Overview

Efficacy of Intra-Articular Injection of Etanercept for Moderate and Severe Knee Osteoarthritis

Status:
Unknown status
Trial end date:
2017-08-01
Target enrollment:
0
Participant gender:
All
Summary
Primary aim: evaluate efficacy of intra-articular injection of etanercept for moderate and severe knee osteoarthritis. Second aim: investigate the potentiality of serum cytokines (TNF-α, Interleukin 1-α (IL1-α), IL1-β, matrix metalloproteinases1 (MMP1), MMP13) to predict the response of intra-articular injection of etanercept for moderate and severe knee osteoarthritis.
Phase:
N/A
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
First Affiliated Hospital of Harbin Medical University
Collaborator:
Shanghai baiying pharmaceutical technology Co., Ltd.
Treatments:
Etanercept
Criteria
Inclusion Criteria:

1. Willing and able to give full consent;

2. According with classification of "Clinical Image" of 1986 American college of
rheumatology criteria in osteoarthritis of the knee ;

3. Grade II-III of Kellgren-Lawrence (KL) grading system, revealing synovial inflammation
or synovial fluid by combining ultrasound and/or MRI

4. Knee pain for at least 1 Month and Pain VAS Score>4 during the last week;

5. Fertile women agreed to adopt effective contraceptive measures during the test.

Exclusion Criteria:

1. Allergic to pharmaceutical ingredients;

2. Received Tumor Necrosis Factor inhibitor (TNFI) or other biologics preparation within
3 months;

3. Received physical therapy or articular injection, taking antidepressants or
antispasmodic, opioids within 3 months ;

4. Patients with history of knee surgery or upcoming surgery within 10 years;

5. Patients accompanied by other complications or joint disease (such as septic
arthritis, osteonecrosis,haemochromatosis, ochronosis, etc.);

6. Patients with serious joint deformation or joint deformities;

7. Patients with active or a history of recurrent infections;

8. Patients existing active tuberculosis (TB) or has a history of active TB;

9. Patients with positive on hepatitis b surface antigen or hepatitis c antibody;

10. Patients with a history of severe lung disease, tumor;

11. Patients with severely abnormal function on liver and kidney (liver enzyme > = 2 times
normal, creatinine > = normal);

12. Patients with pregnancy, ready for pregnancy or lactation;

13. Patients with other conditions which not suitable for use of Etanercept.