Study to Evaluate the Safety and Performance of Treatment of Articular Cartilage Lesions Located on the Femoral Condyle With gelrinC
Study to Evaluate the Safety and Performance of Treatment of Articular Cartilage Lesions Located on the Femoral Condyle With gelrinC
This is a single arm, open label multi-center study to determine safety and the performance
 of the treatment of cartilage lesions located on the femoral condyle with GelrinC.

 Patients meeting inclusion/exclusion criteria at screening will be enrolled into the study,
 and will receive treatment implantation into their cartilage lesions.

 Treatment will consist of GelrinC implantations at the symptomatic lesion of femur rated as
 ICRS III, or IVA with less than 6 mm of bone loss below the subchondral plate.

 The patients will undergo a rehabilitation program during the follow up period.
Inclusion Criteria:

 1. Males or females 18 and 65 years of age.

 2. Not more than two treatable symptomatic lesions which are NOT posterior; patient must
 present with pain in the index knee of moderate or severe level (VAS score ≥5)

 3. If Female: Actively practicing a contraception method, or Practicing abstinence, or
 Surgically sterilized, or Postmenopausal

 4. Understands and voluntarily signs and dates an informed consent document.

 5. Grade 3 or 4 acute (traumatic) or chronic (degenerative) lesion

 6. Willingness to follow standardized rehabilitation procedures.

 7. Willingness and ability to comply with the requirements of this protocol, including
 returning for evaluation (clinical and imaging) at periodic intervals post-treatment.

 8. Study knee has intact ligaments

 9. Ipsilateral knee compartment has intact menisci (or requires partial meniscectomy
 resulting in stable menisci)

 10. Contralateral knee is asymptomatic, stable and fully functional.

 11. MRI obtained preoperatively within 3 months of Surgery

 Intraoperative Arthroscopic Confirmation:

 12. one or two symptomatic lesions of the femur rated as ICRS III, or IVA with less than 6
 mm of bone loss below the subchondral plate

 13. Individual defect size between 1 cm2 - 6 cm2 after arthroscopic debridement

 Exclusion Criteria:

 1. More than two symptomatic lesions

 2. Untreatable Posterior lesions

 3. Lesion greater than 6cm2

 4. ICRS Grade larger than grade II on a surface that directly opposes the defect

 5. Osteoarthritis or avascular necrosis (clinical and/or radiographic diagnosis)

 6. History of autoimmune disease or inflammatory arthropathy, such as rheumatoid
 arthritis, systemic lupus, active gout, septic or reactive arthritis including any
 history of a positive ANA blood test.

 7. History of chronic debilitating systemic disease and any other unstable cardiac and
 pulmonary disorders.

 8. History of current or prior malignancy within the last 5 years.

 9. Patients treated in the affected knee with microfracture in the last 12m months or had
 prior tendon repair, meniscus repair, ligament repair or realignment surgery in the
 last 6 months.

 10. Patient with prior total or subtotal meniscectomy.

 11. Body Mass Index (BMI) >32 Kg/m2

 12. 'Patients with known HIV, Hepatitis A, B, or C infections or other immunodeficient
 state.

 13. Patients requiring immunosuppressive medications.

 14. Clinically significant organic disease including clinically significant
 cardiovascular, pulmonary, neurologic, hepatic or renal disease or other medical
 condition, serious concurrent illness or extenuating circumstance that, in the opinion
 of the investigator, make the subject a poor candidate for participation in the study.

 15. Patients received any other investigational products within 6 months prior to study
 enrollment.

 17.Taking specific OA drugs such as chondroitin sulfate, diacerein, n-glucosamine,
 piascledine, capsaicin within 2 weeks of the screening 18.Is receiving prescription pain
 medication other than NSAIDs or acetaminophen for conditions unrelated to the index knee
 condition, chronic use of anticoagulant, or taking corticosteroids 19.Uncontrolled diabetes
 20.Any concomitant painful or disabling disease of the spine, hips or lower limbs that
 would interfere with evaluation of the afflicted knee 21.Any clinically significant or
 symptomatic vascular or neurologic disorder of the lower extremities 22.Any evidence of the
 following diseases in the target joint : septic arthritis, inflammatory joint disease,
 gout, recurrent episodes of pseudogout, Paget's disease of bone, ochronosis, acromegaly,
 hemochromatosis, Wilson's disease, primary osteochondromatosis, heritable disorders,
 collagen gene mutation 23.Current diagnosis of osteomyelitis 24.Liver enzymes (SGOT, SGPT,
 Alkaline Phosphatase) of more than two times the upper limit of normal or any other result
 that is clinically important according to the Investigator 25.CRP > 10 mg/l 26.Clinically
 significant abnormal finding on screening laboratory parameters. 27.Clinically relevant
 compartment malalignment (> 5 degrees) as measured from the mechanical axis verified by
 clinical assessment or radiographic imaging when required 28.Patients with a history of
 bleeding disorders, patients receiving anti-platelet therapy or other anticoagulant
 medication use within 10 days prior to the beginning of the study, or patients in whom
 antiplatelet or other anticoagulant medication use is anticipated during the course of the
 study. However, patients on low-dose aspirin may be included in the study if aspirin
 therapy is interrupted at least 10 days before the treatment and not resumed until at least
 2 weeks after the treatment.