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Trial registered on ANZCTR
Registration number
ACTRN12616001504404
Ethics application status
Approved
Date submitted
24/10/2016
Date registered
31/10/2016
Date last updated
31/10/2016
Type of registration
Retrospectively registered
Titles & IDs
Public title
Health outcomes following SYNVISC-ONE in Knee Osteoarthritis
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Scientific title
Longitudinal Study in Knee Osteoarthritis (OA) of Benchmarking Clinical Response and State-attainment following Viscosupplementation with SYNVISC-ONE (LOBRAS Study)
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Secondary ID [1]
290372
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None
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Universal Trial Number (UTN)
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Trial acronym
LOBRAS
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Osteoarthritis (Knee)
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Condition category
Condition code
Musculoskeletal
300526
300526
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0
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Osteoarthritis
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Participants received a single 6ml intra-articular SYNVISC-ONE, and were followed for the next 52 weeks
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Intervention code [1]
296197
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Not applicable
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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OA symptom severity assessed using the WOMAC Index. The WOMAC Index questionnaire was patient self-administered at baseline, and at Weeks 24 and 28. The value for Week 26 was derived by averaging values from Weeks 24 and 28.
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Assessment method [1]
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Timepoint [1]
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26 weeks post SYNVISC-ONE procedure
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Secondary outcome [1]
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OA symptom severity assessed using the WOMAC Index. The WOMAC Index questionnaire was patient self-administered.
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Assessment method [1]
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Timepoint [1]
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Week 0 (Baseline), 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, and 52. The value for Week 26 was derived by averaging values from Weeks 24 and 28.
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Secondary outcome [2]
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Health related quality of life assessed by SF36. The SF36 questionnaire was patient self-administered.
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Assessment method [2]
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Timepoint [2]
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Week 0 (Baseline), 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, and 52. The value for Week 26 was derived by averaging values from Weeks 24 and 28.
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Eligibility
Key inclusion criteria
a. Scheduled for SYNVISC ONE therapy.
b Male or female subjects, 30 to 90 years of age, inclusive.
c. Clinical history of symptomatic knee OA.
d. Radiographic evidence of knee OA. (Kellgren and Lawrence (K-L) Scale Grade I-III).
e. Fluent in English.
f. Willing and able to provide written informed consent.
g. Baseline pain score in study knee on a single VA global pain rating scale of between 35mm to 90mm (0-100mm scale).
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Minimum age
30
Years
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Maximum age
90
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
a. History of gout or episodes of pseudogout in the study joint.
b. History of rheumatoid arthritis or psoriatic arthritis.
c. Kellgren and Lawrence Grade IV OA radiographs.
d. Previous treatment with viscosupplementation in the last six months.
e. Contraindications to SYNVISC ONE treatment as outlined in the product monograph.
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Study design
Purpose
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Duration
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Selection
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Timing
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Statistical methods / analysis
The sample size of 130 enrolled patients, was based on the number of patients enrolled in the SYNVISC group (n=127), in a previously reported pharmaco-economics study [Raynauld JP et al. Osteoarthritis Cartilage. 2002;10(7):506-517; Torrance GW et al. Osteoarthritis Cartilage. 2002:10(7):518-527], which was sufficient to detect statistically significant clinically important improvements in the WOMAC Index, PGA, SF36 and HUI-3
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
5/02/2013
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Date of last participant enrolment
Anticipated
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Actual
30/04/2014
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Date of last data collection
Anticipated
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Actual
29/04/2015
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Sample size
Target
130
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Accrual to date
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Final
131
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Recruitment in Australia
Recruitment state(s)
NSW,QLD,SA,WA,VIC
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Funding & Sponsors
Funding source category [1]
294763
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Commercial sector/Industry
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Name [1]
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Sanofi Australia Pty Ltd
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Address [1]
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12-24 Talavera Rd
Macquarie Park
NSW 2113
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Country [1]
294763
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Australia
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Primary sponsor type
University
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Name
The University of Queensland
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Address
School of Medicine (The University of Queensland)
Herston Road
Herston
QLD 4029
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
293609
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Address [1]
293609
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Country [1]
293609
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Medical Research Ethics Committee
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Ethics committee address [1]
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Medical Research Ethics Committee The University of Queensland St Lucia QLD 4067
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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07/07/2011
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Approval date [1]
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02/08/2011
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Ethics approval number [1]
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201100070
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Summary
Brief summary
Aims: The goals of the LOBRAS study, were: 1) To evaluate the group-level response to Synvisc-One in knee OA, using patient-centred measures of beneficial and adverse outcome; and 2) To evaluate response and state-attainment criteria and age-specific and gender-specific benchmarks, at the individual patient level, to assess the therapeutic response to Synvisc-One in knee OA. Methods: The LOBRAS study involved a one year long multi-centre, pragmatic, “real-world” evaluation of the response to Synvisc-One, in 131 patients with knee OA. LOBRAS employed an open, quasi-experimental, one group, repeated measures design, and involved consented patients in Australia, fulfilling inclusion/exclusion criteria, and under the care of a medical specialist (Orthopaedic Surgeon, Rheumatologist, Sports and Exercise Medicine Physician), in routine clinical practice. Prior to, and for 52 weeks following, intra-articular Synvisc-One, patients were repeatedly evaluated, using the WOMAC NRS4.1 Index and the SF-36 questionnaire. The WOMAC NRS4.1 was administered by mobile phone (with paper back-up) at baseline, then once weekly for 12 weeks, and once every four weeks thereafter. The SF-36 was administered on paper, at baseline, then every four weeks thereafter. Patients were also monitored for adverse events. Data Analyses: The following analyses were pre-planned: Effectiveness analyses: Primary: Repeated measures analysis based on 26 week outcome for WOMAC pain, stiffness, function and total index scores, using continuous data. Secondary: Repeated measures analysis based on 52 week outcome for WOMAC pain, stiffness, function and total index scores, using continuous data. Responder analyses based on WOMAC pain, stiffness, function and total index scores, using categorical data. a) OMERACT-OARSI Responder Criteria b) Minimum Perceptible Clinical Improvement (MPCI) c) Minimum Clinically Important Improvement (MCII 75) d) WOMAC 20-50-70 Responder Criteria State-attainment analyses based on WOMAC pain, stiffness, function and total index scores, using categorical data. a) Bellamy Low Intensity Symptom State-attainment (BLISS) Index b) WOMAC Age- and Gender-specific normative values c) Patient Acceptable Symptom Severity (PASS 75) Utility analysis using the WOMAC-HUI model for deriving HUI-3 utility values from WOMAC scores Comparison of 26 week vs. 52 week outcomes for above analyses Change in SF-36v2 (BL to week 26 and week 52) Analysis of predictors of outcome at 26 weeks and 52 weeks including age, gender, BMI, KL Grade, Injection site, duration of OA, adverse events. Time to re-injection in repeat treatment subgroup Safety/Tolerability Analyses: Descriptive analysis of adverse events
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Prof Nicholas Bellamy
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Address
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The University of Queensland
School of Medicine
Royal Brisbane and Women's Hospital
Level 8, Health Sciences Building
Building 16/901
Herston
QLD 4029
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Country
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Australia
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Phone
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+61 7 3346 4825
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Fax
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+61 7 3851 1559
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Email
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[email protected]
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Contact person for public queries
Name
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Nicholas Bellamy
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Address
69851
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School of Medicine
Royal Brisbane and Women's Hospital
Level 8, Health Sciences Building
Building 16/901
Herston
QLD 4029
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Country
69851
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Australia
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Phone
69851
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+61 7 3346 4825
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Fax
69851
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+61 7 3851 1559
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Email
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[email protected]
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Contact person for scientific queries
Name
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Nicholas Bellamy
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Address
69852
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School of Medicine
Royal Brisbane and Women's Hospital
Level 8, Health Sciences Building
Building 16/901
Herston
QLD 4029
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Country
69852
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Australia
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Phone
69852
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+61 7 3346 4825
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Fax
69852
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+61 7 3851 1559
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Email
69852
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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