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Osteoarthritis, KneePhase 1ECHOGUIDENCT05235854

Six-month Performance of Meniscal Wall Infiltration Under Ultrasound to Treat Stable Degenerative Meniscal Injuries.

A Phase 1 study testing Injection of corticosteroids (Diprostène®) in people with Osteoarthritis, Knee, run by Centre Hospitalier Universitaire de Nīmes at 1 site in France.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The main hypothesis of the study is that in situ infiltration of the meniscal lesion would provide patients with lasting and greater relief than intra-articular infiltration. A statistically significant difference would be if the Lysholm score of the meniscal wall group at 3 months is 9.5 points higher than that of… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Osteoarthritis, Knee
What is being tested?
Injection of corticosteroids (Diprostène®)
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
70 participants
Where
1 siteFrance
Study dates
12 May 2022to 4 May 2026
Phase
Phase 1
Are there results?
None posted in the registry

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 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients with a symptomatic meniscal lesion of a degenerative nature, isolated or associated with early osteoarthritis or chondropathy (Ahlbach stages 1 and 2).
  • Indication for peri-meniscal infiltration under ultrasound control of the knee for a clinically stable degenerative meniscal lesion confirmed by MRI and radiography.
  • Patient who has given free and informed consent.
  • Patient who has signed the consent form.
  • Patient affiliated or beneficiary of a health insurance plan.
  • Adult patient (≥18 years of age).

Who cannot join

  • No iconographic evidence of meniscal injury.
  • Associated lesions of the central pivot of the knee.
  • Knee pain of osteoarthritic origin strongly suggested by the clinic associated with an advanced radiological stage of osteoarthritis (Ahlbach stages 3 and 4).
  • Presence of a skin lesion at the infiltration sites.
  • Suspected soft tissue or joint infection.
  • Patient participating in research involving human subjects defined as Category 1.
Show all 11Show fewer
  • Patient in an exclusion period as determined by another study.
  • Patient under court protection, guardianship or trusteeship.
  • Patient unable to give consent.
  • Patient for whom it is impossible to give informed information.
  • Pregnant, parturient or breastfeeding women.

Trial locations and contacts

1 site in 1 country.

France1 site
  • Chu Nimes

    Nîmes, 30029

Other trials in France

About this study

Official title: Evaluation of the Performance of Six-month Wall Infiltration Under Ultrasound to Treat Stable Degenerative Meniscal Injuries. A Single-center, Randomized, Double-blind Study.

The main hypothesis of the study is that in situ infiltration of the meniscal lesion would provide patients with lasting and greater relief than intra-articular infiltration. A statistically significant difference would be if the Lysholm score of the meniscal wall group at 3 months is 9.5 points higher than that of the intra-articular infiltration group.

The aim is to evaluate the effectiveness of meniscal wall infiltration under ultrasound in the treatment of stable degenerative meniscal lesions versus intra-articular infiltration (Gold standard) at 3 months by Lysholm's algo-functional score.

Being tested
Injection of corticosteroids (Diprostène®)
Keywords
knee,, osteoarthritis,, meniscus,, Lysholm score,, corticoids, infiltration
Medical subject headings
Osteoarthritis, Knee, Osteoarthritis

What participants receive

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

  • Injection of corticosteroids (Diprostène®)Drug

    Diprostène® will be injected into the knee. This is a 1 ml syringe of Betamethasone 2 mg, suspension for injection in pre-filled syringe.

Study groups in NCT05235854
Study groupRoleWhat they receive
Meniscal wall infiltration groupActive comparatorAdministration of Diprostene: 1 ml syringe of Betamethasone 2 mg; injectable suspension in pre-filled syringe under ultrasound control.
Receives: Drug: Injection of corticosteroids (Diprostène®)
Intra-articular infiltration groupActive comparatorThe procedure is identical in all respects to the experimental group, except that the ultrasound procedure is mimicked and the infiltration of dexamethasone 2 mg (Diprostene®) is performed intra-articularly. Administration Diprostene: 1 ml syringe of Betamethasone 2 mg; injectable suspension in pre-filled syringe.
Receives: Drug: Injection of corticosteroids (Diprostène®)

What is being measured

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

  1. Lysholm score before infiltration (intra-articular group)

    The Lysholm score will be used to evaluate functionality 15 days before infiltration.The Lysholm Tegner score (Lysholm and Gillquist 1982) is a validated questionnaire for assessing knee functionality. The Lysholm score is rated from 0 to 100 (100 being the maximum functional score) and its repeatability is excellent (0.88 to 0.95). The scale has eight items: instability (/25), pain (/25), locking (/15), swelling (/10), stairs (/10), squatting (/5), limping (/5), use of a cane (/5). In 1985, Tegner added a scale of sports and occupational activity rated from 0 (occupational disability) to 10 (high level sport), hence the name Lysholm-Tegner score (Tegner and Lysholm 1985)

    Measured: 15 days before infiltration

  2. Lysholm score before infiltration (meniscal wall group)

    The Lysholm score will be used to evaluate functionality 15 days before infiltration.The Lysholm Tegner score (Lysholm and Gillquist 1982) is a validated questionnaire for assessing knee functionality. The Lysholm score is rated from 0 to 100 (100 being the maximum functional score) and its repeatability is excellent (0.88 to 0.95). The scale has eight items: instability (/25), pain (/25), locking (/15), swelling (/10), stairs (/10), squatting (/5), limping (/5), use of a cane (/5). In 1985, Tegner added a scale of sports and occupational activity rated from 0 (occupational disability) to 10 (high level sport), hence the name Lysholm-Tegner score (Tegner and Lysholm 1985)

    Measured: 15 days before infiltration

  3. Lysholm score after infiltration (intra-articular group)

    The Lysholm score will be used to evaluate functionality 3 months after infiltration.The Lysholm Tegner score (Lysholm and Gillquist 1982) is a validated questionnaire for assessing knee functionality. The Lysholm score is rated from 0 to 100 (100 being the maximum functional score) and its repeatability is excellent (0.88 to 0.95). The scale has eight items: instability (/25), pain (/25), locking (/15), swelling (/10), stairs (/10), squatting (/5), limping (/5), use of a cane (/5). In 1985, Tegner added a scale of sports and occupational activity rated from 0 (occupational disability) to 10 (high level sport), hence the name Lysholm-Tegner score (Tegner and Lysholm 1985)

    Measured: 3 months after infiltration

  4. Lysholm score after infiltration (meniscal wall group)

    The Lysholm score will be used to evaluate functionality 3 months after infiltration.The Lysholm Tegner score (Lysholm and Gillquist 1982) is a validated questionnaire for assessing knee functionality. The Lysholm score is rated from 0 to 100 (100 being the maximum functional score) and its repeatability is excellent (0.88 to 0.95). The scale has eight items: instability (/25), pain (/25), locking (/15), swelling (/10), stairs (/10), squatting (/5), limping (/5), use of a cane (/5). In 1985, Tegner added a scale of sports and occupational activity rated from 0 (occupational disability) to 10 (high level sport), hence the name Lysholm-Tegner score (Tegner and Lysholm 1985)

    Measured: 3 months after infiltration

Secondary outcomes (32)
  1. Arthroscopy required within six months of infiltration: (intra-articular group)

    Yes/No and, if so, the date of the arthroscopy will be recorded.

    Measured: 6 months after infiltration

  2. Arthroscopy required within six months of infiltration: (meniscal wall group)

    Yes/No and, if so, the date of the arthroscopy will be recorded.

    Measured: 6 months after infiltration

  3. Pain evaluated by the patient (intra-articular group)

    Pain will be evaluated by the patient on a visual analog scale (0-10) once a week up to 3 months after infiltration.

    Measured: 15 days before infiltration

  4. Pain evaluated by the patient (intra-articular group)

    Pain will be evaluated by the patient on a visual analog scale (0-10) once a week up to 3 months after infiltration.

    Measured: 1 week after infiltration

  5. Pain evaluated by the patient (intra-articular group)

    Pain will be evaluated by the patient on a visual analog scale (0-10) once a week up to 3 months after infiltration.

    Measured: 2 weeks after infiltration

  6. Pain evaluated by the patient (intra-articular group)

    Pain will be evaluated by the patient on a visual analog scale (0-10) once a week up to 3 months after infiltration.

    Measured: 3 weeks after infiltration

  7. Pain evaluated by the patient (intra-articular group)

    Pain will be evaluated by the patient on a visual analog scale (0-10) once a week up to 3 months after infiltration.

    Measured: 4 weeks after infiltration

  8. Pain evaluated by the patient (intra-articular group)

    Pain will be evaluated by the patient on a visual analog scale (0-10) once a week up to 3 months after infiltration.

    Measured: 5 weeks after infiltration

  9. Pain evaluated by the patient (intra-articular group)

    Pain will be evaluated by the patient on a visual analog scale (0-10) once a week up to 3 months after infiltration.

    Measured: 6 weeks after infiltration

  10. Pain evaluated by the patient (intra-articular group)

    Pain will be evaluated by the patient on a visual analog scale (0-10) once a week up to 3 months after infiltration.

    Measured: 7 weeks after infiltration

  11. Pain evaluated by the patient (intra-articular group)

    Pain will be evaluated by the patient on a visual analog scale (0-10) once a week up to 3 months after infiltration.

    Measured: 8 weeks after infiltration

  12. Pain evaluated by the patient (intra-articular group)

    Pain will be evaluated by the patient on a visual analog scale (0-10) once a week up to 3 months after infiltration.

    Measured: 9 weeks after infiltration

  13. Pain evaluated by the patient (intra-articular group)

    Pain will be evaluated by the patient on a visual analog scale (0-10) once a week up to 3 months after infiltration.

    Measured: 10 weeks after infiltration

  14. Pain evaluated by the patient (intra-articular group)

    Pain will be evaluated by the patient on a visual analog scale (0-10) once a week up to 3 months after infiltration.

    Measured: 11 weeks after infiltration

  15. Pain evaluated by the patient (intra-articular group)

    Pain will be evaluated by the patient on a visual analog scale (0-10) once a week up to 3 months after infiltration.

    Measured: 12 weeks after infiltration

  16. Pain evaluated by the patient (meniscal wall group)

    Pain will be evaluated by the patient on a visual analog scale (0-10) once a week up to 3 months after infiltration.

    Measured: 15 days before infiltration

  17. Pain evaluated by the patient (meniscal wall group)

    Pain will be evaluated by the patient on a visual analog scale (0-10) once a week up to 3 months after infiltration.

    Measured: 1 week after infiltration

  18. Pain evaluated by the patient (meniscal wall group)

    Pain will be evaluated by the patient on a visual analog scale (0-10) once a week up to 3 months after infiltration.

    Measured: 2 weeks after infiltration

  19. Pain evaluated by the patient (meniscal wall group)

    Pain will be evaluated by the patient on a visual analog scale (0-10) once a week up to 3 months after infiltration.

    Measured: 3 weeks after infiltration

  20. Pain evaluated by the patient (meniscal wall group)

    Pain will be evaluated by the patient on a visual analog scale (0-10) once a week up to 3 months after infiltration.

    Measured: 4 weeks after infiltration

  21. Pain evaluated by the patient (meniscal wall group)

    Pain will be evaluated by the patient on a visual analog scale (0-10) once a week up to 3 months after infiltration.

    Measured: 5 weeks after infiltration

  22. Pain evaluated by the patient (meniscal wall group)

    Pain will be evaluated by the patient on a visual analog scale (0-10) once a week up to 3 months after infiltration.

    Measured: 6 weeks after infiltration

  23. Pain evaluated by the patient (meniscal wall group)

    Pain will be evaluated by the patient on a visual analog scale (0-10) once a week up to 3 months after infiltration.

    Measured: 7 weeks after infiltration

  24. Pain evaluated by the patient (meniscal wall group)

    Pain will be evaluated by the patient on a visual analog scale (0-10) once a week up to 3 months after infiltration.

    Measured: 8 weeks after infiltration

  25. Pain evaluated by the patient (meniscal wall group)

    Pain will be evaluated by the patient on a visual analog scale (0-10) once a week up to 3 months after infiltration.

    Measured: 9 weeks after infiltration

  26. Pain evaluated by the patient (meniscal wall group)

    Pain will be evaluated by the patient on a visual analog scale (0-10) once a week up to 3 months after infiltration.

    Measured: 10 weeks after infiltration

  27. Pain evaluated by the patient (meniscal wall group)

    Pain will be evaluated by the patient on a visual analog scale (0-10) once a week up to 3 months after infiltration.

    Measured: 11 weeks after infiltration

  28. Pain evaluated by the patient (meniscal wall group)

    Pain will be evaluated by the patient on a visual analog scale (0-10) once a week up to 3 months after infiltration.

    Measured: 12 weeks after infiltration

  29. Return to physical activity (intra-articular infiltration group)

    The number of days taken for the patient to return to physical activity

    Measured: Day 0 to Month 6

  30. Return to physical activity (meniscal wall infiltration group)

    The number of days taken for the patient to return to physical activity

    Measured: Day 0 to Month 6

  31. Adverse events in the intra-articular infiltration group

    Collection of all possible adverse events from D0 to M3. Qualitative

    Measured: Day 0 to 3 months after infiltration

  32. Adverse events in the meniscal wall infiltration group

    Collection of all possible adverse events from D0 to M3. Qualitative

    Measured: Day 0 to 3 months after infiltration

Timeline

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

  1. First posted11 Feb 2022
  2. Study start12 May 2022
  3. Primary completion4 May 2026
  4. Study completion4 May 2026

Resources

More details

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

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Single-center, randomized, double-blind, controlled study comparing two management strategies.
Masking
Double blind
Who is masked
Participant, Care provider
Enrolment
70 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05235854
Sponsor's protocol ID
NIMAO/2021-1/PM-01
Acronym
ECHOGUIDE
Status last verified
May 2026
First submitted
21 Jan 2022
Last updated
13 May 2026
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Injection of corticosteroids (Diprostène®) in people with Osteoarthritis, Knee, run by Centre Hospitalier Universitaire de Nīmes at 1 site in France.

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 6 inclusion and 11 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: finished, as of the sponsor's last update on 13 May 2026. 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 France. 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.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Lysholm score before infiltration (intra-articular group) (time frame: 15 days before infiltration). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 13 May 2026.

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