Gel-200 Versus Placebo in Osteoarthritis of the Knee
A Multi-Center, Randomized, Double-Blind, Controlled, Parallel-Group Study of a Single Intra-Articular Injection of Gel-200 With a Single Intra-Articular Injection of Phosphate Buffered Saline (PBS) in Osteoarthritis of the Knee.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
-
-
Florida
-
Plantation, Florida, United States, 33324
- SKK
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Subjects with a diagnosis of painful, symptomatic tibio-femoral osteoarthritis of the knee (Grade 1-3 on Kellgren - Lawrence (K-L) score).
Exclusion Criteria:
- Subjects with Grade 4 on K-L score
- Subjects with inflammatory diseases of the knee other than osteoarthritis such as rheumatoid arthritis
- Serious systemic diseases
- Female subjects who are pregnant or lactating
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Placebo Comparator: PBS
|
Single intra-articular injection
|
|
Experimental: Gel-200
|
Single intra-articular injection
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Visual Analog Scale (VAS) Pain Subscore
Time Frame: Baseline and Week 13
|
Observed WOMAC pain subscore on VAS of 100 mm; 0 mm meaning no pain; 100 mm meaning extreme pain.
Change in score from baseline to week 13 was calculated as baseline minus week 13.
Primary endpoint was the model estimated difference between Gel-200 and PBS placebo.
|
Baseline and Week 13
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change From Baseline in WOMAC VAS Stiffness Subscore
Time Frame: Baseline and Week 13
|
Observed WOMAC stiffness subscore on Visual Analog Scale (VAS) of 100 mm; 0 mm meaning no stiffness; 100 mm meaning extreme stiffness.
Change in score from baseline to week 13 was calculated as baseline minus week 13.
Primary endpoint was the model estimated difference between Gel-200 and PBS placebo.
|
Baseline and Week 13
|
|
Change From Baseline in WOMAC VAS Physical Function Subscore
Time Frame: Baseline and Week 13
|
Observed WOMAC physical function subscore on Visual Analog Scale (VAS) of 100 mm; 0 mm meaning no difficulty; 100 mm meaning extreme difficulty.
Change in score from baseline to week 13 was calculated as baseline minus week 13.
Primary endpoint was the model estimated difference between Gel-200 and PBS placebo.
|
Baseline and Week 13
|
|
Change From Baseline in WOMAC VAS Total Score
Time Frame: Baseline and Week 13
|
Mean of all WOMAC pain, stiffness and physical function subscores on Visual Analog Scale (VAS) of 100 mm; 0 mm meaning no pain, stiffness and difficulty; 100 mm meaning extreme pain, stiffness and difficulty.
Change in score from baseline to week 13 was calculated as baseline minus week 13.
Primary endpoint was the model estimated difference between Gel-200 and PBS placebo.
|
Baseline and Week 13
|
|
Outcome Measures in Rheumatology Arthritis Clinical Trials (OMERACT)- and the Osteoarthritis Research Society International (OARSI) Response
Time Frame: Weeks 6 to 13
|
Outcome Measures in Rheumatology Clinical Trials and Osteoarthritis Research Society International (OMERACT-OARSI) strict responses defined by changes from baseline in WOMAC pain or physical function subscore ≥50% with absolute changes ≥20 mm (termed strict responders), or ≥20% with absolute changes ≥10mm in 2 of 3 measures of WOMAC pain or physical function subscore or subject global evaluations (termed responders).
|
Weeks 6 to 13
|
|
Change From Baseline in Short Form - 36 (SF-36)
Time Frame: Baseline and Week 13
|
Scored on physical component scale from 0 (negative health) to 100 (positive health).
Calculated norm based with a mean of 50 and a standard deviation of 10.
|
Baseline and Week 13
|
|
Change From Baseline in Subject Global Evaluations
Time Frame: Baseline and Week 13
|
Observed subject evaluations on Visual Analog Scale (VAS) of 100 mm; 0 mm meaning excellent feeling in knee joint; 100 mm meaning poor feeling in knee joint.
Change in score from baseline to week 13 was calculated as baseline minus week 13.
Primary endpoint was the model estimated difference between Gel-200 and PBS placebo.
|
Baseline and Week 13
|
|
Change From Baseline in Physician Global Evaluations
Time Frame: Baseline and Week 13
|
Observed physician global evaluations on Visual Analog Scale (VAS) of 100 mm; 0 mm meaning excellent feeling in knee joint; 100 mm meaning poor feeling in knee joint.
Change in score from baseline to week 13 was calculated as baseline minus week 13.
Primary endpoint was the model estimated difference between Gel-200 and PBS placebo.
|
Baseline and Week 13
|
|
Acetaminophen Consumption
Time Frame: Weeks 9 to 13 (5 weeks)
|
Weekly mean acetaminophen consumption between weeks 9 and 13.
|
Weeks 9 to 13 (5 weeks)
|
Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
General Publications
- Takamura J, Seo T, Strand V. A Pooled Analysis of Two Multicenter, Randomized Controlled Trials of a Single Intra-articular Injection of Gel-200 for Treatment of Osteoarthritis of the Knee. Clin Med Insights Arthritis Musculoskelet Disord. 2018 May 9;11:1179544118773068. doi: 10.1177/1179544118773068. eCollection 2018.
- Strand V, Lim S, Takamura J. Evidence for safety of retreatment with a single intra-articular injection of Gel-200 for treatment of osteoarthritis of the knee from the double-blind pivotal and open-label retreatment clinical trials. BMC Musculoskelet Disord. 2016 Jun 1;17:240. doi: 10.1186/s12891-016-1101-0.
- Strand V, Baraf HSB, Lavin PT, Lim S, Hosokawa H. A multicenter, randomized controlled trial comparing a single intra-articular injection of Gel-200, a new cross-linked formulation of hyaluronic acid, to phosphate buffered saline for treatment of osteoarthritis of the knee. Osteoarthritis Cartilage. 2012 May;20(5):350-356. doi: 10.1016/j.joca.2012.01.013. Epub 2012 Feb 1.
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- SI-6606/01
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