- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04178304
Effect of Prolotherapy in Knee Osteoarthritis.
Effect of Prolotherapy in Knee Osteoarthritis: Clinical and Ultrasonographic Study.
Patients with primary knee osteoarthritis will be included in the study, plain X-ray for the affected knee, followed by musculoskeletal ultrasound assessment will be done. The intervention: intra-articular injection and extra-articular injections of 25% dextrose. Follow up will be done at 24 weeks after the last injection both clinically and ultrasonographically .
Aim: Determine whether prolotherapy improves pain. stiffness and function of symptomatic knee osteoarthritis and determine ultrasonographic changes before and after prolotherapy.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Sixty knees with primary knee osteoarthritis will be included in the study, clinical assessment will be done, then plain X-ray for the affected knee (s), followed by musculoskeletal ultrasound assessment will be done.
The intervention:
- a single intra-articular injection of 6 mL of 25% dextrose through infero-medial or infero-lateral approach will be done.
extra-articular injections will be done at major tender tendons and ligaments through 15 skin punctures using peppering technique and placing a possible total of 22.5 mL of 25% dextrose.
- Both intra and extra-articular injections will be done at 1, 5, 9, and 13 weeks intervals.
Follow up will be done at 24 weeks after the last injection both clinically and ultrasonographically .
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
-
Alexandria, Egypt, 00123
- Alexandria University, Faculty of Medicine
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Moderate and moderate to severe primary Knee osteoarthritis (KL grade II and III)
- consent obtained
Exclusion Criteria:
- Early Knee osteoarthritis (KL grade I)
- Severe Knee osteoarthritis (KL grade IV)
- Causes of 2ry osteoarthritis: other rheumatological, metabolic and inflammatory joint diseases.
- received oral or systemic steroids 1 year prior to the procedure
- received intra-articular steroids or hyaluronic acid 1 year prior to the procedure
- BMI >45Kg/m2
- poorly controlled diabetes mellitus, on anticoagulation therapy, history of cancer
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: G1 patients receive prolotherapy
Intra and extra articular dextrose 25%
|
Intra-articular injection of 6mL of 25% dextrose Extra-articular injection at tender sites with 25% dextrose
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Pain, Stiffness and Physical function
Time Frame: 24 weeks after last injection
|
whether prolotherapy improves physical function by Western Ontario and McMaster University (WOMAC) index and VAS in patients with primary knee osteoarthritis
|
24 weeks after last injection
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Cartilage thickness
Time Frame: 24 weeks after last injection
|
whether an increase in cartilage thickness could be detected by the musculoskeletal ultrasound following prolotherapy
|
24 weeks after last injection
|
Safety and Tolerability
Time Frame: 24 weeks after last injection
|
safety and tolerability will be assessed using patient satisfaction Likeret 5 point scale
|
24 weeks after last injection
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Yousra H Abdel-Fattah, MD, Alexandria University Faculty of Medicine
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 0201167
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Knee Osteoarthritis
-
LifeBridge HealthMicroPort Orthopedics Inc.; Rubin Institute for Advanced OrthopedicsRecruitingKnee Osteoarthritis | Osteoarthritis, Knee | Knee Pain Chronic | Arthropathy of Knee Joint | Knee Disease | Osteoarthritis Knees Both | Osteoarthritis Knee Left | Osteoarthritis Knee RightUnited States
-
University Hospital, Clermont-FerrandSanofiCompletedKnee Osteoarthritis (Knee OA)France
-
Joseph E. BroylesCompletedDegenerative Lesion of Articular Cartilage of Knee | Degeneration; Articular Cartilage, Knee | Unilateral Primary Osteoarthritis of Knee | Osteoarthritis Knee
-
Jiangsu XinChen-Techfields Pharma Co., LTD.Completed
-
The Hong Kong Polytechnic UniversityCompleted
-
Federal University of São PauloCompletedKNEE OSTEOARTHRITISBrazil
-
Novartis PharmaceuticalsRecruitingSymptomatic Knee OsteoarthritisUnited States, Spain, Hungary, Argentina, Germany, Slovakia, Czechia, Belgium, Romania
-
University of BathUniversity of Oxford; 3D Metal Printing Ltd; Versus ArthritisRecruitingMedial Knee OsteoarthritisUnited Kingdom
-
Max Biocare Pty. Ltd.Completed
Clinical Trials on Prolotherapy with 25% Dextrose
-
Istanbul Physical Medicine Rehabilitation Training...Completed
-
National Yang Ming Chiao Tung University HospitalCompleted
-
Mayo ClinicRecruitingKnee OsteoarthritisUnited States
-
Alexandria UniversityActive, not recruitingChronic Pain SyndromeEgypt
-
Mustafa Kemal UniversityCompletedKnee Osteoarthritis | Physical Therapy | Dextrose Prolotherapy InjectionTurkey
-
Gaziler Physical Medicine and Rehabilitation Education...CompletedChondromalacia PatellaeTurkey
-
University of Wisconsin, MadisonNational Center for Complementary and Integrative Health (NCCIH)Completed
-
Ege UniversityCompletedKnee OsteoarthritisTurkey
-
Uludag UniversityCompleted
-
University of AlexandriaCompleted