ASKEL Cartilage Implant Pilot Clinical Trial
Cartilage or Osteochondral Defects in the Knee
What this study involves
The registry does not currently label this study as recruiting. Ask about its status before planning a screening visit.
- Study type
- Interventional
- Phase
- Not applicable
- Age range
- 18 years - 50 years
- Sex eligible
- All sexes
- Healthy volunteers
- Not accepted
- Participants
- 20 Actual
These are starting points, not an eligibility decision. The research team must review the full requirements.
About the research
This is a first-in-human clinical, open label, non-randomized, prospective investigation to assess the initial safety and performance of the ASKEL Cartilage Implant. In the investigation, the patients will receive ASKEL device during normal clinical practice for cartilage repair surgery with bone marrow stimulation.
Read the full description
Included subjects will be symptomatic patients between the ages 18 and 50 years with a single contained chondral or osteochondral defect located on the femoral condyle and graded as III or IV according to the International Cartilage Repair Society (ICRS) grading system. Subjects with known health related risks or certain recent surgical or medical interventions will be excluded.
The primary objective of the investigation is to confirm that ASKEL device is safe for humans. The secondary objectives relate to the performance of the device after it is placed into the knee joint during surgery. Focus points of secondary objectives will be facilitation of mobility and non-restricted weight-bearing of the operated leg as well as the identification of repair tissue growth at the lesion site.
Post-operative follow-up is planned for 24 months after surgery. Subject will come for scheduled visits at 6-week, 3-month, 6-month, 12-month, and 24-month timepoints. Extension part will continue the investigation with additional follow-up visit at 36-month and 60-month post operation.
Who may be able to participate?
The list below is the sponsor’s full registry wording. It can include conditions, prior treatment, test results and other requirements. A match in search does not mean you qualify.
Inclusion Criteria:
1. Single contained symptomatic chondral or osteochondral defect located on the femoral condyle graded as ICRS III or IV observed in the preoperative MRI;
2. Minimum defect size 1 cm2 post-debridement;
3. Aged between 18 and 50 at the time of enrollment;
4. Osteoarthritis of the index knee graded 0 or I according to the Kellgren-Lawrence Grading in posterior-anterior knee radiography with full weight bearing;
5. Subject is able and willing to give informed consent; AND
6. Subject is physically and mentally willing and able to comply with the post-operative rehabilitation protocol, questionnaires, and scheduled clinical and radiographic visits
Exclusion Criteria:
1. Defect size over 4 cm2 according to arthroscopy during operation;
2. Subchondral defect depth over 4 mm according to pre-operative MRI;
3. Osteoarthritis of the index knee grades II or above according to the Kellgren-Lawrence Grading;
4. History of allergic reaction or intolerance of materials containing polylactide and/or bovine collagen;
5. Presence of an additional articular cartilage lesions in the femur, tibia or the patella, ICRS grades III or above observed in the preoperative MRI or during the final intraoperative arthroscopic evaluation;
6. Any known systemic cartilage and/or bone disorder, such as but not limited to, osteochondrosis, osteoporosis, chondrodysplasia or osteogenesis imperfecta;
7. Any previous surgical treatment in the index knee in the past 12 months;
8. Any previous intra-articular injections in the index knee in the past 3 months;
9. Systemic corticosteroid therapy in the past 1 month;
10. Presence of an untreated clinically significant meniscal tear;
11. Lack of functional remaining meniscus, at least 5mm rim at the end of the procedure;
12. Prior meniscal resection \> 50%;
13. Untreated Anterior cruciate ligament (ACL) and/or Posterior cruciate ligament (PCL) deficiency: collateral and rotational;
14. Anteroposterior and/or varus/valgus instability on clinical testing;
15. Asymmetrical collateral stability in full extension and 20-degree flexion on clinical testing;
16. Need for any concomitant surgical intervention with the cartilage repair;
17. Inflammatory joint disease of the index or contralateral knee;
18. Any known history of inflammatory arthropathy or crystal-deposition arthropathy;
19. Active acute or chronic intra-articular or osseous infection of the index knee;
20. Any evidence of active infection anywhere in the body;
21. Inflammatory joint disease;
22. Body Mass Index (BMI) ≥ 30;
23. History of any significant systemic disease, such as but not limited to: human immunodeficiency virus (HIV), hepatitis, human T-lymphotropic virus (HTLV), syphilis, and coagulopathies;
24. Use of anticoagulation medication or antiaggregant medication; however up to 100 mg Acetylsalicylic acid (ASA) daily is allowed;
25. Chemotherapy in the past 12 months;
26. Any known tumor of the index knee;
27. Subject known to be pregnant or lactating;
28. Participation in other clinical trials within 60 days prior to this trial or concurrent with this trial;
29. Prisoners;
30. Known substance or alcohol abuse; OR
31. Current nicotine users
Treatment, groups and participation
The registry may describe treatments and study duration without a complete visit calendar. Ask the study team for the exact schedule, procedures, risks, costs and alternatives. Keep your usual care plan unless your treating clinician tells you otherwise.
- Assignment
- Not applicable
- Masking
- No masking
ASKEL Cartilage Implant
The potential subjects will be screened against inclusion and exclusion criteria. If deemed eligible, they will be consented and enrolled. The enrolled subjects will receive ASKEL device during normal clinical practice for cartilage repair surgery with bone marrow stimulation.
Device: ASKEL Cartilage Implant
ASKEL Cartilage Implant DEVICE
In the investigation, the subjects will receive ASKEL device during normal clinical practice for cartilage repair surgery of the knee with bone marrow stimulation.
What researchers are measuring
Outcome measures describe what is being studied. They are not proof that a treatment works.
Primary measures
Number of Serious Adverse Events (SAE)
Time frame: From pre-operative baseline up to 24-month follow-up visit
Safety - Measured by number of SAE and evaluated over the course of the clinical investigation
Secondary measures
Defect filling
Time frame: From pre-operative baseline up to 24-month follow-up visit
Measured by the change in repair tissue quality evaluated according to Magnetic Resonance Imaging (MRI) Magnetic Resonance Observation of Cartilage Repair Tissue (MOCART 2.0)
Change in pain score
Time frame: From pre-operative baseline up to 24-month follow-up visit
Measured by the change in pain score according to the Knee Injury and Osteoarthritis Outcome Score (KOOS) pain subscale (scale from never to always).
Functional outcome
Time frame: From pre-operative baseline up to 24-month follow-up visit
Measured by the change in joint function scores according to the KOOS joint function subscales (degree of difficulty, scale from none to extreme).
Change in Quality of life
Time frame: From pre-operative baseline up to 24-month follow-up visit
Measured by the change to 12-Item Short Form Survey (SF-12) Health Survey (scale from excellent to poor).
Review the complete result tables and limitations in the official record.
Open official results ↗Research locations (6)
The overall study status and a local site’s status can differ. Confirm that location’s availability before traveling.
6 locations
Tartu University HospitalTartu, EstoniaStatus unknown
MehiläinenHelsinki, FinlandStatus unknown
TerveystaloHelsinki, FinlandStatus unknown
Central Finland Health Care DistrictJyväskylä, FinlandStatus unknown
TerveystaloJyväskylä, FinlandStatus unknown
Sahlgrenska University hospitalGothenburg, Mölndal, SwedenStatus unknown
Study team and timeline
- Lead sponsor
- Askel Healthcare Ltd
- Study start
- Dec 23, 2022 Actual
- Primary completion
- May 5, 2026 Actual
- Study completion
- 2029-12 Estimated
- First posted
- Jan 17, 2023 Actual
- Last updated
- Nov 10, 2026 Actual
Official study contacts
No central contact is listed. Check the locations and the official record.
Official study title
Pilot Clinical Trial to Evaluate the Preliminary Safety and Performance of ASKEL Cartilage Implant for Treatment of Cartilage Defects
Ask Wellness Clinical Research
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Source: ClinicalTrials.gov API v2. Information is submitted by sponsors and investigators. NLM does not approve the safety or science of all listed studies. Registry disclaimer.
Retrieved: Nov 11, 2026 · Last registry update: Nov 10, 2026
