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OsteoarthritisNCT04033757

A Population-based Cohort of Osteoarthritis: the Xiangya Osteoarthritis Study

An observational study of Osteoarthritis, run by Xiangya Hospital of Central South University at 1 site in China.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

The purpose of this study is to examine the natural history, phenotypes and risk factors of osteoarthritis (OA) and pain at different joints, and to examine the association between OA structure changes, inflammation and pain for knee and hand OA. Read more about this study

Who is it for?
Ages 50 years and olderHealthy volunteers can take part
Conditions the study is for
Osteoarthritis
How many people
4,080 participants
Where
1 siteChina
Study dates
17 Nov 2015to Dec 2031
How long will I take part?
12 Years
Phase
Observational
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 50 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Study population: Subjects included in this study were a randomly selected sample of residents, aged 50 years or older, from rural mountainous communities of Longshan County, Hunan Province, China.

Who may be able to join

  • 50 years old or above
  • Residents of the randomly selected communities

Who cannot join

  • Inability to give informed consent
  • Terminal or mental illness
  • Pregnant women

Trial locations and contacts

1 site in 1 country.

China1 site
  • Xiangya Hospital of Central South University

    Changsha, Hunan, 410008

Other trials in China

About this study

The purpose of this study is to examine the natural history, phenotypes and risk factors of osteoarthritis (OA) and pain at different joints, and to examine the association between OA structure changes, inflammation and pain for knee and hand OA.

Read the detailed description

Objectives:

  1. To understand the natural history of osteoarthritis (OA) at different joints (knee, hip, hand, foot and lumbar).
  2. To identify different phenotypes of OA (e.g., generalized OA, rapidly progressive knee and hand OA, tibiofemoral OA and patellofemoral OA), their association with pain (e.g., peripheral pain, central pain, nociceptive pain and neuropathic pain) and consequences.
  3. To examine risk factors of OA (lifestyle habits, nutritional, metabolic, anatomical and genetic factors, etc.) at each joint as well as multiple joints.
  4. To determine the association between x-ray structure change, ultrasound synovial changes and pain and other symptoms of OA at knee and hand joints within the large-sample community-based population.
  5. To predict the progression of knee and hand OA within new-onset early-stage knee and hand OA patients, and to identify the rapidly progressive knee and hand OA phenotypes and their related risk factors.
  6. To investigate the association between gut microbiota and OA.
  7. To investigate the association between oral microbiota and OA.

Design: This is a prospective community-based cohort study.

Participants: Subjects included in this study were a randomly selected sample of residents, aged 50 years or older from rural mountainous communities of Longshan County, Hunan Province, China. 4000 people were planned to be recruited, divided into three sub-cohorts. 1,469 participants were enrolled in sub-cohort 1 in 2015, and two follow-ups have been completed in 2016 and 2017. 1,267 participants were enrolled in sub-cohort 2 in 2018. 1,340 participants were enrolled in sub-cohort 3 in 2019. Each sub-cohort will be followed every three years regularly.

Conditions
Osteoarthritis
Keywords
osteoarthritis, cohort study, population-based
Medical subject headings
Osteoarthritis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

Study groups in NCT04033757
Study groupRoleWhat they receive
Sub-cohort 11,469 participants were enrolled in 2015. Three follow-ups have been completed in 2016, 2017, and 2020. They will be asked to participate in follow-up in 2023 and 2026.
Sub-cohort 21,267 participants were enrolled in 2018. They will be asked to participate in follow-up in 2021, 2024, 2027, and 2030.
Sub-cohort 31,340 participants were enrolled in 2019. They will be asked to participate in follow-up in 2022, 2025, 2028, and 2031.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Prevalence of multiple joints osteoarthritis.

    Measured by radiographs of multiple joints.

    Measured: At enrollment.

  2. Incidence of multiple joints osteoarthritis.

    Measured by radiographs of multiple joints, and the incidence of osteoarthritis can be calculated at each follow-up time point.

    Measured: At 3, 6, 9, 12 years follow-ups after enrollment.

  3. Progression of multiple joints osteoarthritis.

    The changes of joint space and osteophytes are measured by radiographs of multiple joints, to assess the progression of multiple joints osteoarthritis.

    Measured: At 3, 6, 9, 12 years follow-ups after enrollment.

Secondary outcomes (31)
  1. Ultrasound detected changes of knee, thigh muscle, and hand.

    Ultrasound examination of both knee joints, quadriceps, hamstrings muscle and 15 peripheral joints of wrist and hand.

    Measured: At enrollment, and 3, 6, 9, 12 years follow-ups after enrollment.

  2. Changes of pain intensity of knee, hip, hand and lumbar.

    Measured by visual analog scale (VAS).

    Measured: At enrollment, and 3, 6, 9, 12 years follow-ups after enrollment.

  3. Changes of pain experience of knee.

    Measured by intermittent and constant osteoarthritis pain (ICOAP) questionnaire.

    Measured: At enrollment, and 3, 6, 9, 12 years follow-ups after enrollment.

  4. Changes of neuropathic pain of knee.

    Measured by painDETECT questionnaire (PDQ).

    Measured: At enrollment, and 3, 6, 9, 12 years follow-ups after enrollment.

  5. Changes of patient's belief about knee pain.

    Measured by illness perception questionnaire (IPQ).

    Measured: At enrollment, and 3, 6, 9, 12 years follow-ups after enrollment.

  6. Changes of pain catastrophizing of knee.

    Measured by pain catastrophizing scale (PCS).

    Measured: At enrollment, and 3, 6, 9, 12 years follow-ups after enrollment.

  7. Prevalence of knee/hip/patellofemoral joint pain.

    Measured by a question that "In the past 12 months, have you had knee/hip/patellofemoral joint pain lasting most days of at least a month?"

    Measured: At enrollment.

  8. Incidence of knee/hip/patellofemoral joint pain.

    Measured by a question that "In the past 12 months, have you had knee/hip/patellofemoral joint pain lasting most days of at least a month?", and the incidence of knee/hip/patellofemoral joint pain can be calculated at each follow-up time point.

    Measured: At 3, 6, 9, 12 years follow-ups after enrollment.

  9. Changes of global assessment of knee and hip.

    Measured by the Western Ontario and McMaster Universities (WOMAC) score.

    Measured: At enrollment, and 3, 6, 9, 12 years follow-ups after enrollment.

  10. Changes of global hand function.

    Measured by the Functional Index for Hand Osteoarthritis (FIHOA).

    Measured: At enrollment, and 3, 6, 9, 12 years follow-ups after enrollment.

  11. Changes of pain-related disability of lumbar osteoarthritis.

    Measured by the Roland-Morris Disability Questionnaire (RMDQ).

    Measured: At enrollment, and 3, 6, 9, 12 years follow-ups after enrollment.

  12. Changes of the results of 30s repetition chair stand test.

    To test the ability to rise from a chair. Record the times a participant stand up and sit down from a chair within 30 seconds.

    Measured: At enrollment, and 3, 6, 9, 12 years follow-ups after enrollment.

  13. Changes of the results of 20-meter walk test.

    Record the time a participant spent on walking for 20 meters.

    Measured: At enrollment, and 3, 6, 9, 12 years follow-ups after enrollment.

  14. Changes of the results of timed up and go test.

    Record the time a participant to rise from a standard armchair, walk as quickly but as safely as possible distance of 3 meters, turn, walk back to the chair and sit down.

    Measured: At enrollment, and 3, 6, 9, 12 years follow-ups after enrollment.

  15. Changes of the results of standing balance test.

    Record the score of standing balance using a standard test protocol. Tests of standing balance included full tandem, semi-tandem, and side-by-side stands.

    Measured: At enrollment, and 3, 6, 9, 12 years follow-ups after enrollment.

  16. Changes of grip strength.

    Measured by a Jamar Hydraulic Hand Dynamometer.

    Measured: At enrollment, and 3, 6, 9, 12 years follow-ups after enrollment.

  17. Changes of pinch strength.

    Measured by a Jamar Hydraulic Pinch Gauge.

    Measured: At enrollment, and 3, 6, 9, 12 years follow-ups after enrollment.

  18. Changes of quadriceps strength.

    Measured by a 'Nicholas Manual Muscle Tester' (Lafayette Instruments).

    Measured: At enrollment, and 3, 6, 9, 12 years follow-ups after enrollment.

  19. Changes of hamstrings strength.

    Measured by a 'Nicholas Manual Muscle Tester' (Lafayette Instruments).

    Measured: At enrollment, and 3, 6, 9, 12 years follow-ups after enrollment.

  20. Changes of hip abductor.

    Measured by a 'Nicholas Manual Muscle Tester' (Lafayette Instruments).

    Measured: At enrollment, and 3, 6, 9, 12 years follow-ups after enrollment.

  21. Changes of the results of squatting ability test.

    The squatting ability was evaluated by using a 1-4 scale (1 = full squat, no use of arms; 2 = full squat, arms used for support; 3= full squat, examiner assistance needed; 4 = attempted, unable to attain full squat).

    Measured: At enrollment, and 3, 6, 9, 12 years follow-ups after enrollment.

  22. Changes of the results of stair climbing test.

    Record the time a participant to ascended and descended a flight of five 14 cm steps stair as quickly as possible.

    Measured: At enrollment, and 3, 6, 9, 12 years follow-ups after enrollment.

  23. Changes of the results of quantitative sensory testing.

    Measured by a hand-held pressure algometer (Wagner, FDIX25) .

    Measured: At enrollment, and 3, 6, 9, 12 years follow-ups after enrollment.

  24. Changes of the results of body composition analysis.

    Measured by a InBody 770 Body Composition Analyser.

    Measured: At enrollment, and 3, 6, 9, 12 years follow-ups after enrollment.

  25. Prevalence of nodal osteoarthritis.

    Nodal osteoarthritis was determined using a validated line diagram and classified as present in those reporting nodes on at least two rays of both hands.

    Measured: At enrollment.

  26. Prevalence of widespread pain.

    A modified body pain mannequin with two questions on symptom severity and widespread pain index (2011 ACR criteria on fibromyalgia) was included to allow scoring of fibromyalgia as a diagnosis with binary (present/absent) classification using a validated tool.

    Measured: At enrollment.

  27. Incidence of widespread pain.

    A modified body pain mannequin with two questions on symptom severity and widespread pain index (2011 ACR criteria on fibromyalgia) was included to allow scoring of fibromyalgia as a diagnosis with binary (present/absent) classification using a validated tool. The incidence of knee/hip/patellofemoral joint pain can be calculated at each follow-up time point.

    Measured: At 3, 6, 9, 12 years follow-ups after enrollment.

  28. Changes of physical and mental health.

    Measured by the 12-Item Short-Form Health Survey (SF-12).

    Measured: At enrollment, and 3, 6, 9, 12 years follow-ups after enrollment.

  29. Changes of sleep quality.

    Measured by the Medical Outcomes Study (MOS) Sleep Scale.

    Measured: At enrollment, and 3, 6, 9, 12 years follow-ups after enrollment.

  30. Prevalence of sarcopenia.

    Sarcopenia would be diagnosed according to the Asian Working Group for Sarcopenia 2019 algorithm.

    Measured: Every round of surveys since year 2018.

  31. Incidence of sarcopenia.

    Sarcopenia would be diagnosed according to the Asian Working Group for Sarcopenia 2019 algorithm. And the incidence of sarcopenia can be calculated at each follow-up time point.

    Measured: At 3, 6, 9, 12 years follow-ups after enrollment.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted26 Jul 2019
  2. Study start17 Nov 2015
  3. Primary completionDec 2031 (estimated)
  4. Study completionDec 2031 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
4,080 participants (actual)
Target duration
12 Years
IDs, dates and publications
ClinicalTrials.gov ID
NCT04033757
Sponsor's protocol ID
201510506
Status last verified
Mar 2022
First submitted
4 Jul 2019
Last updated
11 Apr 2022
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided: This cohort study will collect different types of data. The amount of data is large. The investigators have not decided what specific data sets to be shared yet.

Publications

  • Li J, Xiao Y, Yang T, Hunter DJ, Zhang W, Doherty M, Zhang Y, Yang Z, Wang Y, Xie D, Li C, Zhao K, Li W, Wen Z, Zeng C, Lei G, Wei J. Oral microbiome dysbiosis and oral-gut microbial network disruption in hand osteoarthritis: data from the Xiangya Osteoarthritis Study. RMD Open. 2026 Jul 21;12(3):e006962. doi: 10.1136/rmdopen-2026-006962.

    PubMed 42481422
  • Zhu Y, Li J, Zhang Y, Zhang W, Doherty M, Yang Z, Cui Y, Zeng C, Lei G, Yang T, Wei J. Association between hyperuricaemia and hand osteoarthritis: data from the Xiangya Osteoarthritis Study. RMD Open. 2023 Dec 1;9(4):e003683. doi: 10.1136/rmdopen-2023-003683.

    PubMed 38053456

Questions about this trial

What is this clinical trial studying?

An observational study of Osteoarthritis, run by Xiangya Hospital of Central South University at 1 site in China.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: under way, not looking for participants, as of the sponsor's last update on 11 Apr 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in China. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Prevalence of multiple joints osteoarthritis. (time frame: At enrollment.). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04033757, which also lists 2 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 11 Apr 2022.

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