Informations générales (source: ClinicalTrials.gov)
A Randomized Sham-controlled, Multicenter Trial on the Effect of Genicular Arteries Embolization in Symptomatic Knee Osteoarthritis
Interventional
Phase 3
Assistance Publique - Hôpitaux de Paris (Voir sur ClinicalTrials)
septembre 2024
octobre 2028
18 septembre 2025
Knee OsteoArthritis (KOA) is a common disease associated with pain and impaired function.
Many patients are not relieved of their symptoms with enough efficacy by conservative
treatments. Genicular Arteries Embolization (GAE) is a new minimally invasive
endovascular treatment allowing symptoms relief. The investigator previously demonstrated
the safety of GAE using an ethiodized oil-based emulsion for the treatment of painful
knee osteoarthritis in a first-in-man single-arm clinical trial called LipioJoint-1
(clinicaltrials.gov: NCT04733092; EUDRACT: 2020-002206-10). This phase 1 study also
provided encouraging evidence of GAE efficacy on knee pain and function.
The purpose of LipioJoint-2 study is to assess GAE efficacy using an ethiodized oil-based
emulsion for the treatment of painful knee osteoarthritis in a multicenter, prospective,
randomized sham-controlled clinical trial.
Etablissements
| Les établissements d'Île-de-France ayant mis à jour leurs données Origine et niveau de fiabilité des données | |||||
|---|---|---|---|---|---|
| GHI LE RAINCY MONTFERMEIL | SAPOVAL Marc | 25/10/2025 10:00:23 | Contacter | ||
| AP-HP Assistance publique - Hôpitaux de Paris | 25/10/2025 10:00:22 | Contacter | |||
| AP-HP - Hôpital Cochin | |||||
| AP-HP - Hôpital Europeen Georges Pompidou | |||||
| AP-HP - Hôpital Henri Mondor-Albert Chenevier | |||||
| AP-HP - Hôpital Saint Antoine | |||||
| Les établissements sans correspondance certaine dans le répertoire FINESS dont les données sont issues de ClinicalTrials.gov Origine et niveau de fiabilité des données | |||||
| Hôpital européen Georges Pomidou - APHP - 75015 - Paris - France | Marc SAPOVAL, MD | Contact (sur clinicalTrials) | |||
Critères
Tous
Inclusion Criteria:
- Diagnosis of primary KOA according to the classification of the American College of
Rheumatology (ACR) (5)
- Radiographic Kellgren and Lawrence score ≥ 2 (6)
- VAS pain score ≥ 40 mm (scale 0-100 mm)
- Previous intra-articular injection in the target knee
- Patient not eligible to knee surgery
- For woman of childbearing potential: negative bêta-HCG before randomization
- Social security affiliation
- Signed informed consent
- Good understanding of the French language
- Diagnosis of primary KOA according to the classification of the American College of
Rheumatology (ACR) (5)
- Radiographic Kellgren and Lawrence score ≥ 2 (6)
- VAS pain score ≥ 40 mm (scale 0-100 mm)
- Previous intra-articular injection in the target knee
- Patient not eligible to knee surgery
- For woman of childbearing potential: negative bêta-HCG before randomization
- Social security affiliation
- Signed informed consent
- Good understanding of the French language
- Intra-articular injection of any product in the target joint within 3 months before
embolization
- Prior knee surgery other than ligament repair
- Any inflammatory joint disease other than osteoarthritis
- Any contra-indication to puncture of the ipsilateral femoral artery
- Current treatment with cyclosporine, tacrolimus, cisplatine, vancomycine,
amphotericine B or any aminoside
- Ipsilateral symptomatic hip OA
- Treated hyperthyroidism
- Known severe allergy to Lipiodol® and/or iodine contrast medium
- Known moderate to severe kidney failure (creatinine clearance < 30 45 ml/min)
- Known right-to-left cardiac shunt or intra-tumoral vascular shunt
- Asthma attack in the 8 days before randomization
- Exploration or treatment with radioactive iodine scheduled within 1 month after
randomization
- Symptomatic atheromatous lesion in the ipsilateral limb
- Patient unable or unwilling to comply with the follow-up schedule (at the
investigator's discretion)
- Vulnerable populations (such as pregnant or breastfeeding women, patient under
guardianship curatorship, deprived of liberty)
- Patient under exclusion period in another trial
- Patient on AME (state medical aid)