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Unloader One Study on Knee Osteoarthritis Hässleholm Sweden

Primary Purpose

Osteoarthritis, Knee

Status
Completed
Phase
Not Applicable
Locations
Sweden
Study Type
Interventional
Intervention
Unloader One brace
Placebo brace
Sponsored by
Region Skane
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Osteoarthritis, Knee

Eligibility Criteria

30 Years - 70 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

Patients fulfilling all criteria listed below will be considered to eligible for participation in the study:

  • Patient, men and women, age 30 to 70 with knee OA not scheduled for surgery who understand the given information and are willing to participate in this study.
  • Signed informed patient consent
  • BMI < 35
  • Knee pain for more than 3 month
  • Patients with Knee OA Ahlbäck grade 1 and 2 and/or Kellgren-Lawrence 1 and 2
  • Patient with arthroscopic OA but do not have regular grade 1 OA

Exclusion Criteria:

Patient presenting with any of the following will not be included in the study:

  • prior major surgery to the same knee
  • patients with a history of stroke or neurological or psychiatric decease that potentially could affect the perception of pain
  • obesity (BMI > 35)
  • active or suspected infection
  • patients taking opioids or steroids
  • patients suffering from rheumatoid arthritis or have a immunological depression
  • patients with other severe medical problems that could affect the perioperative course
  • the patient had an intraarticular steroid injection in the actual knee during the last 3 months
  • Patient participating in a clinical trial

Sites / Locations

  • Orthopeadic Clinic Hässlehlm Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Placebo Comparator

Arm Label

Unloader One brace

Placebo brace

Arm Description

Patients receiving an active brace, Unloader One with active straps facilitating unloading of affected knee compartment

Patients receiving a dummy, lookalike or placebo brace without active straps that facilitate unloading of the affected knee compartment

Outcomes

Primary Outcome Measures

Knee injury and Osteoarthritis Outcome Score (KOOS)
Standardized questionaire for knee problems, divided into 5 subscores of pain, symptoms, activity of daily living, sports/recreation and quality of life. Each subscore is presented from 0 (worst) to 100 (best).
Knee Society Score (KSS)
Standardized outcome measure for knee problems presented in two subgroups of KSS Score and KSS Function, presented on a range from 0 (worst) to 100 (best)
Visual Analogue Scale (VAS)
VAS is presented as a range from 0 (no pain) to 100 (worst possible pain)
EQ-5D
EQ-5D comprises two distinct self-report elements, providing three principal approaches to analysis(1) the EQ-5D profile: the patients' self reported health on the dimensions/levels of the descriptive system (2) the EQ-VAS: the patients' own global rating of their overall health, on a scale from 0 (worst possible health) to100 (best possible health)• Both types of data can be the focus of analysis, plus(3) Profiles can be summarized using 'value sets' (EQ-5DIndex) which reflect the preferences of the general public.

Secondary Outcome Measures

Full Information

First Posted
January 29, 2018
Last Updated
March 26, 2019
Sponsor
Region Skane
Collaborators
Lund University
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1. Study Identification

Unique Protocol Identification Number
NCT03454776
Brief Title
Unloader One Study on Knee Osteoarthritis Hässleholm Sweden
Official Title
The Effect of the Unloader One® Knee Brace on Symptoms in Patients With Knee Osteoarthritis
Study Type
Interventional

2. Study Status

Record Verification Date
March 2019
Overall Recruitment Status
Completed
Study Start Date
April 2012 (undefined)
Primary Completion Date
March 2013 (Actual)
Study Completion Date
October 2014 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Region Skane
Collaborators
Lund University

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to assess the effect of the Unloader one brace on the clinical symptoms of patients with knee osteoarthritis (OA) by comparing a functioning brace with a dummy.
Detailed Description
The purpose of this study is to assess the effect of the Unloader one brace on the clinical symptoms of patients with knee OA by comparing a functioning brace with a dummy. The dummy will be manufactured by Össur and has the same look as the real brace, but lacks the fundamental tightening effect of the straps of the real brace (an insert of elastic bands assures this), thereby nullifying its unloading capabilities. In a recent trial by Dr. Ingvarsson, the brace seemed to lessen the pain from knee OA, but no randomised, controlled studies have been conducted. This is mandatory if the effect of the brace and its use as an accepted treatment for knee OA is to be advocated for general use.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Osteoarthritis, Knee

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Model Description
Two groups with same problem of osteoarthritis in knee
Masking
Investigator
Allocation
Randomized
Enrollment
150 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Unloader One brace
Arm Type
Active Comparator
Arm Description
Patients receiving an active brace, Unloader One with active straps facilitating unloading of affected knee compartment
Arm Title
Placebo brace
Arm Type
Placebo Comparator
Arm Description
Patients receiving a dummy, lookalike or placebo brace without active straps that facilitate unloading of the affected knee compartment
Intervention Type
Device
Intervention Name(s)
Unloader One brace
Intervention Description
A knee brace used to unload affected compartments in osteoarthritic knees
Intervention Type
Device
Intervention Name(s)
Placebo brace
Intervention Description
A knee brace that feels and looks like Unloader One but without active straps facilitating unloading of the knee
Primary Outcome Measure Information:
Title
Knee injury and Osteoarthritis Outcome Score (KOOS)
Description
Standardized questionaire for knee problems, divided into 5 subscores of pain, symptoms, activity of daily living, sports/recreation and quality of life. Each subscore is presented from 0 (worst) to 100 (best).
Time Frame
one year
Title
Knee Society Score (KSS)
Description
Standardized outcome measure for knee problems presented in two subgroups of KSS Score and KSS Function, presented on a range from 0 (worst) to 100 (best)
Time Frame
one year
Title
Visual Analogue Scale (VAS)
Description
VAS is presented as a range from 0 (no pain) to 100 (worst possible pain)
Time Frame
one year
Title
EQ-5D
Description
EQ-5D comprises two distinct self-report elements, providing three principal approaches to analysis(1) the EQ-5D profile: the patients' self reported health on the dimensions/levels of the descriptive system (2) the EQ-VAS: the patients' own global rating of their overall health, on a scale from 0 (worst possible health) to100 (best possible health)• Both types of data can be the focus of analysis, plus(3) Profiles can be summarized using 'value sets' (EQ-5DIndex) which reflect the preferences of the general public.
Time Frame
one year

10. Eligibility

Sex
All
Minimum Age & Unit of Time
30 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Patients fulfilling all criteria listed below will be considered to eligible for participation in the study: Patient, men and women, age 30 to 70 with knee OA not scheduled for surgery who understand the given information and are willing to participate in this study. Signed informed patient consent BMI < 35 Knee pain for more than 3 month Patients with Knee OA Ahlbäck grade 1 and 2 and/or Kellgren-Lawrence 1 and 2 Patient with arthroscopic OA but do not have regular grade 1 OA Exclusion Criteria: Patient presenting with any of the following will not be included in the study: prior major surgery to the same knee patients with a history of stroke or neurological or psychiatric decease that potentially could affect the perception of pain obesity (BMI > 35) active or suspected infection patients taking opioids or steroids patients suffering from rheumatoid arthritis or have a immunological depression patients with other severe medical problems that could affect the perioperative course the patient had an intraarticular steroid injection in the actual knee during the last 3 months Patient participating in a clinical trial
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Soren Toksvig-Larsen, Ass prof
Organizational Affiliation
Orthopeadic Clinic Hassleholm
Official's Role
Principal Investigator
Facility Information:
Facility Name
Orthopeadic Clinic Hässlehlm Hospital
City
Hässleholm
State/Province
Skane
ZIP/Postal Code
28138
Country
Sweden

12. IPD Sharing Statement

Citations:
PubMed Identifier
30243296
Citation
Hjartarson HF, Toksvig-Larsen S. The clinical effect of an unloader brace on patients with osteoarthritis of the knee, a randomized placebo controlled trial with one year follow up. BMC Musculoskelet Disord. 2018 Sep 22;19(1):341. doi: 10.1186/s12891-018-2256-7.
Results Reference
derived

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Unloader One Study on Knee Osteoarthritis Hässleholm Sweden

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