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The hypothesis of this study is that since osteoarthritis of the knee is primarily a bone disease where the joint changes are secondary, and bone growth stimulators function to decrease intraosseous venous congestion and remodel bone, then there is a potential benefit for the treatment of osteoarthritis of the knee with bone growth stimulators.
The hypothesis of this study is based on the knowledge that osteoarthritis of the knee is primarily a bone disease, and the joint changes are secondary. Bone growth stimulators function to alleviate intraosseous venous congestion through the process of bone remodeling. The working hypothesis is that alleviation of intraosseous venous congestion leads to improved delivery of nutrition to the tissue to support the health of the bone with improvement in biomechanics leading to clinical improvement. Venous congestion is measured with intraosseous pressure. Additional objective evidence of biomarkers of bone metabolism as well as measurements of subjective questionnaires can provide evidence of benefit.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Experimental Group | Experimental | Participants use active Ultrasound Bone Growth Stimulator device according to Investigational Protocol. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ultrasound Bone Growth Stimulator | Device | Active device emits ultrasound signals. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Intraosseous Venous Congestion measured by Intraossous Pressure. | Statistically significant decrease in intraosseous pressure following treatment. | 14 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Human Matrix Metalloproteinase-3 (MMP-3) | Statistically significant decrease in the biomarker MMP-3 | 14 weeks |
| C- telopeptide. | Statistically significant decrease in the biomarker C- telopeptide. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Kenneth Willeford, MD | Coastal Carolinas Integrated Medicine | Study Chair |
| Sierra Willeford | Coastal Carolinas Integrated Medicine | Principal Investigator |
| Breanna Willeford | Coastal Carolinas Integrated Medicine | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Coastal Carolinas Integrated Medicine | Supply | North Carolina | 28462 | United States |
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| Type | Date | Date Unknown |
|---|---|---|
| Release | Jul 13, 2020 | |
| Reset | Jul 27, 2020 |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| Jul 13, 2020 | Jul 27, 2020 | |||
| Aug 6, 2020 |
| ID | Term |
|---|---|
| D010003 | Osteoarthritis |
| D012216 | Rheumatic Diseases |
| D009140 | Musculoskeletal Diseases |
| D007592 | Joint Diseases |
| D001168 | Arthritis |
| ID | Term |
|---|---|
| D003240 | Connective Tissue Diseases |
| D017437 | Skin and Connective Tissue Diseases |
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| 14 weeks |
| Change over time in WOMAC score. | The primary outcome variables are a statistically significant improvement in Western Ontario and McMaster Universities Arthritis Index (WOMAC) scores. | 14 weeks |
| Aug 21, 2020 |
| 4 |
| Aug 29, 2023 | Sep 22, 2023 | 5 |