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CompletedNCT01877278Updated Feb 9, 2015Results posted

Wearable Pulsed Electromagnetic Fields Device in Knee Osteoarthritis: Double Blinded, Randomized Clinical Trial

An interventional study of Wearable pulsed electromagnetic fields in Knee Osteoarthritis, sponsored by University of Messina. Completed at 1 site in Italy. Open to participants aged 40 Years and older. Per ClinicalTrials.gov, last updated 2015-02-09.

Sponsored by University of Messina · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
66
Allocation
Randomized
Ages
40 Years and older
Sex
All
01

Study summary

The aim of the study is to evaluate the efficacy of a wearable device using pulse electromagnetic fields on pain intensity reduction, measured by visual analogue score (VAS) and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), in patients affected by osteoarthritis Secondary aim is the evaluate the effect on knee effusion reduction, when present and to evaluate pain intensity changes corrected by pain threshold measured by pressure algometry.

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Conditions studied

  • Knee Osteoarthritis

Keywords

  • Osteoarthritis
  • Pulsed electromagnetic fields
  • Device
  • Pain
  • Pressure algometry
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In context

Osteoarthritis

4,398 studies on the registry are indexed under Osteoarthritis; 582 are open to participants now.

This study's enrollment of 66 is close to the median of 70 across 3,440 interventional studies indexed under Osteoarthritis.

Browse Osteoarthritis studies →

Lead sponsor

University of Messina is the lead sponsor of 53 studies on the registry; 2 are open to participants now.

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

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Who can participate

Ages eligible
40 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • a diagnosis of primary OA of the knee according to the ACR criteria, including radiologic evidence of OA
  • age >40 years
  • symptomatic disease for at least 6 months prior to enrollment
  • persistent pain despite receiving the maximum tolerated doses of conventional medical therapy, including acetaminophen (4 gm/day) and/or a nonsteroidal antiinflammatory drug (NSAID), with persistent pain defined as a minimum mean score of 25 mm on the visual analog scales (VAS) for global pain (0-100-mm range for each) daily pain during the month prior to study enrollment
  • ability to attend followup appointments

Exclusion criteria

Exclusion Criteria:

  • secondary causes of OA
  • local or systemic infection
  • diabetes mellitus
  • systemic arthritis
  • allergy to anesthetic agent or contrast material
  • coagulopathy
  • anticoagulant therapy
  • had previous IA steroid injection
  • avascular necrosis of bone
  • patients who are on specific OA pharmacological therapy (NSAIDS, opioids) for more than 2 weeks prior enrollment
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
66 participants (actual)

Study arms

  • Active comparator
    active

    Group wearing the active device emitting pulsed electromagnetic fileds

    Device: Wearable pulsed electromagnetic fields

  • Placebo comparator
    placebo

    Group wearing the device non-emitting pulsed electromagnetic fileds

    Device: Wearable pulsed electromagnetic fields

Interventions

  • DeviceWearable pulsed electromagnetic fields

    Also known as: actipatch

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What researchers measure

Primary outcomes

  1. Change From Baseline in Pain Perception Measured on Visual Analog Score (VAS) at Week 4

    visual analogue scale (VAS) is a validated self report instrument assessing self report pain intensity Possible scores ranges:from 0 (no pain) to 100 (the maximum of pain)

    Time frame: baseline and 4 weeks

  2. Changes From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) at Week 4

    Multi-item questionnaire used to assess pain, stiffness, and physical function in patients with knee osteoarthritis. The WOMAC consists of 24 items divided into 3 subscales: Pain (5 items), Stiffness (2 items) and Physical Function (17 items). Score Range: On the Likert Scale version, the scores are summed for items in each subscale, with possible ranges as follows: pain=0-50, stiffness=0-20, physical function=0-170. A total WOMAC score is created by summing the items for all three subscales. A higher score represents a worse outcome.

    Time frame: baseline and 4 weeks

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Results

Posted Feb 9, 2015

Participant flow

Participant flow — Overall Study
MilestoneActivePlacebo
Started3333
Completed3030
Not completed33
Withdrew: Lost to follow-up33

Outcome measures

PrimaryChange From Baseline in Pain Perception Measured on Visual Analog Score (VAS) at Week 4

visual analogue scale (VAS) is a validated self report instrument assessing self report pain intensity Possible scores ranges:from 0 (no pain) to 100 (the maximum of pain)

Time frame:
baseline and 4 weeks
Reported as:
Mean · units on a scale
Change From Baseline in Pain Perception Measured on Visual Analog Score (VAS) at Week 4
units on a scaleActivePlacebo
VAS (baseline)67 ± 1663.6 ± 15
VAS (after 1 month of treatment)50 ± 1661 ± 15
Statistical analysis
  • Active · t-test, 2 sided · p = <0.0001
  • Placebo · t-test, 2 sided · p = >0.05
PrimaryChanges From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) at Week 4

Multi-item questionnaire used to assess pain, stiffness, and physical function in patients with knee osteoarthritis. The WOMAC consists of 24 items divided into 3 subscales: Pain (5 items), Stiffness (2 items) and Physical Function (17 items). Score Range: On the Likert Scale version, the scores are summed for items in each subscale, with possible ranges as follows: pain=0-50, stiffness=0-20, physical function=0-170. A total WOMAC score is created by summing the items for all three subscales. A higher score represents a worse outcome.

Time frame:
baseline and 4 weeks
Reported as:
Mean · units on a scale
Changes From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) at Week 4
units on a scaleActivePlacebo
WOMAC total (baseline)136 ± 49129.2 ± 40.8
WOMAC total (4 weeks)111 ± 48126 ± 39
Statistical analysis
  • Active · t-test, 2 sided · p = =0.0001
  • Placebo · t-test, 2 sided · p = >0.05

Adverse events

Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Active—0/30 (0%)0/30 (0%)
Placebo—0/30 (0%)0/30 (0%)

Baseline characteristics

Age, Continuous
Age, Continuous(years)ActivePlaceboTotal
Mean68.6 ± 11.966.9 ± 1067.7 ± 10.9
Sex: Female, Male
Sex: Female, Male(Participants)ActivePlaceboTotal
Female212142
Male9918
Region of Enrollment
Region of Enrollment(participants)ActivePlaceboTotal
Italy303060
08

Study locations

1 site
  • Reumatologia, Dipartimento di medicina clinica e sperimentale, Università degli studi di Messina, AOU G. Martino
    Messina, 98100, Italy
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References and documents

Publications

  • Trock DH, Bollet AJ, Dyer RH Jr, Fielding LP, Miner WK, Markoll R. A double-blind trial of the clinical effects of pulsed electromagnetic fields in osteoarthritis. J Rheumatol. 1993 Mar;20(3):456-60. PubMed 8478852 ↗
  • Thamsborg G, Florescu A, Oturai P, Fallentin E, Tritsaris K, Dissing S. Treatment of knee osteoarthritis with pulsed electromagnetic fields: a randomized, double-blind, placebo-controlled study. Osteoarthritis Cartilage. 2005 Jul;13(7):575-81. doi: 10.1016/j.joca.2005.02.012. PubMed 15979009 ↗
  • Pipitone N, Scott DL. Magnetic pulse treatment for knee osteoarthritis: a randomised, double-blind, placebo-controlled study. Curr Med Res Opin. 2001;17(3):190-6. doi: 10.1185/0300799039117061. PubMed 11900312 ↗
  • Bagnato GL, Miceli G, Marino N, Sciortino D, Bagnato GF. Pulsed electromagnetic fields in knee osteoarthritis: a double blind, placebo-controlled, randomized clinical trial. Rheumatology (Oxford). 2016 Apr;55(4):755-62. doi: 10.1093/rheumatology/kev426. Epub 2015 Dec 24. PubMed 26705327 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 9, 2015, 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
NCT01877278
Lead sponsor
University of Messina
Responsible party
Gianfilippo Bagnato (Professore ordinario, University of Messina) — Principal investigator
First posted
Jun 13, 2013
Start date
Jun 2013
Primary completion
Dec 2014
Completion
Dec 2014
Results posted
Feb 9, 2015
Last update
Feb 9, 2015

Study contacts

Gianfilippo Bagnato, Professor
study chair · University of Messina
Gianfilippo Bagnato, MD
principal investigator · University of Messina

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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