AMIC Compared With Microfracture for Focal Articular Cartilage Damage of the Hip

Trial statusRecruiting
Trial phasePhase 1
Trial typeInterventional
Biological sexAll
Age18-55
SponsorMcMaster University

About this trial

This is a pilot multi-centre RCT of 40 patients (ages 18-55 years, inclusive) undergoing primary hip arthroscopy with a focal articular cartilage defect of the acetabulum to compare the effect of using autologous matrix-induced chondrogenesis (AMIC) in comparison to microfracture on hip function, health-related quality of life, hip pain, cartilage regeneration, health utility, and any adverse events at 2 years. Follow-up will occur at 6 weeks, 6 months, 12 months, 18 months, and 24 months post-surgery.

Eligibility criteria

Qualifiers

All patients aged 18-55 years

Hip pain lasting 6 months or more with no relief from documented non-operative modalities

Focal articular cartilage defects of the acetabulum on MRI, confirmed to be full thickness (International Cartilage Regeneration and Joint Preservation Society (ICRS) grade 3 or 4) during arthroscopic examination

Focal acetabular articular cartilage lesions measuring between 3 cm2 and 25 cm2 on MRI and confirmed on arthroscopic examination

Disqualifiers

Cartilage defects of the femoral head

Previous surgery on the study hip

Traumatic chondral injury of the hip from a single event

Presence of advanced osteoarthritis (Tonnis grade 3) or any other acute or chronic inflammatory joint disease

Trial design

Treatments tested in this trial

  • Autologous matrix-induced chondrogenesis (AMIC)

Treatment groups

40 Participants
are divided into 2 treatment groups

Sponsors and collaborators

McMaster University

Lead sponsor

Geistlich Pharma AG

Collaborator