Research Title: Long Term Functional Outcome of a Single Hyaluronic Acid Injection in Improving Symptoms and Function in Patients With Knee Osteoarthritis - A Single-Arm Open-Label Study (DIART ONE).

July 26, 2026 updated by: Amran Ahmed Shokri, Universiti Sains Malaysia

Long-term Functional Outcome of a Single Hyaluronic Acid Injection in Patients With Knee Osteoarthritis

This study aims to evaluate the effectiveness of a single HA injection in improving pain, function, and quality of life in patients with knee OA over a 12-month period. By focusing on a single-arm open-label design, this study will provide practical insights into the real-world application of this treatment approach.

Study Overview

Status

Not yet recruiting

Intervention / Treatment

Detailed Description

Single-arm, open-label studies play a crucial role in the clinical research ecosystem. These studies are often conducted to:

  1. Assess the performance of a novel HA formulation (e.g., different molecular weights, cross-linking technologies).
  2. Gather "real-world" evidence in broader, less restrictive patient populations.
  3. Provide preliminary data to support the design of larger, more expensive RCTs.
  4. Investigate outcomes in specific patient subpopulations (e.g., severe OA, different age groups).

1. To compare mean differences VAS Score 0,1,3,6,12 months. 2. To study comparison WOMACS mean differences. 3. To document the safety and tolerability of a single HA injection in a real-world clinical setting.

Study Type

Interventional

Enrollment (Estimated)

62

Phase

  • Phase 3

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Contact Backup

  • Name: Amran Prof. Dr A Shokri, master in orthopedics
  • Phone Number: +60 12-900 9272
  • Email: amrankb@usm.my

Study Locations

    • Kelantan
      • Kota Bharu, Kelantan, Malaysia, 16150
        • Hospital Univerisiti Sains Malaysia (HUSM)

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult
  • Older Adult

Accepts Healthy Volunteers

No

Description

Inclusion Criteria:

i. Adults aged 40-75 years with a clinical and radiographic diagnosis of knee OA (Kellgren-Lawrence grade II-III).

ii. Persistent knee pain (≥4 on a 10-point Visual Analogue Scale [VAS]) for at least 3 months.

iii. Failure to achieve adequate pain relief with conservative treatments (e.g., NSAIDs, physical therapy).

iv. Willingness to provide informed consent and comply with study procedures.

Exclusion Criteria:

i. Severe OA (Kellgren-Lawrence grade IV). ii. History of knee surgery or HA injection within the past 6 months. iii. Inflammatory arthritis (e.g., rheumatoid arthritis, gout). iv. Contraindications to HA injections (e.g., infection, allergy to HA products).

v. Significant comorbidities that may interfere with study participation (e.g., uncontrolled diabetes, morbid obesity, severe cardiovascular disease).

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

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: DIART ONE
Treatment Arm will receive a single HA injection to reduce pain and improving knee function in patients with knee OA over 12 months. Outcomes will be assessed, including pain (VAS), function (WOMAC), and safety ( adverse events)
single injection of hyaluronic acid ( Diart) into the affected knee

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Functional assessment of patient with osteoarthritic knee included in this study
Time Frame: 1 YEAR
WOMAC osteoarthritis index is going to be used to assess the functionality of the patient with osteoarthritic knee, included in the study. Assessment is done 0, 1, 3, 6,12 months
1 YEAR
Assessment of pain score in knee osteoarthritic patient
Time Frame: 1YEAR
The outcomes is measured using visual analogue score (VAS) for pain intensity assessment at 0, 1, 3, 6,12 months.
1YEAR

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Investigators

  • Principal Investigator: AMRAN AHMED SHOKRI, MASTER IN ORTHOPEDIC, Universiti Sains Malaysia

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

Helpful Links

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Estimated)

August 30, 2026

Primary Completion (Estimated)

August 30, 2028

Study Completion (Estimated)

August 30, 2029

Study Registration Dates

First Submitted

July 26, 2026

First Submitted That Met QC Criteria

July 26, 2026

First Posted (Actual)

July 30, 2026

Study Record Updates

Last Update Posted (Actual)

July 30, 2026

Last Update Submitted That Met QC Criteria

July 26, 2026

Last Verified

July 1, 2026

More Information

Terms related to this study

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

UNDECIDED

IPD Plan Description

To protect participant personal data

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

product manufactured in and exported from the U.S.

No

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.

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