Intra-articular Hyalubrix® injections versus local anaesthetic in hip osteoarthritis

ISRCTN ISRCTN39397064
DOI https://doi.org/10.1186/ISRCTN39397064
Protocol serial number Q47-04-01
Sponsor Fidia Farmaceutici S.p.A. (Italy)
Funder Fidia Farmaceutici S.p.A. (Italy)
Submission date
06/02/2009
Registration date
18/02/2009
Last edited
30/12/2020
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Musculoskeletal Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Prof Alberto Migliore
Scientific

Ospedale San Pietro FBF
Via Cassia, 600
Rome
00189
Italy

Email albertomigliore@terra.es

Study information

Primary study designInterventional
Study designSingle-site prospective randomised double-blind controlled clinical trial
Secondary study designRandomised controlled trial
Study type Participant information sheet
Scientific titleComparative, double blind, controlled study of intra-articular hyaluronic acid (Hyalubrix®) injections versus local anaesthetic in osteoarthritis of the hip
Study objectivesThe study compared the benefit, duration and adverse event profile of intra-articular (IA) Hyalubrix® versus IA mepivacaine in the treatment of hip osteoarthritis (OA) using ultrasound-guidance to ensure IA injection.
Ethics approval(s)The Clinical Study Protocol (CSP) with all its appendices, including informed consent documentation, insurance and Summary of Product Characteristics were submitted for evaluation and approval to the competent Ethic Committee in the involved centre. The study received the favourable opinion by the Ethic Committee on the 9th November 2004.
Health condition(s) or problem(s) studiedHip osteoarthritis
InterventionIA hip injections were guided by ultrasound using an anterosagittal in assistance of real-time ultrasound and Doppler imaging:
Active group: IA injection of Hyalubrix® 4 ml (2 syringes, 60 mg)
Control group: Mepivacaine 4 cc of 2%

Two treatment administrations: one at baseline, and the second one after one month.
Intervention typeDrug
PhaseNot Applicable
Drug / device / biological / vaccine name(s)Hyalubrix®, mepivacaine
Primary outcome measure(s)

Determination of the change in the Lequesne index of the hip, comparing IA Hyalubrix® to IA mepivacaine at 26 weeks.

Key secondary outcome measure(s)

Measured 90 and 180 days after first injection:
1. Pain intensity (recorded on a 10 cm VAS)
2. Patient record of non-steroidal anti-inflammatory drug (NSAID) consumption
3. Patients global assessment
4. Examining physician's global assessment
5. Demographic correlations to response
6. Hyaluronic acid (HA) safety

Completion date30/06/2007

Eligibility

Participant type(s)Patient
Age groupAdult
SexAll
Target sample size at registration40
Total final enrolment42
Key inclusion criteria1. Aged greater than 40 years, either sex
2. Ambulant without assistance
3. Hip OA by American College of Rheumatology (ACR) radiographic criteria
4. Baseline Visual Analogue Scale (VAS) score of greater than 4 cm
5. Persistence of hip pain for at least 1 month before baseline
6. Signed informed consent
Key exclusion criteria1. Comorbidities (e.g. rheumatoid arthritis, avascular necrosis, fibromyalgia)
2. Infection around the injection site
3. Treatment with oral, parenteral, or IA steroids within 3 months
4. Use of anticoagulants or history of thrombocytopaenia
5. Allergy to local anaesthetics
6. History of adverse reaction to IA Hyalubrix®
7. Pending hip replacement surgery
8. Use of a purported OA disease modifying agent
Date of first enrolment09/11/2004
Date of final enrolment30/06/2007

Locations

Countries of recruitment

  • Italy

Study participating centre

Ospedale San Pietro FBF
Rome
00189
Italy

Results and Publications

Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/12/2009 30/12/2020 Yes No
Participant information sheet Participant information sheet 11/11/2025 11/11/2025 No Yes

Editorial Notes

30/12/2020: The following changes have been made:
1. Publication reference added.
2. The final enrolment number has been added from the reference.