Preventing Injured Knees From osteoArthritis: Severity Outcomes
Part of paid clinical trials in Atlanta, Georgia.
- Sponsor
- Brigham and Women's Hospital
- Study ID
- NCT06096259
- Phase
- PHASE2
- Status
- Recruiting
Conditions
- ACL Tear
- Osteoarthritis, Knee
- Post-traumatic Osteoarthritis
Eligibility Criteria
- Sex
- ALL
- Age
- 18 Years - 45 Years
- Healthy Volunteers
- Not accepted
Interventions
- Metformin — DRUGMetformin is an oral anti-hyperglycemic agent widely used as first-line treatment for type II diabetes to improve glycemic control. It is the fourth most commonly prescribed drug in the United States. Participants will receive commercially available extended-release metformin 500mg tablets manufactured by Granules India Limited, Hyderabad, India and then sourced, packaged, and labeled for the study by Sharp Labs. The study will follow standard dosing procedures for extended-release metformin. Participants will begin by taking 1x500 mg pill once a day, and then the dose will be increased in 500 mg/day increments every 5 days as tolerated, up to a maximum dose of 1500 mg daily.
- Placebo — DRUGThe study will use matching placebo tablets that are almost indistinguishable from the 500 mg metformin ER tablets. Participants will begin by taking 1x500 mg pill once a day, and then the dose will be increased in 500 mg/day increments every 5 days as tolerated, up to a maximum dose of 1500 mg daily.
Study Details
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.
Key Dates
- Start date
- May 6, 2024
- Status verified
- Apr 2025
- Primary completion
- Dec 31, 2028
- Completion
- Dec 31, 2029
Study Design
- Enrollment
- 512 participants (estimated)
- Allocation
- RANDOMIZED
- Intervention model
- PARALLEL
- Primary purpose
- PREVENTION
Arms
- Experimental: Metformin3x500mg metformin hydrochloride (HCl) extended-release (ER) tablets taken orally once a day for 1 year
- Placebo Comparator: Placebo3x metformin placebo tablets matching metformin extended-release taken orally once a day for 1 year
Primary Outcome Measure
KOOS Pain Score [ Time Frame: Average of 12 and 24 months ]
Central Contacts
- Faith Selzer, PhD617-525-8617
- Daniel J Betensky, AB6175259727
Locations (9)
| Facility | City | State | ZIP | Site coordinators |
|---|---|---|---|---|
| Emory University | Atlanta | Georgia | 30322 | Gregory D Myer, PhD (PRINCIPAL_INVESTIGATOR) |
| University of Iowa Hospitals and Clinics | Iowa City | Iowa | 52242 | Don D Anderson, PhD (PRINCIPAL_INVESTIGATOR) Brian R Wolf, MD (PRINCIPAL_INVESTIGATOR) |
| University of Kentucky | Lexington | Kentucky | 40504 | Austin V Stone, MD, PhD (PRINCIPAL_INVESTIGATOR) |
| Brigham and Women's Hospital | Boston | Massachusetts | 02115 | Morgan H Jones, MD, MPH (PRINCIPAL_INVESTIGATOR) Cale A Jacobs, PhD (PRINCIPAL_INVESTIGATOR) |
| University of Nebraska Medical Center | Omaha | Nebraska | 68198 | Elizabeth A Wellsandt, PT, PhD (PRINCIPAL_INVESTIGATOR) Yvonne Golightly, PT, PhD (PRINCIPAL_INVESTIGATOR) |
| Hospital for Special Surgery | New York | New York | 10021 | Scott A Rodeo, MD (PRINCIPAL_INVESTIGATOR) Miguel Otero, PhD (PRINCIPAL_INVESTIGATOR) |
| The University of North Carolina at Chapel Hill | Chapel Hill | North Carolina | 25599 | Joe M Hart, PhD (PRINCIPAL_INVESTIGATOR) Brian G Pietrosimone, PhD (PRINCIPAL_INVESTIGATOR) |
| Cleveland Clinic | Cleveland | Ohio | 44195 | Kurt Spindler, MD (PRINCIPAL_INVESTIGATOR) |
| The Ohio State University | Columbus | Ohio | 43210 | Laura C Schmitt, PT, PhD (PRINCIPAL_INVESTIGATOR) Robert A Magnussen, MD (PRINCIPAL_INVESTIGATOR) |
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