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Knee OsteoarthritisNCT06063304

Quantitative MRI For Detection and Tracking of Knee Osteoarthritis

An observational study of Knee Osteoarthritis, run by Imperial College London.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

The goal of this observational study is to develop whole-joint quantitative MRI techniques that aid in the detection and tracking of osteoarthritis disease progression at 3T and 7T MRI scanners. The research objectives are: 1. Read more about this study

Who is it for?
Ages 40 to 70 yearsHealthy volunteers can take part
Conditions the study is for
Knee Osteoarthritis
How many people
70 participants
Where
No sites listed yet
Study dates
Oct 2023to Sep 2026
Phase
Observational
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 40 to 70 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Study population: The research team will be recruiting both healthy volunteers and early knee osteoarthritis patients using the inclusion and exclusion criteria detailed above.

Who may be able to join

  • All people between 40 to 70 years of age
  • All people with no history of knee injury, surgery, or knee pain
  • All patients with primary osteoarthritis (grade 2-3 per Kellgren-Lawrence Scale)
  • Patients who have had radiographs taken as part of their routine clinical care agreed with their orthopaedic surgeon, Mr Gareth Jones. Note that their radiographs must have been acquired a maximum of three weeks from the first, baseline scanning session. This radiograph will be used to check if patients have primary osteoarthritis.
  • All patients between 40 to 70 years of age

Who cannot join

  • Patients with body mass index of more than 35, or body geometry that prevents scanning due to MRI scanner bore width or knee coil diameter
  • Patients with varus or valgus malalignment
  • Patients with contraindications to MRI
  • Patients lacking capacity to consent
  • Patients who are pregnant or breast-feeding
  • Patients who are participating in a clinical trial(s) for new drugs and/or therapies
Show all 13Show fewer
  • Patients with body mass index of more than 35, or body geometry that prevents scanning due to MRI scanner bore width or knee coil diameter
  • Patients with varus or valgus malalignment of more than 5°
  • Patients with radiographic osteoarthritis (grade ≥4 per Kellgren-Lawrence Scale, obtained from radiographs)
  • Patients with contraindications to MRI
  • Patients lacking capacity to consent
  • Patients who are pregnant or breast-feeding
  • Patients who are participating in a clinical trial(s) for new drugs and/or therapies

Trial locations and contacts

No sites are listed yet.

About this study

Official title: Quantitative MRI For Detection And Tracking of Disease Progression Over 2 Years In Early Knee Osteoarthritis Patients & Healthy Volunteers

The goal of this observational study is to develop whole-joint quantitative MRI techniques that aid in the detection and tracking of osteoarthritis disease progression at 3T and 7T MRI scanners. The research objectives are:

  1. Compare the relative accuracies of 7T and 3T MRI in detecting clinical osteoarthritis progression.
  2. Compare the quantitative MRI measures developed with the results acquired from the following two questionnaires: Knee Injury and Osteoarthritis Outcome Score (KOOS) and the Visual Analogue Score (VAS).
  3. Measure the repeatability of 7T and 3T quantitative MRI methods developed in whole-joint knee imaging
  4. Optimize the quality and efficiency of 7T and 3T whole-joint knee MRI
Read more

Participants will be scanned at the 3T scanner at the Clinical Imaging Facility at Hammersmith Hospital and/or the 7T scanner at the LOCUS Center at St Thomas' Hospital. Knee osteoarthritis volunteers will be asked to fill out two questionnaires and will be scanned 4 times over a 2 year period (at enrolment, after 6 months, after 12 months and after 24 months) while healthy volunteers will be scanned once at enrolment. Both healthy volunteers and knee osteoarthritis patients will be asked to fill out MRI safety forms before entering the scanner room, and both groups will be scanned up to 90 minutes during each session.

Researchers will compare knee osteoarthritis patients with healthy volunteers to see how their knee anatomy and tissue properties differ.

Keywords
Knee Osteoarthritis, Healthy Volunteer, MRI
Medical subject headings
Osteoarthritis, Knee

What participants receive

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

Study groups in NCT06063304
Study groupRoleWhat they receive
Healthy VolunteersThis group consists of healthy volunteers with no history of knee joint pain (refer to inclusion/exclusion criteria for more details). They will be scanned once and their scans will be used as the baseline to compare the early knee osteoarthritis patient data with. 10 healthy volunteers will be recruited.
Knee Osteoarthritis PatientsThis group consists of early knee osteoarthritis patients (refer to inclusion/exclusion criteria for more details). They will be scanned 4 times over a period of 2 years (at enrolment, 6 months, 12 months and 24 months after enrolment) to see how the disease progresses. Their scans will be compared with the baseline healthy volunteer scans to check for any differences in anatomy and tissue properties. 60 knee osteoarthritis patients will be recruited.

What is being measured

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

  1. Reproducibility of cartilage thickness values at 3T and 7T as a measure of knee osteoarthritis at enrolment, after 6 months, after 12 months and after 24 months

    The cartilage thickness values will be calculated from the MRI scans that will be acquired.

    Measured: at enrolment, after 6 months, after 12 months and after 24 months

Secondary outcomes (6)
  1. Reproducibility of microstructure maps at 3T and 7T as a measure of knee osteoarthritis at enrolment, after 6 months, after 12 months and after 24 months

    The microstructure maps will be calculated from the MRI scans that will be acquired.

    Measured: at enrolment, after 6 months, after 12 months and after 24 months

  2. Reproducibility of MOAKS analysis at 3T and 7T as a measure of knee osteoarthritis at enrolment, after 6 months, after 12 months and after 24 months

    MRI Osteoarthritis Knee Score (MOAKS) values will be calculated from the MRI scans that will be acquired. MOAKS is a semi-quantitative scoring tool that scores sub-regions of articular cartilage and bone marrow lesions. Different grades are used to score each sub-region. For cartilage sub-region loss, grade 0 indicates no loss and grade 3 indicates over 75% loss.

    Measured: at enrolment, after 6 months, after 12 months and after 24 months

  3. Calculate and compare the longitudinal changes in cartilage thickness at 3T and 7T over the 2 year period

    Cartilage thickness will be calculated for scans acquired at the various time points on the 3T and 7T scanners and compared with each other to investigate the change in thickness over the specified time frame.

    Measured: at enrolment, after 6 months, after 12 months and after 24 months

  4. Calculate and compare the longitudinal changes in microstructure maps at 3T and 7T over the 2 year period

    Microstructure maps will be calculated for scans acquired at the various time points on the 3T and 7T scanners and compared with each other to investigate the change in thickness over the specified time frame.

    Measured: at enrolment, after 6 months, after 12 months and after 24 months

  5. Calculate minimum detectable effect size for osteoarthritis progression at 3T and 7T with cartilage thickness

    Measured: at enrolment, after 6 months, after 12 months and after 24 months

  6. Calculate minimum detectable effect size for osteoarthritis progression at 3T and 7T with microstructure maps

    Measured: at enrolment, after 6 months, after 12 months and after 24 months

Timeline

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

  1. First posted2 Oct 2023
  2. Study startOct 2023 (estimated)
  3. Primary completionSep 2026 (estimated)
  4. Study completionSep 2026 (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
Other
Time perspective
Prospective
Enrolment
70 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06063304
Sponsor's protocol ID
22IC8098
Status last verified
Sep 2023
First submitted
8 Sep 2023
Last updated
2 Oct 2023
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: We will not be sharing IPD with other researchers.

Questions about this trial

What is this clinical trial studying?

An observational study of Knee Osteoarthritis, run by Imperial College London.

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 5 inclusion and 13 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: status not confirmed, as of the sponsor's last update on 2 Oct 2023. Status can change between updates, so confirm with the study contact before making plans.

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?

Results are not available in the source record.

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

Contact Neal K Bangerter, PhD (7534066791 ext. +44, n.bangerter@imperial.ac.uk), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Reproducibility of cartilage thickness values at 3T and 7T as a measure of knee osteoarthritis at enrolment, after 6 months, after 12 months and after 24 months (time frame: at enrolment, after 6 months, after 12 months and after 24 months). 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 2 Oct 2023.

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