Knee Osteoarthritis Clinical Trial
Official title:
Alterations in Knee Synovial Fluid Biomarkers and Volume Following Hymovis Injections Using a Pneumatic Assistive Compression Device and Ultrasound Guided Arthrocentesis: Correlation With Clinical Outcomes
NCT number | NCT04093232 |
Other study ID # | HS 3179 |
Secondary ID | |
Status | Recruiting |
Phase | |
First received | |
Last updated | |
Start date | January 1, 2019 |
Est. completion date | February 1, 2022 |
This NJH Investigator Initiated Study funded by Fidia will prospectively perform 2 ultrasound (US) guided knee aspirations in patients with knee osteoarthritis using a pneumatic compressive device (KneeTap ™) at baseline and at 3 months following 2 Hymovis® injections. Synovial fluid catabolic and anabolic proteins will be compared to those values in the peripheral blood and correlated with clinical outcome measurements at 3 ,6 and 12 months compared to baseline values; WOMAC, SF 36, visual analog pain scale, 6 minute walking distance and SF volumes quantitated by US.
Status | Recruiting |
Enrollment | 50 |
Est. completion date | February 1, 2022 |
Est. primary completion date | January 1, 2022 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 21 Years to 80 Years |
Eligibility | Inclusion Criteria: - Mild to moderate knee osteoarthritis on x ray - age 21-80 Exclusion Criteria - pregnant - BMI > 40 - history of systemic immune disorders - knee arthroplasty with replacement - knee infection or surgery within 1 year - glucocorticoid injection within 3 months inability to ambulate for 6 minutes without walking assistive devices - unable to provide informed consent - patients with a clinical contra-indication for an arthrocentesis or adverse reaction to prior intra-articular lidocaine or HA injections. |
Country | Name | City | State |
---|---|---|---|
United States | national Jewish health | Denver | Colorado |
Lead Sponsor | Collaborator |
---|---|
National Jewish Health | Fidia Pharma USA Inc. |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | WOMAC scores (Western Ontario and McMaster University Osteoarthritis Index) | Self reported numeric values: on pain, stiffness and 17 items of limitations on physical function scored as 0-5 (none, mild, moderate, severe or extreme) | Change from baselinescore values to those over 12 months | |
Primary | SF 36 scores (Quality of Life Questionnaire) | Self reported numeric values based upon multiple domains; assessment of over all health, 0-4, (excellent , very good, good, fair and poor) and score compared to the prior year, 0-4, (much better, somewhat better, about the same, somewhat worse, much worse) and 10 functional daily living activity questions with score 0-2, (not at all limited, limited a little, and limited a lot) and 4 questions on patients health compared to others expectations or worsen or excellent health and if they more easily become sick 0-4, (false, mostly false, don't know, mostly true or definitely true. Higher scores indicate worse health and disability. | Change from baseline score values to those over 12 months | |
Primary | VAS (Visual analogue scale) score for self reported pain | Self Reported patient assessment of pain from 0 I(no pain) on the left to 10 worst pain ever. The paint selects their value on a continuous 10 cm line. A higher numeric number on a 0 -10 scale selected indicates more severe pain. | Change from baseline score values to those over 12 months | |
Primary | 6 minute walking distance | The measured distance in meters walked during a 6 minute supervised walk on level ground. | Change in distance walked from baseline to that distance walked over 12 months | |
Primary | Synovial fluid depth | Ultrasound measurement in millimeters of the maximum SF depth during external pneumatic compression. | Change in the depth of knee synovial fluid from baseline values to those at 12 months | |
Secondary | Synovial fluid and peripheral blood biomarkers | 54 separate cytokines ,chemokines and proteins which can impact cartilage health will be measured in the synovial fluid by ELISA and Luminex multiplex platforms on cryopreserved samples to determine the levels of these catabolic inflammatory or anabolic proteins which may impact cartilage health. | Change in the baseline levels of biomarkers in pg/ml to the levels 3 months after the first of 2 Hymovis injections |
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