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Trial registered on ANZCTR
Registration number
ACTRN12621000098831
Ethics application status
Approved
Date submitted
4/11/2020
Date registered
1/02/2021
Date last updated
11/01/2023
Date data sharing statement initially provided
1/02/2021
Date results provided
11/01/2023
Type of registration
Retrospectively registered
Titles & IDs
Public title
Safety and Efficacy of a single or multiple intra-articular injections of hyaluronic acid in osteoarthritis.
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Scientific title
Safety and Efficacy of a single or multiple intra-articular injections of hyaluronic acid in osteoarthritis.
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Secondary ID [1]
302698
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None
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Osteoarthritis
319614
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Condition category
Condition code
Musculoskeletal
317558
317558
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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
Data was obtained from patients who had treatment between January 2016 and December 2017 from patients who had received a single injection of hyaluronic acid (HA) (Durolane; and from patients who had had two or more injections up to December 2019. 3ml preparation) in accordance with the manufacturer’s guidelines as a part of their treatment with their surgeon or sports physician. This was performed according to standard hip injection technique with the patient supine using aseptic technique under ultrasound guidance. A sterile 21 g spinal needle was used with infiltration of 2-3 mls of lignocaine 2% (Xylocaine, Astra Zeneca, UK) sub-cuticularly and on the hip capsule. Durolane 3mls was then injected intra-articularly.
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Intervention code [1]
318982
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Diagnosis / Prognosis
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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]
325602
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Change in modified Harris Hip Score
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Assessment method [1]
325602
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Timepoint [1]
325602
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Change from baseline to 6 weeks
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Secondary outcome [1]
388503
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safety: reporting of any adverse events for example swelling or pain. This is clinician notes based on patient self reported symptoms
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Assessment method [1]
388503
0
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Timepoint [1]
388503
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Data collected at baseline and 6 weeks
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Secondary outcome [2]
404490
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Time between injections of hyaluronic acid in days. This data was obtained from a review of the medical records
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Assessment method [2]
404490
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Timepoint [2]
404490
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Timepoint 2 = date of second injection, Timepoint 3 = date of third injection, Timepoint 4-6 = date of 4th, 5th or 6th injection
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Eligibility
Key inclusion criteria
Patients who have had one or more Durolane injections for osteoarthritis between January 2016 and December 2019
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Minimum age
18
Years
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Maximum age
No limit
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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
1. Patients presenting with severe (Kellgren-Lawrence grade 4) OA,
2. inflammatory arthropathy
3. avascular necrosis.
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Study design
Purpose
Natural history
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Duration
Cross-sectional
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Selection
Convenience sample
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Timing
Retrospective
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Statistical methods / analysis
Data collected in the medical record and transferred to a Microsoft Excel® spreadsheet. Each patient record assigned a unique study identification number. The results entered on a locked Excel spreadsheet (Microsoft), coded, and analysed. Statistical analysis conducted using STATA version 15 (StataCorp). Treatment comparisons based on the change in mHHS from baseline to 6 weeks, using the mean change with p-values < 0.05 required for statistical significance and 95% confidence intervals and a MCID of 10 points. The number of days between injections 2,3,4,5 and 6 will be analysed. Mean days and range will be recorded with between group difference at timepoints assessed by t-tests with p-values < 0.05 required for statistical significance.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
4/01/2019
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Date of last participant enrolment
Anticipated
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Actual
23/12/2019
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Date of last data collection
Anticipated
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Actual
31/05/2021
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Sample size
Target
653
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Accrual to date
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Final
653
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment postcode(s) [1]
31821
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3121 - Richmond
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Funding & Sponsors
Funding source category [1]
307133
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Self funded/Unfunded
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Name [1]
307133
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Address [1]
307133
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Country [1]
307133
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Primary sponsor type
Charities/Societies/Foundations
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Name
Joint Health Institute
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Address
10 Norford Grove Kooyong, VIC Australia 3144
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Country
Australia
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Secondary sponsor category [1]
307712
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None
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Name [1]
307712
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Address [1]
307712
0
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Country [1]
307712
0
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
307245
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University of Melbourne, Faculty of Medicine, dentistry and Health Sciences HREC, Low risk
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Ethics committee address [1]
307245
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University of Melbourne, Parkville, Vic Australia. 3010
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Ethics committee country [1]
307245
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Australia
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Date submitted for ethics approval [1]
307245
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23/11/2018
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Approval date [1]
307245
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11/12/2018
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Ethics approval number [1]
307245
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1853383.1
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Summary
Brief summary
The patients from which this data will be drawn were referred to the clinic by their general practitioner with symptomatic joint osteoarthritis for whom injection of hyaluronic acid (Durolane) was found to be the most appropriate treatment. This data is collected on all patients undergoing such injections as a routine pre and post injection measures of their pain and function. For those who had more than one injection, the time in days between injections will be analysed. Patient data will be included in the analyses if they were >18 years old with painful hip osteoarthritis and mild to moderate radiological changes on their imaging. There was no maximum age limit applied to the inclusion criteria. There were no specific inclusion or exclusion criteria in regards to race and gender. The current data set of the patient cohort intended for analysis was collected over 4 years.The data from these patients who have recieved Durolane injections in normal clinical practice will be analysed retrospectively.
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Trial website
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Trial related presentations / publications
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Public notes
Human Research Ethics approval was sought for this project in 2018 to examine data previously collected in the course of clinical practice from 1/1/2016 to 29/03/2018. Following ethics committee approval, the data was collected from January 2019 to March 2019. An amended approval in 2021 resulted in subsequent data collection from March 2021 to June 2021
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Contacts
Principal investigator
Name
106546
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A/Prof Jane Fitzpatrick
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Address
106546
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Sports Medicine Professionals, 21 Erin Street, Richmond VIC 3121
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Country
106546
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Australia
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Phone
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+61 3 94296444
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Fax
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Email
106546
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[email protected]
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Contact person for public queries
Name
106547
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Sally Boyd
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Address
106547
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Sports Medicine Professionals, 21 Erin Street, Richmond VIC 3121
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Country
106547
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Australia
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Phone
106547
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+61 3 94296444
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Fax
106547
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Email
106547
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[email protected]
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Contact person for scientific queries
Name
106548
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Sally Boyd
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Address
106548
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Sports Medicine Professionals, 21 Erin Street, Richmond VIC 3121
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Country
106548
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Australia
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Phone
106548
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+61 3 94296444
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Fax
106548
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Email
106548
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
All collected pooled data will be available
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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
Source
Title
Year of Publication
DOI
Embase
Safety and efficacy of a single intra-articular injection of hyaluronic acid in osteoarthritis of the hip: a case series of 87 patients.
2021
https://dx.doi.org/10.1186/s12891-021-04672-0
N.B. These documents automatically identified may not have been verified by the study sponsor.
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