Effectiveness and Safety of Intra-Articular Hyaluronic Acid Combined With Fibrinogen in Knee Osteoarthritis

NCT ID: NCT07323342

Last Updated: 2026-01-07

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

Clinical Phase

NA

Total Enrollment

31 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-05-05

Study Completion Date

2026-10-31

Brief Summary

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This study aims to evaluate the effectiveness and safety of intra-articular injections of hyaluronic acid combined with fibrinogen in patients with knee osteoarthritis.

Knee osteoarthritis is a common degenerative joint disease that causes pain, stiffness, and reduced mobility, significantly affecting quality of life. Hyaluronic acid injections are widely used to relieve symptoms, but their effectiveness may be limited in some patients. Fibrinogen has potential biological effects that may enhance tissue repair and anti-inflammatory responses.

In this single-arm clinical study, patients with knee osteoarthritis will receive intra-articular injections of a combination of hyaluronic acid and fibrinogen. Clinical outcomes, including pain relief, functional improvement, and adverse events, will be assessed during follow-up visits.

The results of this study may provide additional evidence regarding the potential benefits and safety of combining hyaluronic acid with fibrinogen for the treatment of knee osteoarthritis.

Detailed Description

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This is a prospective, single-arm clinical study designed to evaluate the efficacy and safety of intra-articular hyaluronic acid combined with fibrinogen in patients with knee osteoarthritis.

Eligible patients diagnosed with knee osteoarthritis according to clinical and radiographic criteria will be enrolled. All participants will receive intra-articular injections of a combination of hyaluronic acid and fibrinogen administered under sterile conditions.

The primary objectives of the study are to assess changes in pain intensity and knee function following treatment. Secondary objectives include evaluation of functional outcomes, patient-reported quality of life, and the occurrence of adverse events related to the intervention.

Patients will be followed for a predefined period after injection, during which clinical assessments will be performed at scheduled visits. Pain and functional outcomes will be evaluated using validated clinical scales. Safety assessments will include monitoring and recording of any local or systemic adverse events throughout the study period.

This study is conducted as part of a doctoral research project in clinical pharmacology at the University of Medicine and Pharmacy at Ho Chi Minh City. The study protocol has been reviewed and approved by the Institutional Review Board of the University of Medicine and Pharmacy at Ho Chi Minh City prior to initiation.

Conditions

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Knee Osteoarthritis

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

This is a single-arm interventional study in which all participants receive intra-articular hyaluronic acid combined with fibrinogen.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Intra-articular combination Hyaluronic Acid and Fibrinogen

Participants with knee osteoarthritis receive intra-articular injections of hyaluronic acid combined with fibrinogen according to routine clinical practice. This is a single-arm, post-marketing study evaluating effectiveness and safety outcomes.

Group Type EXPERIMENTAL

Intra-articular hyaluronic acid combined with fibrinogen

Intervention Type DEVICE

Participants with knee osteoarthritis receive intra-articular injections of hyaluronic acid combined with fibrinogen as part of routine clinical practice. The intervention is administered according to standard post-marketing use. This single-arm study evaluates the effectiveness and safety of the intervention without a comparator.

Interventions

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Intra-articular hyaluronic acid combined with fibrinogen

Participants with knee osteoarthritis receive intra-articular injections of hyaluronic acid combined with fibrinogen as part of routine clinical practice. The intervention is administered according to standard post-marketing use. This single-arm study evaluates the effectiveness and safety of the intervention without a comparator.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Male or female patients aged 45 to 75 years.
* Diagnosed with primary knee osteoarthritis according to the American College of Rheumatology (ACR) 1991 criteria.
* Vietnamese patients.
* Patients who have provided written informed consent to participate in the study.
* Patients with full-length standing lower limb radiographs showing a mechanical axis deviation of less than 10 degrees.
* Body mass index (BMI) between 18.5 and 35 kg/m².

Exclusion Criteria

* Active joint infection or systemic infection.
* Presence of other joint diseases such as rheumatoid arthritis, gout, malignancy-related joint disease, or significant knee trauma.
* Acute concomitant medical conditions such as high fever, acute myocardial infarction, or pneumonia.
* Use of non-steroidal anti-inflammatory drugs (NSAIDs) within 10 days prior to enrollment or intra-articular corticosteroid injection within 3 months before enrollment.
* Presence of knee joint effusion at the time of screening.
* History of hypersensitivity or allergy to hyaluronic acid.
Minimum Eligible Age

45 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Cao Kim Xoa

OTHER

Sponsor Role lead

Responsible Party

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Cao Kim Xoa

PhD Candidate, Clinical Pharmacology

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Nam Anh Tang Ha, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Xuong Khop Viet Clinic

Manh Hung Tran, PhD

Role: PRINCIPAL_INVESTIGATOR

Head, Department of Pharmacology, School of Pharmacy, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam

Locations

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Xuong Khop Viet clinic

Ho Chi Minh City, , Vietnam

Site Status RECRUITING

Countries

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Vietnam

Central Contacts

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Kim Xoa Cao, MSc in Pharmacy

Role: CONTACT

+84 987111194

Nam Anh Tang Ha, PhD

Role: CONTACT

Facility Contacts

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Cao Kim Xoa, Msc

Role: primary

+84 987111194

References

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Han SB, Seo IW, Shin YS. Intra-Articular Injections of Hyaluronic Acid or Steroids Associated With Better Outcomes Than Platelet-Rich Plasma, Adipose Mesenchymal Stromal Cells, or Placebo in Knee Osteoarthritis: A Network Meta-analysis. Arthroscopy. 2021 Jan;37(1):292-306. doi: 10.1016/j.arthro.2020.03.041. Epub 2020 Apr 17.

Reference Type RESULT
PMID: 32305424 (View on PubMed)

David BM, Madsen BW, Ilett KF. Plasma binding of disopyramide. Br J Clin Pharmacol. 1980 Jun;9(6):614-8. doi: 10.1111/j.1365-2125.1980.tb01090.x. No abstract available.

Reference Type RESULT
PMID: 7387819 (View on PubMed)

Other Identifiers

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24295-DHYD

Identifier Type: OTHER

Identifier Source: secondary_id

24295 - ĐHYD

Identifier Type: -

Identifier Source: org_study_id

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