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CompletedNCT04178304Updated Apr 5, 2023

Effect of Prolotherapy in Knee Osteoarthritis.

An interventional study of Prolotherapy with 25% Dextrose in Knee Osteoarthritis, sponsored by University of Alexandria. Completed at 1 site in Egypt. Open to participants aged 40 Years to 75 Years. Per ClinicalTrials.gov, last updated 2023-04-05.

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

Phase
Not applicable
Study type
Interventional
Enrollment
63
Allocation
Not applicable
Ages
40 Years to 75 Years
Sex
All
01

Study summary

Patients with primary knee osteoarthritis will be included in the study, plain X-ray for the affected knee, followed by musculoskeletal ultrasound assessment will be done. The intervention: intra-articular injection and extra-articular injections of 25% dextrose. Follow up will be done at 24 weeks after the last injection both clinically and ultrasonographically .

Aim: Determine whether prolotherapy improves pain. stiffness and function of symptomatic knee osteoarthritis and determine ultrasonographic changes before and after prolotherapy.

Read the detailed description

Sixty knees with primary knee osteoarthritis will be included in the study, clinical assessment will be done, then plain X-ray for the affected knee (s), followed by musculoskeletal ultrasound assessment will be done.

The intervention:

  1. a single intra-articular injection of 6 mL of 25% dextrose through infero-medial or infero-lateral approach will be done.
  2. extra-articular injections will be done at major tender tendons and ligaments through 15 skin punctures using peppering technique and placing a possible total of 22.5 mL of 25% dextrose.

    • Both intra and extra-articular injections will be done at 1, 5, 9, and 13 weeks intervals.

Follow up will be done at 24 weeks after the last injection both clinically and ultrasonographically .

02

Conditions studied

  • Knee Osteoarthritis

Keywords

  • primary knee osteoarthritis,
  • prolotherapy,
  • musculoskeletal ultrasound
03

In context

Osteoarthritis

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

This study's enrollment of 63 is close to the median of 70 across 3,440 interventional studies indexed under Osteoarthritis.

Browse Osteoarthritis studies →

Lead sponsor

University of Alexandria is the lead sponsor of 57 studies on the registry; 5 are open to participants now.

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

04

Who can participate

Ages eligible
40 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Moderate and moderate to severe primary Knee osteoarthritis (KL grade II and III)
  • consent obtained

Exclusion criteria

Exclusion Criteria:

  • Early Knee osteoarthritis (KL grade I)
  • Severe Knee osteoarthritis (KL grade IV)
  • Causes of 2ry osteoarthritis: other rheumatological, metabolic and inflammatory joint diseases.
  • received oral or systemic steroids 1 year prior to the procedure
  • received intra-articular steroids or hyaluronic acid 1 year prior to the procedure
  • BMI >45Kg/m2
  • poorly controlled diabetes mellitus, on anticoagulation therapy, history of cancer
05

Study design

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

Study arms

  • Experimental
    G1 patients receive prolotherapy

    Intra and extra articular dextrose 25%

    Drug: Prolotherapy with 25% Dextrose

Interventions

  • DrugProlotherapy with 25% Dextrose

    Intra-articular injection of 6mL of 25% dextrose Extra-articular injection at tender sites with 25% dextrose

    Also known as: 25% dextrose intra and extra-articilar injection

06

What researchers measure

Primary outcomes

  1. Pain, Stiffness and Physical function

    whether prolotherapy improves physical function by Western Ontario and McMaster University (WOMAC) index and VAS in patients with primary knee osteoarthritis

    Time frame: 24 weeks after last injection

Secondary outcomes

  1. Cartilage thickness

    whether an increase in cartilage thickness could be detected by the musculoskeletal ultrasound following prolotherapy

    Time frame: 24 weeks after last injection

  2. Safety and Tolerability

    safety and tolerability will be assessed using patient satisfaction Likeret 5 point scale

    Time frame: 24 weeks after last injection

07

Study locations

1 site
  • Alexandria University, Faculty of Medicine
    Alexandria, 00123, Egypt
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 5, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04178304
Lead sponsor
University of Alexandria
Responsible party
Yousra Hisham Abdel Fattah (Lecturer of Physical Medicine, Rheumatology and Rehabilitation, University of Alexandria) — Principal investigator
First posted
Nov 26, 2019
Start date
Dec 15, 2019
Primary completion
Oct 30, 2021
Completion
Dec 30, 2021
Last update
Apr 5, 2023

Study contacts

Yousra H Abdel-Fattah, MD
principal investigator · Alexandria University Faculty of Medicine

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Mar 2023. You cannot join it, but the record below documents what was studied.

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