Hyaluronic Acid in Overuse Knee Pain

NCT05450458 | Completed Phase 2 Results DMC

• 1 other identifier: CEI/0504/PI/2022
• Study Type: interventional
• Target: 64
• Locations: 1 country
• Sites: 1

Brief Summary

Sports activity represents part of day living people, a knee pain originated by high demand joint activity could represent a limitation to continue sports. The aim of this clinical trial is demonstrate the effects of hyaluronic acid in sportsmen with knee pain.

Conditions

Overuse Injury; Body Mass Index in Athletes

Keywords

KNEE; PAIN; SPORTSMEN; HYALURONIC ACID

Outcome Measures

Primary Outcomes (2)

• Efficacy of Hyaluronic Acid With Sorbitol (SYNOLIS VA) in Overuse Knee Syndrome Assessed With the Knee Injury and Osteoarthritis Outcome Score (KOOS)

  To demonstrate that two doses of intra-articular injection of Synolis VA® for the overuse knee syndrome in sportsmen decrease the pain during spots and day-living activities by measured the improvement of knee symptoms through the KOOS score: \- The Knee injury and Osteoarthritis Outcome Score: Evaluate Symptoms + Stiffness subtotal, Pain, Function, daily living, sports and recreational activities and quality of life. Each variable has a percentage score from 0 to 100%, at the end the results are averaged, obtaining a final percentage where 100% means a healthy knee with out discomfort. As the percentage approaches 0%, the severity of knee discomfort or injury increases.

  Baseline, 15 days, 3 months, and 6 months

• Efficacy of Hyaluronic Acid With Sorbitol (SYNOLIS VA) in Overuse Knee Syndrome Assessed With the International Knee Documentation Committee Score (IKDC)

  To evaluate the effectiveness of two intra-articular injections of Synolis VA in improving knee functionality in athletes with overuse knee syndrome, the International Knee Documentation Committee (IKDC) Scale was used. This validated tool assesses knee function, symptoms, and the ability to perform sports-related activities. It consists of individual items evaluating pain, stiffness, swelling, instability, daily physical function, and athletic performance. While the scale's raw score ranges from 0 to 87, results are converted into a percentage format, where 87 corresponds to 100% functional capacity-the best possible knee function-and 0 represents the worst condition."

  Baseline, 15 days, 3 months, and 6 months

Secondary Outcomes (2)

• Safety of Hyaluronic Acid With Sorbitol (SYNOLIS VA ®) in Overuse Knee Syndrome by the Number of Adverse Effects in Participants.

  6 months

• Six-Month Functional Improvement in Knee Function (IKDC and KOOS) in Athletes With Overuse Knee Syndrome With Elevated BMI Following Synolis VA Injections

  6 months post-treatment

Study Arms (1)

Hyaluronic Acid group

EXPERIMENTAL

All overuse knee syndrome participants after both knee joint infiltration with two doses each of Synolis VA (2ml = 40 milligrams of hyaluronic acid with 80 milligrams of sorbitol).

Drug: KNEE JOINT INFILTRATION WITH HYALURONIC ACID WITH SORBITOL SYNOLIS VA

Interventions

KNEE JOINT INFILTRATION WITH HYALURONIC ACID WITH SORBITOL SYNOLIS VA DRUG

KNEE INFILTRATION WITH HYALURONIC ACID WITH SORBITOL IN SPORTSMEN

Also known as: VISCOSUPPLEMENTATION WITH SYNOLIS VA

Hyaluronic Acid group

Eligibility Criteria

• Age: 30 Years - 55 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• \- Patients with knee pain for more than 3 months
• Patients between 30 and 55 years old
• Patients without a history of previous knee joint surgery.
• Patients without chronic-degenerative diseases such as diabetes, hypertension, rheumatoid arthritis or other autoimmune diseases.
• Patients who perform impact social sports at least 3 times a week for more than 1 hour in the last 3 months prior to treatment.
• Patients without a history of allergies to non-steroidal anti-inflammatory drugs.
• Patients with no history of infection in or around the knee.

You may not qualify if:

• \- Patients who cannot be categorized as social athletes.
• Patients with an associated sports injury that limits their sports practice.
• Patients who have a treatment associated with knee pain independent of that established in the study protocol.

Sponsors & Collaborators

• Hospital Regional Tlalnepantla: lead

Study Sites (1)

Issemym Tlalnepantla

Tlanepantla, 54055, Mexico

Location

Related Publications (34)

• Patel DR, Villalobos A. Evaluation and management of knee pain in young athletes: overuse injuries of the knee. Transl Pediatr. 2017 Jul;6(3):190-198. doi: 10.21037/tp.2017.04.05.

  PMID: 28795010 BACKGROUND

• Nicolini AP, de Carvalho RT, Matsuda MM, Sayum JF, Cohen M. Common injuries in athletes' knee: experience of a specialized center. Acta Ortop Bras. 2014;22(3):127-31. doi: 10.1590/1413-78522014220300475.

  PMID: 25061417 BACKGROUND

• Fuller CW, Ekstrand J, Junge A, Andersen TE, Bahr R, Dvorak J, Hagglund M, McCrory P, Meeuwisse WH. Consensus statement on injury definitions and data collection procedures in studies of football (soccer) injuries. Br J Sports Med. 2006 Mar;40(3):193-201. doi: 10.1136/bjsm.2005.025270.

  PMID: 16505073 BACKGROUND

• Majewski M, Susanne H, Klaus S. Epidemiology of athletic knee injuries: A 10-year study. Knee. 2006 Jun;13(3):184-8. doi: 10.1016/j.knee.2006.01.005. Epub 2006 Apr 17.

  PMID: 16603363 BACKGROUND

• Wilder RP, Sethi S. Overuse injuries: tendinopathies, stress fractures, compartment syndrome, and shin splints. Clin Sports Med. 2004 Jan;23(1):55-81, vi. doi: 10.1016/S0278-5919(03)00085-1.

  PMID: 15062584 BACKGROUND

• Aicale R, Tarantino D, Maffulli N. Overuse injuries in sport: a comprehensive overview. J Orthop Surg Res. 2018 Dec 5;13(1):309. doi: 10.1186/s13018-018-1017-5.

  PMID: 30518382 BACKGROUND

• Paoloni M, Bernetti A, Belelli A, Brignoli O, Buoso S, Caputi AP, Catani F, Coclite D, Fini M, Mantovani L, Migliore A, Napoletano A, Viora U, Santilli V. Appropriateness of clinical and organizational criteria for intra-articular injection therapies in osteoarthritis. A Delphi method consensus initiative among experts in Italy. Ann Ist Super Sanita. 2015;51(2):131-8. doi: 10.4415/ANN_15_02_11.

  PMID: 26156184 BACKGROUND

• Yang J, Tibbetts AS, Covassin T, Cheng G, Nayar S, Heiden E. Epidemiology of overuse and acute injuries among competitive collegiate athletes. J Athl Train. 2012 Mar-Apr;47(2):198-204. doi: 10.4085/1062-6050-47.2.198.

  PMID: 22488286 BACKGROUND

• Drawer S, Fuller CW. Propensity for osteoarthritis and lower limb joint pain in retired professional soccer players. Br J Sports Med. 2001 Dec;35(6):402-8. doi: 10.1136/bjsm.35.6.402.

  PMID: 11726474 BACKGROUND

• Vannini F, Spalding T, Andriolo L, Berruto M, Denti M, Espregueira-Mendes J, Menetrey J, Peretti GM, Seil R, Filardo G. Sport and early osteoarthritis: the role of sport in aetiology, progression and treatment of knee osteoarthritis. Knee Surg Sports Traumatol Arthrosc. 2016 Jun;24(6):1786-96. doi: 10.1007/s00167-016-4090-5. Epub 2016 Apr 4.

  PMID: 27043343 BACKGROUND

• Frohlich S, Pazeller S, Cherati AS, Muller E, Frey WO, Sporri J. Overuse injuries in the knee, back and hip of top elite female alpine skiers during the off-season preparation period: prevalence, severity and their association with traumatic preinjuries and training load. BMJ Open Sport Exerc Med. 2020 Dec 24;6(1):e000892. doi: 10.1136/bmjsem-2020-000892. eCollection 2020.

  PMID: 33408876 BACKGROUND

• Rincon GA, Vyas D, Zhou J, Fu FH, Oiestad BE, Holm I, Aune AK, Gunderson R, Myklebust G, Engebretsen L, Fosdahl M, Risberg MA. "Knee function and prevalence of knee osteoarthritis after anterior cruciate ligament reconstruction: a prospective study with 10 to 15 years of follow-up". Letter to the editor. Am J Sports Med. 2011 Apr;39(4):NP3; author reply NP3-4. doi: 10.1177/0363546511403704. No abstract available.

  PMID: 21460071 BACKGROUND

• KELLGREN JH, LAWRENCE JS. Radiological assessment of osteo-arthrosis. Ann Rheum Dis. 1957 Dec;16(4):494-502. doi: 10.1136/ard.16.4.494. No abstract available.

  PMID: 13498604 BACKGROUND

• Hunter DJ, Lo GH, Gale D, Grainger AJ, Guermazi A, Conaghan PG. The reliability of a new scoring system for knee osteoarthritis MRI and the validity of bone marrow lesion assessment: BLOKS (Boston Leeds Osteoarthritis Knee Score). Ann Rheum Dis. 2008 Feb;67(2):206-11. doi: 10.1136/ard.2006.066183. Epub 2007 May 1.

  PMID: 17472995 BACKGROUND

• Maffulli N, Regine R, Carrillo F, Minelli S, Beaconsfield T. Ultrasonographic scan in knee pain in athletes. Br J Sports Med. 1992 Jun;26(2):93-6. doi: 10.1136/bjsm.26.2.93.

  PMID: 1623366 BACKGROUND

• Altman R, Asch E, Bloch D, Bole G, Borenstein D, Brandt K, Christy W, Cooke TD, Greenwald R, Hochberg M, et al. Development of criteria for the classification and reporting of osteoarthritis. Classification of osteoarthritis of the knee. Diagnostic and Therapeutic Criteria Committee of the American Rheumatism Association. Arthritis Rheum. 1986 Aug;29(8):1039-49. doi: 10.1002/art.1780290816.

  PMID: 3741515 BACKGROUND

• Luyten FP, Denti M, Filardo G, Kon E, Engebretsen L. Definition and classification of early osteoarthritis of the knee. Knee Surg Sports Traumatol Arthrosc. 2012 Mar;20(3):401-6. doi: 10.1007/s00167-011-1743-2. Epub 2011 Nov 8.

  PMID: 22068268 BACKGROUND

• Hoemann C, Kandel R, Roberts S, Saris DB, Creemers L, Mainil-Varlet P, Methot S, Hollander AP, Buschmann MD. International Cartilage Repair Society (ICRS) Recommended Guidelines for Histological Endpoints for Cartilage Repair Studies in Animal Models and Clinical Trials. Cartilage. 2011 Apr;2(2):153-72. doi: 10.1177/1947603510397535.

  PMID: 26069577 BACKGROUND

• Peterfy CG, Guermazi A, Zaim S, Tirman PF, Miaux Y, White D, Kothari M, Lu Y, Fye K, Zhao S, Genant HK. Whole-Organ Magnetic Resonance Imaging Score (WORMS) of the knee in osteoarthritis. Osteoarthritis Cartilage. 2004 Mar;12(3):177-90. doi: 10.1016/j.joca.2003.11.003.

  PMID: 14972335 BACKGROUND

• Leslie M. Knee osteoarthritis management therapies. Pain Manag Nurs. 2000 Jun;1(2):51-7. doi: 10.1053/jpmn.2000.7782.

  PMID: 11706459 BACKGROUND

• Demange MK, Sisto M, Rodeo S. Future trends for unicompartmental arthritis of the knee: injectables & stem cells. Clin Sports Med. 2014 Jan;33(1):161-74. doi: 10.1016/j.csm.2013.06.006. Epub 2013 Jul 19.

  PMID: 24274853 BACKGROUND

• Sandmark H, Hogstedt C, Lewold S, Vingard E. Osteoarthrosis of the knee in men and women in association with overweight, smoking, and hormone therapy. Ann Rheum Dis. 1999 Mar;58(3):151-5. doi: 10.1136/ard.58.3.151.

  PMID: 10364912 BACKGROUND

• Fransen M, McConnell S. Land-based exercise for osteoarthritis of the knee: a metaanalysis of randomized controlled trials. J Rheumatol. 2009 Jun;36(6):1109-17. doi: 10.3899/jrheum.090058. Epub 2009 May 15.

  PMID: 19447940 BACKGROUND

• de Sire A, Agostini F, Lippi L, Mangone M, Marchese S, Cisari C, Bernetti A, Invernizzi M. Oxygen-Ozone Therapy in the Rehabilitation Field: State of the Art on Mechanisms of Action, Safety and Effectiveness in Patients with Musculoskeletal Disorders. Biomolecules. 2021 Feb 26;11(3):356. doi: 10.3390/biom11030356.

  PMID: 33652804 BACKGROUND

• Hiemstra LA, Kerslake S, Irving C. Anterior knee pain in the athlete. Clin Sports Med. 2014 Jul;33(3):437-59. doi: 10.1016/j.csm.2014.03.010. Epub 2014 May 24.

  PMID: 24993409 BACKGROUND

• Brophy RH, Fillingham YA. AAOS Clinical Practice Guideline Summary: Management of Osteoarthritis of the Knee (Nonarthroplasty), Third Edition. J Am Acad Orthop Surg. 2022 May 1;30(9):e721-e729. doi: 10.5435/JAAOS-D-21-01233.

  PMID: 35383651 BACKGROUND

• Trojian TH, Concoff AL, Joy SM, Hatzenbuehler JR, Saulsberry WJ, Coleman CI. AMSSM Scientific Statement Concerning Viscosupplementation Injections for Knee Osteoarthritis: Importance for Individual Patient Outcomes. Clin J Sport Med. 2016 Jan;26(1):1-11. doi: 10.1097/JSM.0000000000000274.

  PMID: 26562453 BACKGROUND

• Kalkhoven J, Coutts AJ, Impellizzeri FM. 'Training load error' is not a more accurate term than 'overuse' injury. Br J Sports Med. 2020 Aug;54(15):934-935. doi: 10.1136/bjsports-2019-101710. Epub 2020 Feb 24. No abstract available.

  PMID: 32094146 BACKGROUND

• Odole AC, Agbomeji OT, Onyeso OKK, Ojo JO, Odunaiya NA. Perspectives of Nigerian Athletes About Physiotherapy Services in Sports Injury Management: Implications for Rehabilitation. J Sport Rehabil. 2021 Feb 16;30(6):876-883. doi: 10.1123/jsr.2020-0292.

  PMID: 33596541 BACKGROUND

• Ammar TY, Pereira TA, Mistura SL, Kuhn A, Saggin JI, Lopes Junior OV. Viscosupplementation for treating knee osteoarthrosis: review of the literature. Rev Bras Ortop. 2015 Aug 5;50(5):489-94. doi: 10.1016/j.rboe.2015.07.007. eCollection 2015 Sep-Oct.

  PMID: 26535192 BACKGROUND

• Roos EM, Roos HP, Lohmander LS, Ekdahl C, Beynnon BD. Knee Injury and Osteoarthritis Outcome Score (KOOS)--development of a self-administered outcome measure. J Orthop Sports Phys Ther. 1998 Aug;28(2):88-96. doi: 10.2519/jospt.1998.28.2.88.

  PMID: 9699158 BACKGROUND

• Higgins LD, Taylor MK, Park D, Ghodadra N, Marchant M, Pietrobon R, Cook C; International Knee Documentation Committee. Reliability and validity of the International Knee Documentation Committee (IKDC) Subjective Knee Form. Joint Bone Spine. 2007 Dec;74(6):594-9. doi: 10.1016/j.jbspin.2007.01.036. Epub 2007 Aug 6.

  PMID: 17888709 BACKGROUND

• Kujala UM, Kaprio J, Sarna S. Osteoarthritis of weight bearing joints of lower limbs in former elite male athletes. BMJ. 1994 Jan 22;308(6923):231-4. doi: 10.1136/bmj.308.6923.231.

  PMID: 8111258 BACKGROUND

• Emanuel EJ, Wendler D, Grady C. What makes clinical research ethical? JAMA. 2000 May 24-31;283(20):2701-11. doi: 10.1001/jama.283.20.2701.

  PMID: 10819955 BACKGROUND

Related Links

• Tiu T, Craig Van Dien MD. Knee overuse disorders

MeSH Terms

Conditions

Cumulative Trauma Disorders; Pain

Interventions

Hyaluronic Acid; Viscosupplementation

Condition Hierarchy (Ancestors)

Sprains and Strains; Wounds and Injuries; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Glycosaminoglycans; Polysaccharides; Carbohydrates; Injections, Intra-Articular; Injections; Drug Administration Routes; Drug Therapy; Therapeutics; Orthopedic Procedures

Results Point of Contact

• Title: Dr. Julio Carlos Vélez de Lachica
• Organization: RodillaActiva Medical Center

activeknee@gmail.com

5215518338063

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: phase 2
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER GOV
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Head of orthopedic surgery department

Model Details: A study group will be integrated which will be evaluated before the intervention and after 15 days, 3 and 6 subsequent months.

Study Record Dates

• First Submitted: June 17, 2022
• First Posted: July 8, 2022
• Study Start: February 1, 2023
• Primary Completion: October 30, 2024
• Study Completion: April 30, 2025
• Last Updated: July 22, 2025
• Results First Posted: July 22, 2025

Record last verified: 2025-07

Data Sharing

• IPD Sharing: Will not share

Locations

ME (1)