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Evaluation of the Prognostic Value of Biological Markers, Coll2-1 and Coll2-1NO2 in Patients With Symptomatic Knee Osteoarthritis

Not Applicable
Completed
Conditions
Knee Osteoarthritis
Interventions
Other: Serum and urine samples collections
Other: Imaging (x-rays and MRI)
Registration Number
NCT02070224
Lead Sponsor
Artialis
Brief Summary

The purposes of this study are to assess the prognostic value of serum and urinary biomarkers Coll2-1 and Coll2-1NO2 at baseline, and their change over the first year, on the progression of knee osteoarthritis MRI scores at 12 months, on the progression of knee osteoarthritis clinical score at 12 months. Additionally, this study will search for correlations between serum and urinary biomarkers Coll2-1 and Coll2-1NO2 at baseline with the radiographic, MRI and clinical severity of knee osteoarthritis.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
120
Inclusion Criteria
  • Male or female, aged 45 to 80 years with a BMI ≤ 40

  • With an uni- or bilateral femorotibial knee osteoarthritis associated or not with a femoro-patellar knee osteoarthritis

  • Responding to clinical and radiological criteria of the ACR

  • Symptomatic for more than 6 months (for the most painful knee)

  • K&L radiological grade of Felson II or III

  • With a cartilage lesion identified during MRI and either at least 1 out of 4 MRI severity criteria:

    • bone oedema
    • meniscal lesion in the central region of the medial compartment
    • effusion without answer to corticosteroids
    • zone without cartilage
  • or at least 1 out of 3 clinical severity criteria:

    • genu varum>3°
    • previous meniscal surgery
    • known polyarthritis
    • effusion on the target knee
  • Sign an informed consent after being informed

  • Able to follow the instructions of the study

  • With an agreement from the physicians having established the diagnosis of osteoarthritis (if any) to give relevant information to the investigator

  • With health insurance (for France).

Exclusion Criteria

For osteoarthritis:

  • Isolated patellofemoral arthritis
  • Chondromatosis or villo-nodular synovioma of the knee
  • Recent trauma-induced knee pain
  • Joint disease due to joint dysplasia, aseptic osteonecrosis, acromegaly, Paget's disease, hemophilia, hemochromatosis, ...
  • inflammatory pathologies as rheumatoid polyarthritis, gout arthritis, infectious arthritis
  • Diseases that may interfere with the evaluation of osteoarthritis (radiculalgia of lower limbs, arteritis, ...)
  • Genu valgum (degree considered as pathological by the physician)

For previous treatments:

• Treatment with strontium ranelate, bisphosphonates, SERM and PTH

For known associated diseases:

  • Serious associated diseases: severe liver or renal failure, uncontrolled cardiovascular disease, HIV, hepatitis B or C
  • Knee tumor

For patients:

  • Patient who participated to a therapeutic clinical trial 3 months before the T0 inclusion visit
  • Patient who are the subject of a judicial protection measure or under guardianship
  • Pregnant woman

For MRI contraindications:

  • Patient with a pacemaker, an implantable defibrillator, neurosurgical clips, a neurostimulator, cochlear implant, a stent, an insulin pump
  • Patient with a ferromagnetic splinter in the body, or having wire sutures
  • Serious mobility problem (Parkinson, tremors)

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Knee osteoarthritisImaging (x-rays and MRI)-
Knee osteoarthritisSerum and urine samples collections-
Primary Outcome Measures
NameTimeMethod
MRI will be analysed with semiquantitative Whole-Organ Magnetic Resonance Imaging Scoring method (WORMS)12 month
Secondary Outcome Measures
NameTimeMethod
Knee injury and Osteoarthritis Outcome Score (KOOS) and Visual Analogue Scales (VAS) for mean knee pain and global patient assessment of disease activity12 month

Trial Locations

Locations (2)

University Hospital of Liege-CHU

🇧🇪

Liege, Belgium

University Hospital of Nancy

🇫🇷

Nancy, France

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