Actively Recruiting

Phase Not Applicable
Age: 40Years +
All Genders
ID02993029

99Tc-MDP Versus Celecoxib Treatment in Patients With Knee Osteoarthritis

Led by Xinhua Hospital, Shanghai Jiao Tong University School of Medicine · Updated on 2026-04-28

40

Participants Needed

1

Research Sites

N/A

Total Duration

On this page

AI-Summary

What this Trial Is About

Osteoarthritis (OA) of the knee is a common and increasing form of arthritis worldwide, particularly affecting older adults. This research aims to compare the effects of 99Tc-MDP, a drug previously used for rheumatoid arthritis and other bone diseases, with celecoxib, a commonly prescribed oral anti-inflammatory medication, in patients with knee OA. The study is designed to better understand how these treatments may help control symptoms and potentially slow disease progression in this population. Participants will receive either 99Tc-MDP or celecoxib. The 99Tc-MDP group will be given 15 mg of the drug intravenously in 100 ml of normal saline twice weekly for 5 weeks, then weekly for 10 weeks, every 2 weeks for another 10 weeks, and finally once a month for 6 months. The celecoxib group will take a 200 mg capsule orally once daily. The study is non-randomized and open-label, meaning both participants and researchers know which treatment is given. Throughout the study, participants will be assessed at baseline and at 6 and 12 months after treatment starts. Evaluations will include pain, stiffness, and knee joint function, as well as quality of life, disease staging, and imaging measurements using bone scans. Safety will be monitored by tracking any adverse events at 3, 6, and 12 months. The total participation time covers these follow-up periods to understand the treatments' effects over time.

CONDITIONS

Brief Title

99Tc-MDP Treatment for Knee Osteoarthritis

Who Can Participate

Age: 40Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Participants with painful osteoarthritis
  • Standard uptake value (SUV) of affected knee greater than 10 on 18F-sodium fluoride bone scan
  • Participants voluntarily agree and have signed informed consent
Not Eligible

You will not qualify if you...

  • Previous knee joint replacement
  • Inflammatory arthritis or joint infection of the knee
  • Nervous joint disease
  • Fracture of the joint
  • Gout arthritis of the knee
  • Traumatic arthritis

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

Treatment

Duration - Approximately 8 months

Participants receive either 99Tc-MDP intravenously with varying frequency over several months or daily oral celecoxib to manage knee osteoarthritis symptoms.

Multiple visits corresponding to dosing schedule: twice a week for 5 weeks, weekly for 10 weeks, biweekly for 10 weeks, then monthly for 6 months (99Tc-MDP group); daily oral dosing for celecoxib group with visits for assessments

Follow-up

Duration - Up to 12 months after treatment

Participants are monitored for pain, stiffness, joint function, quality of life, and adverse events up to 12 months after treatment begins.

Visits at 3, 6, and 12 months after treatment for outcome assessments and safety monitoring

Trial Site Locations

Total: 1 location

1

Department of Nuclear Medicine, Tenth People's Hospital of Tongji University

Shanghai, Shanghai Municipality, China, 200072

Actively Recruiting

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Research Team

C

Chao Ma, MD

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NON_RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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Frequently Asked Questions

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Published Research Related To This Trial

Technetium-99 conjugated with methylene diphosphonate (99Tc-MDP) inhibits experimental choroidal neovascularization in vivo and VEGF-induced cell migration and tube formation in vitro.

Kunbei Lai, Li Xu, Chenjin Jin...

https://pubmed.ncbi.nlm.nih.gov/21666238

American College of Rheumatology 2012 recommendations for the use of nonpharmacologic and pharmacologic therapies in osteoarthritis of the hand, hip, and knee.

Marc C Hochberg, Roy D Altman, Karine Toupin April...

https://pubmed.ncbi.nlm.nih.gov/22563589

Clinical value of (99m)Tc-methylene diphosphonate (MDP) bone single photon emission computed tomography (SPECT) in patients with knee osteoarthritis.

H-R Kim, Y So, S-G Moon...

https://pubmed.ncbi.nlm.nih.gov/17662626

Novel treatment of 99Tc-MDP improves clinical and radiographic results for patients with osteochondral lesions of the talus.

Hongjuan Liu, Huili Guo, Shunong Guo...

https://pubmed.ncbi.nlm.nih.gov/27327630