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ORTHOVISC Shoulder Osteoarthritis Study

A Comparison of Orthovisc® to Corticosteroid Injection in Shoulder Osteoarthritis: Orthovisc Randomized Clinical Trial

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00436969
Enrollment
274
Registered
2007-02-19
Start date
2006-12-31
Completion date
2011-08-31
Last updated
2017-03-09

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Glenohumeral Osteoarthritis

Keywords

Orthovisc, Osteoarthritis, Shoulder, Randomized

Brief summary

A comparison of Orthovisc to corticosteroid injections in the shoulder for pain due to osteoarthritis.

Detailed description

This multicenter, prospective double-blinded, randomized trial will study two treatment groups. Subjects will be randomized to receive either Orthovisc or corticosteroids/anesthetic injection into the shoulder in a 2:1 schema. The trial will assess safety and efficacy of pain relief in the osteoarthritic shoulder.

Interventions

DEVICEOrthovisc

Orthovisc injection

DRUGControl

Celestone (betamethasone sodium phosphate and acetate) - 2 mL

Sponsors

DePuy Mitek
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
25 Years to 75 Years
Healthy volunteers
No

Inclusion criteria

* A candidate for unilateral treatment of osteoarthritis of the shoulder * Have failed conservative treatment

Exclusion criteria

* Presence of full thickness Rotator Cuff tear and/or significantly compromised rotator cuff function * No active instability or acute dislocation episodes within the previous 12 months * Known allergy to hyaluronate preparations * Pregnant or breast feeding * Is receiving prescription pain medication for conditions unrelated to the index shoulder condition

Design outcomes

Primary

MeasureTime frameDescription
Visual Analog Scale (VAS) Pain Score (Per Protocol)6 MonthsScores are measured on a 100 mm Visual Analog Scale (VAS). The VAS scale ranges from 0 to 100 mm with the lower score indicating less pain and the higher score indicating greater pain.
Visual Analog Scale (VAS) Pain Score (As Treated)6 MonthsScores are measured on a 100 mm Visual Analog Scale (VAS). The VAS scale ranges from 0 to 100 mm with the lower score indicating less pain and the higher score indicating greater pain.

Secondary

MeasureTime frameDescription
Visual Analog Scale (VAS) Pain Score Change From Baseline and 12 Weeks (Per Protocol)Baseline and 12 weeksThe difference in pain was calculated as visit score - baseline score. Scores are measured on a 100 mm visual analogy scale.
Visual Analog Scale (VAS) Pain Score Change From Baseline and 12 Weeks (As Treated)Baseline and 12 weeksScores are measured on a 100 mm Visual Analog Scale (VAS). The VAS scale ranges from 0 to 100 mm with the lower score indicating less pain and the higher score indicating greater pain. The difference in pain was calculated as visit score - baseline score.
American Shoulder and Elbow Surgeons Evaluation Form (ASES) Patient Score Change From Baseline and 12 Weeks (Per Protocol)Baseline and 12 weeksThe difference in American Shoulder and Elbow Surgeons Evaluation Form (ASES) Patient score calculated as visit score - baseline score. The ASES was designed to provide a standard method for evaluation of the shoulder through assessment of pain and activities of daily living (ie, function). The ASES is derived from an equation that incorporates a visual analog pain scale and functional ability questions. Both components have a maximum score of 50. Pain is calculated by subtracting the visual analog score from 10 and then multiplying by 5 for a total of 50 points. The function component is calculated by adding the points and multiplying by five thirds for a maximum of 50 points. The subscores for pain and function are then added for the total score. The maximum possible total score is 100, representing less pain and greater function.
American Shoulder and Elbow Surgeons Evaluation Form (ASES) Patient Score Change From Baseline and 12 Weeks (As Treated)Baseline and 12 weeksThe difference in American Shoulder and Elbow Surgeons Evaluation Form (ASES) Patient score calculated as visit score - baseline score. The ASES was designed to provide a standard method for evaluation of the shoulder through assessment of pain and activities of daily living (ie, function). The ASES is derived from an equation that incorporates a visual analog pain scale and functional ability questions. Both components have a maximum score of 50. Pain is calculated by subtracting the visual analog score from 10 and then multiplying by 5 for a total of 50 points. The function component is calculated by adding the points and multiplying by five thirds for a maximum of 50 points. The subscores for pain and function are then added for the total score. The maximum possible total score is 100, representing less pain and greater function.
American Shoulder and Elbow Surgeons Evaluation Form (ASES) Patient Score Change From Baseline and 6 Months (Per Protocol)Baseline and 6 monthsThe difference in American Shoulder and Elbow Surgeons Evaluation Form (ASES) Patient score calculated as visit score - baseline score. The ASES was designed to provide a standard method for evaluation of the shoulder through assessment of pain and activities of daily living (ie, function). The ASES is derived from an equation that incorporates a visual analog pain scale and functional ability questions. Both components have a maximum score of 50. Pain is calculated by subtracting the visual analog score from 10 and then multiplying by 5 for a total of 50 points. The function component is calculated by adding the points and multiplying by five thirds for a maximum of 50 points. The subscores for pain and function are then added for the total score. The maximum possible total score is 100, representing less pain and greater function.
American Shoulder and Elbow Surgeons Evaluation Form (ASES) Patient Score Change From Baseline and 6 Months (As Treated)Baseline and 6 monthsThe difference in American Shoulder and Elbow Surgeons Evaluation Form (ASES) Patient score calculated as visit score - baseline score. The ASES was designed to provide a standard method for evaluation of the shoulder through assessment of pain and activities of daily living (ie, function). The ASES is derived from an equation that incorporates a visual analog pain scale and functional ability questions. Both components have a maximum score of 50. Pain is calculated by subtracting the visual analog score from 10 and then multiplying by 5 for a total of 50 points. The function component is calculated by adding the points and multiplying by five thirds for a maximum of 50 points. The subscores for pain and function are then added for the total score. The maximum possible total score is 100, representing less pain and greater function.
Shoulder Pain and Disability Index (SPADI) Total Disability Score Change From Baseline and 12 Weeks (Per Protocol)Baseline and 12 weeksThe difference in Shoulder Pain and Disability Index (SPADI) Total Disability score calculated as visit score - baseline score. The Shoulder Pain and Disability Index (SPADI) is a self-administered questionnaire that consists of two dimensions, one for pain and the other for functional activities. The pain dimension consists of five questions regarding the severity of an individual's pain, where: 0 = no pain and 10 = the worst pain imaginable. Functional activities are assessed with eight questions designed to measure the degree of difficulty an individual has with various activities of daily living that require upper-extremity use, where: 0 = no difficulty and 10 = so difficult it requires help. Scoring instructions: The scores from both dimensions are averaged to derive a total score.
Shoulder Pain and Disability Index (SPADI) Total Disability Score Change From Baseline and 12 Weeks (As Treated)Baseline and 12 weeksThe difference in Shoulder Pain and Disability Index (SPADI) Total Disability score calculated as visit score - baseline score. The Shoulder Pain and Disability Index (SPADI) is a self-administered questionnaire that consists of two dimensions, one for pain and the other for functional activities. The pain dimension consists of five questions regarding the severity of an individual's pain, where: 0 = no pain and 10 = the worst pain imaginable. Functional activities are assessed with eight questions designed to measure the degree of difficulty an individual has with various activities of daily living that require upper-extremity use, where: 0 = no difficulty and 10 = so difficult it requires help. Scoring instructions: The scores from both dimensions are averaged to derive a total score.
Shoulder Pain and Disability Index (SPADI) Total Disability Score Change From Baseline and 6 Months (Per Protocol)Baseline and 6 monthsThe difference in Shoulder Pain and Disability Index (SPADI) Total Disability score calculated as visit score - baseline score. The Shoulder Pain and Disability Index (SPADI) is a self-administered questionnaire that consists of two dimensions, one for pain and the other for functional activities. The pain dimension consists of five questions regarding the severity of an individual's pain, where: 0 = no pain and 10 = the worst pain imaginable. Functional activities are assessed with eight questions designed to measure the degree of difficulty an individual has with various activities of daily living that require upper-extremity use, where: 0 = no difficulty and 10 = so difficult it requires help. Scoring instructions: The scores from both dimensions are averaged to derive a total score.
Percentage of Responders Using the Visual Analog Scale (VAS) Pain Score (Per Protocol)Baseline and 6 monthsScores are measured on a 100 mm Visual Analog Scale (VAS). The VAS scale ranges from 0 to 100 mm with the lower score indicating less pain and the higher score indicating greater pain. A responder was defined as a 20 mm or greater reduction in VAS pain score from baseline to 6 months.
12-Item Short Form Survey (SF-12) Physical Score Change From Baseline and 12 Weeks (Per Protocol)Baseline and 12 weeksThe difference in 12-Item Short Form Survey (SF-12) Physical score calculated as visit score - baseline score. The SF-12 is a generic measure and does not target a specific age or disease group. It has been developed to provide a shorter, yet valid alternative to the SF-36, which has been seen by many health researchers as too long to administer to studies with large samples. The SF-12 is weighted and summed to provide easily interpretable scales for physical and mental health. Physical and Mental Health Composite Scores (PCS & MCS) are computed using the scores of twelve questions and range from 0 to 100, where a zero score indicates the lowest level of health measured by the scales and 100 indicates the highest level of health.
12-Item Short Form Survey (SF-12) Physical Score Change From Baseline and 12 Weeks (As Treated)Baseline and 12 weeksThe difference in 12-Item Short Form Survey (SF-12) Physical score calculated as visit score - baseline score. The SF-12 is a generic measure and does not target a specific age or disease group. It has been developed to provide a shorter, yet valid alternative to the SF-36, which has been seen by many health researchers as too long to administer to studies with large samples. The SF-12 is weighted and summed to provide easily interpretable scales for physical and mental health. Physical and Mental Health Composite Scores (PCS & MCS) are computed using the scores of twelve questions and range from 0 to 100, where a zero score indicates the lowest level of health measured by the scales and 100 indicates the highest level of health.
12-Item Short Form Survey (SF-12) Physical Score Change From Baseline and 6 Months (Per Protocol)Baseline and 6 monthsThe difference in 12-Item Short Form Survey (SF-12) Physical score calculated as visit score - baseline score. The SF-12 is a generic measure and does not target a specific age or disease group. It has been developed to provide a shorter, yet valid alternative to the SF-36, which has been seen by many health researchers as too long to administer to studies with large samples. The SF-12 is weighted and summed to provide easily interpretable scales for physical and mental health. Physical and Mental Health Composite Scores (PCS & MCS) are computed using the scores of twelve questions and range from 0 to 100, where a zero score indicates the lowest level of health measured by the scales and 100 indicates the highest level of health.
12-Item Short Form Survey (SF-12) Physical Score Change From Baseline and 6 Months (As Treated)Baseline and 6 monthsThe difference in 12-Item Short Form Survey (SF-12) Physical score calculated as visit score - baseline score. The SF-12 is a generic measure and does not target a specific age or disease group. It has been developed to provide a shorter, yet valid alternative to the SF-36, which has been seen by many health researchers as too long to administer to studies with large samples. The SF-12 is weighted and summed to provide easily interpretable scales for physical and mental health. Physical and Mental Health Composite Scores (PCS & MCS) are computed using the scores of twelve questions and range from 0 to 100, where a zero score indicates the lowest level of health measured by the scales and 100 indicates the highest level of health.
12-Item Short Form Survey (SF-12) Mental Score Change From Baseline and 12 Weeks (Per Protocol)Baseline and 12 weeksThe difference in 12-Item Short Form Survey (SF-12) Mental score calculated as visit score - baseline score. The SF-12 is a generic measure and does not target a specific age or disease group. It has been developed to provide a shorter, yet valid alternative to the SF-36, which has been seen by many health researchers as too long to administer to studies with large samples. The SF-12 is weighted and summed to provide easily interpretable scales for physical and mental health. Physical and Mental Health Composite Scores (PCS & MCS) are computed using the scores of twelve questions and range from 0 to 100, where a zero score indicates the lowest level of health measured by the scales and 100 indicates the highest level of health.
12-Item Short Form Survey (SF-12) Mental Score Change From Baseline and 12 Weeks (As Treated)Baseline and 12 weeksThe difference in 12-Item Short Form Survey (SF-12) Mental score calculated as visit score - baseline score. The SF-12 is a generic measure and does not target a specific age or disease group. It has been developed to provide a shorter, yet valid alternative to the SF-36, which has been seen by many health researchers as too long to administer to studies with large samples. The SF-12 is weighted and summed to provide easily interpretable scales for physical and mental health. Physical and Mental Health Composite Scores (PCS & MCS) are computed using the scores of twelve questions and range from 0 to 100, where a zero score indicates the lowest level of health measured by the scales and 100 indicates the highest level of health.
12-Item Short Form Survey (SF-12) Mental Score Change From Baseline and 6 Months (Per Protocol)Baseline and 6 monthsThe difference in 12-Item Short Form Survey (SF-12) Mental score calculated as visit score - baseline score. The SF-12 is a generic measure and does not target a specific age or disease group. It has been developed to provide a shorter, yet valid alternative to the SF-36, which has been seen by many health researchers as too long to administer to studies with large samples. The SF-12 is weighted and summed to provide easily interpretable scales for physical and mental health. Physical and Mental Health Composite Scores (PCS & MCS) are computed using the scores of twelve questions and range from 0 to 100, where a zero score indicates the lowest level of health measured by the scales and 100 indicates the highest level of health.
12-Item Short Form Survey (SF-12) Mental Score Change From Baseline and 6 Months (As Treated)Baseline and 6 monthsThe difference in 12-Item Short Form Survey (SF-12) Mental score calculated as visit score - baseline score. The SF-12 is a generic measure and does not target a specific age or disease group. It has been developed to provide a shorter, yet valid alternative to the SF-36, which has been seen by many health researchers as too long to administer to studies with large samples. The SF-12 is weighted and summed to provide easily interpretable scales for physical and mental health. Physical and Mental Health Composite Scores (PCS & MCS) are computed using the scores of twelve questions and range from 0 to 100, where a zero score indicates the lowest level of health measured by the scales and 100 indicates the highest level of health.
Shoulder Pain and Disability Index (SPADI) Total Disability Score Change From Baseline and 6 Months (As Treated)Baseline and 6 monthsThe difference in Shoulder Pain and Disability Index (SPADI) Total Disability score calculated as visit score - baseline score. The Shoulder Pain and Disability Index (SPADI) is a self-administered questionnaire that consists of two dimensions, one for pain and the other for functional activities. The pain dimension consists of five questions regarding the severity of an individual's pain, where: 0 = no pain and 10 = the worst pain imaginable. Functional activities are assessed with eight questions designed to measure the degree of difficulty an individual has with various activities of daily living that require upper-extremity use, where: 0 = no difficulty and 10 = so difficult it requires help. Scoring instructions: The scores from both dimensions are averaged to derive a total score.
Percentage of Responders Using the Visual Analog Scale (VAS) Pain Score (As Treated)Baseline and 6 monthsScores are measured on a 100 mm Visual Analog Scale (VAS). The VAS scale ranges from 0 to 100 mm with the lower score indicating less pain and the higher score indicating greater pain. A responder was defined as a 20 mm or greater reduction in VAS pain score from baseline to 6 months.

Countries

United States

Participant flow

Recruitment details

Enrollment occurred between January 2007 and February 2010 at 13 sites based in the US.

Pre-assignment details

Four subjects were randomized; however due to required imaging inclusion/exclusion criteria was not met. Hence, these 4 subjects were not treated.

Participants by arm

ArmCount
Control
Each subject received a one-time injection containing 6 mL of anesthetic (Marcaine) and 2 mL of corticosteroid (Celestone).
87
Investigational
Each subject received a one-time injection of 8 mL's of Orthovisc into the target shoulder.
183
Total270

Baseline characteristics

CharacteristicControlInvestigationalTotal
Age, Continuous58.0 years
STANDARD_DEVIATION 9.84
58.6 years
STANDARD_DEVIATION 10.68
58.4 years
STANDARD_DEVIATION 10.4
Age, Customized
18 to 29
1 participants1 participants2 participants
Age, Customized
30 and 39 years
4 participants11 participants15 participants
Age, Customized
40 to 49 years
11 participants22 participants33 participants
Age, Customized
50 to 59 years
22 participants50 participants72 participants
Age, Customized
60 to 69 years
43 participants68 participants111 participants
Age, Customized
70 to 79 years
6 participants31 participants37 participants
Region of Enrollment
United States
87 participants183 participants270 participants
Sex: Female, Male
Female
21 Participants44 Participants65 Participants
Sex: Female, Male
Male
66 Participants139 Participants205 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
6 / 8719 / 183
serious
Total, serious adverse events
3 / 8710 / 183

Outcome results

Primary

Visual Analog Scale (VAS) Pain Score (As Treated)

Scores are measured on a 100 mm Visual Analog Scale (VAS). The VAS scale ranges from 0 to 100 mm with the lower score indicating less pain and the higher score indicating greater pain.

Time frame: 6 Months

Population: The As Treated analysis population included all subjects that received treatment and had outcome data.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ControlVisual Analog Scale (VAS) Pain Score (As Treated)33.196 mm on a 100 mm VAS scaleStandard Error 2.777
InvestigationalVisual Analog Scale (VAS) Pain Score (As Treated)30.406 mm on a 100 mm VAS scaleStandard Error 1.926
Comparison: Anticipated VAS difference of 10 mm and SD of 25 mm indicated a sample size of 225 subjects in a 2:1 randomization would provide 80% power to detect a significant difference with a two-sided significance level of 5%. To account for a 15% dropout rate the sample size was increased to 270 subjects (180 Orthovisc, 90 control). The primary null hypothesis (Ho) no difference in VAS means at 6 months and the alternative hypothesis (Ha) was that Orthovisc (mean VAS) is superior to the control.p-value: 0.4195% CI: [-9.441, 3.861]Mixed Models Repeated Measures ANCOVA
Primary

Visual Analog Scale (VAS) Pain Score (Per Protocol)

Scores are measured on a 100 mm Visual Analog Scale (VAS). The VAS scale ranges from 0 to 100 mm with the lower score indicating less pain and the higher score indicating greater pain.

Time frame: 6 Months

Population: The Per Protocol analysis population was defined as all subjects that received treatment and completed 6 months of follow-up without a major protocol deviation.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ControlVisual Analog Scale (VAS) Pain Score (Per Protocol)30.389 mm on a 100 mm VAS scaleStandard Error 3.035
InvestigationalVisual Analog Scale (VAS) Pain Score (Per Protocol)28.917 mm on a 100 mm VAS scaleStandard Error 2.233
Comparison: Anticipated VAS difference of 10 mm and SD of 25 mm indicated a sample size of 225 subjects in a 2:1 randomization would provide 80% power to detect a significant difference with a two-sided significance level of 5%. To account for a 15% dropout rate the sample size was increased to 270 subjects (180 Orthovisc, 90 control). The primary null hypothesis (Ho) no difference in VAS means at 6 months and the alternative hypothesis (Ha) was that Orthovisc (mean VAS) is superior to the control.p-value: 0.69695% CI: [-8.888, 5.943]Mixed Models Repeated Measures ANCOVA
Secondary

12-Item Short Form Survey (SF-12) Mental Score Change From Baseline and 12 Weeks (As Treated)

The difference in 12-Item Short Form Survey (SF-12) Mental score calculated as visit score - baseline score. The SF-12 is a generic measure and does not target a specific age or disease group. It has been developed to provide a shorter, yet valid alternative to the SF-36, which has been seen by many health researchers as too long to administer to studies with large samples. The SF-12 is weighted and summed to provide easily interpretable scales for physical and mental health. Physical and Mental Health Composite Scores (PCS & MCS) are computed using the scores of twelve questions and range from 0 to 100, where a zero score indicates the lowest level of health measured by the scales and 100 indicates the highest level of health.

Time frame: Baseline and 12 weeks

Population: The As Treated analysis population included all subjects that received treatment and had outcome data.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Control12-Item Short Form Survey (SF-12) Mental Score Change From Baseline and 12 Weeks (As Treated)0.167 units on a scaleStandard Error 0.875
Investigational12-Item Short Form Survey (SF-12) Mental Score Change From Baseline and 12 Weeks (As Treated)0.938 units on a scaleStandard Error 0.623
Comparison: The null hypothesis (Ho) is that the effect of the two treatment groups at 12 weeks is equal and the corresponding alternative hypothesis (Ha) is that the effect of the two treatment groups is unequal.p-value: 0.47395% CI: [-1.339, 2.881]Mixed Models Repeated Measures ANCOVA
Secondary

12-Item Short Form Survey (SF-12) Mental Score Change From Baseline and 12 Weeks (Per Protocol)

The difference in 12-Item Short Form Survey (SF-12) Mental score calculated as visit score - baseline score. The SF-12 is a generic measure and does not target a specific age or disease group. It has been developed to provide a shorter, yet valid alternative to the SF-36, which has been seen by many health researchers as too long to administer to studies with large samples. The SF-12 is weighted and summed to provide easily interpretable scales for physical and mental health. Physical and Mental Health Composite Scores (PCS & MCS) are computed using the scores of twelve questions and range from 0 to 100, where a zero score indicates the lowest level of health measured by the scales and 100 indicates the highest level of health.

Time frame: Baseline and 12 weeks

Population: The Per Protocol analysis population was defined as all subjects that received treatment and completed 6 months of follow-up without a major protocol deviation. Subjects were allowed to have missing interim visits (i.e. 12 weeks).

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Control12-Item Short Form Survey (SF-12) Mental Score Change From Baseline and 12 Weeks (Per Protocol)-0.130 units on a scaleStandard Error 0.991
Investigational12-Item Short Form Survey (SF-12) Mental Score Change From Baseline and 12 Weeks (Per Protocol)1.060 units on a scaleStandard Error 0.726
Comparison: The null hypothesis (Ho) is that the effect of the two treatment groups at 12 weeks is equal and the corresponding alternative (Ha) is that the effect of the two treatment groups at 6 months is unequal.p-value: 0.33395% CI: [-1.225, 3.604]Mixed Models Repeated Measures ANCOVA
Secondary

12-Item Short Form Survey (SF-12) Mental Score Change From Baseline and 6 Months (As Treated)

The difference in 12-Item Short Form Survey (SF-12) Mental score calculated as visit score - baseline score. The SF-12 is a generic measure and does not target a specific age or disease group. It has been developed to provide a shorter, yet valid alternative to the SF-36, which has been seen by many health researchers as too long to administer to studies with large samples. The SF-12 is weighted and summed to provide easily interpretable scales for physical and mental health. Physical and Mental Health Composite Scores (PCS & MCS) are computed using the scores of twelve questions and range from 0 to 100, where a zero score indicates the lowest level of health measured by the scales and 100 indicates the highest level of health.

Time frame: Baseline and 6 months

Population: The As Treated analysis population included all subjects that received treatment and had outcome data.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Control12-Item Short Form Survey (SF-12) Mental Score Change From Baseline and 6 Months (As Treated)0.330 units on a scaleStandard Error 0.897
Investigational12-Item Short Form Survey (SF-12) Mental Score Change From Baseline and 6 Months (As Treated)0.798 units on a scaleStandard Error 0.636
Comparison: The null hypothesis (Ho) is that the effect of the two treatment groups at 6 months is equal and the corresponding alternative hypothesis (Ha) is that the effect of the two treatment groups is unequal.p-value: 0.67195% CI: [-1.692, 2.627]Mixed Models Repeated Measures ANCOVA
Secondary

12-Item Short Form Survey (SF-12) Mental Score Change From Baseline and 6 Months (Per Protocol)

The difference in 12-Item Short Form Survey (SF-12) Mental score calculated as visit score - baseline score. The SF-12 is a generic measure and does not target a specific age or disease group. It has been developed to provide a shorter, yet valid alternative to the SF-36, which has been seen by many health researchers as too long to administer to studies with large samples. The SF-12 is weighted and summed to provide easily interpretable scales for physical and mental health. Physical and Mental Health Composite Scores (PCS & MCS) are computed using the scores of twelve questions and range from 0 to 100, where a zero score indicates the lowest level of health measured by the scales and 100 indicates the highest level of health.

Time frame: Baseline and 6 months

Population: The Per Protocol analysis population was defined as all subjects that received treatment and completed 6 months of follow-up without a major protocol deviation.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Control12-Item Short Form Survey (SF-12) Mental Score Change From Baseline and 6 Months (Per Protocol)0.397 units on a scaleStandard Error 0.941
Investigational12-Item Short Form Survey (SF-12) Mental Score Change From Baseline and 6 Months (Per Protocol)0.379 units on a scaleStandard Error 0.692
Comparison: The null hypothesis (Ho) is that the effect of the two treatment groups at 6 months is equal and the corresponding alternative (Ha) is that the effect of the two treatment groups at 6 months is unequal.p-value: 0.98895% CI: [-2.314, 2.278]Mixed Models Repeated Measures ANCOVA
Secondary

12-Item Short Form Survey (SF-12) Physical Score Change From Baseline and 12 Weeks (As Treated)

The difference in 12-Item Short Form Survey (SF-12) Physical score calculated as visit score - baseline score. The SF-12 is a generic measure and does not target a specific age or disease group. It has been developed to provide a shorter, yet valid alternative to the SF-36, which has been seen by many health researchers as too long to administer to studies with large samples. The SF-12 is weighted and summed to provide easily interpretable scales for physical and mental health. Physical and Mental Health Composite Scores (PCS & MCS) are computed using the scores of twelve questions and range from 0 to 100, where a zero score indicates the lowest level of health measured by the scales and 100 indicates the highest level of health.

Time frame: Baseline and 12 weeks

Population: The As Treated analysis population included all subjects that received treatment and had outcome data.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Control12-Item Short Form Survey (SF-12) Physical Score Change From Baseline and 12 Weeks (As Treated)2.179 units on a scaleStandard Error 0.877
Investigational12-Item Short Form Survey (SF-12) Physical Score Change From Baseline and 12 Weeks (As Treated)1.950 units on a scaleStandard Error 0.624
Comparison: The null hypothesis (Ho) is that the effect of the two treatment groups at 12 weeks is equal and the corresponding alternative hypothesis (Ha) is that the effect of the two treatment groups is unequal.p-value: 0.83295% CI: [-2.343, 1.887]Mixed Models Repeated Measures ANCOVA
Secondary

12-Item Short Form Survey (SF-12) Physical Score Change From Baseline and 12 Weeks (Per Protocol)

The difference in 12-Item Short Form Survey (SF-12) Physical score calculated as visit score - baseline score. The SF-12 is a generic measure and does not target a specific age or disease group. It has been developed to provide a shorter, yet valid alternative to the SF-36, which has been seen by many health researchers as too long to administer to studies with large samples. The SF-12 is weighted and summed to provide easily interpretable scales for physical and mental health. Physical and Mental Health Composite Scores (PCS & MCS) are computed using the scores of twelve questions and range from 0 to 100, where a zero score indicates the lowest level of health measured by the scales and 100 indicates the highest level of health.

Time frame: Baseline and 12 weeks

Population: The Per Protocol analysis population was defined as all subjects that received treatment and completed 6 months of follow-up without a major protocol deviation. Subjects were allowed to have missing interim visits (i.e. 12 weeks).

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Control12-Item Short Form Survey (SF-12) Physical Score Change From Baseline and 12 Weeks (Per Protocol)3.607 units on a scaleStandard Error 1.05
Investigational12-Item Short Form Survey (SF-12) Physical Score Change From Baseline and 12 Weeks (Per Protocol)2.050 units on a scaleStandard Error 0.771
Comparison: The null hypothesis (Ho) is that the effect of the two treatment groups at 12 weeks is equal and the corresponding alternative (Ha) is that the effect of the two treatment groups at 6 months is unequal.p-value: 0.23295% CI: [-4.119, 1.003]Mixed Models Repeated Measures ANCOVA
Secondary

12-Item Short Form Survey (SF-12) Physical Score Change From Baseline and 6 Months (As Treated)

The difference in 12-Item Short Form Survey (SF-12) Physical score calculated as visit score - baseline score. The SF-12 is a generic measure and does not target a specific age or disease group. It has been developed to provide a shorter, yet valid alternative to the SF-36, which has been seen by many health researchers as too long to administer to studies with large samples. The SF-12 is weighted and summed to provide easily interpretable scales for physical and mental health. Physical and Mental Health Composite Scores (PCS & MCS) are computed using the scores of twelve questions and range from 0 to 100, where a zero score indicates the lowest level of health measured by the scales and 100 indicates the highest level of health.

Time frame: Baseline and 6 months

Population: The As Treated analysis population included all subjects that received treatment and had outcome data.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Control12-Item Short Form Survey (SF-12) Physical Score Change From Baseline and 6 Months (As Treated)1.559 units on a scaleStandard Error 0.896
Investigational12-Item Short Form Survey (SF-12) Physical Score Change From Baseline and 6 Months (As Treated)2.779 units on a scaleStandard Error 0.635
Comparison: The null hypothesis (Ho) is that the effect of the two treatment groups at 6 months is equal and the corresponding alternative hypothesis (Ha) is that the effect of the two treatment groups is unequal.p-value: 0.26795% CI: [-0.937, 3.378]Mixed Models Repeated Measures ANCOVA
Secondary

12-Item Short Form Survey (SF-12) Physical Score Change From Baseline and 6 Months (Per Protocol)

The difference in 12-Item Short Form Survey (SF-12) Physical score calculated as visit score - baseline score. The SF-12 is a generic measure and does not target a specific age or disease group. It has been developed to provide a shorter, yet valid alternative to the SF-36, which has been seen by many health researchers as too long to administer to studies with large samples. The SF-12 is weighted and summed to provide easily interpretable scales for physical and mental health. Physical and Mental Health Composite Scores (PCS & MCS) are computed using the scores of twelve questions and range from 0 to 100, where a zero score indicates the lowest level of health measured by the scales and 100 indicates the highest level of health.

Time frame: Baseline and 6 months

Population: The Per Protocol analysis population was defined as all subjects that received treatment and completed 6 months of follow-up without a major protocol deviation.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Control12-Item Short Form Survey (SF-12) Physical Score Change From Baseline and 6 Months (Per Protocol)2.763 units on a scaleStandard Error 1.009
Investigational12-Item Short Form Survey (SF-12) Physical Score Change From Baseline and 6 Months (Per Protocol)2.831 units on a scaleStandard Error 0.743
Comparison: The null hypothesis (Ho) is that the effect of the two treatment groups at 6 months is equal and the corresponding alternative (Ha) is that the effect of the two treatment groups at 6 months is unequal.p-value: 0.95795% CI: [-2.396, 2.532]Mixed Models Repeated Measures ANCOVA
Secondary

American Shoulder and Elbow Surgeons Evaluation Form (ASES) Patient Score Change From Baseline and 12 Weeks (As Treated)

The difference in American Shoulder and Elbow Surgeons Evaluation Form (ASES) Patient score calculated as visit score - baseline score. The ASES was designed to provide a standard method for evaluation of the shoulder through assessment of pain and activities of daily living (ie, function). The ASES is derived from an equation that incorporates a visual analog pain scale and functional ability questions. Both components have a maximum score of 50. Pain is calculated by subtracting the visual analog score from 10 and then multiplying by 5 for a total of 50 points. The function component is calculated by adding the points and multiplying by five thirds for a maximum of 50 points. The subscores for pain and function are then added for the total score. The maximum possible total score is 100, representing less pain and greater function.

Time frame: Baseline and 12 weeks

Population: The As Treated analysis population included all subjects that received treatment and had outcome data.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ControlAmerican Shoulder and Elbow Surgeons Evaluation Form (ASES) Patient Score Change From Baseline and 12 Weeks (As Treated)12.960 units on a scaleStandard Error 2.197
InvestigationalAmerican Shoulder and Elbow Surgeons Evaluation Form (ASES) Patient Score Change From Baseline and 12 Weeks (As Treated)13.988 units on a scaleStandard Error 1.605
Comparison: The null hypothesis (Ho) is that the effect of the two treatment groups at 12 weeks is equal and the corresponding alternative hypothesis (Ha) is that the effect of the two treatment groups is unequal.p-value: 0.70795% CI: [-4.338, 6.393]Mixed Models Repeated Measures ANCOVA
Secondary

American Shoulder and Elbow Surgeons Evaluation Form (ASES) Patient Score Change From Baseline and 12 Weeks (Per Protocol)

The difference in American Shoulder and Elbow Surgeons Evaluation Form (ASES) Patient score calculated as visit score - baseline score. The ASES was designed to provide a standard method for evaluation of the shoulder through assessment of pain and activities of daily living (ie, function). The ASES is derived from an equation that incorporates a visual analog pain scale and functional ability questions. Both components have a maximum score of 50. Pain is calculated by subtracting the visual analog score from 10 and then multiplying by 5 for a total of 50 points. The function component is calculated by adding the points and multiplying by five thirds for a maximum of 50 points. The subscores for pain and function are then added for the total score. The maximum possible total score is 100, representing less pain and greater function.

Time frame: Baseline and 12 weeks

Population: The Per Protocol analysis population was defined as all subjects that received treatment and completed 6 months of follow-up without a major protocol deviation. Subjects were allowed to have missing interim visits (i.e. 12 weeks).

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ControlAmerican Shoulder and Elbow Surgeons Evaluation Form (ASES) Patient Score Change From Baseline and 12 Weeks (Per Protocol)18.329 units on a scaleStandard Error 2.578
InvestigationalAmerican Shoulder and Elbow Surgeons Evaluation Form (ASES) Patient Score Change From Baseline and 12 Weeks (Per Protocol)17.397 units on a scaleStandard Error 1.917
Comparison: The null hypothesis (Ho) is that the effect of the two treatment groups at 12 weeks is equal and the corresponding alternative hypothesis (Ha) is that the effect of the two treatment groups is unequal.p-value: 0.77295% CI: [-7.26, 5.396]Mixed Models Repeated Measures ANCOVA
Secondary

American Shoulder and Elbow Surgeons Evaluation Form (ASES) Patient Score Change From Baseline and 6 Months (As Treated)

The difference in American Shoulder and Elbow Surgeons Evaluation Form (ASES) Patient score calculated as visit score - baseline score. The ASES was designed to provide a standard method for evaluation of the shoulder through assessment of pain and activities of daily living (ie, function). The ASES is derived from an equation that incorporates a visual analog pain scale and functional ability questions. Both components have a maximum score of 50. Pain is calculated by subtracting the visual analog score from 10 and then multiplying by 5 for a total of 50 points. The function component is calculated by adding the points and multiplying by five thirds for a maximum of 50 points. The subscores for pain and function are then added for the total score. The maximum possible total score is 100, representing less pain and greater function.

Time frame: Baseline and 6 months

Population: The As Treated analysis population included all subjects that received treatment and had outcome data.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ControlAmerican Shoulder and Elbow Surgeons Evaluation Form (ASES) Patient Score Change From Baseline and 6 Months (As Treated)14.272 units on a scaleStandard Error 2.237
InvestigationalAmerican Shoulder and Elbow Surgeons Evaluation Form (ASES) Patient Score Change From Baseline and 6 Months (As Treated)15.402 units on a scaleStandard Error 1.636
Comparison: The null hypothesis (Ho) is that the effect of the two treatment groups at 6 months is equal and the corresponding alternative hypothesis (Ha) is that the effect of the two treatment groups is unequal.p-value: 0.68595% CI: [-4.341, 6.001]Mixed Models Repeated Measures ANCOVA
Secondary

American Shoulder and Elbow Surgeons Evaluation Form (ASES) Patient Score Change From Baseline and 6 Months (Per Protocol)

The difference in American Shoulder and Elbow Surgeons Evaluation Form (ASES) Patient score calculated as visit score - baseline score. The ASES was designed to provide a standard method for evaluation of the shoulder through assessment of pain and activities of daily living (ie, function). The ASES is derived from an equation that incorporates a visual analog pain scale and functional ability questions. Both components have a maximum score of 50. Pain is calculated by subtracting the visual analog score from 10 and then multiplying by 5 for a total of 50 points. The function component is calculated by adding the points and multiplying by five thirds for a maximum of 50 points. The subscores for pain and function are then added for the total score. The maximum possible total score is 100, representing less pain and greater function.

Time frame: Baseline and 6 months

Population: The Per Protocol analysis population was defined as all subjects that received treatment and completed 6 months of follow-up without a major protocol deviation.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ControlAmerican Shoulder and Elbow Surgeons Evaluation Form (ASES) Patient Score Change From Baseline and 6 Months (Per Protocol)18.228 units on a scaleStandard Error 2.438
InvestigationalAmerican Shoulder and Elbow Surgeons Evaluation Form (ASES) Patient Score Change From Baseline and 6 Months (Per Protocol)17.408 units on a scaleStandard Error 1.858
Comparison: The null hypothesis (Ho) is that the effect of the two treatment groups at 6 months is equal and the corresponding alternative hypothesis (Ha) is that the effect of the two treatment groups is unequal.p-value: 0.7995% CI: [-6.866, 5.227]Mixed Models Repeated Measures ANCOVA
Secondary

Percentage of Responders Using the Visual Analog Scale (VAS) Pain Score (As Treated)

Scores are measured on a 100 mm Visual Analog Scale (VAS). The VAS scale ranges from 0 to 100 mm with the lower score indicating less pain and the higher score indicating greater pain. A responder was defined as a 20 mm or greater reduction in VAS pain score from baseline to 6 months.

Time frame: Baseline and 6 months

Population: The As Treated analysis population included all subjects that received treatment and had outcome data.

ArmMeasureValue (NUMBER)
ControlPercentage of Responders Using the Visual Analog Scale (VAS) Pain Score (As Treated)59.7 Percentage of Participants
InvestigationalPercentage of Responders Using the Visual Analog Scale (VAS) Pain Score (As Treated)54.4 Percentage of Participants
Comparison: Asymptotic 95% confidence interval for the treatment group difference (Orthovisc - Control) in proportions of responders was calculated. The null hypothesis (Ho) is that the effect of the two treatment groups at 6 months is equal and the corresponding alternative hypothesis (Ha) is that the effect of the two treatment groups at 6 months is unequal.95% CI: [-19.7, 9.1]
Secondary

Percentage of Responders Using the Visual Analog Scale (VAS) Pain Score (Per Protocol)

Scores are measured on a 100 mm Visual Analog Scale (VAS). The VAS scale ranges from 0 to 100 mm with the lower score indicating less pain and the higher score indicating greater pain. A responder was defined as a 20 mm or greater reduction in VAS pain score from baseline to 6 months.

Time frame: Baseline and 6 months

Population: The Per Protocol analysis population was defined as all subjects that received treatment and completed 6 months of follow-up without a major protocol deviation.

ArmMeasureValue (NUMBER)
ControlPercentage of Responders Using the Visual Analog Scale (VAS) Pain Score (Per Protocol)63.8 Percentage of Participants
InvestigationalPercentage of Responders Using the Visual Analog Scale (VAS) Pain Score (Per Protocol)63.6 Percentage of Participants
Comparison: Asymptotic 95% confidence interval for the treatment group difference (Orthovisc - Control) in proportions of responders was calculated. The null hypothesis (Ho) is that the effect of the two treatment groups at 6 months is equal and the corresponding alternative hypothesis (Ha) is that the effect of the two treatment groups at 6 months is unequal.95% CI: [-15.6, 15.1]
Secondary

Shoulder Pain and Disability Index (SPADI) Total Disability Score Change From Baseline and 12 Weeks (As Treated)

The difference in Shoulder Pain and Disability Index (SPADI) Total Disability score calculated as visit score - baseline score. The Shoulder Pain and Disability Index (SPADI) is a self-administered questionnaire that consists of two dimensions, one for pain and the other for functional activities. The pain dimension consists of five questions regarding the severity of an individual's pain, where: 0 = no pain and 10 = the worst pain imaginable. Functional activities are assessed with eight questions designed to measure the degree of difficulty an individual has with various activities of daily living that require upper-extremity use, where: 0 = no difficulty and 10 = so difficult it requires help. Scoring instructions: The scores from both dimensions are averaged to derive a total score.

Time frame: Baseline and 12 weeks

Population: The As Treated analysis population included all subjects that received treatment and had outcome data.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ControlShoulder Pain and Disability Index (SPADI) Total Disability Score Change From Baseline and 12 Weeks (As Treated)-11.828 units on a scaleStandard Error 2.132
InvestigationalShoulder Pain and Disability Index (SPADI) Total Disability Score Change From Baseline and 12 Weeks (As Treated)-9.467 units on a scaleStandard Error 1.531
Comparison: The null hypothesis (Ho) is that the effect of the two treatment groups at 12 weeks is equal and the corresponding alternative hypothesis (Ha) is that the effect of the two treatment groups is unequal.p-value: 0.36995% CI: [-2.801, 7.522]Mixed Models Repeated Measures ANCOVA
Secondary

Shoulder Pain and Disability Index (SPADI) Total Disability Score Change From Baseline and 12 Weeks (Per Protocol)

The difference in Shoulder Pain and Disability Index (SPADI) Total Disability score calculated as visit score - baseline score. The Shoulder Pain and Disability Index (SPADI) is a self-administered questionnaire that consists of two dimensions, one for pain and the other for functional activities. The pain dimension consists of five questions regarding the severity of an individual's pain, where: 0 = no pain and 10 = the worst pain imaginable. Functional activities are assessed with eight questions designed to measure the degree of difficulty an individual has with various activities of daily living that require upper-extremity use, where: 0 = no difficulty and 10 = so difficult it requires help. Scoring instructions: The scores from both dimensions are averaged to derive a total score.

Time frame: Baseline and 12 weeks

Population: The Per Protocol analysis population was defined as all subjects that received treatment and completed 6 months of follow-up without a major protocol deviation. Subjects were allowed to have missing interim visits (i.e. 12 weeks).

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ControlShoulder Pain and Disability Index (SPADI) Total Disability Score Change From Baseline and 12 Weeks (Per Protocol)-17.871 units on a scaleStandard Error 2.477
InvestigationalShoulder Pain and Disability Index (SPADI) Total Disability Score Change From Baseline and 12 Weeks (Per Protocol)-10.554 units on a scaleStandard Error 1.83
Comparison: The null hypothesis (Ho) is that the effect of the two treatment groups at 12 weeks is equal and the corresponding alternative (Ha) is that the effect of the two treatment groups at 6 months is unequal.p-value: 0.01895% CI: [1.249, 13.386]Mixed Models Repeated Measures ANCOVA
Secondary

Shoulder Pain and Disability Index (SPADI) Total Disability Score Change From Baseline and 6 Months (As Treated)

The difference in Shoulder Pain and Disability Index (SPADI) Total Disability score calculated as visit score - baseline score. The Shoulder Pain and Disability Index (SPADI) is a self-administered questionnaire that consists of two dimensions, one for pain and the other for functional activities. The pain dimension consists of five questions regarding the severity of an individual's pain, where: 0 = no pain and 10 = the worst pain imaginable. Functional activities are assessed with eight questions designed to measure the degree of difficulty an individual has with various activities of daily living that require upper-extremity use, where: 0 = no difficulty and 10 = so difficult it requires help. Scoring instructions: The scores from both dimensions are averaged to derive a total score.

Time frame: Baseline and 6 months

Population: The As Treated analysis population included all subjects that received treatment and had outcome data.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ControlShoulder Pain and Disability Index (SPADI) Total Disability Score Change From Baseline and 6 Months (As Treated)-10.314 units on a scaleStandard Error 2.179
InvestigationalShoulder Pain and Disability Index (SPADI) Total Disability Score Change From Baseline and 6 Months (As Treated)-12.522 units on a scaleStandard Error 1.539
Comparison: The null hypothesis (Ho) is that the effect of the two treatment groups at 6 months is equal and the corresponding alternative hypothesis (Ha) is that the effect of the two treatment groups is unequal.p-value: 0.40995% CI: [-7.455, 3.039]Mixed Models Repeated Measures ANCOVA
Secondary

Shoulder Pain and Disability Index (SPADI) Total Disability Score Change From Baseline and 6 Months (Per Protocol)

The difference in Shoulder Pain and Disability Index (SPADI) Total Disability score calculated as visit score - baseline score. The Shoulder Pain and Disability Index (SPADI) is a self-administered questionnaire that consists of two dimensions, one for pain and the other for functional activities. The pain dimension consists of five questions regarding the severity of an individual's pain, where: 0 = no pain and 10 = the worst pain imaginable. Functional activities are assessed with eight questions designed to measure the degree of difficulty an individual has with various activities of daily living that require upper-extremity use, where: 0 = no difficulty and 10 = so difficult it requires help. Scoring instructions: The scores from both dimensions are averaged to derive a total score.

Time frame: Baseline and 6 months

Population: The Per Protocol analysis population was defined as all subjects that received treatment and completed 6 months of follow-up without a major protocol deviation.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ControlShoulder Pain and Disability Index (SPADI) Total Disability Score Change From Baseline and 6 Months (Per Protocol)-16.109 units on a scaleStandard Error 2.39
InvestigationalShoulder Pain and Disability Index (SPADI) Total Disability Score Change From Baseline and 6 Months (Per Protocol)-13.492 units on a scaleStandard Error 1.752
Comparison: The null hypothesis (Ho) is that the effect of the two treatment groups at 6 months is equal and the corresponding alternative (Ha) is that the effect of the two treatment groups at 6 months is unequal.p-value: 0.37995% CI: [-3.226, 8.46]Mixed Models Repeated Measures ANCOVA
Secondary

Visual Analog Scale (VAS) Pain Score Change From Baseline and 12 Weeks (As Treated)

Scores are measured on a 100 mm Visual Analog Scale (VAS). The VAS scale ranges from 0 to 100 mm with the lower score indicating less pain and the higher score indicating greater pain. The difference in pain was calculated as visit score - baseline score.

Time frame: Baseline and 12 weeks

Population: The As Treated analysis population included all subjects that received treatment and had outcome data.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ControlVisual Analog Scale (VAS) Pain Score Change From Baseline and 12 Weeks (As Treated)-16.882 mm on a 100 mm VAS scaleStandard Error 2.757
InvestigationalVisual Analog Scale (VAS) Pain Score Change From Baseline and 12 Weeks (As Treated)-19.756 mm on a 100 mm VAS scaleStandard Error 1.909
Comparison: The null hypothesis (Ho) is that the effect of the two treatment groups at 12 weeks is equal and the corresponding alternative hypothesis (Ha) is that the effect of the two treatment groups is unequal.p-value: 0.39295% CI: [-9.472, 3.723]Mixed Models Repeated Measures ANCOVA
Secondary

Visual Analog Scale (VAS) Pain Score Change From Baseline and 12 Weeks (Per Protocol)

The difference in pain was calculated as visit score - baseline score. Scores are measured on a 100 mm visual analogy scale.

Time frame: Baseline and 12 weeks

Population: The Per Protocol analysis population was defined as all subjects that received treatment and completed 6 months of follow-up without a major protocol deviation. Subjects were allowed to have missing interim visits (i.e. 12 weeks).

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ControlVisual Analog Scale (VAS) Pain Score Change From Baseline and 12 Weeks (Per Protocol)-23.624 mm on a 100 mm VAS scaleStandard Error 3.206
InvestigationalVisual Analog Scale (VAS) Pain Score Change From Baseline and 12 Weeks (Per Protocol)-24.494 mm on a 100 mm VAS scaleStandard Error 2.356
Comparison: The null hypothesis (Ho) is that the effect of the two treatment groups at 12 weeks is equal and the corresponding alternative hypothesis (Ha) is that the effect of the two treatment groups is unequal.p-value: 0.82795% CI: [-8.698, 6.957]Mixed Models Repeated Measures ANCOVA

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026