NCT04315103

Brief Summary

Intraarticular hyaluronan or platelet-rich plasma (PRP) is each effective in the treatment for knee osteoarthritis (OA). The efficacy of combined hyaluronan with PRP for knee OA remained unclear. This study aimed to investigate the efficacy of a single intraarticular hyaluronan (HYAJOINT Plus) combined with a single PRP versus a single intraarticular PRP in patients with knee OA.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
85

participants targeted

Target at P50-P75 for phase_2

Timeline
Completed

Started Aug 2018

Shorter than P25 for phase_2

Geographic Reach
1 country

2 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

August 1, 2018

Completed
5 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 10, 2019

Completed
6 months until next milestone

Study Completion

Last participant's last visit for all outcomes

July 10, 2019

Completed
8 months until next milestone

First Submitted

Initial submission to the registry

March 18, 2020

Completed
1 day until next milestone

First Posted

Study publicly available on registry

March 19, 2020

Completed
Last Updated

March 19, 2020

Status Verified

March 1, 2020

Enrollment Period

5 months

First QC Date

March 18, 2020

Last Update Submit

March 18, 2020

Conditions

Keywords

HyaluronanKnee osteoarthritisPlatelet-rich plasma

Outcome Measures

Primary Outcomes (1)

  • VAS pain score change from baseline

    . The patient rated the average severity of knee pain on knee movement over the previous week on a 0-100 mm VAS (0=no pain to 100=worst possible pain)

    1,3 and 6 months

Secondary Outcomes (5)

  • The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC, Likert Scale)

    1,3 and 6 months

  • Lequesne index

    1,3 and 6 months

  • Single-leg stance test (SLS)

    1,3 and 6 months

  • satisfaction

    1,3 and 6 months

  • consumption of analgesics

    1,3 and 6 months

Study Arms (2)

the combined-injection group

EXPERIMENTAL

patients received a single intraarticular injection of HYAJOINT Plus (3 ml) followed by 3 ml PRP

Combination Product: a single intraarticular injection of HYAJOINT Plus (3 ml) followed by 3 ml PRP

the one-injection group

ACTIVE COMPARATOR

patients received a single injection of 3 ml PRP

Combination Product: a single intraarticular injection of HYAJOINT Plus (3 ml) followed by 3 ml PRP

Interventions

All the injections were done by the same experienced physician using aseptic procedures.

Also known as: the one-injection group received a single injection of 3 ml PRP
the combined-injection groupthe one-injection group

Eligibility Criteria

Age20 Years - 75 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Aged 20-75 years;Symptomatic knee OA \> 6 months despite conservative treatment such as oral analgesics, NSAIDs and/or physical therapy;Kellgren-Lawrence grades 2 knee OA on radiographs taken within the previous 6 months;Average pain at walking \> 30 mm on a 100-mm visual analog scale (VAS);Radiological evidence of bilateral knee OA was accepted if global pain VAS in the contralateral knee\< 30 mm.

You may not qualify if:

  • Previous orthopedic surgery on the spine or lower limbs Disabling OA of either hip or foot Knee instability, apparent joint effusion or marked valgus/varus deformity Known allergy to hyaluronan products Women ascertained or suspected pregnancy or lactating Intraarticular injections into the knee in the past 6 months Any specific medical conditions (rheumatoid arthritis, active infections, severe cardiovascular diseases, autoimmune diseases, hemiparesis, neoplasm, etc.) that would interfere with the assessments

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

Department of Physical Medicine and Rehabilitation, Veterans General Hospital,

Kaohsiung City, 813, Taiwan

Location

Kaohsiung Veterans General Hospital

Kaohsiung City, 813, Taiwan

Location

Related Publications (1)

  • Sun SF, Lin GC, Hsu CW, Lin HS, Liou IS, Wu SY. Comparing efficacy of intraarticular single crosslinked Hyaluronan (HYAJOINT Plus) and platelet-rich plasma (PRP) versus PRP alone for treating knee osteoarthritis. Sci Rep. 2021 Jan 8;11(1):140. doi: 10.1038/s41598-020-80333-x.

MeSH Terms

Conditions

Osteoarthritis, Knee

Condition Hierarchy (Ancestors)

OsteoarthritisArthritisJoint DiseasesMusculoskeletal DiseasesRheumatic Diseases

Study Officials

  • Shu Fen Sun, MD

    Kaohsiung Veterans General Hospital.

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Masking Details
Study blinding was accomplished by having an investigator (blinded to the randomization and treatment) perform all the assessments
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: Patients with symptomatic knee OA were randomized to receive a single intraarticular injection of HYAJOINT Plus (3 ml) followed by 3 ml PRP (the combined-injection group) or a single injection of 3 ml PRP (the one-injection group).
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Director or Neurorehabilitation

Study Record Dates

First Submitted

March 18, 2020

First Posted

March 19, 2020

Study Start

August 1, 2018

Primary Completion

January 10, 2019

Study Completion

July 10, 2019

Last Updated

March 19, 2020

Record last verified: 2020-03

Data Sharing

IPD Sharing
Will not share

Locations