Knee Osteoarthritis
Conditions
Keywords
Polynucleotide sodium, Osteoarthritis
Brief summary
This clinical trial aims to evaluate and compare the efficacy and safety of Conjuran® and Hyruan in patients with knee osteoarthritis following first and second cycle (repeat) administration.
Interventions
Once a week for 5 injections
Once a week for 5 injections
Sponsors
Study design
Eligibility
Inclusion criteria
* Age ≥40 years * Knee osteoarthritis diagnosed according to ACR criteria * KL grade I-III * Weight-bearing pain VAS ≥40 mm * Written informed consent
Exclusion criteria
* Inflammatory or secondary arthritis * Recent treatment in the target knee * Significant uncontrolled medical conditions * Hypersensitivity to study device components * Pregnancy or breastfeeding * Participation in another clinical trial
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Weight-Bearing Pain (WBP) Visual Analog Scale (VAS) | Week 16 | Change from baseline in WBP after the first treatment assessed using a 100-mm Visual Analog Scale (VAS), ranging from 0 to 100. Higher scores indicate worse pain |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Weight-Bearing Pain (WBP), Resting Pain (RP), and Motion Pain (MP) VAS | Up to 56 weeks | Change from baseline in WBP, RP, and MP after the first and second treatment cycles, assessed using a 100-mm VAS (0-100). Higher scores indicate worse pain. |
| Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Score | Up to 56 weeks | Change from baseline in WOMAC total and subscale scores after the first and second treatment cycles. WOMAC is a 24-item questionnaire with scores ranging from 0 to 96. Higher scores indicate worse symptoms. |
| EQ-5D (EuroQol 5-Dimension Health Questionnaire) | Up to 56 weeks | Change from baseline in EQ-5D score after the first and second treatment cycles. EQ-5D consists of 5 dimensions (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression) and an EQ Visual Analog Scale (EQ VAS; 0-100). Higher scores indicate better health status. |
| Patient Global Assessment (PGA), Investigator Global Assessment (IGA) | Up to 56 weeks | Change from baseline in PGA and IGA after the first and second treatment cycles, assessed using a 100-mm Visual Analog Scale (VAS) (0-100). Higher scores indicate worse disease status. |
| WBP and OMERACT-OARSI Responder Rate | Up to 56 weeks | Proportion of participants meeting WBP responder criteria or OMERACT-OARSI responder criteria |
| Rescue Medication Use | Up to 56 weeks | Proportion (%) of participants using rescue medication and amount of rescue medication consumed. |
| Incidence of Adverse Events, Laboratory Abnormalities, Vital Sign Abnormalities, and Physical Examination Findings [Safety Evaluation] | Up to 56 weeks | Incidence of adverse events, local adverse events, laboratory abnormalities, vital sign abnormalities, and physical examination findings. |