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    HP:0002758: Osteoarthritis

    Developed by Shray Alag, The Harker School
    Sections: Correlations, Clinical Trials, and HPO

    Correlations computed by analyzing all clinical trials.

    Navigate: Clinical Trials and HPO


    Correlated Drug Terms (7)


    Name (Synonyms) Correlation
    drug2319 On-line exercise and education Wiki 0.50
    drug1798 LRX712 Wiki 0.50
    drug2320 On-site exercise and education Wiki 0.50
    Name (Synonyms) Correlation
    drug3170 Software Messaging Wiki 0.50
    drug1114 Dynamic 3D bone motion capture Wiki 0.50
    drug4175 wedged insole Wiki 0.50
    drug2505 Placebo Wiki 0.02

    Correlated MeSH Terms (4)


    Name (Synonyms) Correlation
    D010003 Osteoarthritis, NIH 0.89
    D020370 Osteoarthritis, Knee NIH 0.58
    D015207 Osteoarthritis, Hip NIH 0.50
    Name (Synonyms) Correlation
    D013315 Stress, Psychological NIH 0.10

    Correlated HPO Terms (2)


    Name (Synonyms) Correlation
    HP:0005086 Knee osteoarthritis HPO 0.58
    HP:0008843 Hip osteoarthritis HPO 0.50

    Clinical Trials

    Navigate: Correlations   HPO

    There are 4 clinical trials


    1 Improving the Detection, Classification and Treatment of Misaligned Arthritic Ankles

    The Veteran population is prone to foot and ankle maladies from common injuries such as sprains, and diseases such as ankle osteoarthritis (cartilage damage). More specific to Veterans are prior service injuries of the foot and ankle, which historically account for nearly a quarter of injuries received. These injuries include bone fractures and ligament damage. Some of these injuries may lead to poor ankle joint alignment, which over time could lead to osteoarthritis due to abnormal wear on a day to day basis. The goal of this proposal is to use a novel technology - biplane fluoroscopy, to study the movement of ankles which are misaligned in subjects with ankle osteoarthritis. This proposal will also benefit current diagnostic methods with additional information. Last, this proposal will test the effectiveness of a conservative treatment (modified shoe insoles) to correct or reduce the misalignment in ankles. This proposal will create evidence about: the nature of ankle osteoarthritis, the accuracy of diagnosing alignment, and conservative treatment for patients with ankle OA.

    NCT03440008
    Conditions
    1. Ankle Osteoarthritis
    Interventions
    1. Other: Dynamic 3D bone motion capture
    2. Device: wedged insole
    MeSH:Osteoarthritis
    HPO:Osteoarthritis

    Primary Outcomes

    Description: The 3D movement between the tibia and talus bones will be assessed using biplane fluoroscopy, for OA and control subjects during shod gait.

    Measure: Tibio-talar kinematics during gait

    Time: 4 hour session

    Description: The sensitivity to correctly diagnose dynamic misalignment by using static x-ray images, will be determined for the OA population.

    Measure: Static ankle alignment sensitivity

    Time: 4 hour session

    Description: The effect that wedged insoles have on varus / valgus misalignment will be assessed using dynamic 3D x-ray

    Measure: Decrease in misalignment during gait using wedged insoles

    Time: 4 hour session
    2 A Randomized, Placebo-controlled, Subject and Investigator Blinded Study Investigating the Safety, Tolerability and Preliminary Efficacy of 8-week Treatment With Intra-articular LRX712 to Regenerate Articular Cartilage in Patients With Mild/Moderate Knee Osteoarthritis

    This study will explore the preliminary efficacy of multiple intra-articular injections of LRX712 by evaluating the ability of the drug to restore structural integrity of articular cartilage. Efficacy will be evaluated in the context of the systemic safety and local tolerability of the investigational drug.

    NCT04097379
    Conditions
    1. Osteoarthritis (OA)
    Interventions
    1. Drug: LRX712
    2. Drug: Placebo
    MeSH:Osteoarthritis
    HPO:Osteoarthritis

    Primary Outcomes

    Description: Efficacy of multiple intra-articular injections of LRX712 in regenerating cartilage as measured with 7T MRI

    Measure: Changes in articular cartilage [23Na] content from baseline compared to placebo at week 28

    Time: Baseline and Week 28

    Secondary Outcomes

    Description: Efficacy of multiple intra-articular injections of LRX712 measured with 7T MRI

    Measure: Changes in articular cartilage [23Na] content from baseline compared to placebo at Week 16 and 52

    Time: Baseline, Week 16 and 52

    Description: Efficacy of multiple intra-articular injections of LRX712 measured with 7T MRI

    Measure: Changes from baseline in cartilage morphometrics (volume and thickness) in the medial femoral condyle at Week 16, 28 and 52

    Time: Baseline, Week 16, 28 and 52

    Description: The observed time to reach max (Tmax) plasma concentration following drug administration

    Measure: Time to Reach the Maximum Plasma Concentration (Tmax)

    Time: Pre-dose to 28 weeks

    Description: The observed maximum (Cmax) plasma concentration following drug administration

    Measure: Maximum Observed Plasma Concentration (Cmax)

    Time: Pre-dose to 28 weeks

    Description: The observed minimum (Cmin) plasma concentration following drug administration

    Measure: Minimum Observed Plasma Concentration (Cmin)

    Time: Pre-dose to 28 weeks

    Description: The observed synovial concentration following drug administration

    Measure: Concentration in synovial fluid

    Time: Day 1; week 4; week 8
    3 Acceptance and Commitment Therapy Delivered by Automated Software Messaging

    This study aims to 1) observe the course of pain, 2) mental status, and 3) possible effect of a behavioral intervention delivered via an automated mobile phone messaging robot in patients were indicated and/or scheduled to undergo joint replacement but have been cancelled or delayed due to the COVID-19 crisis.

    NCT04329897
    Conditions
    1. Hip Osteoarthritis
    2. Knee Osteoarthritis
    3. Mental Stress
    4. Coronavirus
    Interventions
    1. Behavioral: Software Messaging
    MeSH:Osteoarthritis Osteoarthritis, Knee Osteoarthritis, Hip Stress, Psychological
    HPO:Hip osteoarthritis Knee osteoarthritis Osteoarthritis

    Primary Outcomes

    Description: PROMIS Pain Intensity 3A short form is a 3 question survey measuring an individual's pain over the past 7 days. It utilizes a scale of 1 (no pain) to 5 (very severe pain) for all questions. The scores for the 3 questions are summed and then matched to a corresponding t-score for the instrument. The corresponding t-score is the final, reportable score and can range from 30.7 to 71.8 for the PROMIS Pain Intensity 3A instrument. Higher t-score values represent worse pain outcomes. More information on this instrument, including a scoring manual, can be found at http://www.healthmeasures.net

    Measure: Change in reported pain intensity score (PROMIS Pain Intensity 3A) Patient-reported outcomes measurement information system Pain Intensity (PROMIS) 3A short form scores collected from all participating subjects.

    Time: Measurements assessed via a computer interface of the standardized form listed above on the day of enrollment and on day fourteen, via telephone.

    Description: PROMIS Pain Intensity 1A short form is a 1 question survey measuring an individual's average pain over the past 7 days. It utilizes a scale of 0 (no pain) to 10 (worst imaginable pain). Higher values represent worse pain outcomes. More information on this instrument, including a scoring manual, can be found at http://www.healthmeasures.net

    Measure: Change in reported pain intensity score (PROMIS Pain Intensity 1A) Patient-reported outcomes measurement information system Pain Intensity (PROMIS) 1A short form scores collected from all participating subjects.

    Time: Measurements assessed via a computer interface of the standardized form listed above on the day of enrollment and on day fourteen, via telephone.

    Description: The PROMIS Pain Interference 8A short form is an 8 question survey that measures how much pain has interfered in the respondent's life over the past 7 days. It utilizes a scale of 1 (not at all) to 5 (very much) for all questions. The scores for all 8 questions are summed and then matched to a corresponding t-score for the instrument. The corresponding t-score is the final, reportable score and can range from 40.7 to 77.0 for the PROMIS Pain Interference 8A instrument. Higher t-score values represent worse pain interference outcomes. More information on this instrument, including a scoring manual, can be found at http://www.healthmeasures.net

    Measure: Change in reported pain interference score Patient-reported outcomes measurement information system (PROMIS) Pain Interference 8A short form scores collected from all participating subjects.

    Time: Measurements assessed via a computer interface of the standardized form listed above on the day of enrollment and on day fourteen, via telephone.

    Description: The PROMIS Emotional Distress-Anxiety 8A short form is an 8 statement survey that measures how much emotional distress, specifically due to anxiety, a respondent has experienced over the past 7 days. It utilizes a scale of 1 (never) to 5 (always) for all the statements. The scores for all 8 statements are summed and then matched to a corresponding t-score for the instrument. The corresponding t-score is the final, reportable score and can range from 37.1 to 83.1 for the PROMIS Emotional Distress-Anxiety 8A instrument. Higher t-score values represent worse anxiety caused emotional distress outcomes. More information on this instrument, including a scoring manual, can be found at http://www.healthmeasures.net

    Measure: Change in reported emotional distress (anxiety) score. Patient-reported outcomes measurement information system (PROMIS) Emotional Distress-Anxiety 8A short form scores collected from all participating subjects.

    Time: Measurements assessed via a computer interface of the standardized form listed above on the day of enrollment and on day fourteen, via telephone.
    4 On-line Neuromuscular Exercise and Education for Knee Osteoarthritis

    Due to enforced social distancing as a direct consequence of the COVID-19 pandemic, many on-site health care services are unavailable. This study seeks to investigate the relative effectiveness of an alternative on-line delivery model of exercise and education compared to on-site delivery in patients with knee osteoarthritis.

    NCT04437134
    Conditions
    1. Knee Osteoarthritis
    Interventions
    1. Other: On-line exercise and education
    2. Other: On-site exercise and education
    MeSH:Osteoarthritis Osteoarthritis, Knee
    HPO:Knee osteoarthritis Osteoarthritis

    Primary Outcomes

    Description: Summary score from the Knee injury and Osteoarthritis Outcome Score, short version (KOOS 12). The summary score is calculated as the average score from the KOOS 12 subscales pain, function and quality of life (QOL), ranging from 0 (worst) to 100 (best).

    Measure: Knee impact summary

    Time: Primary follow-up point: Change from baseline to completion of GLA:D program (an average of three months). Secondary follow-up point: 12 months

    Secondary Outcomes

    Description: Fast-paced walking ability is recorded by the physiotherapists and evaluated using the 40-m fast-paced walk test.

    Measure: Fast-paced walking ability

    Time: Primary follow-up point: Change from baseline to completion of GLA:D program (an average of three months)

    Description: Chair-stand ability is recorded by the physiotherapists and evaluated using the 30-s chair-stand test.

    Measure: Chair-stand ability

    Time: Primary follow-up point: Change from baseline to completion of GLA:D program (an average of three months)

    Description: Patients self-report of function during daily life using the subscale function from the KOOS 12 questionnaire with scores ranging from 0 (worst) to 100 (best).

    Measure: Self-reported function

    Time: Primary follow-up point: Change from baseline to completion of GLA:D program (an average of three months). Secondary follow-up point: 12 months

    Description: Patients self-report of pain using the subscale pain from the KOOS 12 questionnaire with scores ranging from 0 (worst) to 100 (best).

    Measure: Self-reported pain

    Time: Primary follow-up point: Change from baseline to completion of GLA:D program (an average of three months). Secondary follow-up point: 12 months

    Description: Patients self-report of quality of life using the subscale quality of life from the KOOS 12 questionnaire with scores ranging from 0 (worst) to 100 (best).

    Measure: Self-reported quality of life

    Time: Primary follow-up point: Change from baseline to completion of GLA:D program (an average of three months). Secondary follow-up point: 12 months

    Description: Mean pain intensity during the last week in the most affected knee is evaluated on a 100 mm visual analogue scale (VAS) with terminal descriptors of 'no pain' (0 mm) and 'maximum pain' (100 mm).

    Measure: Pain intensity

    Time: Primary follow-up point: Change from baseline to completion of GLA:D program (an average of three months). Secondary follow-up point: 12 months

    Description: Patients self-report of time spent (frequency and duration) on structured physical activity and exercise.

    Measure: Physical activity and exercise

    Time: Primary follow-up point: Change from baseline to completion of GLA:D program (an average of three months). Secondary follow-up point: 12 months

    Other Outcomes

    Description: Patients self-report of satisfaction with the GLA:D program.

    Measure: Patient satisfaction

    Time: Primary follow-up point: Completion of GLA:D program (an average of three months). Secondary follow-up point: 12 months

    Description: Patients self-reporting if, how and where they have continued exercising.

    Measure: Continuation of exercise

    Time: Follow-up point: 12 months

    Description: Patients self-report their current activity levels using the University of California, Los Angeles (UCLA) activity scale, ranging from 1 (inactive, dependent on others) to 10 (regular participation in high-impact sports).

    Measure: Self-reported activity levels

    Time: Primary follow-up point: Change from baseline to completion of GLA:D program (an average of three months). Secondary follow-up point: 12 months

    Description: Patients self-report of use of acquired skills and knowledge from the GLA:D program.

    Measure: Usage of what was learned during GLA:D

    Time: Primary follow-up point: Completion of GLA:D program (an average of three months). Secondary follow-up point: 12 months

    Description: Patients self-report of how they handle flare-ups in their knee OA symptoms.

    Measure: Symptom management

    Time: Primary follow-up point: Change from baseline to completion of GLA:D program (an average of three months). Secondary follow-up point: 12 months

    Description: Intake of painkillers is evaluated by the physiotherapist asking the patients about intake of any joint related medication. If taking painkillers, the patients are asked which type and whether or not they were taken because of their knee pain.

    Measure: Intake of pain killers

    Time: Primary follow-up: Change from baseline to completion of GLA:D program (an average of three months).

    Description: Patients self-report of sick leave due to knee symptoms.

    Measure: Sick leave

    Time: Follow-up points: Baseline and 12 months

    Description: Patients self-report of their health situation using EuroQol, 5 dimensions, 5 levels (EQ-5D-5L) score (-0.624 to 1; worst to best).

    Measure: Health-related quality of life, index score

    Time: Primary follow-up point: Change from baseline to completion of GLA:D program (an average of three months). Secondary follow-up point: 12 months

    Description: Patients self-report of their health situation using the EuroQol visual analogue scale (EQ VAS), ranging from 0-100 (worst to best).

    Measure: Health-related quality of life, visual analogue scale

    Time: Primary follow-up point: Change from baseline to completion of GLA:D program (an average of three months). Secondary follow-up point: 12 months

    Description: Patients self-report of current knee condition compared to before participation in GLA:D, scored on a 7-point likert scale (much worse to much better).

    Measure: Global perceived effect

    Time: Primary follow-up point: Completion of GLA:D program (an average of three months). Secondary follow-up point: 12 months

    Description: Patients self-report of pain during each exercise session, rated using a numeric pain rating scale (NPRS) 0-10, with zero representing no pain and 10 representing extreme pain.

    Measure: Pain during exercise (only for on-line group)

    Time: Immediately prior to, and immediately after each exercise session

    HPO Nodes


    Reports

    Data processed on September 26, 2020.

    An HTML report was created for each of the unique drugs, MeSH, and HPO terms associated with COVID-19 clinical trials. Each report contains a list of either the drug, the MeSH terms, or the HPO terms. All of the terms in a category are displayed on the left-hand side of the report to enable easy navigation, and the reports contain a list of correlated drugs, MeSH, and HPO terms. Further, all reports contain the details of the clinical trials in which the term is referenced. Every clinical trial report shows the mapped HPO and MeSH terms, which are also hyperlinked. Related HPO terms, with their associated genes, protein mutations, and SNPs are also referenced in the report.

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