Clinical Efficacy and Safety of NEOIAL HC for Intra-articular Use in the Treatment of Severe Knee Osteoarthritis

NCT ID: NCT05936762

Last Updated: 2023-07-10

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

PHASE4

Total Enrollment

15 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-08-31

Study Completion Date

2022-08-09

Brief Summary

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Osteoarthritis (OA) is one of the most frequent causes of pain and disability in adults. According to the Osteoarthritis Research Society International (OARSI), at least 40% of people over the age of 65 suffer from symptomatic osteoarthritis of the hip or knee. Knee osteoarthritis (OA) is the eleventh leading cause of years lived with disability according to the World Health Organization.

The guidelines show that treatment with intra-articular injections of hyaluronic acid (HA) leads to a slow, prolonged pain relief (up to six months after the first injection); On the other hand, there is little evidence in the literature about the intra-articular use of isolated collagen or in combination with hyaluronic acid in the treatment of knee osteoarthritis.

The present study showed a clinically good safety profile and provided preliminary evidence of the efficacy of NEOIAL HC for the treatment of symptomatic knee OA

Detailed Description

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Conditions

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Osteoarthritis of Knee

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Of the 36 screened patients, 15 had to be included and treated patients (15 as planned per-protocol). Of these, 14 patients completed the study and attended the visit at Month 6 . Since all patients were treated , the Full Analysis Set (FAS, all randomized and treated patients) was identical to the Safety Set (all treated patients).

The mean age at enrollment was 71±7 years (range 54-80;median 73), and 12 of patients were women (85.7%) and 2 male (14.3%) . The mean BMI were26.6±3.4 (range 21-30;median 28.5) . Overall patients had knee OA with a Kellgren-Lawrence grade II and III (50/50).
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Neoial

Treatment with the MD

Group Type EXPERIMENTAL

Neoial HC

Intervention Type DEVICE

Patients with severe knee osteoarthritis were enrolled in the clinical study and treated with 3 injections of 40 mg NEOIAL HC (HA sodium salt at 2% with two molecular weights 20% with pm at 400 kD and 80% between 1200 and 1500 kD t + collagen) at a distance of 1 week from each other, followed by a fourth infiltration of the same product at a distance of 1 month from the third.Patients were followed up with baseline clinical evaluation, reporting of adverse events after each single infiltration and subsequently at the end of treatment, 3, 6 months follow-up.

Interventions

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Neoial HC

Patients with severe knee osteoarthritis were enrolled in the clinical study and treated with 3 injections of 40 mg NEOIAL HC (HA sodium salt at 2% with two molecular weights 20% with pm at 400 kD and 80% between 1200 and 1500 kD t + collagen) at a distance of 1 week from each other, followed by a fourth infiltration of the same product at a distance of 1 month from the third.Patients were followed up with baseline clinical evaluation, reporting of adverse events after each single infiltration and subsequently at the end of treatment, 3, 6 months follow-up.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Age
* Knee OA
* VAS \> 3
* Kellegren radiographic stage 3-4

Exclusion Criteria

* presence of joint effusion,
* VAS score \<3 according to the American College of Rheumatology Criteria
* neoplasms,
* haematological diseases,
* specific rheumatological pathologies,
* bleeding disorders, local infections,
* refusal or non-compliance of the patient,
* candidacy for knee joint replacement or any intra-articular injection during the previous year,
* addiction to opioid drugs,
* recent heart attack or stroke.
Minimum Eligible Age

50 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Nextrasearch S.r.l.s.

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Roberto Buda, Prof

Role: PRINCIPAL_INVESTIGATOR

Ospedale Santa Annunziata di Chieti

Locations

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Ospedale SS Annunziata

Chieti, , Italy

Site Status

Countries

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Italy

Other Identifiers

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NeoialHC

Identifier Type: -

Identifier Source: org_study_id

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