RecruitingPhase 3NCT03588975

A Study of MACI in Patients Aged 10 to 17 Years With Symptomatic Chondral or Osteochondral Defects of the Knee

A Prospective, Open-label, Randomized, Concurrent Active-controlled, Longitudinal, Multicenter, Phase 3 Clinical Study of the Safety and Efficacy of MACI in Patients Aged 10 to 17 Years With Symptomatic Chondral or Osteochondral Defects of the Knee


Sponsor

Vericel Corporation

Enrollment

45 participants

Start Date

Oct 24, 2018

Study Type

INTERVENTIONAL

Conditions

Summary

The objective of this study is to compare the efficacy and safety of MACI® vs arthroscopic microfracture in the treatment of patients aged 10 to 17 years with symptomatic articular chondral or osteochondral defects of the knee.


Eligibility

Min Age: 10 YearsMax Age: 17 Years

Inclusion Criteria5

  • Symptomatic cartilage or osteochondral defects
  • One or more International Cartilage Repair Society (ICRS) Grade III or IV chondral or unsalvageable osteochondral defects located on the femoral condyles and/or trochlea amenable to treatment with the surgical procedure determined at randomization (MACI or microfracture).
  • At least 1 defect size ≥1.5 cm2 on the femoral condyles and/or the trochlea; defects include OCD lesions with a bone lesion depth of ≤6 mm and does not require a bone graft.
  • Stable target knee (i.e., anterior and posterior cruciate ligaments should be free of laxity as well as stable and intact). Ligament repair or reconstruction procedures are allowed prior to screening arthroscopy.
  • Intact meniscus or partial meniscus (at least 50% of functional meniscus remaining) in the target knee.

Exclusion Criteria6

  • Any surgery on the target knee joint within 6 months prior to Screening (not including diagnostic arthroscopy)
  • ICRS Grade III or IV chondral or unsalvageable osteochondral defects located on the patella or tibia or any lesion that is bipolar to the index lesion
  • Concomitant inflammatory disease or other conditions that affects the joints (eg, rheumatoid arthritis, metabolic bone disease, psoriasis, symptomatic chondrocalcinosis)
  • Known history of septic arthritis in the index knee joint
  • Known history of hypersensitivity to gentamicin, other aminoglycosides, or products of porcine or bovine origin
  • Females who are pregnant or lactating

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Interventions

BIOLOGICALMACI

autologous cultured chondrocytes on porcine collagen membrane

PROCEDUREmicrofracture

Arthroscopic microfracture treatment


Locations(12)

Stanford University

Palo Alto, California, United States

Shriner's Hospital for Children Northern California

Sacramento, California, United States

University of California Davis Health

Sacramento, California, United States

Ochsner Sports Medicine Institute

New Orleans, Louisiana, United States

Johns Hopkins Outpatient Center

Baltimore, Maryland, United States

University of Michigan

Ann Arbor, Michigan, United States

Akron Children's Hospital

Akron, Ohio, United States

The Ohio State University Jameson Crane Sports Medicine Institute

Columbus, Ohio, United States

Children's Hospital of Philadelphia

Philadelphia, Pennsylvania, United States

Penn Sports Medicine Center

Philadelphia, Pennsylvania, United States

Texas Children's Hospital

Houston, Texas, United States

Medical College of Wisconsin

Milwaukee, Wisconsin, United States

View Full Details on ClinicalTrials.gov

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NCT03588975


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