interventions
Exosomes 3-5x10e11 particles/dose
Sponsors
Study design
Eligibility
Inclusion criteria
* Symptomatic knee OA with VAS \>50mm * Knee OA Kellgren-Lawrence grade II to III * Chondromalacia grade I to III * Stable joint
Exclusion criteria
* Bilateral symptomatic knee OA * Local infection * Neoplasia * Joint replacement * Recent use of local steroids * BMI \> 30
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Adverse Event | 12 months | Ocurrence of any adverse reactions within 12 months of treatment |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of injection-related pain according to VAS scale (0-100mm) | 1 week | Pain measured by VAS scale after first week of treatment |
| Incidence of injection-related sinovitis according to effusion grading scale of knee joint | 1 week | Synovitis measured by effusion grading scale (zero to 3+) after first week of treatment |
| Pain reduction | 52 weeks | Change in VAS score after 52 weeks |
| Disability reduction | 52 weeks | Change in Womac subscale related to function (C) after 52 weeks |
| Percentage of responders | 52 weeks | According to OMERACT-OARSI Criteria Index Response after 52 weeks |