Comparative Assessment of Viscosupplementation With Polynucleotides and Hyaluronic Acid

NCT ID: NCT02417610

Last Updated: 2017-12-26

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

NA

Total Enrollment

102 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-09-30

Study Completion Date

2017-07-20

Brief Summary

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The purpose of the study is to assess the validity of the polynucleotide within the intra articular treatment of osteoarthritis of the knee, comparing it with that of hyaluronic acid, the most commonly used.

Detailed Description

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This study is double-blind, controlled, randomized.The aim of the study is to evaluate the efficacy, safety and tolerability of polynucleotides and hyaluronic acid gel (PNHA, class III medical device) for intra-articular infiltration in treating pain in osteoarthritis (OA) patients knee.

This study will involve patients with osteoarthritis who comply with the inclusion and exclusion criteria. One hundred patients between the ages of 45 and 70 will be enrolled in the study and randomized to receive one of the following treatment groups:

Group A) Polynucleotides and Hyaluronic Acid (PNHA) Group B) Hyaluronic Acid (HA) The treatment will be administered through intra-articular infiltration, a weekly infiltration in the affected knee, for a total of 3 infiltrations (T0, T1 and T2).

The use of non-steroidal anti-inflammatory drugs (NSAIDs) was permitted, but the use of paracetamol 1 cp 1000 mg every 12 hours, or Meloxicam 15 mg a tablet after meals every 12 hours, was recommended.

In case of grug taking: the number of days when the patient used NSAIDs, the commercial name and the NSAID dosage used were reported in the CRF.

Study visit:

* T0 start study: inclusion in the clinical trial and assignment of the randomization number; radiography; clinical study start-up evaluation; fill in the WOMAC questionnaire; infiltration No. 1.
* T 1 after 1 week from the beginning of the study: infiltration No. 2.
* T 2 after 2 weeks from the beginning of the study (end of treatment): infiltration No. 3.

FOLLOW UP:

* T 3 after 2 months from the beginning of the study: clinical evaluation; fill in the WOMAC questionnaire.
* T 4 after 6 months from the start of the study: clinical evaluation; fill in the WOMAC questionnaire.
* T 5 after 1 year from the beginning of the study: clinical evaluation; fill in the WOMAC questionnaire.
* T 6 after 2 years from the beginning of the study: radiography; clinical evaluation; fill in the WOMAC questionnaire.

At T6 visit, the patient completed the study. A 24-month study period is calculated for each patient.

Any adverse event that occurred during the study period was recorded.

Conditions

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Osteoarthritis

Keywords

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Polynucleotide Hyaluronic acid Intra articular injection

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Polynucleotide - PNHA - Newart

50 patients will be enrolled and treated with three weekly injections of polynucleotide plus hyaluronic acid

Group Type EXPERIMENTAL

Polynucleotide - PNHA - Newart

Intervention Type DEVICE

gel polynucleotides and hyaluronic acid

Hyaluronic acid - HA - Ialart

50 patients will be enrolled and treated with three weekly injections of hyaluronic acid

Group Type ACTIVE_COMPARATOR

Hyaluronic acid - HA - Ialart

Intervention Type DEVICE

Hyaluronic acid

Interventions

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Polynucleotide - PNHA - Newart

gel polynucleotides and hyaluronic acid

Intervention Type DEVICE

Hyaluronic acid - HA - Ialart

Hyaluronic acid

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Age between 50 and 75 years
* Patients informed consent
* Knee OA (Osteoarthritis) (ACR classification) with a Kellgren Laurence from 1 to 4
* Knee pain from arisen at least 2 months
* BMI lower than 40

Exclusion Criteria

* Pregnancy or lactation
* Severe systemic disorders
* History of drug abuse or alcoholism
* Hypersensibility to Hyaluronic acid or Polynucleotide
* No previous intra articular infiltration (from 3 months)
* No steroidal or anticoagulant systemic therapy from one month
* Knee articular deformity
* Patients affected by rheumatoid arthritis or other inflammatory articular pathologies and hematological disorders
* Focal skin lesion in the anatomical site of injections
Minimum Eligible Age

50 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Istituto Ortopedico Rizzoli

OTHER

Sponsor Role lead

Responsible Party

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Carubbi

MD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Dante Dallari, MD

Role: PRINCIPAL_INVESTIGATOR

Istituto Ortopedico Rizzoli

Locations

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Istituto Ortopedico Rizzoli

Bologna, , Italy

Site Status

Countries

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Italy

References

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Stagni C, Rocchi M, Mazzotta A, Del Piccolo N, Rani N, Govoni M, Vivarelli L, Veronesi F, Fini M, Dallari D. Randomised, double-blind comparison of a fixed co-formulation of intra-articular polynucleotides and hyaluronic acid versus hyaluronic acid alone in the treatment of knee osteoarthritis: two-year follow-up. BMC Musculoskelet Disord. 2021 Sep 12;22(1):773. doi: 10.1186/s12891-021-04648-0.

Reference Type DERIVED
PMID: 34511091 (View on PubMed)

Other Identifiers

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22/14

Identifier Type: -

Identifier Source: org_study_id