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Osteoarthritis, Knee clinical trials

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NCT ID: NCT03308006 Completed - Knee Osteoarthritis Clinical Trials

Knee Osteoarthritis Treatment With Adipose-derived Stem Cells: Phase II Clinical Trial

Start date: January 1, 2018
Phase: Phase 2
Study type: Interventional

In 1990, the prevalence of osteoarthritis of the hip or knee was very low 3.5% in Saudi Arabia, it increased to 53.3% and 60.9% in male in female patients respectively in 2002. The existing management of OA is conservative and pharmacological management aiming to relief symptoms of osteoarthritis and improves joint function. Results of a Meta-Analysis showed that mesenchymal stem cell is effectiveness and safe to treat knee osteoarthritis. In 1990, the prevalence of osteoarthritis of the hip or knee was very low 3.5% in the Kingdom of Saudi Arabia and it increased to 53.3% and 60.9% in male in female patients respectively in 2002. Results of a Meta-Analysis showed that mesenchymal stem cell is effectiveness and safe to treat knee osteoarthritis. This study will be a single center phase II-one arm clinical trial. It will be conducted at KF SH&RC-Jeddah. 18 participants will be recruited from orthopedic clinics. Participate will be evaluated before inclusion in the study. Participants will be exposed to e abdominal liposuction procedure under local anesthesia for stem cells harvesting. Stem cells will be separated from fat cells in the adipose tissue then activated in Tissue Culture Lab at Research Center- Jeddah. The activated stem cells will be injected into the knee joint via 22G spinal needle. The intra-articular stem cells injections will be performed under Ultrasound guidance at the theater under spinal anesthesia. Each patient will receive 1.0× 108 stem cells in 3 mL of normal saline

NCT ID: NCT03304379 Completed - Clinical trials for Osteoarthritis, Knee

Study to Determine the Safety and the Efficacy of Fasinumab Compared to Placebo and Nonsteroidal Anti-inflammatory Drugs (NSAIDs) for Treatment of Adults With Pain From Osteoarthritis of the Knee or Hip

FACT OA2
Start date: October 26, 2017
Phase: Phase 3
Study type: Interventional

The primary objective of the study is to evaluate the efficacy of fasinumab compared to placebo, when administered for up to 24 weeks in patients with pain due to osteoarthritis (OA) of the knee or hip. The secondary objectives of the study are: - To evaluate the efficacy of fasinumab compared to non-steroidal anti-inflammatory drugs (NSAID)s, when administered for up to 24 weeks in patients with pain due to OA of the knee or hip - To assess the safety and tolerability of fasinumab compared to placebo and compared to NSAIDs, when administered for up to 24 weeks in patients with pain due to OA of the knee or hip

NCT ID: NCT03302832 Completed - Knee Osteoarthritis Clinical Trials

Effectiveness of Reduced Frequency Physical Therapy in Total Knee Arthroplasty

Start date: October 1, 2017
Phase: N/A
Study type: Interventional

Rehabilitation after Total Knee Arthroplasty surgery involves physical therapy services to address limitations in range of motion, strength, and participation in normal daily activities. This investigation will compare the outcomes from standard physical therapy intervention in comparison to reduced frequency physical therapy sessions supplemented with in-home exercise equipment.

NCT ID: NCT03302013 Recruiting - Clinical trials for Primary Osteoarthritis of Knee Nos

All Ligaments Left In Knee Arthroplasty Trial

ALLIKAT
Start date: September 5, 2016
Phase: N/A
Study type: Interventional

Compare the clinical and patient reported outcomes of the Vanguard XP Knee System to the Vanguard CR Knee System in patients with antero-medial osteoarthritis of the knee with an intact anterior cruciate ligament.

NCT ID: NCT03299439 Completed - Knee Osteoarthritis Clinical Trials

Acupuncture Treatment for Knee Osteoarthritis With Sensitive Acupoints and Tender Points

Start date: October 25, 2017
Phase: N/A
Study type: Interventional

The investigators plan to investigate the effectiveness of acupuncture at highly sensitive points, compared with lowly/non-sensitive points or no acupuncture (waiting-list), in improving pain, joint function and quality of life, among patients with KOA. The safety of acupuncture will also be assessed during the study period.

NCT ID: NCT03299114 Completed - Neuropathic Pain Clinical Trials

WHIRLPOOL FOR OSTEOARHRITIS

Start date: November 1, 2015
Phase: N/A
Study type: Interventional

Both neuropathic and nociceptive mechanisms may contribute to the OA pain experience. Aims: The aim of this study was to determine the efficacy of warm whirlpool on pain, disability, quality of life (QoL) and sleep for patients with neuropathic pain.

NCT ID: NCT03294408 Active, not recruiting - Knee Osteoarthritis Clinical Trials

Multimodal Imaging of Subchondral Bone in Knee Osteoarthritis : Predictive Model

MOSART
Start date: November 29, 2016
Phase: N/A
Study type: Interventional

Predictive factors of osteoarthritis progression are not yet well understood. However, a growing role attaches importance to the subchondral bone. The aim of the present project is to determine predictive factors of progression of osteoarthritis at the knee by a multimodal characterization of subchondral bone by Medical Resonnance Imaging, direct high resolution digitization radiographs and bone texture analysis. At the end of the project, an innovative imaging device, combining semi-automatic softwares for texture analysis, control detection and image registration would be supplied. This will enable on the one hand a more accurate and reproducible way to measure the joint space width of the affected compartment and on the other hand, an assistance to better detect patients at risk of progression of their knee osteoarthritis. Identifying These "progressors" patients might permit their selection in clinical trials at baseline adapted to their severe disease, using for example biologic treatments targeting knee osteoarthritis. The main objective of this study is to analyze the predictive capacities of bone texture parameters measured on the high-resolution radiography of the knee on the structural evolution of the knee osteoarthritis at 3 years.

NCT ID: NCT03293719 Terminated - Osteoarthritis Clinical Trials

Post-market Follow up Study of the 'BPK-S Integration' UC as Primary Implant in the Variants CoCr or Ceramic

Start date: March 20, 2018
Phase:
Study type: Observational

Prospective Post-Market Clinical Follow up study according to MEDDEV 2.12/2 rev2 of the European Union. Patients receiving the primary knee implant BPK-S UC as primary implant in either variant ceramic or CoCr (metal) are eligible for the study and will be followed up for 5 years after implantation or until revision of the prosthesis, whichever occurs first. Demographic data will be collected together with data regarding safety and benefit at defined timepoints (preoperative, intraoperative and at 3 months, 1 year, 2 years and 5 years after implantation). Patients will be divided in 2 cohorts (ceramic and metal) and stratified by age.

NCT ID: NCT03293238 Completed - Knee Osteoarthritis Clinical Trials

Ultrasound Guided Knee Injections in Musculoskeletal Medicine

PRISMM
Start date: November 3, 2011
Phase: N/A
Study type: Interventional

This study will compare the accuracy and patient reported outcomes between four different techniques used to perform a knee injection.

NCT ID: NCT03290365 Completed - Knee Osteoarthritis Clinical Trials

The Combination Effect of Platelet-rich Plasma and Hyaluronic Acid for Knee Osteoarthritis

Start date: January 10, 2018
Phase: N/A
Study type: Interventional

Although platelet rich plasma (PRP) and Hyaluronic acid (HA) are beneficial for osteoarthritis of knee (OA knee), the combined effect of PRP with HA was not clear so far. Hence, investigator assess a prospective randomized double-blind controlled trial.