Trial Outcomes & Findings for Effectiveness Trial for Evaluating IAHA for PFPS (NCT NCT01811654)

NCT ID: NCT01811654

Last Updated: 2020-02-26

Results Overview

A 100mm visual analog scale (VAS) for activity related pain assessment will serve as the primary outcome measure. The 2-sample t-test comparing the two treatment groups' mean change from baseline issued. No pain (0-4 mm), mild pain(5-44 mm), moderate pain (45-74 mm), and severe pain (75-100 mm). The 2 sample t-test approximates the test of the null hypothesis that there is a difference in mean change from baseline in the VAS for activity-related pain between the HA group and control group. Higher scores indicate higher level of pain.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

30 participants

Primary outcome timeframe

At baseline and 3 month follow-up

Results posted on

2020-02-26

Participant Flow

Participant milestones

Participant milestones
Measure
Standard Care
Patients in this group will receive treatment per standard care. Standard Care is defined as consisting of physical therapy, activity modification (relative rest), and/or oral analgesic therapy. A specific physical therapy (PT) protocol will be implemented.
Intra-Articular Hyaluronic Acid-Euflexxa
Patients assigned to this group will receive treatment per standard care AND three (3) consecutive weekly injections of intra-articular hyaluronan (Euflexxa). Oral analgesics will be used at the lowest dose and for the shortest time possible to treat PFPS symptoms. Intra-Articular Hyaluronic Acid-Euflexxa: IAHA was approved by the FDA in 1997 as a synovial fluid replacement device to help relieve the pain associated with knee osteoarthritis (OA) in patients who fail to respond adequately to conservative treatment and simple analgesics. In this study, IAHA, specifically Euflexxa, will be used off-label to determine whether patients afflicted with PFPS will experience similar analgesic effects as seen in those with OA.
Overall Study
STARTED
14
16
Overall Study
COMPLETED
14
16
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Effectiveness Trial for Evaluating IAHA for PFPS

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Intra-Articular Hyaluronic Acid-Euflexxa
n=16 Participants
Patients assigned to this group will receive treatment per standard care AND three (3) consecutive weekly injections of intra-articular hyaluronan (Euflexxa). Oral analgesics will be used at the lowest dose and for the shortest time possible to treat PFPS symptoms.
Standard Care
n=14 Participants
Patients in this group will receive treatment per standard care. Standard Care is defined as consisting of physical therapy, activity modification (relative rest), and/or oral analgesic therapy. A specific physical therapy (PT) protocol will be implemented.
Total
n=30 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
16 Participants
n=5 Participants
14 Participants
n=7 Participants
30 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Sex: Female, Male
Female
8 Participants
n=5 Participants
7 Participants
n=7 Participants
15 Participants
n=5 Participants
Sex: Female, Male
Male
8 Participants
n=5 Participants
7 Participants
n=7 Participants
15 Participants
n=5 Participants
Region of Enrollment
United States
16 participants
n=5 Participants
14 participants
n=7 Participants
30 participants
n=5 Participants

PRIMARY outcome

Timeframe: At baseline and 3 month follow-up

Population: Both " Overall Number of Participants Analyzed" and "Participant Flow" are now consistent

A 100mm visual analog scale (VAS) for activity related pain assessment will serve as the primary outcome measure. The 2-sample t-test comparing the two treatment groups' mean change from baseline issued. No pain (0-4 mm), mild pain(5-44 mm), moderate pain (45-74 mm), and severe pain (75-100 mm). The 2 sample t-test approximates the test of the null hypothesis that there is a difference in mean change from baseline in the VAS for activity-related pain between the HA group and control group. Higher scores indicate higher level of pain.

Outcome measures

Outcome measures
Measure
Standard Care
n=14 Participants
Patients in this group will receive treatment per standard care. Standard Care is defined as consisting of physical therapy, activity modification (relative rest), and/or oral analgesic therapy. A specific physical therapy (PT) protocol will be implemented.
Intra-Articular Hyaluronic Acid-Euflexxa
n=16 Participants
Patients assigned to this group will receive treatment per standard care AND three (3) consecutive weekly injections of intra-articular hyaluronan (Euflexxa). Oral analgesics will be used at the lowest dose and for the shortest time possible to treat PFPS symptoms. Intra-Articular Hyaluronic Acid-Euflexxa: IAHA was approved by the FDA in 1997 as a synovial fluid replacement device to help relieve the pain associated with knee osteoarthritis (OA) in patients who fail to respond adequately to conservative treatment and simple analgesics. In this study, IAHA, specifically Euflexxa, will be used off-label to determine whether patients afflicted with PFPS will experience similar analgesic effects as seen in those with OA.
Change in Visual Analog Scale (VAS) Score
Baseline
70 millimeters
Standard Deviation 13.59
62.23 millimeters
Standard Deviation 15.48
Change in Visual Analog Scale (VAS) Score
3 Months
37.61 millimeters
Standard Deviation 31.40
25.025 millimeters
Standard Deviation 15.5

SECONDARY outcome

Timeframe: 3 month follow-up

Encompasses 10 statements regarding PFPS pain. Severity scale consists of 10 statements, rated from "0" indicating "no pain" and a "10" indicating "pain as bad as it could be."

Outcome measures

Outcome measures
Measure
Standard Care
n=14 Participants
Patients in this group will receive treatment per standard care. Standard Care is defined as consisting of physical therapy, activity modification (relative rest), and/or oral analgesic therapy. A specific physical therapy (PT) protocol will be implemented.
Intra-Articular Hyaluronic Acid-Euflexxa
n=16 Participants
Patients assigned to this group will receive treatment per standard care AND three (3) consecutive weekly injections of intra-articular hyaluronan (Euflexxa). Oral analgesics will be used at the lowest dose and for the shortest time possible to treat PFPS symptoms. Intra-Articular Hyaluronic Acid-Euflexxa: IAHA was approved by the FDA in 1997 as a synovial fluid replacement device to help relieve the pain associated with knee osteoarthritis (OA) in patients who fail to respond adequately to conservative treatment and simple analgesics. In this study, IAHA, specifically Euflexxa, will be used off-label to determine whether patients afflicted with PFPS will experience similar analgesic effects as seen in those with OA.
PFPS Severity Scale (PSS) Score
Climbing stairs
5 score on a scale
Standard Deviation 2.44
5.21 score on a scale
Standard Deviation 2.32
PFPS Severity Scale (PSS) Score
squatting
5.5 score on a scale
Standard Deviation 3.46
4.42 score on a scale
Standard Deviation 3.77
PFPS Severity Scale (PSS) Score
walking
3.5 score on a scale
Standard Deviation 2.22
3.64 score on a scale
Standard Deviation 2.37
PFPS Severity Scale (PSS) Score
Jogging
3.87 score on a scale
Standard Deviation 4.08
3.42 score on a scale
Standard Deviation 3.56
PFPS Severity Scale (PSS) Score
Running
3.75 score on a scale
Standard Deviation 4.37
4.07 score on a scale
Standard Deviation 4.08
PFPS Severity Scale (PSS) Score
sport
2.06 score on a scale
Standard Deviation 3.76
3.64 score on a scale
Standard Deviation 3.95
PFPS Severity Scale (PSS) Score
sitting with bent
5.81 score on a scale
Standard Deviation 2.71
4.35 score on a scale
Standard Deviation 2.92
PFPS Severity Scale (PSS) Score
kneeling
4.56 score on a scale
Standard Deviation 3.66
5.21 score on a scale
Standard Deviation 2.51
PFPS Severity Scale (PSS) Score
pain at rest
4.06 score on a scale
Standard Deviation 2.54
2.57 score on a scale
Standard Deviation 2.10
PFPS Severity Scale (PSS) Score
following activities
4.75 score on a scale
Standard Deviation 3.06
4.42 score on a scale
Standard Deviation 2.62

Adverse Events

Standard Care

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Intra-Articular Hyaluronic Acid-Euflexxa

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dennis Cardone, DO

NYU Langone Health

Phone: 212-460-0176

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place