Knee Osteoarthritis
Conditions
Keywords
genicular artery embolization, GAE, knee embolization, knee OA
Brief summary
This multicenter, prospective, interventional trial is designed to assess the outcome of subjects with symptomatic knee osteoarthritis (OA) that are randomized to treatment with either genicular artery embolization (GAE) using Embosphere Microspheres or steroid injection over a period of 24 months.
Detailed description
This study is an IDE study. It is an RCT comparing GAE to steroid injection in the knee to treat knee osteoarthritis.
Interventions
Embolic Agent: Embosphere Microspheres
Corticosteroid injection
Sponsors
Study design
Intervention model description
Enrolled subjects will be randomized 1:1 to either geniculate artery embolization or corticosteroid injection for treatment of symptomatic knee osteoarthritis.
Eligibility
Inclusion criteria
Key Inclusion Criteria: Provides written informed consent Age ≥21 years Mild to severe knee pain, defined as a WOMAC Pain score of ≥8 out of 20 (in the target knee) Pain refractory to conservative therapies for at least 90 days prior to enrollment/randomization. Kellgren-Lawrence grade 1, 2, 3 or 4 Key
Exclusion criteria
Planned major surgical or endovascular procedures ≤ 30 days after the index procedure. Advanced atherosclerosis Known history of rheumatoid or infectious arthritis. Prior knee replacement surgery of the target knee.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Primary Efficacy Endpoint | 6 months | Clinical Success defined as ≥50% improvement in the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Pain Subscale from baseline to 6 months without the need for additional intervention. |
| Primary Safety Endpoint | 6 months | Freedom from treatment-related safety events through 6 months (180 days) following the index procedure. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Subjects achieving Clinical Success | 3, 12, and 24 months | Number of subjects achieving Clinical Success |
| Numerical rating scale (NRS) | baseline, 3, 6, 12 and 24 months | Pain score assessed using numerical rating scale (NRS) |
Countries
Australia, Brazil, Canada, New Zealand, United Kingdom, United States