Knee Osteoarthritis Clinical Trial
Official title:
Pilot Study of the Impact of Viscosupplementation Therapy With Hylan G-F 20 (Single Injection) on Exercise Tolerance - Implications for Patients With Cardiovascular Risk
Osteoarthritis of the knee is a degenerative joint disease that involves degradation of the
joint. Symptoms include joint tenderness, pain, stiffness, locking, and occasionally an
effusion. Over 40 million Americans also have cardiovascular disease in addition to their
OA. Initiation and maintenance of even low-levels of physical activity is critical for
management of cardiac risk. Patients with osteoarthritis have been shown to have poorer
aerobic conditioning, lower daily physical activity levels and lower self-efficacy for
exercise than non-OA cohorts.
It has been established that there exists a consistent gradient across activity groups
indicating greater longevity and reduced risk of CHD, CVD, and stroke, in more active
individuals. Available research suggests the greatest gains in cardiovascular fitness occur
in moving a sedentary individual to even low levels of physical activity, and 12 weeks is
enough to demonstrate change in the risk profile of at-risk individuals.
Finally, appropriate levels of aerobic and strength training have been shown to be
beneficial in treatment of osteoarthritis of the knee. This study will evaluate the
effectiveness of hylan G-F 20 (single injection preparation) in promoting greater levels of
physical activity and fitness as measured by MET level compared to an exercise-only cohort;
evaluating both the change in physical function as well as the cardiovascular risk profile.
This is a randomized, single-blinded clinical trial comparing injection of the knee joint
with Hylan GF-20 to sham procedure. Subjects will undergo a regular exercise program for 6
months following randomization.
n/a
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Outcomes Assessor), Primary Purpose: Prevention
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