Outcomes of Injections in Patients Waiting for Total Knee Replacement

NCT ID: NCT03090698

Last Updated: 2017-03-27

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

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

120 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-09-30

Study Completion Date

2017-06-30

Brief Summary

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A comparison of intraarticular administration of Hylan GF20, Triamcinolone and both associated in patients with severe osteoarthritis of the knee with follow up of one, three and six months.

Detailed Description

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The objective of this research is to evaluate the short-term results of viscosupplementation in patients with advanced osteoarthritis of the knee.

There is a bigger demand of patients requiring total knee arthroplasty than the number of surgeries performed by the Unified Health System in Brazil. For this reason the queues to perform this surgery are huge and time-consuming in the referral hospitals. Whereas all these patients are suffering from severe pain and limiting, and awaiting the surgery for a few years, it is necessary to try any treatment, even if temporary, to ease the pain and suffering of those patients.

A double-blind randomized prospective study will be held at Hospital Federal dos Servidores do Estado do Rio de Janeiro, with patients from the waiting list for Total Knee Arthroplasty who accept to participate and sign the informed consent form. Will be selected the last 150 knees in TKA queue. Patients will be randomized and divided in 3 groups of 50 knees. A group will be submitted to an intraarticular injection of corticosteroid (1 ml of sterile Triamcinolone Hexacetonide solution 20 mg/ml). A second group will be subjected to administration of 6 ml of Hylan GF20. The third group will receive Hylan GF20 associated with corticosteroid (7 ml solution containing 1 ml of triamcinolone and 6 ml of Hylan GF20). The injection technique will be the same for all patients. The outcome results will be measured by a form with patient data, functional scores (Knee Society Score and Lysholm) before treatment and at one, three and six months after treatment.

Conditions

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Osteoarthritis of the Knee

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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Hylan

Intra-articular (knee) 6ml Hylan GF20 administration (single shot)

Group Type ACTIVE_COMPARATOR

Hylan G-F 20

Intervention Type DRUG

intra-articular administration

Hylan + Corticosteroid

Intra-articular (knee) 6ml Hylan GF20 and 1ml Triamcinolone 20mg/ml administration (single shot)

Group Type ACTIVE_COMPARATOR

Hylan G-F 20

Intervention Type DRUG

intra-articular administration

Triamcinolone

Intervention Type DRUG

Intra-articular administration

Corticosteroid

Intra-articular (knee) 1ml Triamcinolone administration (single shot)

Group Type ACTIVE_COMPARATOR

Triamcinolone

Intervention Type DRUG

Intra-articular administration

Interventions

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Hylan G-F 20

intra-articular administration

Intervention Type DRUG

Triamcinolone

Intra-articular administration

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Over 18 years old;
* Waiting for Total Knee Arthroplasty (at Hospital Federal dos Servidores queue);
* Acceptance and signature of the TFCC;

Exclusion Criteria

* Infiltration of the knee for the past 6 months;
* Allergic to any substance used in the study;
* Prior infection in the knee.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Universidade Federal Fluminense

OTHER

Sponsor Role lead

Responsible Party

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Vinicius Schott Gameiro

Clinical Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Andre Campos

Role: PRINCIPAL_INVESTIGATOR

Hospital dos Servidores do Estado

Locations

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Hospital dos Servidores do Estado do Rio de Janeiro

Rio de Janeiro, Rio de Janeiro, Brazil

Site Status RECRUITING

Countries

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Brazil

Central Contacts

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Andre Campos

Role: CONTACT

+55 21 22913131 ext. 3374

Vinicius Gameiro

Role: CONTACT

Facility Contacts

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Andre Campos

Role: primary

+55 21 22913131 ext. 3374

Other Identifiers

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VISCO KNEE UFF

Identifier Type: -

Identifier Source: org_study_id

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