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CompletedNCT01615991RSOUpdated Apr 12, 2021

Multicentre Canadian Study to Measure the Safety and Efficacy of Radiosynoviorthesis

A Phase 3 interventional study of Radiosynoviorthesis in Arthritis, sponsored by Centre de recherche du Centre hospitalier universitaire de Sherbrooke. Completed at 9 sites in Canada. Per ClinicalTrials.gov, last updated 2021-04-12.

Sponsored by Centre de recherche du Centre hospitalier universitaire de Sherbrooke · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
300
Allocation
Not applicable
Sex
All
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Study summary

Radiation synovectomy by intra-articular injection of beta-emitting radionuclides is considered a reliable and easy-to-perform therapy without harmful side-effects for the treatment of inflammatory joint disease in many countries.

The goal of this study is to demonstrate Yttrium-90 citrate colloid or Rhenium-186 sulfide synovectomy are appropriate therapeutic interventions in patients with persistent active synovitis of a joint (characterized by pain, tenderness, and effusion) which is resistant to systemic therapy and intra-articular corticosteroid injections.

The primary objective will be to assess the safety of an intra-articular administration of Yttrium-90 citrate colloid or Rhenium-186 sulfide.

The secondary objective will be to assess the efficacy on synovitis.

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Conditions studied

  • Arthritis

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03

In context

Arthritis

3,554 studies on the registry are indexed under Arthritis; 317 are open to participants now.

This study's enrollment of 300 is above the median of 90 across 2,377 interventional studies indexed under Arthritis.

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Lead sponsor

Centre de recherche du Centre hospitalier universitaire de Sherbrooke is the lead sponsor of 28 studies on the registry; 9 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • There is no age limit for RSO
  • Patient referred by a medical joint specialist (orthopedist, rheumatologist or internal medicine in the absence of local joint specialist)
  • Patient having a refractory inflammatory articular disease:
  • Failure of medical therapy after 6 months
  • Clinical signs of an active mono or oligo synovitis
  • Joint X-ray, echo or MR showing minimal cartilage or bone destruction
  • Pain limits normal activities or requires significant analgesic medication

Exclusion criteria

Exclusion Criteria:

  • Prior RSO within last 3 months in that joint
  • Collapse of the articular plateau or intra-articular fracture
  • Surgery or arthroscopy within last 6 weeks
  • Painful prosthesis
  • Joint infection, local skin infection, bacteremia
  • Joint puncture within last 2 weeks (increased risk of soft tissue necrosis along the needle track)
  • Pregnancy or breast feeding
  • Synovial cyst rupture
  • Massive hemarthrosis
  • Generalized synovitis defined as more than 5 uncontrolled joints by clinical examination or 3 phases bone scan
  • Surgical synovectomy within 6months
  • Cancer with bone metastases
  • Hypersensitivity, allergies or contraindication to the used radiopharmaceutical agent
  • Participation in any other ongoing clinical trial for the underlying inflammatory condition
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Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
300 participants (actual)

Study arms

  • Other
    radiosynoviorthesis with yttrium-90 or rhenium -186

    Patients suffering from arthritis or chronic inflammatory joint disease.

    Drug: Radiosynoviorthesis

Interventions

  • DrugRadiosynoviorthesis

    Intraarticular administration from 111 to 222 Mbq yttrium-90 per joint

    Also known as: Yttrium-90 colloid suspension for local injection

06

What researchers measure

Primary outcomes

  1. safety

    The safety profile will be assessed by the incidence of AEs. All the AEs will be described by system/organ class and preferred terms and overall sorted by frequency.

    Time frame: 3-4 days post -treatment

Secondary outcomes

  1. Efficacy

    Efficacy outcomes will be the clinical response over 1 year post treatment ( at 3, 6 and 12 months):The comparison will be done with a confidence interval approach based on a Chi²-test for each of the above secondary criterion assessed at different times during the follow-up compared to the same criterion assessed at baseline.

    Time frame: Clinical response post treatment

07

Study locations

9 sites
  • Alberta Children's Hospital
    Calgary, Alberta, Canada
  • Lion's Gate Hospital
    Vancouver, British Columbia V7L 2L1, Canada
  • Health Science Centre
    Winnipeg, Manitoba, Canada
  • Southlake Regional Health Centre
    Newmarket, Ontario, Canada
  • Centre de santé et services sociaux Pierre-Boucher, Hôpital Pierre-Boucher
    Longueuil, Quebec, Canada
  • Centre hospitalier de l'Université de Montréal
    Montreal, Quebec, Canada
  • Centre hospitalier universitaire de Sherbrooke
    Sherbrooke, Quebec J1H 5N4, Canada
  • CHR Trois-Rivières
    Trois-Rivières, Quebec, Canada
  • Centre Hospitalier Universitaire de Québec
    Quebec, Canada
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 12, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01615991
Lead sponsor
Centre de recherche du Centre hospitalier universitaire de Sherbrooke
Responsible party
Dr Éric E Turcotte, MD (Head, Clinical research, Centre d'imagerie moléculaire de Sherbrooke; Associate Professor, Université de Sherbrooke;Nuclear Medecine Specialist, Centre de recherche du Centre hospitalier universitaire de Sherbrooke) — Principal investigator
First posted
Jun 11, 2012
Start date
May 31, 2012
Primary completion
Dec 31, 2017
Completion
Dec 31, 2018
Last update
Apr 12, 2021

Study contacts

Eric Turcotte, MD
principal investigator · Centre de recherche du Centre hospitalier universitaire de Sherbrooke

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Apr 2021. You cannot join it, but the record below documents what was studied.

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