Durolane Compared to Saline in Patients With Unilateral Knee Osteoarthritis

NCT ID: NCT01806207

Last Updated: 2022-08-25

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

Clinical Phase

PHASE4

Total Enrollment

218 participants

Study Classification

INTERVENTIONAL

Study Start Date

2003-02-28

Brief Summary

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This was a study that compared Durolane injections to saline injections in the treatment of unilateral osteoarthritis of the knee. The patients were randomly assigned one of the two treatments unaware of which treatment they received. The study was conducted at 13 centers in Germany, the United Kingdom and Sweden. Patients were followed for six weeks after study treatment.

Detailed Description

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Conditions

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Unilateral Knee Osteoarthritis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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Durolane injection

Intraarticular injection of 3 ml Durolane.

Group Type ACTIVE_COMPARATOR

Durolane injection

Intervention Type DEVICE

Saline injection

Intraarticular injection of physiological sodium chloride (0.9% NaCl) solution pH 7.

Group Type PLACEBO_COMPARATOR

Saline injection

Intervention Type OTHER

Interventions

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Durolane injection

Intervention Type DEVICE

Saline injection

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Osteoarthritis according to ACR (American College of Radiology) criteria for the knee
* WOMAC pain score in the range 7 to 17
* Significant knee pain for the majority of days during the past 3 months
* Patient normally active, not bedridden or confined to a wheelchair and able to walk 50 meters without the help of a walker, crutches or a cane
* Patient has attempted but not responded adequately to non-pharmacological therapy(ies)
* Patient co-operative and able to communicate effectively with the investigators
* Signed informed consent obtained

Exclusion Criteria

* Bilateral knee osteoarthritis
* Osteoarthritis or clinically significant pain from other part of the musculoskeletal system than the study knee
* Kellgren Lawrence radiographic score grade IV for the study knee
* Change in physical therapy/occupational therapy for the knee within the last 3 months
* Treatment with nonsteroidal antiinflammatory drugs (NSAIDs) (including topical agents for the study knee) during the last week (or 5 half-lives of the drug, whichever is longer) prior to baseline visit
* Treatment with non-NSAID topicals such as capsaicin for the knee within the last 3 days
* Intra-articular injection with corticosteroids in the study knee within the last 3 months
* Use of systemic steroids (excluding inhalation steroids) within the last 3 months
* Intra-articular injections with hyaluronic acid in the study knee within the last 9 months
* Treatment with glucosamine/chondroitin sulfate within the last 3 months
* Treatment with pain relievers except for paracetamol up to 4g/day
* Treatment with anticoagulant (except for acetylsalicylic acid max. 325 mg/day)
* Arthroscopy or any other surgical procedure in the study knee within the last 12 months
* Planned arthroscopy or any other surgical procedure during the study period
* Any medical condition which in the opinion of the investigator makes the patient unsuitable for inclusion (e.g. severe progressive chronic disease, malignancy, bleeding disorder, fibromyalgia)
* Systemic active inflammatory condition or infection, such as Rheumatoid arthritis, inflammatory arthritis, ankylosing spondylitis, psoriatic arthritis, reactive arthritis, gout/acute pseudogout or any other connective tissue disease
* Septic arthritis in the study knee within the last 3 months
* Active skin disease or infection in the area of the injection site
* Significant venous or lymphatic stasis present in the legs
* Pregnant or breast-feeding woman or woman of child-bearing potential not practicing adequate contraception
* Subjects that in the opinion of the investigator are unsuitable for inclusion (e.g. subjects not likely to avoid other therapies, subjects not likely to stay in the study during the whole study period, or subjects likely to be unreliable)
* Concurrent participation in any other clinical study or participation within the preceding 30 days
Minimum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Galderma R&D

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Nigel Arden, MD

Role: PRINCIPAL_INVESTIGATOR

University Hospital Southampton NHS Foundation Trust

Locations

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Southampton General Hospital

Southhampton, Hampshire, United Kingdom

Site Status

Countries

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United Kingdom

References

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Arden NK, Akermark C, Andersson M, Todman MG, Altman RD. A randomized saline-controlled trial of NASHA hyaluronic acid for knee osteoarthritis. Curr Med Res Opin. 2014 Feb;30(2):279-86. doi: 10.1185/03007995.2013.855631. Epub 2013 Nov 5.

Reference Type DERIVED
PMID: 24168077 (View on PubMed)

Other Identifiers

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35GA0301

Identifier Type: -

Identifier Source: org_study_id

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