Actively Recruiting

Phase 2
Age: 18Years - 45Years
All Genders
NCT06096259

Preventing Injured Knees From osteoArthritis: Severity Outcomes

Led by Brigham and Women's Hospital · Updated on 2025-04-29

512

Participants Needed

9

Research Sites

290 weeks

Total Duration

On this page

Sponsors

B

Brigham and Women's Hospital

Lead Sponsor

A

Arthritis Foundation

Collaborating Sponsor

AI-Summary

What this Trial Is About

This study is being done to find out if metformin is effective at reducing pain by delaying the onset of post-traumatic osteoarthritis (PTOA) after anterior cruciate ligament (ACL) reconstruction. This research study will compare metformin to placebo. The placebo tablet looks exactly like metformin, but contains no metformin. Placebos are used in research studies to see if the results are due to the study drug or due to other reasons. Metformin is approved by the U.S. Food and Drug Administration (FDA) to treat type II diabetes. Notably, it also has anti-inflammatory effects, suggesting it could benefit people who have an ACL injury and are undergoing ACL reconstruction.

CONDITIONS

Official Title

Preventing Injured Knees From osteoArthritis: Severity Outcomes

Who Can Participate

Age: 18Years - 45Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age 25-45 years, or age 18-24 years with preoperative KOOS Pain score less than 80 recorded at least 14 days after ACL injury
  • Plan to undergo ACL reconstruction within 12 months of injury
Not Eligible

You will not qualify if you...

  • Inflammatory arthritis
  • Pregnancy, lactation, or plans to become pregnant in the next 12 months
  • Known contraindication to metformin
  • Current use of metformin or topiramate
  • Diabetes mellitus or diabetic ketoacidosis
  • Acute or chronic kidney problems
  • Previous ACL tear on the injured knee, with or without reconstruction
  • ACL tear on the opposite knee within the past 12 months
  • Applying for or receiving Workers' Compensation for the knee injury
  • Joint space narrowing and definite osteophytes on weightbearing X-rays of the injured knee
  • Tibial plateau fracture on the injured knee
  • Avulsion fracture of injured knee requiring surgery
  • Injury to other knee ligaments requiring surgical repair
  • Contraindication to MRI
  • Unable to speak and understand English
  • Cognitive impairment or unable to give informed consent
  • Surgery scheduled less than 14 days from screening
  • Injury date more than 6 months before screening
  • Any condition that may affect safety or study data quality as judged by the surgeon
  • Plan to use allograft at time of consent

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 9 locations

1

Emory University

Atlanta, Georgia, United States, 30322

Actively Recruiting

2

University of Iowa Hospitals and Clinics

Iowa City, Iowa, United States, 52242

Actively Recruiting

3

University of Kentucky

Lexington, Kentucky, United States, 40504

Actively Recruiting

4

Brigham and Women's Hospital

Boston, Massachusetts, United States, 02115

Actively Recruiting

5

University of Nebraska Medical Center

Omaha, Nebraska, United States, 68198

Actively Recruiting

6

Hospital for Special Surgery

New York, New York, United States, 10021

Actively Recruiting

7

The University of North Carolina at Chapel Hill

Chapel Hill, North Carolina, United States, 25599

Actively Recruiting

8

Cleveland Clinic

Cleveland, Ohio, United States, 44195

Actively Recruiting

9

The Ohio State University

Columbus, Ohio, United States, 43210

Actively Recruiting

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Research Team

F

Faith Selzer, PhD

CONTACT

D

Daniel J Betensky, AB

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

QUADRUPLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

PREVENTION

Number of Arms

2

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