MRgFUS in the Treatment of Hand and Hip Osteoarthritic Pain

NCT ID: NCT03467165

Last Updated: 2023-05-11

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

14 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-04-27

Study Completion Date

2021-03-15

Brief Summary

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This project aims at performing a pilot study to provide data on safety and potential efficacy of Magnetic Resonance guided Focused Ultrasound Surgery (MRgFUS) in the treatment of pain caused by trapeziometacarpal osteoarthritis (OA) and/or scaphotrapezial OA, and by hip OA, while exploring the potential application of MRgFUS to two different and central joints burdened by OA.

Detailed Description

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Pain caused by osteoarthritis is a matter of huge impact, in terms of quality of life, social and economic burden. Global aging of the population is going to worsen the problem. The hand is the most affected site in the upper limb, and involvement of the trapeziometacarpal joint is highly prevalent, with significant limitation of functionality when it happens. In the lower limb, the hip and the knee share the leading position in the clinical scenario, with the former being historically the most frequently submitted to joint replacement.

At any site, the vast majority of joint replacement surgery procedures are performed because of pain. MRgFUS has recently demonstrated a great potential in treating pain caused by different medical conditions, including osteoarthritis. The aim of the work is to study the feasibility, the safety and the potential efficacy of MRgFUS in treating pain from osteoarthritis in two "hot" spots: the hip and the trapeziometacarpal/scaphotrapezial joint.

Conditions

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Osteoarthritis Hip Osteoarthritis Hand Osteoarthritis

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Pilot study
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Hand ExAblate

MRgFUS treatment of pain caused by trapeziometacarpal OA (and/or scaphotrapezial OA)

Group Type EXPERIMENTAL

MRgFUS treatment

Intervention Type DEVICE

MRgFUS treatment of pain caused by trapeziometacarpal OA (and/or scaphotrapezial OA)

Hip ExAblate

MRgFUS treatment of pain caused by hip OA

Group Type EXPERIMENTAL

MRgFUS treatment

Intervention Type DEVICE

MRgFUS treatment of pain caused by hip OA

Interventions

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MRgFUS treatment

MRgFUS treatment of pain caused by trapeziometacarpal OA (and/or scaphotrapezial OA)

Intervention Type DEVICE

MRgFUS treatment

MRgFUS treatment of pain caused by hip OA

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Male and female aged between 45 and 90 years
* Presence of activity-related joint pain
* Patients who have either no morning joint-related stiffness or morning stiffness that lasts no longer than 30 minutes
* Patients who have not responded to previous treatments,
* Patients with a baseline pain intensity of 4 to 8 on a 10-cm VAS
* Patients who are not candidates for immediate surgery
* Signed statement of informed consent (approved by Ethics Committee)

Exclusion Criteria

* Prior surgery or previous local treatment (infiltration, other) in the past 3 months
* Changes in medications used during the previous 2 months
* Intravenous drug use
* Corticosteroid use of more than 3 months within the preceding year
* Diagnosis of other rheumatologic disorders
* Trauma, fracture, or osteomyelitis of the investigated joints within the preceding year
* Any neurological disease or disorders potentially affecting pain perception
* Fibromyalgia
* Pregnancy
* Patients with large scar at skin or deeper soft tissue potentially included in the planned path of the ultrasound beam
* General contraindications to MRI and/or to anaesthesiological procedures planned for the patient
* Presence of internal hardware or devices potentially affecting MR thermometry
Minimum Eligible Age

45 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Istituto Ortopedico Rizzoli

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Alberto Bazzocchi, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

The Rizzoli Ortopaedic Institute

Locations

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Istituto Ortopedico Rizzoli

Bologna, BO, Italy

Site Status

Countries

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Italy

Other Identifiers

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handhip@IORFus

Identifier Type: -

Identifier Source: org_study_id

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