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Clinical practice experience with Hymovis ® Knee Prof. Francesco Benazzo 8th October 2011
HYMOVIS on Knee Study title A multi-centre, open label, long term follow up study to evaluate the benefits of a new viscoelastic hydrogel (hymovis) in the treatment of knee osteoarthritis Prot n. R29-10-01
Coordinating investigator: Francesco Benazzo, MD, Professor of Orth & Traum,  Chairman, Clinica Ortopedica e Traumatologica dell’ Università di Pavia Fondazione IRCCS Policlinico San Matteo A new site will be opened in the next few weeks Clinical sites
Objectives and variables Primary Efficacy Objective and Variable : To evaluate the long term benefits of Hymovis on pain due to knee OA measured by WOMAC pain (A)  subscore over 52 weeks.
[object Object],[object Object],[object Object],[object Object],Objectives and variables
[object Object],[object Object],[object Object],[object Object],Objectives and variables
[object Object],[object Object],[object Object],[object Object],Objectives and variables
Study design and procedures ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Visit 1 baseline Visit 2 (week 1) Visit 3 (week 13) Visit 4 (week 17) Visit 5 (week 26) Visit 6 (week 27) Visit 7 (week 52) Day ± window  1 7 ± 2 91 ± 7 119 ± 7 182 ± 7 189 ± 2 365 ± 7 (inj)  (inj)    (inj)  (inj) V1  V2  V3  V4  V5  V6  V7
Main inclusion criteria ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],Main inclusion criteria
Main exclusion criteria ,[object Object]
[object Object],[object Object],Main exclusion criteria
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Main exclusion criteria
[object Object],[object Object],Main exclusion criteria
[object Object],[object Object],Main exclusion criteria
[object Object],[object Object],[object Object],Main exclusion criteria
The study… at the moment Patient ’s status Planned patients to recruit 50 Patients recruited up to now 21 Drop-out patients 2 First patient in Sept 2010 Ethic Committee approval May 2010 V0 V1 V2 V3 V4 V5 V6 V7 pts 21 20 20 12 10 9 9 3
Baseline characteristics Mean  + s.d Age  (years) 58 (±11.3) Weight  (kg) 74.8 ( + 14.18) Height  (cm) 168.6 ( + 9.14) BMI  (kg/m 2 ) 26.2 ( + 4.23) Systolic Blood Pressure   (mmHg) 123.3 ( + 10.00) Diastolic Blood Pressure   (mmHg) 78.9 ( + 8.58) Heart Rate   (b/min) 70.9 ( + 4.91) Gender Male: 7 (77.8%) Female: 2 (22.2%)
Baseline knee OA characteristics Affected knee Left  Right  Bilateral 5 (55.6%) 4 (44.4%) 0 (0.0%) Kellgren-Lawrence 2 3 5 (55.6%) 4 (44.4%) Morning Stiffness    30 minutes Yes No 5 (55.6%) 4 (44.4%) Crepitus on motion Yes No 6 (66.7%) 3 (33.3%) Joint tenderness Yes No 2 (22.2%) 7 (77.8%) Swelling Yes No 0 (0.0%) 9 (100.0%) Redness/Inflammation Yes No 0 (0.00%) 9 (100.0%) Presence of Effusion Yes No 0 (0.0%) 9 (100.0%) Pain perceived by the patient walking on a flat surface Moderate Severe 8 (88.9%) 1 (11.1%)
Let ’s take a look to the results Preliminary analysis conducted on 9 patients  WOMAC normalised scores at study visits
Preliminary analysis conducted on 9 patients  Intensity of Pain perceived by the patient walking on a flat surface (WOMAC question A1) at each study visit: Let ’s take a look to the results
Preliminary analysis conducted on 9 patients  PTGA and COGA at study visits PTGA(Patient's Global Assessment): The patient  is asked to indicate on a VAS how the treated knee affects the patient's status in his/her opinion (0-100 mm) COGA(Investigator's Global Assessment): The investigator  is asked to indicate on a VAS how the treated knee affects the patient's status in his opinion (0-100 mm) Let ’s take a look to the results
Feedback from the field ,[object Object],[object Object],[object Object],[object Object],[object Object]

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6. benazzo 08 10

  • 1. Clinical practice experience with Hymovis ® Knee Prof. Francesco Benazzo 8th October 2011
  • 2. HYMOVIS on Knee Study title A multi-centre, open label, long term follow up study to evaluate the benefits of a new viscoelastic hydrogel (hymovis) in the treatment of knee osteoarthritis Prot n. R29-10-01
  • 3. Coordinating investigator: Francesco Benazzo, MD, Professor of Orth & Traum, Chairman, Clinica Ortopedica e Traumatologica dell’ Università di Pavia Fondazione IRCCS Policlinico San Matteo A new site will be opened in the next few weeks Clinical sites
  • 4. Objectives and variables Primary Efficacy Objective and Variable : To evaluate the long term benefits of Hymovis on pain due to knee OA measured by WOMAC pain (A) subscore over 52 weeks.
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  • 17. The study… at the moment Patient ’s status Planned patients to recruit 50 Patients recruited up to now 21 Drop-out patients 2 First patient in Sept 2010 Ethic Committee approval May 2010 V0 V1 V2 V3 V4 V5 V6 V7 pts 21 20 20 12 10 9 9 3
  • 18. Baseline characteristics Mean + s.d Age (years) 58 (±11.3) Weight (kg) 74.8 ( + 14.18) Height (cm) 168.6 ( + 9.14) BMI (kg/m 2 ) 26.2 ( + 4.23) Systolic Blood Pressure (mmHg) 123.3 ( + 10.00) Diastolic Blood Pressure (mmHg) 78.9 ( + 8.58) Heart Rate (b/min) 70.9 ( + 4.91) Gender Male: 7 (77.8%) Female: 2 (22.2%)
  • 19. Baseline knee OA characteristics Affected knee Left Right Bilateral 5 (55.6%) 4 (44.4%) 0 (0.0%) Kellgren-Lawrence 2 3 5 (55.6%) 4 (44.4%) Morning Stiffness  30 minutes Yes No 5 (55.6%) 4 (44.4%) Crepitus on motion Yes No 6 (66.7%) 3 (33.3%) Joint tenderness Yes No 2 (22.2%) 7 (77.8%) Swelling Yes No 0 (0.0%) 9 (100.0%) Redness/Inflammation Yes No 0 (0.00%) 9 (100.0%) Presence of Effusion Yes No 0 (0.0%) 9 (100.0%) Pain perceived by the patient walking on a flat surface Moderate Severe 8 (88.9%) 1 (11.1%)
  • 20. Let ’s take a look to the results Preliminary analysis conducted on 9 patients WOMAC normalised scores at study visits
  • 21. Preliminary analysis conducted on 9 patients Intensity of Pain perceived by the patient walking on a flat surface (WOMAC question A1) at each study visit: Let ’s take a look to the results
  • 22. Preliminary analysis conducted on 9 patients PTGA and COGA at study visits PTGA(Patient's Global Assessment): The patient is asked to indicate on a VAS how the treated knee affects the patient's status in his/her opinion (0-100 mm) COGA(Investigator's Global Assessment): The investigator is asked to indicate on a VAS how the treated knee affects the patient's status in his opinion (0-100 mm) Let ’s take a look to the results
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