A RCT of Collagen Scaffold for the Repair of Talus Cartilage Injury
Condition(s) studied
Investigational drug(s) / intervention(s)
Collagen Scaffold (Colla-Plug): The collagen cartilage scaffold(COLTRIX® CartiRegen) used in this study consist of an injection needle, a syringe, and a collagen gel prefilled in a syringe. The collagen gel contains phosphate buffer and type I collagen which the telopeptides are removed.. After the product is implanted in the body, it forms a degradable three-dimensional scaffold to provide an environment for cells to adhere, proliferate, migrate, differentiate and secrete, thereby promoting cartilage repair. At present, it has been commercially applied to clinical repair of knee cartilage defect.
microfracture: Microfracture to repair cartilage defect is a minimally invasive procedure that is usually done arthroscopically. The doctor first cleans the damaged cartilage area, and then uses a special microfracture cone to drill vertically in the subchondral bone plate, forming multiple tiny holes, allowing mesenchymal stem cells and growth factors in the bone marrow to overflow, forming a blood clot rich in repair components, and finally stimulating fibrocartilage regeneration to fill the defect area.
Study summary
The goal of this clinical trial is to test whether adding a collagen protein scaffold can improve cartilage repair of talus injury, compared to standard surgery alone. The study will enroll 40 patients (aged 18-55) with talus cartilage damage who haven't responded to conservative treatments.
The main questions it aims to answer are:
* Does the collagen scaffold help regenerate better-quality cartilage (measured by MRI scans at 3/6 months and 1/2 years)?
* Do patients experience better pain relief and ankle function after this combined treatment?
Researchers will compare two groups:
* Experimental group: Receives microfracture surgery + collagen scaffold implant
* Active Comparator group: Receives microfracture surgery alone
Participants will:
* Undergo arthroscopic surgery (either procedure)
* Complete follow-up visits at 1 week, 1 month, 3 months, 6 months, 1 year and 2 years
* Have MRI scans and functional assessments
* Report pain levels and daily activity limitations through questionnaires
Eligibility
Primary outcome measure(s)
- MOCART score — Preoperatively, 3rd and 6th months and 1st and 2nd postoperatively
The MOCART (Magnetic Resonance Observation of Cartilage Repair Tissue) scoring system includes multiple dimensions such as the morphology of the repaired tissue, the thickness of the repaired cartilage, the signal intensity of the repaired tissue, the integration of the repaired cartilage with normal cartilage, the bone quality under the repaired cartilage, the accumulation or inflammation of the joint cavity, and the coverage of cartilage defects. Morphology and its integration with the surrounding normal cartilage.
Trial sites (1)
| Facility | City | Region | Status |
|---|---|---|---|
| Beijing Jishuitan Hospital, Capital Medical University | Beijing | Beijing Municipality |
More Beijing Jishuitan Hospital trials in China
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
View NCT07917806 on ClinicalTrials.gov ↗ ← All trials in China