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A Phase III Study Evaluating the Efficacy and Safety of CLS2901C in Patients with Osteoarthritis of the Knee

A Phase III Study of CLS2901C in Patients with Osteoarthritis of the Knee

Sato Chikako

CellSeed Inc.

Telecom Center-Bldg. East, 15F, 2-5-10, Aomi, Koto-ku, Tokyo 135-0064 JAPAN

cs.clinicaldevelopment@cellseed.com

CellSeed Inc. Cell Sheet Clinical Development Department

CellSeed Inc.

Telecom Center-Bldg. East, 15F, 2-5-10, Aomi, Koto-ku, Tokyo 135-0064 JAPAN

+81-3-6380-7490

cs.clinicaldevelopment@cellseed.com

Recruiting

Feb. 01, 2024

Interventional

randomized controlled trial

single blind

no treatment control/standard of care control

parallel assignment

treatment purpose

1) Male or female aged 20 to 79 years at informed consent. 2) Diagnosis of OAK classified as Kellgren-Lawrence (K-L) Grade 2 to 4 based on plain lower extremity X-ray. 3) OAK eligible for proximal tibial osteotomy based on the following criteria: Range of motion (ROM): >=120 degree flexion, <=5 degree extension 4) Preoperative cartilage defect of the femoral condyle/trochlear groove or medial tibial condyle with an area of >=4 cm2 per defect site. 5) Total defect area of <=21 cm2 in individuals with multiple cartilage defects. 6) Body mass index (BMI) <30. 7) No coexisting ligament injury requiring surgery, and no meniscal injury requiring suturing or surgical repair other than partial resection, in the target knee. 8) No history of ligament reconstruction, meniscal suturing, total meniscectomy or bone marrow stimulation, and no history of treatment with regenerative medicine products (including investigational products), cell processing products or gene therapy, in the target knee. 9) No history of treatment with hyaluronic acid products and/or opioid for severe pain in the target knee within 1 month prior to informed consent. 10) No history of treatment with corticosteroid products and/or immunosuppressive drug in the target knee within 3 months prior to informed consent. 11) No history of platelet-rich plasma (PRP) therapy within 6 months prior to informed consent. 12) Non-smoker; provided, however, that smokers will be eligible for study entry if they consent to abstain from smoking from 3 months prior to proximal tibial osteotomy or proximal tibial osteotomy+RMSC until postoperative bone healing. 13) Written informed consent to participate in the study on a voluntary basis.

1) Requires surgical treatment of the non-target knee during the study period. 2) Any coexisting illness that would interfere with surgery under general anesthesia or that would affect knee surgery. 3) Systemic inflammatory disease such as rheumatoid arthritis. 4) Active infectious disease such as bacterial, fungal or viral infection. 5) Positive serology assay result (HBs antigen, HBc antibody/HBs antibody, HCV antibody, HIV-1/2 antibody, HTLV-1 antibody, Treponema pallidum antibody) or positive nucleic acid amplification assay result (HBV-DNA, HCV-RNA, HIV-RNA). However, patients who return a positive assay result for HBs antibody and negative assay result for HBV-DNA due to inoculation with hepatitis B vaccine will still be eligible for study entry. 6) Serious disease such as liver disorder, renal disorder, heart disease, lung disease, blood disease or metabolic disease that would make the patient unsuitable for study entry in the opinion of the investigator. 7) Diagnosed or suspected malignant tumor or history of malignant tumor within the past 5 years. 8) Uncontrolled psychiatric disorder. 9) Poorly-controlled diabetes (HbA1c: >7.0%). 10) Previous history of septic arthritis of the target knee. 11) Women who are pregnant or breastfeeding, or women of childbearing potential. Women of childbearing potential must agree to use the following contraceptive methods (i.e., contraceptives and medical devices that are approved/certified in Japan) or to abstain completely from sexual intercourse from the time of informed consent and for the study duration (excluding the follow-up period) in order to be eligible for study entry. (a) Primary contraceptive methods: Oral contraceptives, intrauterine devices (IUDs) including progesterone-releasing systems. (b) Adjunctive contraceptive methods: Condoms Use of a primary contraceptive method is mandatory, whereas use of the adjunctive contraceptive method must be in conjunction with a primary contraceptive method. Given that oral contraceptive doses can be missed and that their effects may be diminished when used concomitantly with other medications or dietary health supplements, subjects should consider changing their primary contraceptive method. 12) Participated in another clinical study within the past 6 months, currently participating in another clinical study, or planning to participate in another clinical study while also participating in the present study. 13) Known history of hypersensitivity to antibiotics (benzylpenicillin potassium, streptomycin sulfate, amphotericin B). 14) Known history of hypersensitivity to bovine-derived materials. 15) Any other reason the investigator deems the subject unsuitable for study entry.

Both

Osteoarthritis of the Knee

Transplantation of the number of chondrocyte sheets that will cover an area 3 times the total area of the cartilage defect(s) (maximum of 15 sheets)

D020370

Absolute change from baseline KOOS4 score at postoperative Week 52

Efficacy Endpoints
1. Absolute change from preoperative KOOS5 score and each KOOS subscore at postoperative Week 52
2. Lysholm Knee Score (LKS)
3. Lower extremity X-ray (Kallegren-Lawrence [K-L] grade, percentage of mechanical axis [%MA])
4. Arthroscopy (International Cartilage Repair Society [ICRS] classification; test is optional after sheet transplantation)
5. Magnetic Resonance Observation of Cartilage Repair Tissue 2.0 (MOCART 2.0) score at postoperative Week 52
6. Optional: Pathology (Osteoarthritis Research Society International [OARSI] histopathology score, Mankin score, ICRS II overall assessment score, gene expression analysis)

Safety Endpoint
Incidence proportion of adverse events (AEs) and defects

+81-42-648-5551

Nov. 17, 2023

No

none