NCT04536103

Brief Summary

Currently the diagnosis of OA is based on radiographs and clinical findings, which is limited to detecting late-stage disease. There is a pressing, unmet clinical need for robust assessment of early changes in cartilage health. Towards this goal, extensive efforts are ongoing to develop quantitative MRI for cartilage matrix analysis. MR T1ρ and T2 relaxation times have shown to be promising imaging biomarkers for early cartilage degeneration and prediction of disease progression. However, many challenges remain to clinically applying these techniques, including lack of standardized acquisition and quantification methods, and long acquisition times. The study aims to develop novel, fast and reproducible MR T1ρ and T2 relaxation time imaging methods on MR systems from multiple vendors and establish a platform for standardization and cross validation of these measures as a tool for clinical trials using such techniques. Following method validation, patients at risk for osteoarthritis will be tested.

Trial Health

77
On Track

Trial Health Score

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

Enrollment
88

participants targeted

Target at P50-P75 for all trials

Timeline
8mo left

Started Apr 2022

Longer than P75 for all trials

Geographic Reach
1 country

1 active site

Status
recruiting

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

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress86%
Apr 2022Dec 2026

First Submitted

Initial submission to the registry

August 27, 2020

Completed
6 days until next milestone

First Posted

Study publicly available on registry

September 2, 2020

Completed
1.6 years until next milestone

Study Start

First participant enrolled

April 1, 2022

Completed
3.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 24, 2026

Completed
10 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 28, 2026

Expected
Last Updated

February 27, 2026

Status Verified

February 1, 2026

Enrollment Period

3.9 years

First QC Date

August 27, 2020

Last Update Submit

February 24, 2026

Conditions

Outcome Measures

Primary Outcomes (3)

  • Knee MRI

    Knee MRI will be collected at the 3T scanner (Prisma) at CCF. One time point. The MRI exam time will be two hours per subject including set up. No questionnaires will be required.

    Year 1-2

  • Site reproducibility

    Knee MRI will be collected at three 3T scanners at CCF (Siemens, GE, Philips), and three scanners at UCSF, University of Kentucky and Albert Einstein College of Medicine, respectively. The three scans at CCF can be on the same day or on different days, but all six scans need to take place within 2 months to minimize potential physiologic variations.To evaluate the reproducibility, subjects will be scanned and then rescanned during one visit on the same day for each of the six scans.

    Year 2-3

  • ACL tear and reconstruction

    Knee MRI at three 3T scanners at CCF (Siemens, GE, Philips). For patients, the ACL injured and reconstructed knee will be scanned. For controls, to scan which side of the knee (left or right) will be based on subjects' preference. If the subject has no reference, the dominant leg will be scanned. At each time point, the three scans can be on the same day or on different days, but all the three scans need to take place within 2 weeks to minimize potential physiologic variations. For patients with ACL tear and reconstruction, surgical report (including graft type, surgeon recorded lesions) will also be collected.

    Year 3-5

Secondary Outcomes (2)

  • Site reproducibility with patient outcomes and knee health

    Year 2-3

  • ACL tear and reconstruction with patient outcomes and knee health

    Year 3-5

Study Arms (4)

Cleveland Clinic Foundation (CCF) Volunteers

The group will be used for evaluating differences between standard T1rho and T2 imaging vs accelerated T1rho and T2 imaging techniques that will be developed from this study.

Diagnostic Test: MRI

Traveling Volunteers

The group will be recruited at CCF and be scanned at CCF, University of California San Francisco, University of Kentucky and Albert Einstein College of Medicine.

Diagnostic Test: MRI

ACL tear Volunteers

This group will be recruited at CCF and scanned at baseline and 1-year at all of the three MR systems at CCF (Siemens, GE, Philips).

Diagnostic Test: MRI

Group Matched to ACL tear Volunteers

This group will be recruited at CCF and scanned at baseline and 1-year at all of the three MR systems at CCF (Siemens, GE, Philips).Traveling Volunteers share the same inclusion and exclusion criteria as this group, therefore subjects can participate the study and serve as subjects within both groups

Diagnostic Test: MRI

Interventions

MRIDIAGNOSTIC_TEST

Observational Study of novel MR imaging and image processing techniques that will provide reliable and fully quantitative evaluation of inflammation, chronic structural changes and vascularity in healthy patients and patients with ACL injury.

ACL tear VolunteersCleveland Clinic Foundation (CCF) VolunteersGroup Matched to ACL tear VolunteersTraveling Volunteers

Eligibility Criteria

Age18 Years - 50 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64)
Sampling MethodProbability Sample
Study Population

Subjects between the ages of 18-50 years old. And subjects who sustain an acute full ACL tear in one knee with the contralateral knee uninjured.

You may qualify if:

  • Group 1
  • \. Age \> 18
  • Group 2
  • \. Age 18-50
  • Group 3
  • Age 18-50
  • Sustain an acute full ACL tear in one knee; the contralateral knee uninjured
  • Undergo ACL reconstructions and standard rehabilitation
  • Group 4
  • \. Age 18-50

You may not qualify if:

  • Group 1
  • Contraindication to MRI such as severe claustrophobia and implanted devices such as neurostimulators, pacemakers, aneurysm clips etc.
  • Pregnancy.
  • Group 2
  • Contraindication to MRI such as severe claustrophobia and implanted devices such as neurostimulators, pacemakers, aneurysm clips etc.
  • Pregnancy.
  • History of osteoarthritis and inflammatory arthritis
  • Previous injury and/or surgery on either knee
  • Group 3
  • Contraindication to MRI such as severe claustrophobia and implanted devices such as neurostimulators, pacemakers, aneurysm clips etc.
  • Pregnancy.
  • Inability to undergo standard pre- and post-injury/operative rehabilitation
  • Group 4
  • Contraindication to MRI such as severe claustrophobia and implanted devices such as neurostimulators, pacemakers, aneurysm clips etc.
  • Pregnancy.
  • +2 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Cleveland Clinic Foundation

Cleveland, Ohio, 44195, United States

RECRUITING

MeSH Terms

Conditions

Bone Diseases, InfectiousMusculoskeletal DiseasesJoint DiseasesOsteoarthritisAnterior Cruciate Ligament Injuries

Condition Hierarchy (Ancestors)

InfectionsBone DiseasesArthritisRheumatic DiseasesKnee InjuriesLeg InjuriesWounds and Injuries

Study Officials

  • Xiaojuan Li

    Director, Program for Advanced Musculoskeletal Imaging

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Xiaojuan Li, PhD

CONTACT

Jennifer Baldwin

CONTACT

Study Design

Study Type
observational
Observational Model
OTHER
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
SPONSOR INVESTIGATOR
PI Title
PI

Study Record Dates

First Submitted

August 27, 2020

First Posted

September 2, 2020

Study Start

April 1, 2022

Primary Completion

February 24, 2026

Study Completion (Estimated)

December 28, 2026

Last Updated

February 27, 2026

Record last verified: 2026-02

Locations