Title

A Phase I/III Clinical Study of TPX-114 for the Treatment of Full-Thickness Rotator Cuff Tear
A Multi-center, Randomized, Independent Evaluator-Subject Blinded, Placebo-Controlled, Phase I/III Clinical Study to Evaluate Safety and Efficacy of TPX-114 for the Treatment of Full-Thickness Rotator Cuff Tear
  • Phase

    Phase 3
  • Study Type

    Interventional
  • Status

    Active, not recruiting
  • Intervention/Treatment

    TPX-114 ...
  • Study Participants

    93
Rotator cuff tear is one of the most common shoulder diseases and retears occur frequently after arthroscopic repair. Therefore, there is a growing need of new therapy to improve structural outcome. This study evaluates the efficacy and safety of autologous fibroblasts during arthroscopic repair. The primary outcome is the retear rate at 24 weeks after administration of autologous fibroblasts (TPX-114) during arthroscopic repair. Secondary outcomes are functional evaluations including Range of Motion (ROM), Constant Score (CS), American Shoulder and Elbow Surgeons (ASES) score and Simple Shoulder Test (SST) at 24 and 52 weeks after administration.
Study Started
Jul 09
2018
Primary Completion
Sep 30
2021
Anticipated
Study Completion
Mar 31
2022
Anticipated
Last Update
Jul 28
2021

Biological TPX-114

Subjects will be treated with autologous fibroblasts (TPX-114) during arthroscopic surgery.

Procedure Arthroscopic surgery

Subjects undergo conventional arthroscopic surgery for rotator cuff repair.

TPX-114 Experimental

Subjects undergo arthroscopic rotator cuff repair with TPX-114.

Placebo Placebo Comparator

Subjects undergo arthroscopic surgery for rotator cuff repair without TPX-114.

Criteria

Inclusion Criteria:

Participants must;

Be 19 years of age or older.
Require arthroscopic repair for full-thickness rotator cuff tear(>2cm, ≤5cm) assessed by MRI without improvement of symptoms despite more than 3 months of conservative management.
Consent to undergo skin biopsy to manufacture test product.
Understand fully the study and voluntarily sign the informed consent for participation in the study.

Exclusion Criteria:

Participants with any of the following conditions will be excluded unless stated otherwise;

Unsuitable for skin biopsy.
Have additional subscapularis tear.

Have prior medical history of the following at the time of screening.

Operation of the affected shoulder
Allergies to bovine proteins
Anaphylaxis to gentamicin
Coagulopathy
Genetic disorders affecting fibroblasts or collagen (ex. achondroplasia, osteogenesis imperfecta)
Malignant tumors within the last 5 years

Have been diagnosed with any of the following diseases at the time of screening.

Autoimmune disease (including RA)
HIV Ab-positive
Acute trauma, chronic shoulder dislocation, pyogenic infection on the affected shoulder
Scapulohumeral osteoarthritis
Be pregnant, breastfeeding, planning pregnancy or unwilling to use of contraceptives suggested in this study.
Other surgical or nonsurgical procedures on the affected shoulder to be judged more appropriate than arthroscopic repair.
Have participated in and received investigational agents in other clinical trials within 4 weeks of this study.
Be deemed inadequate for the study by investigators.
No Results Posted