Active, not recruiting
Phase 3
A Study to Determine the Safety and Efficacy of TG-C in Subjects With Kellgren and Lawrence Grade 2 or 3 OA of the Knee
Condition(s) studied
Degenerative Osteoarthritis
Investigational drug(s) / intervention(s)
TG-CPlacebo Control
TG-C: 2 mL injection of non-transduced human chondrocytes and irradiated transduced human GP2-293 cells expressing TGF-B1.
Placebo Control: 2 mL normal saline injection
Study summary
A randomized, double-blind, placebo-controlled, multi-center, phase 3 study to determine the safety and efficacy of TG-C in subjects with Kellgren and Lawrence Grade 2 or 3 Osteoarthritis of the Knee, Osteoarthritis Research Society International (OARSI) medial joint space narrowing (JSN) Grade 1 or 2 of the knee joint. TG-C is to be administered by a single intra-articular injection to the damaged joint area via ultrasound guidance. Patients will be followed for 24 months for safety and efficacy.
Eligibility
Inclusion Criteria:
* Aged 40 or older
* BMI between 18.5 and 40
* KL Grade 2 or 3 knee OA
* OARSI Grade 1 or 2 medial JSN
* Pain \>= 40 on VAS scale
* Written informed consent
* Using birth control
Exclusion Criteria:
* Knee symptoms that result in difficulty or inability to walk
* Knee effusion \>2+
* Has Grade 3 OARSI JSN
* Has a score of 0 or \>=5 on the cartilage feature of the WORMS at Screening
* MRI exam indicates fracture or tumor
* Has a positive result on RCR testing at Screening
* Has taken NSAIDS with 14 days of baseline
* Has taken steroidal anti-inflammatory medication within 2 months of baseline
* Chronic (\>21 days) narcotic use
* Recent history (within 1 year) of drug or alcohol abuse
* Pregnant or lactating
* Has received injection to target knee within 2 months prior to study entry
* History of various disorders of the knee including but not limited to rheumatoid arthritis, psoriatic arthritis, autoimmune disorder, chondrocalcinosis, gout, hemochromatosis, villonodular synovitis, or synovial chondromatosis
* Severe hip osteoarthritis ipsilateral to the target knee
* Ongoing infectious disease including but not limited to HIV, HTLV-1, VSV-G, HBV, or HCV.
* Clinically significant congestive heart failure, hepatic disease, kidney disease, adrenal insufficiency, acromegaly, uncontrolled hyper- or hypothyroidism, or non-specified uncontrolled endocrine disorder.
* Uncontrolled diabetes based on a HbA1c \> 8% at screening.
* Documented active malignancy within the last 5 years except for basal cell carcinoma, squamous cell carcinoma, and benign pigmented nevi.
Primary outcome measure(s)
- Change in Knee Function as Assessed by the Western Ontario and McMaster Universities Index (WOMAC) — 12 months
Assessment of change from baseline in target knee function using the WOMAC Osteoarthritis Index. The WOMAC is a proprietary set of standardized questionnaires used by health professionals to evaluate the condition of patients with osteoarthritis of the knee including pain, stiffness, and physical functioning of the joints. The response to the questions is in the form of a checked box associated with the response; None, Mild, Moderate, Severe and Extreme.
- Change in Knee Pain as Assessed by VAS — 12 months
Assessment of change from baseline in target knee pain using the Visual Analog Scale (VAS). The VAS is a method for the assessment of the intensity of pain. The VAS is a horizontal line, 100 mm in length and anchored by word descriptors at each end (no pain, very severe pain). The patient marks on the line at the point that represents their current state. The VAS score is determined by measuring in millimeters from the left hand end to the point of the mark. The score ranges from "0" or no pain to "100" very severe pain.
Trial sites (44)
| Facility | City | Region | Status |
| Jeffrey Davis |
Birmingham |
Alabama |
|
| Bradly Goodman |
Birmingham |
Alabama |
|
| Saima Chohan |
Phoenix |
Arizona |
|
| Nebojsa Skrepnik |
Tucson |
Arizona |
|
| Diraj Karnani |
Apple Valley |
California |
|
| Dan La |
Covina |
California |
|
| Scott Hacker |
La Mesa |
California |
|
| Eric Grigsby |
Napa |
California |
|
| Arthur Mabaquiao |
San Diego |
California |
|
| Timothy Davis |
Santa Monica |
California |
|
| Tien-I Su |
Whittier |
California |
|
| Mehul Desai |
Washington D.C. |
District of Columbia |
|
| David Billmeier |
Daytona Beach |
Florida |
|
| Mercedes Ponce De Leon |
Miami |
Florida |
|
| Aurelio Torres-Consuegra |
Miami |
Florida |
|
| Edgar Gonzalez |
Miami |
Florida |
|
| Cathy Barnes |
New Port Richey |
Florida |
|
| Howard Chipman |
Oldsmar |
Florida |
|
| Richard Linn |
Sunrise |
Florida |
|
| Anand Patel |
Winter Park |
Florida |
|
| Sandeep Vaid |
Newnan |
Georgia |
|
| Dennis Levinson |
Chicago |
Illinois |
|
| Manish Jain |
Chicago |
Illinois |
|
| Hythem Shadid |
Oak Brook |
Illinois |
|
| Adil Fatakia |
Marrero |
Louisiana |
|
| James Nace |
Baltimore |
Maryland |
|
| Melvin Churchill |
Lincoln |
Nebraska |
|
| Jason Oh |
New York |
New York |
|
| Brett Gilbert |
Durham |
North Carolina |
|
| Jeremy Hoff |
Wilmington |
North Carolina |
|
| Yogesh Mittal |
Tulsa |
Oklahoma |
|
| Alan Kivitz |
Duncansville |
Pennsylvania |
|
| Edward Tavel |
Columbia |
South Carolina |
|
| Eric Loudermilk |
Greenville |
South Carolina |
|
| Harvey Bowles |
Nashville |
Tennessee |
|
| Daneshvari Solanki |
Bellaire |
Texas |
|
| Amr Morsy |
Dallas |
Texas |
|
| Haresh Boghara |
DeSoto |
Texas |
|
| Aldo Maspons |
El Paso |
Texas |
|
| Subodh Bhuchar |
Houston |
Texas |
|
+ 4 more sites — see the full list on the official registry below.