Status:

TERMINATED

Success of Long-acting Anti-inflammatories After Anterior Cruciate Ligament and Meniscal Injury

Lead Sponsor:

Austin V Stone

Conditions:

Tibial Meniscus Injuries

Tibial Meniscus Tears

Eligibility:

All Genders

18-40 years

Phase:

PHASE2

Brief Summary

The purpose of this study is to determine if extended-release triamcinolone acetonide treatment alters the progressive changes in bone shape previously demonstrated after anterior cruciate ligament (A...

Detailed Description

Anterior cruciate ligament (ACL) injury initiates a biochemical cascade that leads to cartilage degradation and the development of posttraumatic osteoarthritis (PTOA). ACL and acute traumatic meniscus...

Eligibility Criteria

Inclusion

  • Written consent to participate in the study
  • Male or female greater than or equal to 18 years of age and less than 40 years of age
  • Has been consented to undergo arthroscopic ACL reconstruction with partial meniscectomy or meniscal repair
  • Ambulatory and in good general health
  • Willing and able to comply with the study procedures and visit schedules and able to follow verbal and written instructions.
  • Willing to abstain from use of protocol-restricted medications during the study
  • Females and males who have reproductive potential: Must use highly effective contraception for at least 1 month prior to screening and agreement to use such a method during study participation (10 weeks; 4 to 14 weeks after surgery)
  • Demonstrate persistent inflammation defined as synovial fluid IL-1a concentration greater than or equal to 5 pg/mL at the time of surgery

Exclusion

  • Known allergic reactions to components of the extended-release triamcinolone acetonide (Zilretta®)
  • Reactive arthritis, rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, or arthritis associated with inflammatory bowel disease
  • History of infection in either knee joint
  • Clinical signs and symptoms of active knee infection or crystal disease in either knee within 1 month of Screening
  • Other surgery or arthroscopy of either knee within 6 months of Screening
  • Intraarticular treatment of any joint with any of the following agents within six (6) months of Screening: any corticosteroid preparation or any biologic agent (e.g., platelet rich plasma (PRP) injection, stem cells, prolotherapy, amniotic fluid injection; investigational or marketed).
  • Intraarticular treatment in either knee with hyaluronic acid (investigational or marketed) within 6 months of Screening
  • Parenteral or oral corticosteroids (investigational or marketed) within 3 months of Screening
  • Inhaled, intranasal or topical corticosteroids (investigational or marketed) within 2 weeks of Screening
  • Females who are pregnant or nursing or plan to become pregnant during the study; men whose female partner plans to conceive during the study
  • Radiographic osteoarthritic changes defined as Kellgren-Lawrence grade 2 or greater (as determined by PI from patient's preoperative X-rays)
  • Inability to read and understand English

Key Trial Info

Start Date :

August 21 2020

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

July 11 2022

Estimated Enrollment :

1 Patients enrolled

Trial Details

Trial ID

NCT04331002

Start Date

August 21 2020

End Date

July 11 2022

Last Update

July 27 2023

Active Locations (1)

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UK Healthcare at Turfland

Lexington, Kentucky, United States, 40504