MRI Markers of Cartilage Damage in Knee With Osteoarthritis

NCT ID: NCT00820430

Last Updated: 2023-07-20

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

53 participants

Study Classification

OBSERVATIONAL

Study Start Date

2006-11-30

Study Completion Date

2008-05-31

Brief Summary

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The objectives of this study are: to identify and develop techniques to minimize precision errors in magnetic resonance imaging (MRI) evaluation of knee cartilage, and to determine if results from newly-identified MRI techniques in measuring cartilage changes and structure can be reproduced.

Detailed Description

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The development of a disease modifying osteoarthritis drugs (DMOADs) is currently limited by the inability to detect and monitor early cartilage damage that would be amenable to treatment. There is growing interest within the pharmaceutical and research community to use Magnetic Resonance Imaging (MRI) to identify biochemical and structural changes in the cartilage extra cellular matrix that occur early in the disease process. Although these techniques have been validated in small studies at single sites, multi-center evaluation of accuracy and precision, needed to apply these techniques to clinical trials of DMOADs, has not been performed. To address this need, the primary objective for this protocol is to identify and develop techniques to minimize systematic errors that decrease precision of MRI evaluation of knee cartilage, and to assess the reproducibility of the newly identified MRI techniques in measuring the cartilage morphometry and structure. Successful completion of this project may establish a multi-center imaging network in Pennsylvania for MRI evaluation of potential disease modifying osteoarthritis drugs (DMOADs) therapy.

Conditions

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Osteoarthritis, Knee

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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Control--Non-Osteoporotic Knee

Kellgren-Lawrence (KL) scale score of 0, Age: 18-35 years

Magnetic Resonance Imaging

Intervention Type OTHER

Subjects will undergo 4 sequential MRI evaluations of the target knee within a 4 week period to calculate precision error (ICC) in determination of cartilage morphometry (cartilage volume, mean thickness, and surface area), cartilage collagen (regional cartilage T2), and cartilage proteoglycan (regional cartilage T1rho).

Minimal Osteoarthritis, Knee

Kellgren-Lawrence (KL) scale score of 1 or 2, Age: Older than 18; no upper limit

Magnetic Resonance Imaging

Intervention Type OTHER

Subjects will undergo 4 sequential MRI evaluations of the target knee within a 4 week period to calculate precision error (ICC) in determination of cartilage morphometry (cartilage volume, mean thickness, and surface area), cartilage collagen (regional cartilage T2), and cartilage proteoglycan (regional cartilage T1rho).

Moderate Osteoarthritis, Knee

Kellgren-Lawrence (KL) scale score of 3, Age: Older than 18; no upper limit

Magnetic Resonance Imaging

Intervention Type OTHER

Subjects will undergo 4 sequential MRI evaluations of the target knee within a 4 week period to calculate precision error (ICC) in determination of cartilage morphometry (cartilage volume, mean thickness, and surface area), cartilage collagen (regional cartilage T2), and cartilage proteoglycan (regional cartilage T1rho).

Interventions

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Magnetic Resonance Imaging

Subjects will undergo 4 sequential MRI evaluations of the target knee within a 4 week period to calculate precision error (ICC) in determination of cartilage morphometry (cartilage volume, mean thickness, and surface area), cartilage collagen (regional cartilage T2), and cartilage proteoglycan (regional cartilage T1rho).

Intervention Type OTHER

Other Intervention Names

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MRI knee MRI knee magnetic resonance imaging

Eligibility Criteria

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Inclusion Criteria

* Participants must be \>18 years old;
* Participants must have a KL score between 0 and 3;
* Participants must have clearance to use protocol specified equipment: 3T MRI with parallel imaging capability and phased array knee coil (minimum 4 elements);
* Participant had no change of treatment occur within the last 6 months;
* Participants have no plans of changing to a different treatment within the next 3 months;
* Participant must provide a study-specific signed informed consent form.

Exclusion Criteria

* Patients with contraindication to 3T MRI: Claustrophobia, Implanted metal or medical device that is not approved for MRI scanning at 3T, pregnancy, inability to tolerate relative immobility for 1 hour;
* Patients with prior knee surgery or trauma of the knee;
* Patients with KL score of 4.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Pennsylvania Department of Health

OTHER_GOV

Sponsor Role collaborator

American College of Radiology

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Timothy J Mosher, MD

Role: PRINCIPAL_INVESTIGATOR

Milton S. Hershey Medical Center

Ravinder Reddy, PhD

Role: STUDY_CHAIR

University of Pennsylvania, MMRRCC

Locations

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Penn State Milton S. Hershey Medical Center

Hershey, Pennsylvania, United States

Site Status

Thomas Jefferson University Hospital

Philadelphia, Pennsylvania, United States

Site Status

University of Pennsylvania

Philadelphia, Pennsylvania, United States

Site Status

Fox Chase Cancer Center

Philadelphia, Pennsylvania, United States

Site Status

University of Pittsburgh Medical Center

Pittsburgh, Pennsylvania, United States

Site Status

Countries

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United States

Other Identifiers

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SAP #4100026182

Identifier Type: -

Identifier Source: secondary_id

ACRIN PA 4001

Identifier Type: -

Identifier Source: org_study_id

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