UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000005643
Receipt number R000006666
Scientific Title Effects of COX-2 selective inhibitor and hyaluronan acid to prevent cartilage degeneration in patients with knee osteoarthritis
Date of disclosure of the study information 2011/06/01
Last modified on 2011/05/25 19:04:14

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Basic information

Public title

Effects of COX-2 selective inhibitor and hyaluronan acid to prevent cartilage degeneration in patients with knee osteoarthritis

Acronym

Effects of COX-2 selective inhibitor and hyaluronan acid to prevent cartilage degeneration

Scientific Title

Effects of COX-2 selective inhibitor and hyaluronan acid to prevent cartilage degeneration in patients with knee osteoarthritis

Scientific Title:Acronym

Effects of COX-2 selective inhibitor and hyaluronan acid to prevent cartilage degeneration

Region

Japan


Condition

Condition

knee osteoarthritis

Classification by specialty

Orthopedics Radiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The objective of this research study is to quantitatively and objectively evaluate the efficacy of oral administration of COX-2 selective inhibitor and intraarticular injection of hyaluronan acid to halt or reverse the progression of cartilage degeneration in patients with osteoarthritis using T2 mapping.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

MRI examination with T2 mapping

Key secondary outcomes

1) MRI examination with Modified Outerbridge classification (T1 weighted image, T2 weighted image, etc.), 2) simple X-ray examination with Kellgren-Lawrence classification, 3) assessment of clinical symptoms using JKOM (Japanese Knee Osteoarthritis Measure), Lysholm score, and VAS (visual analogue scale.


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit


Blinding

Open -but assessor(s) are blinded

Control

Active

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

1)COX-2 selective inhibitor group (36 cases)
A fixed daily dose of COX-2 selective inhibitor, celecoxib (200mg/day in 2 divided doses) will be administered orally for 3 months.

Interventions/Control_2

2)Hyaluronan acid group (36 cases)
A fixed dose of sodium hyaluronate injection (25mg/day, once) will be administered intraarticularly once a week for 4 weeks. After 4 weekly injections, a total of 4 injections will be given every 2 weeks (8 injections in total in approximately 3 months).

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

75 years-old >

Gender

Male and Female

Key inclusion criteria

Of knee osteoarthritis patients treated at the Chiba Medical Center on an outpatient basis, those who satisfy all the following inclusion criteria and do not meet any of the following exclusion criteria will be selected. A total of 72 subjects will be enrolled.
1) Diagnosed as knee osteoarthritis with Kellgren & Lawrence grade of I to III by simple X-ray imaging of knee joint in the upright and frontal position at the first visit
2) Written informed consent
3) Age: &#61619;20 years and <75 years
4) Exercise pain or rest pain for more than 3 months

Key exclusion criteria

Patients who meet any of the following exclusion criteria will not be enrolled in this research study.
1) History of hypersensitivity to any components of the investigational products to be used in this research study
2) History of hypersensitivity to any other medicinal products
3) Women who are pregnant, breastfeeding, or planning to become pregnant during the study period.
4) Secondary knee osteoarthritis due to trauma or other diseases
5) History of surgery of the involved knee joint (including arthroscopy)
6) Conservative therapy of the involved knee joint within one month of enrollment in this study
7) Diseases in the involved knee joint other than those associated with osteoarthritis, e.g., injury of semi-lunar disc, ligament injury, and cartilage injury
8) Serious renal, hepatic, and/or cardiovascular disease
9) Significant mental disorder, drug dependence, and/or alcohol abuse
10) Patients who are unable to come to the medical center for all scheduled visits
11) Other patients considered to be ineligible for this research study by the investigator

Target sample size

72


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Atsuya Watanabe

Organization

Teikyo University Chiba Medical Center

Division name

Orthopaedic Surgery

Zip code


Address

3426-3 Anesaki, Ichihara, Chiba

TEL


Email



Public contact

Name of contact person

1st name
Middle name
Last name

Organization

Teikyo University Chiba Medical Center

Division name

Orthopaedic Surgery

Zip code


Address


TEL


Homepage URL


Email



Sponsor or person

Institute

Teikyo University Chiba Medical Center

Institute

Department

Personal name



Funding Source

Organization

Teikyo University Chiba Medical Center

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2011 Year 06 Month 01 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Open public recruiting

Date of protocol fixation

2009 Year 09 Month 25 Day

Date of IRB


Anticipated trial start date

2009 Year 09 Month 01 Day

Last follow-up date


Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2011 Year 05 Month 25 Day

Last modified on

2011 Year 05 Month 25 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000006666


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name