Complex Molecular Etiology and Cellular Landscape of Hip Osteoarthritis

NCT ID: NCT05278520

Last Updated: 2025-08-24

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

RECRUITING

Total Enrollment

110 participants

Study Classification

OBSERVATIONAL

Study Start Date

2023-01-11

Study Completion Date

2028-12-31

Brief Summary

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The purpose of this study is to cast light on the highly complex etiology and cellular landscape of hip osteoarthritis by utilising single-cell and spatial omics.

Detailed Description

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The specific objectives of this project are:

1. Using the latest single-cell RNA sequencing (scRNAseq) techniques the investigators aim to A) characterize what kind of cell populations are found in different synovial tissues and blood derived samples of OA patients, B) determine how the cell composition differs between arthritic and corresponding non-arthritic tissues, C) map the transcriptional and regulatory landscape of the cells mentioned in A and B focusing on the inflammatory responses, D) determine what are the key molecular pathways activated in OA.
2. To determine if some of the blood-derived immune cell populations or their products could be used as biomarkers for OA.
3. To map the whole transcriptome and proteome of OA and non-arthritic control tissue while keeping the morphological context with spatial omics technologies.
4. Further differentiation and identification of OA endotypes utilizing the single-cell and spatial omics data.

The project includes a Rheumatoid sub-study where the main objective is to compare arthritic tissue and peripheral blood constituents between OA and rheumatoid arthritis patients to explore the differences in the disease mechanisms.

Conditions

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Osteoarthritis, Hip Rheumatoid Arthritis

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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OA cases

Fifty adult patients who have hip osteoarthritis.

Total hip arthroplasty

Intervention Type PROCEDURE

Hip joint replacement surgery. Elective for RA and OA cases.

RA cases

Forty adult patients who have rheumatoid arthritis in the hip joint.

Total hip arthroplasty

Intervention Type PROCEDURE

Hip joint replacement surgery. Elective for RA and OA cases.

Non-arthritic controls

Twenty adult patients who go through trauma-based emergency total hip arthroplasty and do not have arthritis.

Total hip arthroplasty

Intervention Type PROCEDURE

Hip joint replacement surgery. Elective for RA and OA cases.

Interventions

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Total hip arthroplasty

Hip joint replacement surgery. Elective for RA and OA cases.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

Cases: Adult patients with osteoarthritis in the hip joint and who are going through an elective total hip arthroplasty.

Controls: Non-arthritis adult patients who are going through a trauma-based emergency total hip arthroplasty.

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Adult patients with rheumatoid arthritis in the hip joint and who are going through an elective total hip arthroplasty.

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Exclusion Criteria

* The body mass index must be below 35
* Age \< 18 or \> 74
* The OA patients may not have diabetes, rheumatoid arthritis (RA), or metabolic syndrome.
Minimum Eligible Age

18 Years

Maximum Eligible Age

74 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Turku University Hospital

OTHER_GOV

Sponsor Role collaborator

Hospital District of Helsinki and Uusimaa

OTHER

Sponsor Role collaborator

University of Turku

OTHER

Sponsor Role lead

Responsible Party

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Lea Mikkola

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Lea Mikkola, PhD

Role: PRINCIPAL_INVESTIGATOR

Turku Bioscience, University of Turku

Locations

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PET-centre, University of Turku

Turku, Southwest Finland, Finland

Site Status ACTIVE_NOT_RECRUITING

Turku Bioscience, University of Turku

Turku, Southwest Finland, Finland

Site Status ACTIVE_NOT_RECRUITING

Turku University Hospital

Turku, Southwest Finland, Finland

Site Status RECRUITING

Helsinki University Hospital

Espoo, Uusimaa, Finland

Site Status RECRUITING

Countries

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Finland

Central Contacts

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Lea Mikkola, PhD

Role: CONTACT

+358404143300

Facility Contacts

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Pjotr Sarantsin, MD

Role: primary

Anna Vasara, MD, PhD

Role: primary

References

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Rydgren E, Kotilainen SK, Piipponen M, Lönnberg T, Mikkola L. COMPARISON OF TWO HIGH-RESOLUTION SPATIAL TRANSCRIPTOMICS TECHNOLOGIES TO STUDY SYNOVIAL IMMUNE INFILTRATION IN OSTEOARTHRITIS AND RHEUMATOID ARTHRITIS Osteoarthritis and Cartilage, Volume 33, Issue 6, 2025, page 816. https://doi.org/10.1016/j.joca.2025.03.079

Reference Type BACKGROUND

Other Identifiers

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2022OASEQ

Identifier Type: -

Identifier Source: org_study_id

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