Osteoarthritis of the Knee
Conditions
Brief summary
The main objective is the comparison of three different dosage regimens of hyaluronic acid in the treatment of osteoarthritis of the knee.
Interventions
5 intraarticular administration of Adant® 2.5ml with one week interval between administrations (standard treatment)
1 intraarticular administration of Adant® 5ml
2 intraarticular administration of Adant® 5ml with a two-week interval between administrations.
Sponsors
Study design
Eligibility
Inclusion criteria
* Outpatient\>45 years of age diagnosed with primary osteoarthritis according to ACR and Kellgren criteria * Knee pain ≥ 55 mm and ≤90 mm measured by Visual Analogue Scale (VAS) 100 mm * Ability to understand and follow study procedures * Written informed consent
Exclusion criteria
* Patients with secondary osteoarthritis of the knee according to ACR criteria. * Severe inflammation of the knee diagnosed by physical examination or a sedimentation speed rate \< 40 mm/h and serum rheumatoid factor titre \< 1:40 * Patients having previously received surgery, including arthroscopy * Patients with joint inflammatory disease (spondilitis, systemic rheumatoid arthritis), microcrystalline arthropathies (chondrocalcinosis, gout, fibromyalgia) and significant osteoarthritis symptoms in other joints apart from the knee, and which require pharmacological treatment * Previous administration of any of the following treatments: hyaluronic acid ia (last year); steroids i.a. or joint lavage (last 3 months), glucosamine sulfate, chondroitin sulfate or diacerein (last 3 months), NSAIDs (last 14 days), any investigational drug (last month) or its administration during this study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The main objective is to evaluate the efficacy of different dosage regimens of intraarticular Hyaluronic Acid 5 ml (Adant®)compared to a standard treatment (2.5ml X 5 i.a) in patients with osteoarthritis of the knee. | 1 year | Primary endpoint: Pain, Function and patient's assessment according to OARSI 2004 responder criteria. Every patient who has received 100% of injections by the end of the study and has fulfilled the follow-up visits will be considered evaluable. The percentage of patients in each group who do not complete the study due to lack of efficacy will be evaluated. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| To evaluate the safety of the different dosage regimens | 1 year | Safety endpoints: Recording of adverse events and physical examination |
Countries
Spain