Efficacy of AposTherapy® in Knee OA

NCT ID: NCT03153956

Last Updated: 2020-03-24

Study Results

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

NA

Total Enrollment

77 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-04-16

Study Completion Date

2018-11-15

Brief Summary

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A prospective, interventional, randomized, double-arm clinical evaluation study to examine the efficacy of AposTherapy® versus a control group, in the short-term at 6 months and in the long-term at 12 months post-treatment, with the primary efficacy assessment based on improvement in knee pain score and improvement in function in patients following diagnosis of knee osteoarthritis (OA).

Detailed Description

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Conditions

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Osteoarthritis, Knee

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Phase I - A prospective, interventional, randomized, double-arm clinical evaluation of patients who have been diagnosed with OA of the knee. The active treatment arm (personally calibrated biomechanical device) will be compared to a control arm (sham-placebo device) (similar shoes without biomechanical elements).

Phase II - Open-label, cross-over study design. After the completion of phase one patients will be un-blinded to their group allocation. Patients that were allocated to the sham-placebo control group will cross to the active group and will receive the AposTherapy treatment. Patients that were allocated to the active group will continue with treatment.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Active Treatment Arm

Personally calibrated bio-mechanical device

Group Type EXPERIMENTAL

Calibrated AposTherapy®

Intervention Type DEVICE

a biomechanical device including 2 hemispheric biomechanical elements attached to a platform in a form of a shoe. the biomechanical device is calibrated to each patient by a physiotherapist specialized with the treatment methodology.

Control Arm

sham-placebo device (similar shoes without bio-mechanical elements).

Group Type PLACEBO_COMPARATOR

Non-Calibrated Sham Apos Therapy Device

Intervention Type DEVICE

The comparator group will receive a non-calibrated sham device.

Interventions

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Calibrated AposTherapy®

a biomechanical device including 2 hemispheric biomechanical elements attached to a platform in a form of a shoe. the biomechanical device is calibrated to each patient by a physiotherapist specialized with the treatment methodology.

Intervention Type DEVICE

Non-Calibrated Sham Apos Therapy Device

The comparator group will receive a non-calibrated sham device.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Patients suffering from symptomatic unilateral or bilateral knee OA at the medial compartment for at least six months;
* Fulfilling the ACR clinical criteria;
* Having radiographically assessed OA of the knee with a Kellgren-Lawrence grade more than or equal to grade 2; and,
* Having VAS-Pain ≥ 3, on a scale between 0-10.
* Patients who have a shoe size between US 4 and US 12

Exclusion Criteria

* Patients suffering from acute septic arthritis.
* Patients who received a corticosteroid injection within 3 months of the study.
* Patients who received hyaluronic acid (HA) injections within 6 months of the study
* Patients suffering from avascular necrosis of the knee.
* Patients with a history of knee buckling or recent knee injury.
* Patients who have had a joint replacement or other major surgery to the knee, hip or ankle (ipsilateral or contralateral side).
* Patients suffering from neuropathic arthropathy.
* Patients with an increased tendency to fall.
* Patients exhibiting a lack of physical or mental ability to perform or comply with the study procedure.
* Patients with a history of pathological osteoporotic fracture.
* Patients suffering from symptomatic degenerative arthritis in lower limb joints other than the knees.
* Patients with referred pain in the knees from primary back or hip joint pain.
* Patients with neurological deficits to the lower extremity (ex. foot drop)
* Patients whose shoe size is less than US 4 and greater than US 12
* Patients who have had arthroscopy within 6 months of the study
* Patients with inflammatory arthropathy
Minimum Eligible Age

45 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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NYU Langone Health

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Dennis Cardone, DO

Role: PRINCIPAL_INVESTIGATOR

NYU Langone Health

Locations

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New York University School of Medicine

New York, New York, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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14-02127

Identifier Type: -

Identifier Source: org_study_id

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