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NCT06887829 | NOT YET RECRUITING | Osteoarthritis, Knee

Radio- KO Radiotherapy for Knee Osteoarthritis Clinical Trial
Sponsor:

Mayo Clinic

Information provided by (Responsible Party):

Stephen P. Merry

Brief Summary:

The primary aim of this study is to investigate whether low-dose radiotherapy is an effective treatment to reduce the pain of knee osteoarthritis. A secondary aim is to determine whether patients experience any more measurable side effects than those receiving sham treatments.

Condition or disease

Osteoarthritis, Knee

Intervention/treatment

Low dose radiotherapy

Sham comparator

Phase

NA

Detailed Description:

This single center, single-blinded, sham-controlled randomized controlled trial will compare low dose radiation therapy and sham radiation therapy for knee osteoarthritis. Participants with symptomatic knee OA based on clinical and radiographic criteria will be randomized 1:1 to receive 0.5 Gy LDRT over 2 weeks ideally on a Monday-Wednesday-Friday three times each week for two weeks treatment course for a total of 3 Gray or identical sham treatment (an identical procedure without the radiation). Non-responders to the initial Low-Dose Radiotherapy (LDRT)/sham treatment will receive a second treatment course of 0.5 Gy Low-Dose Radiotherapy (LDRT) or sham repeat treatment course over 2 weeks x 6 depending on their randomization (treatment arm participants receiving a second treatment course and sham arm participants receiving a second course of identical sham treatments without radiation). Intermittent and Constant Osteoarthritis Pain (ICOAP) outcome scales will be emailed to all participants for completion at baseline and weekly for six months. The study will thus terminate after all participants have completed 6 months of time in the study.

Study Type : INTERVENTIONAL
Estimated Enrollment : 128 participants
Masking : SINGLE
Primary Purpose : TREATMENT
Official Title : The Randomized Clinical Trial of Low-Dose Radiotherapy for Knee Osteoarthritis
Actual Study Start Date : 2025-05-28
Estimated Primary Completion Date : 2026-05-28
Estimated Study Completion Date : 2026-06-15

Information not available for Arms and Intervention/treatment

Ages Eligible for Study: 50 Years to 85 Years
Sexes Eligible for Study: ALL
Accepts Healthy Volunteers:
Criteria
Inclusion Criteria
  • * age 50-85 years
  • * ICOAP pain scale A1 at least moderate intensity or B6 at least moderate intensity
  • * diagnosed with primary knee OA ICD-10 codes M17.x
  • * history of morning stiffness in knees that lasts less than 30 minutes
  • * history of crepitus without a history of warmth, redness or sudden onset of swelling
  • * physical exam findings of medial or lateral joint line tenderness on palpation that is in the same location as the knee pain for which their primary care provider has ordered an intraarticular steroid injection into the same knee.
  • * absence of primary knee pain in the pes anserine or hamstring or gastrocnemius tendons
  • * radiographic Kellgren-Lawrence grade 2-3 on 4-view knee x-rays taken within the last year
  • * ability to complete surveys in English
Exclusion Criteria
  • * Kellgren-Lawrence grade 1 or 4
  • * pregnancy or women 54 years and younger with potential for pregnancy (if they or their partner have not had tubal ligation, hysterectomy, or vasectomy)
  • * history of ipsilateral intraarticular knee surgery
  • * use of injected corticosteroids within 3 months or hyaluronans within 6 months or within 1 month if there was no sustained improvement post-injection of either corticosteroid or hyaluronan.
  • * history of trauma to this knee in the last year that clearly caused the pain now present
  • * history of RA, gout, pseudogout, hemarthroses (eg, hemophilic arthropathy) or other inflammatory arthritis involving this knee
  • * history of symptomatic hip OA
  • * history of psychosis, personality disorder, uncontrolled affective disorder
  • * history of fibromyalgia
  • * malignancy requiring active treatment
  • * current regular use of opiate analgesics, PRP, or acupuncture for the knees
Radio- KO Radiotherapy for Knee Osteoarthritis Clinical Trial

Location Details

NCT06887829

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How to Participate

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Locations

Not yet recruiting

United States, Minnesota

Mayo Clinic

Rochester, Minnesota, United States, 55905