NCT03281837

2 Weekly Intra-articular Hyaluronan Knee Injections, Given 1 wk. Apart, of HYMOVIS Combined With Physical Exercise Program (PEP) Compared to PEP Alone, in Relatively Young, Active Population of Subjects With Patellofemoral Osteoarthritis (PFOA) and/or Tibiofemoral Osteoarthritis (TFOA)

Completed NA Last updated 21 July 2020

What this trial tests

NA trial testing HYMOVIS plus Physical Exercise Program (PEP) in Osteoarthritis, Knee in 148 participants. Completed in 16 July 2020.

Timeline

1 October 2017

Primary endpoint
9 July 2020

16 July 2020

Quick facts

Lead sponsor	Fidia Pharma USA Inc.
Phase	NA
Status	Completed
Study type	INTERVENTIONAL
Allocation	randomized
Design	crossover
Masking	double
Primary purpose	treatment
Enrollment	148
Start date	1 October 2017
Primary completion	9 July 2020
Estimated completion	16 July 2020
Sites	10 locations across United States

Drugs / interventions tested

• HYMOVIS plus Physical Exercise Program (PEP)
• Physical Exercise Program (PEP) alone

Conditions studied

• Osteoarthritis, Knee — all drugs for Osteoarthritis, Knee →
• Knee Osteoarthritis — all drugs for Knee Osteoarthritis →
• Patellofemoral Osteoarthritis — all drugs for Patellofemoral Osteoarthritis →

Sponsor

Fidia Pharma USA Inc.

Who can join

Adults 21 to 60, any sex, with Osteoarthritis, Knee or Knee Osteoarthritis. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Knee osteoarthritis (OA) is among the most common causes of musculoskeletal pain and disability. At present, there is no cure for OA. Therefore, the primary aims of therapy are to reduce pain, maintain or improve function and mobility, and prevent or slow the progression of adverse changes to the joint tissues, while keeping potential therapeutic toxicities to a minimum. Current treatment guidelines begin with non-pharmacologic modalities, such as patient education, weight loss, and physical therapy. Several exercise-based therapeutic approaches, such as aerobic exercise programs, range-of-motion exercises, and muscle-strengthening exercises are recommended and have shown clinical benefit in randomized, controlled clinical trials. However, non-pharmacologic approaches frequently provide insufficient pain relief and restoration of function and mobility, and pharmacologic modalities become necessary. Although simple analgesics such as acetaminophen provide relief for many OA subjects with mild to moderate pain, alternatives should be considered for subjects who fail to obtain adequate symptomatic relief with these measures.

This post-market, single blind, multicenter, randomized, controlled clinical study is designed to enroll a relatively young, active population of subjects with patellofemoral osteoarthritis (PFOA) and/or tibiofemoral osteoarthritis (TFOA), and to compare responses to treatment with 2 weekly intra-articular (IA) hyaluronan (HA) injections, with each injection given 1 week apart, of HYMOVIS combined with a physical exercise program (PEP) to PEP alone. Because PEP or exercise programs may be considered the first line standard of care in OA knee pain, particularly in younger, active patients, the hypothesis of the study is that Hymovis combined with PEP program provides greater relief of pain associated with knee OA in the enrolled study subjects than with use of PEP alone.

The study provides for subjects randomized to the PEP alone study group to cross over to HYMOVIS+PEP if improvement has not been achieved by the 3 month follow up visit.

Subjects will be recruited over an 18 month period. The duration of the trial per center will be approximately 27 months. This includes the enrollment period of 6 months, the follow-up period at 3 and 6 months and the additional follow-up period for patients who crossed-over; they will be followed for an additional 6 months following the initial 3month follow-up. The trial will end when the last subject makes the last visit.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

1. Clinical and Biochemical Implications of Hyaluronic Acid in Musculoskeletal Rehabilitation: A Comprehensive Review.
   Iaconisi GN, Gallo N, Caforio L, Ricci V, et al · · 2023 · cited 14× · PMID 38138874 · DOI 10.3390/jpm13121647