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Trial registered on ANZCTR
Registration number
ACTRN12611001022954
Ethics application status
Approved
Date submitted
2/09/2011
Date registered
26/09/2011
Date last updated
11/10/2011
Type of registration
Retrospectively registered
Titles & IDs
Public title
Inflammation and pain post total knee joint replacement surgery in osteoarthritis.
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Scientific title
Synovitis and pain post total knee arthroplasty in osteoarthritis.
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Secondary ID [1]
262979
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Nil
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Universal Trial Number (UTN)
U1111-1124-2581
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Osteoarthritis
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Condition category
Condition code
Musculoskeletal
270877
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0
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Osteoarthritis
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Intervention/exposure
Study type
Observational
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Patient registry
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Ultrasound - an ultrasound of the knee that has undergone replacement surgery will be done during the clinic visit date. Presence of synovitis defined as synovial hypertrophy, synovial fluid and presence of power doppler signal. A single measurement of suprapatellar pouch thickness will also be performed.
Questionnaire - symptoms in osteoarthritis assessing domains of pain, physical function and patient global assessment using the following instruments - WOMAC pain and functional impairment subscale, patient global assesment.
Recruitment will take place from 2nd September 2011 to 31st October 2011.
Only 1 visit is required for the study.
Patients will be recruited from the Joint Assessment Clinic at the Shenton Park Campus of Royal Perth Hospital. Patient's records from the database will be accessed and 25 consecutive patients who report at least moderate pain (using the knee society score) at 2 years post TKA and agree to the study will be recruited
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Intervention code [1]
269321
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Not applicable
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Comparator / control treatment
25 consecutive patients - who have undergone knee joint replacement surgery, without pain at 2 years post total knee arthroplasty and agree to the study
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Control group
Active
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Outcomes
Primary outcome [1]
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1. Presence of synovitis on ultrasound in patients who report pain
Methods - ultrasound of the knee that has undergone knee replacement surgery
- pain using the WOMAC questionnaire
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Assessment method [1]
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Timepoint [1]
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2nd September 2011 to 31st Oct 2011 - one visit only
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Secondary outcome [1]
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Nil
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Assessment method [1]
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Timepoint [1]
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Nil
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Eligibility
Key inclusion criteria
1. Patients who have undergone knee arthroplasty a minimum of 2 years from the initiation of the study period
2. Patients fulfilling the American College of Rheumatology Classification Criteria for primary knee OA prior to the TKA
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Minimum age
18
Years
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Maximum age
80
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. any known cause for secondary OA (rheumatoid arthritis, seronegative spondyloarthritis, major trauma, congenital disorders, cystral arthropathy and Paget's disease)
2. any history of deep infection in the replaced joint as diagnosed from positive gram stain and/or positive culture result from joint fluid aspirate with overt sepsis
3. any known pain disorder (eg fibromyalgia/pain amplification syndrome)
4. revision surgery (arthrotomy)
5. patients known to the rheumatologists who will be performing the ultrasound
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Study design
Purpose
Natural history
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Duration
Cross-sectional
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Selection
Defined population
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Timing
Prospective
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
2/09/2011
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
50
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Recruitment postcode(s) [1]
4436
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6152
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Recruitment postcode(s) [2]
4437
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6151
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Recruitment postcode(s) [3]
4438
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6062
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Recruitment postcode(s) [4]
4439
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6061
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Recruitment postcode(s) [5]
4440
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6059
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Recruitment postcode(s) [6]
4441
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6107
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Recruitment postcode(s) [7]
4442
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6011
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Recruitment postcode(s) [8]
4443
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6053
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Recruitment postcode(s) [9]
4444
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6004
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Recruitment postcode(s) [10]
4445
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6017
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Recruitment postcode(s) [11]
4446
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6105
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Funding & Sponsors
Funding source category [1]
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Self funded/Unfunded
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Name [1]
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Address [1]
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Country [1]
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Primary sponsor type
Individual
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Name
Shereen Ch'ng
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Address
Rheumatology Department
Royal Perth Hospital
Shenton Park Campus
6 Selby Street
Shenton Park WA 6008
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Country
Australia
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Secondary sponsor category [1]
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Hospital
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Name [1]
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Royal Perth Hospital
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Address [1]
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Clinical Trials Business Unit
Level 5, Colonial House
Wellington Street
Perth WA 6000
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Country [1]
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Prof Frank van Bockxmeer
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Ethics committee address [1]
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Ethics Office Room 5105 Level 5, Colonial House Royal Perth Hospital WA 6000
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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28/03/2011
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Approval date [1]
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14/06/2011
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Ethics approval number [1]
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EC2011/056
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Summary
Brief summary
This study is to assess the presence of inflammation in the knee joint that has undergone replacement surgery for osteoarthritis and to correlate the presence of inflammation with pain. Pain is the most common indication for knee joint replacement surgery yet there are patients who continue to report persistent pain after surgery. There is evidence that inflammation is common in osteoarthritis and may be associated with pain. To date, we are unaware of evidence of inflammation post knee joint replacement surgery for osteoarthritis of the knee. However, there are reports of joint fluid, which may occur due to inflammation, in the prosthetic knee. We would like to study whether the presence of inflammation correlates with the presence of persistent or unexplained pain post joint replacement surgery. The information routinely collected for the Joint Replacement Registry will be obtained and in addition, an ultrasound assessment of the knee joint that has undergone replacement surgery will be done. Ultrasound has been used for the investigation and management of patients with musculoskeletal disease for at least 30 years. As there is no radiation risk with ultrasound and no medical intervention used in this study, there are no foreseeable risks involved.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Shereen Ch'ng
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Address
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Rheumatology Department
Royal Perth Hospital
Shenton Park Campus
6 Selby Street
Shenton Park WA 6008
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Country
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Australia
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Phone
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+6108 93827244
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Fax
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+610893827439
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Email
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shereen.ch'
[email protected]
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Contact person for scientific queries
Name
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Shereen Ch'ng
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Address
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Rheumatology Department
Royal Perth Hospital
Shenton Park Campus
6 Selby Street
Shenton Park WA 6008
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Country
7282
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Australia
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Phone
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+610893827244
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Fax
7282
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+610893827439
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Email
7282
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shereen.ch'
[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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