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Knee PainNCT06134817

Geniculate Artery Embolization for Treatment of Persistent Knee Pain Post Total Knee Arthroplasty

A study testing Embozene Color-Advanced Microspheres. in people with Knee Pain, run by NYU Langone Health at 1 site in United States.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

Single-arm, single-center, no sham or placebo, prospective pilot trial designed to evaluate the safety and efficacy of transcatheter arterial embolization in patients with persistent knee pain resistant to conservative management for at least 9 months after total knee arthroplasty (TKA). Read more about this study

Who is it for?
Ages 30 to 85 years
Conditions the study is for
Knee Pain
What is being tested?
Embozene Color-Advanced Microspheres.
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
2 participants
Where
1 siteUnited States
Study dates
24 May 2024to 12 Feb 2025
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

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 30 to 85 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Knee pain resistant to conservative treatment for at least 9 months post TKA performed for knee OA, and
  • Moderate to severe knee pain: pain VAS ≥40 mm, and
  • Willing, able, and mentally competent to provide informed consent and complete study questionnaires in English. The Study questionnaires are validated in English.

Who cannot join

  • Active systemic or local knee infection or;
  • Active malignancy or;
  • Life expectancy less than 6 months or;
  • Prior ipsilateral knee arthroscopic surgery or repeat TKA (within 9 months of screening) or;
  • Ipsilateral knee intra-articular injection in the last 3 months or;
  • Rheumatoid arthritis, spondyloarthropathies, crystal disease, gout, pseudogout, or lupus or;
Show all 14Show fewer
  • Pregnant during the study period or;
  • Renal dysfunction as defined by serum creatinine >1.6 dl/mg or eGFR <60 on blood tests obtained within 30 days of procedure or;
  • Body weight greater than 200 Kg or;
  • Known history of severe contrast allergy to iodinated contrast resulting in anaphylaxis or;
  • Known significant arterial atherosclerosis that would limit selective angiography and/or lower extremity symptoms thought to be secondary to arterial vascular disease (eg claudication, ischemic rest pain) or;
  • known avascular necrosis in the target knee or;
  • Complications of TKA such as suspected or confirmed early loosening, ligamentous instability, reflex sympathetic dystrophy, polyethylene wear with or without particle disease (osteolysis), and large effusions (with or without hemarthrosis) or;
  • Patient is enrolled in a different trial for treatment of knee pain post total knee arthroplasty (ipsilateral knee)

Trial locations and contacts

1 site in 1 country.

United States1 site
  • NYU Langone Health

    New York, New York, 10016

Other trials in United States

About this study

Official title: Prospective Pilot Study on Geniculate Artery Embolization for Treatment of Persistent Knee Pain Post Total Knee Arthroplasty

Single-arm, single-center, no sham or placebo, prospective pilot trial designed to evaluate the safety and efficacy of transcatheter arterial embolization in patients with persistent knee pain resistant to conservative management for at least 9 months after total knee arthroplasty (TKA). Eligible participants will receive geniculate artery embolization (GAE) using Embozene™ Color-Advanced Microspheres. Patients will be followed up for a total of 24 months after GAE.

Conditions
Knee Pain
Being tested
Embozene Color-Advanced Microspheres.

What participants receive

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

  • Embozene Color-Advanced Microspheres.Device

    Embozene Microspheres are spherical, tightly calibrated, biocompatible, nonresorbable, hydrogel microspheres coated with an inorganic perfluorinated polymer. The microspheres are intended to occlude vasculature for the purpose of blocking blood flow to a target tissue.

    In the study, the abnormal vessels will be embolized with 100 μm Embozene Microspheres solution under direct fluoroscopic visualization to prevent reflux and non-target embolization. Multiple geniculate arteries may be embolized until neovascularity is no longer seen.

Study groups in NCT06134817
Study groupRoleWhat they receive
Patients with Post TKA Knee PainExperimentalPatients with persistent knee pain resistant to conservative management for at least 9 months after total knee arthroplasty (TKA) will receive geniculate artery embolization (GAE) using Embozene Color-Advanced Microspheres. Treatment will be completed during one interventional session.
Receives: Device: Embozene Color-Advanced Microspheres.

What is being measured

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

  1. Change in Knee Injury and Osteoarthritis Outcome Score (KOOS) Pain Score From Baseline to Month 6

    The Pain subscale of the KOOS consists of 9 items measuring pain associated with the knee. Each item is rated on a Likert scale from 0 (No Problems) to 4 (Extreme Problems). The raw score is the sum of responses and is transformed to a 0-100 scale, where zero represents extreme knee problems and 100 represents no knee problems.

    Measured: Baseline, Month 6 Post-GAE Procedure

Secondary outcomes (16)
  1. Change From Baseline in KOOS Symptoms Score

    The Symptoms subscale of the KOOS consists of 7 items measuring symptoms associated with the knee. Each item is rated on a Likert scale from 0 (No Problems) to 4 (Extreme Problems). The raw score is the sum of responses and is transformed to a 0-100 scale, where zero represents extreme knee problems and 100 represents no knee problems.

    Measured: Baseline, Month 3 Post-GAE Procedure

  2. Change From Baseline in KOOS Symptoms Score

    The Symptoms subscale of the KOOS consists of 7 items measuring symptoms associated with the knee. Each item is rated on a Likert scale from 0 (No Problems) to 4 (Extreme Problems). The raw score is the sum of responses and is transformed to a 0-100 scale, where zero represents extreme knee problems and 100 represents no knee problems.

    Measured: Baseline, Month 6 Post-GAE Procedure

  3. Change From Baseline in KOOS Symptoms Score

    The Symptoms subscale of the KOOS consists of 7 items measuring symptoms associated with the knee. Each item is rated on a Likert scale from 0 (No Problems) to 4 (Extreme Problems). The raw score is the sum of responses and is transformed to a 0-100 scale, where zero represents extreme knee problems and 100 represents no knee problems.

    Measured: Baseline, Month 12 Post-GAE Procedure

  4. Change From Baseline in KOOS Symptoms Score

    The Symptoms subscale of the KOOS consists of 7 items measuring symptoms associated with the knee. Each item is rated on a Likert scale from 0 (No Problems) to 4 (Extreme Problems). The raw score is the sum of responses and is transformed to a 0-100 scale, where zero represents extreme knee problems and 100 represents no knee problems.

    Measured: Baseline, Month 24 Post-GAE Procedure

  5. Change From Baseline in Knee Pain Measured Via Visual Analogue Scale (VAS)

    The VAS measures knee pain intensity. The VAS consists of a 10cm line, with two end points representing 0 ('no pain') and 10 ('pain as bad as it could possibly be'). The patient uses a ruler to measure the distance in centimeters from the 'no pain marker' (or zero) to the current pain mark. This provides a pain intensity score out of 10; for example, 6 out of 10 (or 6/10). Higher scores indicate greater knee pain.

    Measured: Baseline, Month 3 Post-GAE Procedure

  6. Change From Baseline in Knee Pain Measured Via VAS

    The VAS measures knee pain intensity. The VAS consists of a 10cm line, with two end points representing 0 ('no pain') and 10 ('pain as bad as it could possibly be'). The patient uses a ruler to measure the distance in centimeters from the 'no pain marker' (or zero) to the current pain mark. This provides a pain intensity score out of 10; for example, 6 out of 10 (or 6/10). Higher scores indicate greater knee pain.

    Measured: Baseline, Month 6 Post-GAE Procedure

  7. Change From Baseline in Knee Pain Measured Via VAS

    The VAS measures knee pain intensity. The VAS consists of a 10cm line, with two end points representing 0 ('no pain') and 10 ('pain as bad as it could possibly be'). The patient uses a ruler to measure the distance in centimeters from the 'no pain marker' (or zero) to the current pain mark. This provides a pain intensity score out of 10; for example, 6 out of 10 (or 6/10). Higher scores indicate greater knee pain.

    Measured: Baseline, Month 12 Post-GAE Procedure

  8. Change From Baseline in Knee Pain Measured Via VAS

    The VAS measures knee pain intensity. The VAS consists of a 10cm line, with two end points representing 0 ('no pain') and 10 ('pain as bad as it could possibly be'). The patient uses a ruler to measure the distance in centimeters from the 'no pain marker' (or zero) to the current pain mark. This provides a pain intensity score out of 10; for example, 6 out of 10 (or 6/10). Higher scores indicate greater knee pain.

    Measured: Baseline, Month 24 Post-GAE Procedure

  9. Change From Baseline in Quality of Life Measured Via EuroQol-5 Dimension-5 Level (EQ-5D-5L) Score

    Patient Reported Outcome (PRO) instrument that uses 6 questions to generally assess patients' quality of life. The EQ-5D-5L system defines so-called EQ5D Health States; depending on the level, a number is assigned to each dimension, so that a 5-digit number combination is obtained. This 5-digit number is converted into a score using an algorithm. This point value is called the EQ-5D-5L index. An index value of 1 represents the best possible quality of life, while an index value of <0 represents the worst possible quality of life.

    Measured: Baseline, Month 3 Post-GAE Procedure

  10. Change From Baseline in Quality of Life Measured Via EQ-5D-5L Score

    Patient Reported Outcome (PRO) instrument that uses 6 questions to generally assess patients' quality of life. The EQ-5D-5L system defines so-called EQ5D Health States; depending on the level, a number is assigned to each dimension, so that a 5-digit number combination is obtained. This 5-digit number is converted into a score using an algorithm. This point value is called the EQ-5D-5L index. An index value of 1 represents the best possible quality of life, while an index value of <0 represents the worst possible quality of life.

    Measured: Baseline, Month 6 Post-GAE Procedure

  11. Change From Baseline in Quality of Life Measured Via EQ-5D-5L Score

    Patient Reported Outcome (PRO) instrument that uses 6 questions to generally assess patients' quality of life. The EQ-5D-5L system defines so-called EQ5D Health States; depending on the level, a number is assigned to each dimension, so that a 5-digit number combination is obtained. This 5-digit number is converted into a score using an algorithm. This point value is called the EQ-5D-5L index. An index value of 1 represents the best possible quality of life, while an index value of <0 represents the worst possible quality of life.

    Measured: Baseline, Month 12 Post-GAE Procedure

  12. Change From Baseline in Quality of Life Measured Via EQ-5D-5L Score

    Patient Reported Outcome (PRO) instrument that uses 6 questions to generally assess patients' quality of life. The EQ-5D-5L system defines so-called EQ5D Health States; depending on the level, a number is assigned to each dimension, so that a 5-digit number combination is obtained. This 5-digit number is converted into a score using an algorithm. This point value is called the EQ-5D-5L index. An index value of 1 represents the best possible quality of life, while an index value of <0 represents the worst possible quality of life.

    Measured: Baseline, Month 24 Post-GAE Procedure

  13. Incidence of Synovitis

    Incidence of synovitis measured using magnetic resonance angiogram images.

    Measured: Month 6 Post-GAE Procedure

  14. Incidence of Synovitis

    Incidence of synovitis measured using magnetic resonance angiogram images.

    Measured: Month 24 Post-GAE Procedure

  15. Incidence of Successful Selective Catheterization of Target Genicular Artery

    Measured: Up to Month 24 Post-GAE Procedure

  16. Incidence of Successful Embolization From at Least One Feeding Artery of the Knee Joint

    Successful embolization defined as suppression or reduction in the filling of (blood flow in) abnormal vessels visible on angiography.

    Measured: Up to Month 24 Post-GAE Procedure

Timeline

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

  1. First posted18 Nov 2023
  2. Study start24 May 2024
  3. Primary completion12 Feb 2025
  4. Study completion12 Feb 2025

Why it stopped: Departure of PI.

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 N/A
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
2 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06134817
Sponsor's protocol ID
23-00595
Status last verified
Aug 2025
First submitted
13 Nov 2023
Last updated
7 Aug 2025
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
Yes: The de-identified participant data from the final research dataset used in the published manuscript will be shared upon reasonable request beginning 9 months and ending 36 months following article publication or as required by a condition of awards and agreements supporting the research provided the investigator who proposes to use the data executes a data use agreement with NYU Langone Health. Requests may be directed to: Bedros.Taslakian@nyulangone.org. The protocol and statistical analysis plan will be made available on Clinicaltrials.gov only as required by federal regulation or as a condition of awards and agreements supporting the research.

Questions about this trial

What is this clinical trial studying?

A study testing Embozene Color-Advanced Microspheres. in people with Knee Pain, run by NYU Langone Health at 1 site in United States.

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 3 inclusion and 14 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: stopped early, as of the sponsor's last update on 7 Aug 2025. 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 United States. 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?

Yes. Results are posted in the registry (first posted 7 Aug 2025). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Change in Knee Injury and Osteoarthritis Outcome Score (KOOS) Pain Score From Baseline to Month 6 (time frame: Baseline, Month 6 Post-GAE Procedure). 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 7 Aug 2025.

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