Status:

NOT_YET_RECRUITING

Microbiota as Early Diagnostic and predictivE Factor for Osteoarthritic Degeneration and Microbial Contamination

Lead Sponsor:

Istituto Clinico Humanitas

Collaborating Sponsors:

Azienda Ospedaliera di Rilievo Nazionale A.Cardarelli

Conditions:

Knee Prosthesis

Knee Prosthesis Infection

Eligibility:

All Genders

18-50 years

Phase:

NA

Brief Summary

The patient(s) will participate in a clinical study that aims to investigate how the gut microbiota may influence the proper functioning of joints in the body and how it may affect the development of ...

Detailed Description

The study is a multicentre observational study divided into 3 objectives: Objective #1 is to enrol 40 patients with established intestinal dysbiosis and no musculoskeletal symptoms. Patients with pot...

Eligibility Criteria

Inclusion

  • proven gut dysbiosis (increased Firmicutes/Bacteroidetes (F/B) phyla ratio and increased permeability); age range 18-50 years old.
  • patients undergoing total knee replacement surgery
  • patients undergoing joint revision surgery for septic failure of a knee or hip prostheses; patients undergoing revision surgery for aseptic mobilization for PJI

Exclusion

  • musculoskeletal symptoms; previous shoulder or knee surgery; previous shoulder or knee known pathological conditions; rheumatological diseases
  • any concurrent or previous diseases or conditions which might negatively affect the surgery
  • major predisposing factor for gut dysbiosis (antibiotic therapy in the last 6 months, BMI \> 40 and inflammatory bowel disease); chronic inflammatory joint diseases (e.g., rheumatoid arthritis, psoriatic arthritis); acute (\< 90 days after the index procedure) and late hematogenous (symptoms of less than three weeks duration) infections; an inadequate amount of synovial fluid (\< 10 mL) for culture, WBC, and PMN (neutrophil) percentage determinations

Key Trial Info

Start Date :

February 1 2026

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

May 30 2026

Estimated Enrollment :

170 Patients enrolled

Trial Details

Trial ID

NCT06944288

Start Date

February 1 2026

End Date

May 30 2026

Last Update

April 25 2025

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