Identification of Prognostic Biomarkers for Osteoarthritis Risk Following Knee Injury: the Knee Injury Cohort @ the Kennedy Study
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Osteoarthritis
- Sponsor
- University of Oxford
- Enrollment
- 150
- Locations
- 1
- Primary Endpoint
- Change from baseline in Knee Injury and Osteoarthritis Outcome Score (KOOS)-4 score at 2 years
- Last Updated
- 8 years ago
Overview
Brief Summary
This observational study seeks to identify and validate novel soluble biomarkers (within blood, synovial fluid, urine) which contribute to the prognostic assessment of an individual with an acute knee injury, a group of individuals in which ~50% will progress to symptomatic radiographic knee osteoarthritis (OA).
150 individuals will be followed over 5 years with clinical assessment including validated questionnaires, biological sampling and radiological imaging (X ray, magnetic resonance imaging (MRI)).
Investigators
Eligibility Criteria
Inclusion Criteria
- •Clinically significant acute knee injury within 8 weeks of recruitment
- •Aged 16-50
- •Knee effusion, evident clinically or by MRI
- •Evidence on MRI of structural injury (from list of relevant injuries)
- •Informed written consent
Exclusion Criteria
- •Knee injured more than 8 weeks prior to recruitment
- •Pre-existing advanced radiographic OA (Kellgren Lawrence (KL) grade 3-4) of same side knee at baseline
- •Known history of inflammatory/septic arthritis of same side knee
- •Knee replacement - previous or planned within 2 years of study start
- •Active other (treated) inflammatory disease or infection
- •Positive pregnancy test
- •Not consenting, or contraindication to provide blood samples:
- •Bilateral mastectomy
- •Bilateral fistulae for renal dialysis
- •Unable to give informed written consent in English
Outcomes
Primary Outcomes
Change from baseline in Knee Injury and Osteoarthritis Outcome Score (KOOS)-4 score at 2 years
Time Frame: 2 years
Summary score for KOOS questionnaire
Secondary Outcomes
- Change from baseline in Whole Organ MRI Score (WORMS) at 2 years(2 years)
- Change from baseline in Kellgren Lawrence grade at 5 years(5 years)
- Change from baseline in Kellgren Lawrence grade at 2 years(2 years)
- Change from baseline in KOOS-4 score at 3 months(3 months)
- Change from baseline in KOOS-4 score at 5 years(5 years)
- Change from baseline in MRI WORMS score at 5 years(5 years)
- Change from baseline in physical activity level (International Physical Activity Questionnaire, IPAQ) at 2 years(2 years)