Overview

Efficacy of Amniotic Suspension Allograft in Patients With Osteoarthritis of the Knee

Status:
Recruiting
Trial end date:
2023-12-01
Target enrollment:
0
Participant gender:
All
Summary
This study is being conducted to evaluate the efficacy and safety of ASA compared to placebo in the management of osteoarthritis (OA) symptoms of the knee.
Phase:
Phase 3
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
Organogenesis
Collaborator:
Premier Research International LLC
Criteria
Inclusion Criteria:

1. Males or females 18 years of age or older

2. Diagnosis of OA of the knee by a combination of clinical and radiographic findings

3. OA of the knee with Kellgren and Lawrence radiographic classification (Grade 2-4
inclusive) confirmed by posterior-anterior, weight-bearing, fixed flexion radiography
with 10° caudal beam angulation. A specially designed positioning frame will be used
to standardize the positioning for image acquisition.

4. Patients who have failed to adequately respond for at least 6 months to at least 2 OA
therapies that include conservative, non-pharmacological therapy and simple analgesics
(e.g., acetaminophen); nonsteroidal anti-inflammatory drugs (NSAIDS); avoidance of
activities that cause joint pain; exercise; weight loss; physical therapy; and removal
of excess fluid from the knee

5. Overall pain score over the previous 7 days of 11 or more on the WOMAC Pain scale.

6. Body mass index (BMI) < 40 kg/m²

7. If female, must be postmenopausal (for at least 2 years), surgically sterilized
(bilateral tubal ligation, bilateral oophorectomy, or hysterectomy), sexually
abstinent, or willing and able to use 2 methods of contraception from Day 1 through 12
months after treatment

8. Males who are not surgically sterile (vasectomy) for at least 6 months prior to
screening must confirm their willingness to use adequate methods of contraception from
Day 1 through 12 months after treatment

9. Willing to agree not to use illicit drugs during the study, and to have illicit drug
testing at screening and at later time points, if illicit drug use is suspected during
the study

10. Able to comply with study requirements and complete the full sequence of
protocol-related procedures and evaluations, including post-hospitalization,
out-patient, and follow-up visits

11. Able to understand and provide written informed consent

Exclusion Criteria:

1. Use of pain medication (including NSAIDs and cannabidiol [CBD] oil) less than 15 days
before treatment (acetaminophen allowed)

2. Regular use of anticoagulants

3. Symptoms of locking, intermittent block to range of motion, or loose body sensation
that could indicate meniscal displacement or an IA loose body

4. Corticosteroid injection into the index knee within 3 months prior to screening

5. Viscosupplement (e.g., hyaluronic acid [HA]) injection, platelet-rich plasma
injection, bone marrow aspirate (BMA) or bone marrow aspiration concentrate (BMAC),
placental-derived tissue/cells, adipose tissue, or any other autologous or allogeneic
product into the index knee within 6 months prior to screening

6. Patients with known hypersensitivity reactions to ASA or any of its constituents
(e.g., HA, dimethyl sulfoxide [DMSO])

7. Knee surgery on the index knee within 12 months prior to screening and/or planned knee
surgery during the study

8. Knee surgery on the contralateral knee within 6 months prior to screening and/or
planned knee surgery during the study

9. Acute index knee trauma within 3 months prior to screening

10. Knee effusion requiring aspiration of the index or contralateral knee within 3 months
prior to screening

11. Contralateral knee pain ≥ 4 on the WOMAC Pain scale on most days during the past week.

12. Current therapy with any immunosuppressive therapy, including corticosteroids (> 5
mg/day of prednisone)

13. Clinically significant findings on the screening laboratory tests or physical
examination that are not specific to OA of the knee and may interfere with study
conduct or interpretation of data or increase patient risk

14. Clinically significant intercurrent illness, medical condition, non-knee pain, or
medical history (including neurological or mental illness, human immunodeficiency
virus, fibromyalgia, complex regional pain syndrome, or any active infection,
including hepatitis B or C) that could jeopardize the patient safety, limit
participation, or compromise interpretation of data derived from the patient

15. Active alcohol or substance use disorder, or any other reason that would make it
unlikely for the patient to comply with study procedures

16. Females who are pregnant (positive pregnancy test at screening or prior to treatment)
or lactating

17. Participation in another clinical trial within the 30 days (or 5 half-lives of the
investigational compound, whichever is longer) before screening