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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT02692807
Registration number
NCT02692807
Ethics application status
Date submitted
15/02/2016
Date registered
26/02/2016
Titles & IDs
Public title
Arthroscopic Surgical Procedures vs Sham Surgery for Patients With Femoroacetabular Impingement and/or Labral Tears.
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Scientific title
Arthroscopic Surgical Procedures Versus Sham Surgery for Patients With Femoroacetabular Impingement and/or Labral Tears. A Multicentre, International, Double-blinded Randomized, Controlled Trial.
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Secondary ID [1]
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2015091
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Secondary ID [2]
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NAR-1- 2016
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Universal Trial Number (UTN)
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Trial acronym
HIPARTI
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Surgery
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Condition category
Condition code
Musculoskeletal
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Other muscular and skeletal disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Surgery - Arthroscopic surgical procedures
Active comparator: Hip arthroscopy surgical procedures (HIPARTI Study) - Surgery is performed under general anaesthesia. Traction and joint access is controlled by fluoroscopy. A diagnostic round in the central and peripheral compartment is performed. Labrum, cartilage, and other possible conditions are looked for and findings are documented. Any labral, chondral and bony pathology (cam or pincer) is treated. Labrum may be debrided, sutured, detached and refixed if needed to treat a pincer lesion. Labrum is secured with suture anchors. Pincer and cam resection is performed using an arthroscopic burr. Cartilage lesions maybe left untreated or treated with debridement or microfracture.
Placebo comparator: Sham surgery (HIPARTI Study) - The same arthroscopic procedures as stated above are preformed, but no surgical interventions related to Cam, Pincer, or labral tear are performed, only diagnostic round in the central and peripheral compartment is performed. Labrum, cartilage, and other possible conditions are looked for and findings are documented.
Active comparator: Prospective Cohort (HARP Study) - Those that are not willing to be included in the RCT (HIPARTI Study), will be asked if they are willing to be included in the prospective cohort, or ongoing in countries were ONLY the surgery is performed (Australia). They will sign an informed concent and will undergo surgical interventions as part of usual care. Outcomes collected and follow-ups will be the same as for the RCT (HIPARTI).
Treatment: Surgery: Arthroscopic surgical procedures
See arm/group description of Arthroscopic surgery and sham surgery (HIPARTI). HARP: only arthroscopic surgery
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Intervention code [1]
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Treatment: Surgery
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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International Hip Outcome Tool (IHOT-33)
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Assessment method [1]
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Patient-reported outcome measure (PRO)
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Timepoint [1]
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Baseline, 6,12 an 24 months follow-ups - 1 year follow-up is main outcome
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Secondary outcome [1]
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Expectations of surgery
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Assessment method [1]
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Questionnaire
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Timepoint [1]
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Baseline
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Secondary outcome [2]
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HOOS - Hip Dysfunction and Osteoarthritis Outcome Score
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Assessment method [2]
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Patient-reported outcome measure (PRO) 5 subscales
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Timepoint [2]
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Baseline, 6,12 an 24 months follow-ups - only in some study sites
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Secondary outcome [3]
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ASES Arthritis Self-Efficacy Scale
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Assessment method [3]
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Self-Efficacy Scale questionnaire
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Timepoint [3]
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Baseline, 6,12 an 24 months follow-ups
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Secondary outcome [4]
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Tampa scale of Kinesiophobia
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Assessment method [4]
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Fear of movement questionnaire
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Timepoint [4]
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Baseline, 6,12 an 24 months follow-ups
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Secondary outcome [5]
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Hip Sports Activity Scale (HSAS)
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Assessment method [5]
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Activity Level (type)
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Timepoint [5]
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Baseline, 6,12 an 24 months follow-ups
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Secondary outcome [6]
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Work place Activity Limitation Survey (WALS)
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Assessment method [6]
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Questionnaire (only for some of the study sites)- only in some study sites
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Timepoint [6]
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Baseline, 6,12 an 24 months follow-ups
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Secondary outcome [7]
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Patient Spesific Functional Scale
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Assessment method [7]
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Patient report on 3 specific activities and their limitations - only in some study sites
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Timepoint [7]
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Baseline, 6,12 an 24 months follow-up
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Secondary outcome [8]
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Measures of hip physical impairment:
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Assessment method [8]
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Range of motion
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Timepoint [8]
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Baseline, 6,12 an 24 months follow-ups
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Secondary outcome [9]
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Hip muscle strength
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Assessment method [9]
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Dynamometer
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Timepoint [9]
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Baseline, 6,12 an 24 months follow-ups
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Secondary outcome [10]
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Single leg squat performance
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Assessment method [10]
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Performance tests - only in some study sites
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Timepoint [10]
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Baseline, 6,12 an 24 months follow-ups
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Secondary outcome [11]
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Total Hip Replacement.
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Assessment method [11]
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Data from the Norwegian National Joint Registry on total hip joint arthroplasty (or similar registries from the other countries)
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Timepoint [11]
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1, 2, 5 and 10 years follow-up
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Eligibility
Key inclusion criteria
* hip pain during daily and/or spor t ing activities;
* intra-articular hip pain with radiological signs of FAI and/or labral tears eligible for hip arthroscopy (to be determined in a pragmatic fashion by the surgeon based on clinical examination and imaging
* the patient is able to give written informed consent and to participate fully in the interventions and follow-up procedures
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Minimum age
18
Years
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Maximum age
50
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
* pain that is not confirmed by physical examination of the hip
* evidence of preexisting osteoarthritis, defined as Tonnis grade >1, or less than 3mm superior joint space width on AP pelvic radiograph
* center edge angle on radiograph <25°; (v) previous known hip pathology such as Perthes' disease, slipped upper femoral epiphysis or avascular necrosis
* previous hip injury such as acetabular fracture, hip dislocation or femoral neck fracture
* previous hip surgery
* medical conditions complicating surgery (ASA 3); (ix) inflammatory joint disease (RA, Bechterew etc)
* physical inability to undertake testing procedures
* expected lack of compliance such as cognitive impairment, drug abuse or similar;
* inability to understand the written and spoken language of the treatment centre;
* contra-indications to placebo surgery, which will include large loose body, chondral flap >1cm2 detached at 3 sides, complete labral radial flap tear and labral bucket-handle tear with complete avulsion >1.5cm long
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people assessing the outcomes
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Intervention assignment
Parallel
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Other design features
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Phase
NA
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/02/2016
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
1/12/2035
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Actual
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Sample size
Target
140
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
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LaTrobe University, School Allied Health, College of Science, Helath and Engineering - Melbourne
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Recruitment postcode(s) [1]
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3086 - Melbourne
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Recruitment outside Australia
Country [1]
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Norway
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State/province [1]
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Oslo
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Funding & Sponsors
Primary sponsor type
Other
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Name
Oslo University Hospital
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Address
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Country
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Other collaborator category [1]
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Other
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Name [1]
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La Trobe University
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Address [1]
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Country [1]
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Other collaborator category [2]
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Other
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Name [2]
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University of Aarhus
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Address [2]
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Country [2]
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Other collaborator category [3]
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Other
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Name [3]
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Lund University
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Address [3]
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Country [3]
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Other collaborator category [4]
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Other
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Name [4]
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University of Oxford
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Address [4]
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Country [4]
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Other collaborator category [5]
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Other
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Name [5]
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University of Ottawa
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Address [5]
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Country [5]
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Ethics approval
Ethics application status
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Summary
Brief summary
The primary aim of this study is to determine the efficacy of hip arthroscopic surgery compared to a sham surgery (diagnostic arthroscopy only) for patients with symptomatic and radiological findings related to impingement (FAI) and/or labral tears using a randomized controlled design (HIPARTI Study: Primary aim and the main paper: primary end point: iHOT 1 year follow-up)). Our main hypothesis is that surgical procedures of the hip will demonstrate greater efficacy than sham surgery (diagnostic hip arthroscopy only) for hip related quality of life (iHOT-33) after 1 year and at further (HIPARTI Study). The secondary aim of this study is to establish modifiable risk factors associated with pain, function, work participation and quality of life over 1 year in people aged 18-50 years with hip impingement and/or labral tears diagnosed at hip arthroscopy. (HARP Study: A separate paper will be published with this main aim for the HARP Study) Long-term follow-ups for HIPARTI Study as well as HARP Study will be performed at 2, 5 and 10 years (secondary aims and separate papers).
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Trial website
https://clinicaltrials.gov/study/NCT02692807
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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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May Arna Risberg, PT, PhD
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Address
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Oslo University Hospital
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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May Arna Risberg, PT, PhD
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Address
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Country
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Phone
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4741312776
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Undecided
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No/undecided IPD sharing reason/comment
Data will be shared across the sites participating in the HIPARTI and the HARP Study, according to the protocol and the decisions made by the Advisory Committee
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT02692807