ClinicalTrials.gg
CompletedNCT04204083Updated Jan 28, 2025Results posted

MONOVISC for Hip Joint Pain Relief Due to Osteoarthritis

An interventional study of Monovisc in Osteoarthritis, Hip, sponsored by Anika Therapeutics, Inc.. Completed at 4 sites in 2 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-01-28.

Sponsored by Anika Therapeutics, Inc. · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
25
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 43 studies in Osteoarthritis, Hip with a site in Poland — 13 open to participants now, 13 under way, none of them phase 3. Osteoarthritis, Hip · Poland.

Enrollment
36th of 38
25 · median 90
Started
2019
with 3 others
No phase
20 of 43
9 open now
Registered
9th of 43
by date
Lead sponsor
2 of 43
Anika Therapeutics, Inc.

Among the 43 studies in Osteoarthritis, Hip with a site in Poland, this one is the 36th largest by enrollment of the 38 interventional ones, is one of 4 that started in 2019, is one of 20 with no phase, and was the 9th registered.

By phase

43 studies; the count open now beside each. This study's row is marked.

No phasethis study20 · 9 open
Phase 411 · 1 open
Observational5 · 3 open
Phase 23 · 0 open
Phase 1/22 · 0 open
Phase 32 · 0 open

By the year they started

First in 2009; this study’s year is marked. 4 started in 2019.

Size and results

Median enrollment 90 across the 38 interventional studies, 88 across the 5 observational. Of the 26 that completed or were terminated, 6 (23%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 43 studies in Osteoarthritis, Hip with a site in Poland, or all of them as a file.
02

Study summary

Obtain real world, post market data to confirm the clinical improvement and safety in patients treated with a single injection of MONOVISC for the symptomatic relief of osteoarthritis in the hip joint.

Read the detailed description

This is a prospective, post market clinical follow-up (PMCF) multi-center, open-label study to evaluate the residual risk of injections of MONOVISC for relief of pain in patients with a diagnosis of an osteoarthritic hip joint.

The subjects in this study will be patients with a diagnosis of osteoarthritic (OA) joint who the investigator determines are appropriate candidates for treatment with a viscoelastic injection of MONOVISC.

Up to 25 subjects will be enrolled at up to 20 investigational sites in the EU. Subject participation will last approximately 6 Months, with visits scheduled at Screening, Baseline, 1 month, 3 month and 6 months.

03

Conditions studied

  • Osteoarthritis, Hip

Browse trials for

Keywords

  • Hyaluronic acid
04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Age 18 years or older
  2. (BMI) ≤ 35 kg/m2
  3. Diagnosis of symptomatic osteoarthritic joint in the index joint (Kellgren-Lawrence grade I to III) to be treated with MONOVISC injection.
  4. Failed conservative treatment for joint osteoarthritis.
  5. NRS pain on walking ≥4 and ≤ 9 in index joint.
  6. Subject must be willing to abstain from other treatments of the index joint for the duration of the study.
  7. Subject is willing to discontinue all analgesics including NSAIDs, except acetaminophen/paracetamol, at least seven days before the treatment injection and through the completion of the study.
  8. Subject is willing to use only acetaminophen/paracetamol (up to a maximum of 4.0 grams per day per the package insert) for the treatment of joint pain for the duration of the study. At least forty-eight hours prior to the Baseline Visit and each follow-up visit, the subject is willing to discontinue use of acetaminophen/paracetamol.
  9. Subject is willing to maintain a stable dose of oral glucosamine and/or chondroitin sulfate products throughout the study, if taken prior to signing the form (ICF).
  10. Able and willing to provide signed informed consent.

Exclusion criteria

Exclusion Criteria:

  1. History of to any of the ingredients in the hyaluronan
  2. Infection or skin disease in the area of the injection site or index joint
  3. NRS pain on walking > 3 in the contralateral joint
  4. NRS pain on walking > 3 in the ipsilateral knee or ankle
  5. Subject received an injection of Hyaluronic Acid (HA) and/or in either joint within 6 months of signing the form (ICF). A subject will be excluded if they are planning to receive an HA or steroid injection (other than the study injection) in either joint during the course of this study.
  6. Known inflammatory or disorders (including rheumatoid arthritis, gout), or other pre-existing medical conditions that, in the opinion of the investigator, could impact treatment of the index joint or affect the ability of the subject to accurately complete the study questionnaires and comply with the study requirements.
  7. Subject is taking medications at the time of signing the ICF which could interfere with the treatment procedure, healing and/or assessments. This includes but is not limited to oral or injectable anticoagulant treatments, anti-aggregant treatment, chronic opioid analgesics. Low dose aspirin used for cardiovascular protection is allowed if a stable regimen is maintained for the duration of the study.
  8. Subjects who had an oral, intramuscular, intravenous, rectal suppository or topical (excluded in index joint only) corticosteroid prior 30 days of signing the ICF are excluded. Topical corticosteroid use at any site other than the index joint is allowed.
  9. Significant trauma to the index hip within 26 weeks of screening
  10. Chronic use of narcotics or cannabis.
  11. Ligament instability or tear in index joint.
  12. Diagnosis of fibromyalgia
  13. Diagnosis of osteonecrosis in index joint
  14. Subject has significant varus or valgus deformity greater than 10 degrees in either knee.
  15. Subject requires consistent use of an assistive device (e.g. wheelchair, walker, etc.) Occasional use of a cane is acceptable.
  16. Uncontrolled diabetes with of >7%.
  17. Subject is a woman who is pregnant or breastfeeding at the Screening Visit or a woman of child bearing potential who refuses to use effective during the course of the study.
  18. Subject is receiving or in litigation for worker's compensation.
  19. Otherwise determined by the investigator to be medically unsuitable for participation in this study.
Terms in these criteria, in plain language(8)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

HbA1c

A blood test of average blood sugar over the past two to three months, given as a percentage or in mmol/mol. 6.5% (48 mmol/mol) or more is the usual threshold for diabetes, normally confirmed by a second test.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

05

Study design

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

Study arms

  • Experimental
    Monovisc

    Single injection of Monovisc into the index hip joint

    Device: Monovisc

Interventions

  • DeviceMonovisc

    A chemically cross-linked sodium hyaluronate supplied as a 4 mL unit dose in a 5 mL glass syringe.

06

What researchers measure

Primary outcomes

  1. Numerical Rating Scale (NRS) Pain on Walking

    Mean Change in Numerical Rating Scale (NRS) Pain on Walking in the Index Hip from baseline to 6 Months post injection. NRS is an 11-Point scale where 0=No Pain, 10=Worst Pain. A larger negative value (maximum -10.0) for the change from baseline indicates less pain and a better outcome following treatment.

    Time frame: From Baseline to 6 Months

Secondary outcomes

  1. Lequesne Hip Index Score

    Mean change in Lequesne Hip Index Score from baseline to 6 months post injection. The Lequesne Hip Index is a three-section patient questionnaire that evaluates (1) pain or discomfort, (2) maximum distance walked, and (3) activities of daily living with 0 = best results / normal scores, to scores \>14 = extremely severe, to a maximum index score of 24 points. A negative value for the change in Lequesne Hip Index indicates improvement. A larger negative value indicates a higher level of improvement, and a better outcome.

    Time frame: From Baseline to 6 Months

  2. Patient Global Assessment (PGA)

    The change from baseline to 6 months in hip pain post-treatment as measured by the Patient Global Assessment (PGA) Score. PGA Score records participant responses to their assessment of how much their STUDY (treated) hip is bothering them today . The PGA Score is a validated 11-point Likert scale ranged from 0 = No Pain to 10 = Worst Pain. A negative value for the change from baseline indicates improvement in PGA Score. A larger negative value indicates less pain, and a better clinical outcome.

    Time frame: From Baseline to 6 Months

  3. The Outcomes Measures for Rheumatic Arthritis Clinical Trials-Osteoarthritis Research Society International (OMERACT-OARSI) Responder Index

    The post-treatment responder rate at 6 months is determined through a calculation defined by the Outcomes Measures for Rheumatic Arthritis Clinical Trials-Osteoarthritis Research Society International (OMERACT-OARSI) Responder Index. The OMERACT-OARSI Responder Index reports the percentage of subjects that met the criteria to be a good responder to treatment. The criteria for response are (1) improvement in pain or physical function \>50% and an absolute change \>20 mm; or (2) improvement of \>20% with an absolute change \>10 mm in at least of the following three categories: pain, physical function, and patient's global assessment. A higher percentage of subjects responding indicates a better clinical outcome.

    Time frame: 6 Months

  4. Number of Participants NOT Using Rescue Medication (Acetaminophen/Paracetamol)

    The usage of Rescue Medication (RM) as based on the number of participants at 6 months post treatment that were NOT using acetominophen/paracetamol RM for pain or discomfort. A larger percentage of participants that were NOT using RM may correlate to a better clinical outcome in terms of pain.

    Time frame: 6 Months

07

Results

Posted Jan 28, 2025
Limitations and caveats
There were no limitations or caveats associated with the conduct of this trial.

Participant flow

Participant flow — Overall Study
MilestoneMonovisc
Started25
Completed25
Not completed0

Outcome measures

PrimaryNumerical Rating Scale (NRS) Pain on Walking

Mean Change in Numerical Rating Scale (NRS) Pain on Walking in the Index Hip from baseline to 6 Months post injection. NRS is an 11-Point scale where 0=No Pain, 10=Worst Pain. A larger negative value (maximum -10.0) for the change from baseline indicates less pain and a better outcome following treatment.

Time frame:
From Baseline to 6 Months
Reported as:
Mean · score on a scale
Numerical Rating Scale (NRS) Pain on Walking
score on a scaleMonovisc
Numerical Rating Scale (NRS) Pain on Walking-3.68 ± 2.87
Statistical analysis
  • Monovisc · t-test, 1 sided · p = <0.0001 (P-Value was calculated)
SecondaryLequesne Hip Index Score

Mean change in Lequesne Hip Index Score from baseline to 6 months post injection. The Lequesne Hip Index is a three-section patient questionnaire that evaluates (1) pain or discomfort, (2) maximum distance walked, and (3) activities of daily living with 0 = best results / normal scores, to scores \>14 = extremely severe, to a maximum index score of 24 points. A negative value for the change in Lequesne Hip Index indicates improvement. A larger negative value indicates a higher level of improvement, and a better outcome.

Time frame:
From Baseline to 6 Months
Reported as:
Mean · score on a scale
Lequesne Hip Index Score
score on a scaleMonovisc
Lequesne Hip Index Score-5.20 ± 3.46
Statistical analysis
  • Monovisc · t-test, 1 sided · p = <0.0001 (P-Value was calculated)
SecondaryPatient Global Assessment (PGA)

The change from baseline to 6 months in hip pain post-treatment as measured by the Patient Global Assessment (PGA) Score. PGA Score records participant responses to their assessment of how much their STUDY (treated) hip is bothering them today . The PGA Score is a validated 11-point Likert scale ranged from 0 = No Pain to 10 = Worst Pain. A negative value for the change from baseline indicates improvement in PGA Score. A larger negative value indicates less pain, and a better clinical outcome.

Time frame:
From Baseline to 6 Months
Reported as:
Mean · score on a scale
Patient Global Assessment (PGA)
score on a scaleMonovisc
Patient Global Assessment (PGA)-3.52 ± 3.14
Statistical analysis
  • Monovisc · t-test, 1 sided · p = <0.0001 (P-Value was calculated)
SecondaryThe Outcomes Measures for Rheumatic Arthritis Clinical Trials-Osteoarthritis Research Society International (OMERACT-OARSI) Responder Index

The post-treatment responder rate at 6 months is determined through a calculation defined by the Outcomes Measures for Rheumatic Arthritis Clinical Trials-Osteoarthritis Research Society International (OMERACT-OARSI) Responder Index. The OMERACT-OARSI Responder Index reports the percentage of subjects that met the criteria to be a good responder to treatment. The criteria for response are (1) improvement in pain or physical function \>50% and an absolute change \>20 mm; or (2) improvement of \>20% with an absolute change \>10 mm in at least of the following three categories: pain, physical function, and patient's global assessment. A higher percentage of subjects responding indicates a better clinical outcome.

Time frame:
6 Months
Reported as:
Count of participants · Participants
The Outcomes Measures for Rheumatic Arthritis Clinical Trials-Osteoarthritis Research Society International (OMERACT-OARSI) Responder Index
ParticipantsMonovisc
The Outcomes Measures for Rheumatic Arthritis Clinical Trials-Osteoarthritis Research Society International (OMERACT-OARSI) Responder Index20
SecondaryNumber of Participants NOT Using Rescue Medication (Acetaminophen/Paracetamol)

The usage of Rescue Medication (RM) as based on the number of participants at 6 months post treatment that were NOT using acetominophen/paracetamol RM for pain or discomfort. A larger percentage of participants that were NOT using RM may correlate to a better clinical outcome in terms of pain.

Time frame:
6 Months
Reported as:
Count of participants · Participants
Number of Participants NOT Using Rescue Medication (Acetaminophen/Paracetamol)
ParticipantsMonovisc
Number of Participants NOT Using Rescue Medication (Acetaminophen/Paracetamol)21

Adverse events

Collected over Adverse Events were collected from the time of the Baseline Study Visit until Study Completion at 26 Weeks (6 months).. Non-serious events are listed at a 1% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Monovisc0/25 (0%)0/25 (0%)9/25 (36%)
Most frequent other events
Most frequent other events
EventMonovisc
Viral pharyngitisInfections and infestations1/25
NasopharyngitisInfections and infestations1/25
Oral herpesInfections and infestations1/25
SinusitisInfections and infestations1/25
Diabetes insipidusEndocrine disorders1/25
HypertensionVascular disorders1/25
HyperhidrosisSkin and subcutaneous tissue disorders1/25
ArthralgiaMusculoskeletal and connective tissue disorders1/25
Back painMusculoskeletal and connective tissue disorders1/25
MenorrhagiaReproductive system and breast disorders1/25

Baseline characteristics

Age, Continuous
Age, Continuous(years)Monovisc
Mean57.72 ± 10.69
Sex: Female, Male
Sex: Female, Male(Participants)Monovisc
Female17
Male8
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Monovisc
American Indian or Alaska Native0
Asian0
Native Hawaiian or Other Pacific Islander0
Black or African American0
White25
More than one race0
Unknown or Not Reported0
Index Hip
Index Hip(Participants)Monovisc
Right13
Left12
08

Study locations

4 sites
  • Krajská zdravotní, a.s.
    Ústí nad Labem, Czechia
  • Nzoz Medi-Spatz
    Gliwice, Poland
  • Przychodnia Rodzinna na Sadowej
    Toruń, Poland
  • SPORTO
    Łódź, Poland
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Dec 2019 to primary completion in Feb 2021, 14 months.

Results were first posted in Jan 2025, 3 years 11 months after primary completion.

Of 226 interventional studies with no phase under Osteoarthritis, Hip, half reached primary completion within 29 months of starting (the median), counting those still running; a quarter within 14 and three quarters within 51. This study's 14 months is below that.

How these figures are worked out, and which studies are left out of them.

Registered
Dec 17, 2019
First posted
Dec 18, 2019
StartActual
Dec 17, 2019
Primary completionActual
Feb 26, 2021
CompletionActual
Mar 30, 2021
Results first posted
Jan 28, 2025
Last update
Jan 28, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jan 28, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT04204083
Lead sponsor
Anika Therapeutics, Inc.
Responsible party
Sponsor
First posted
Dec 18, 2019
Start date
Dec 17, 2019
Primary completion
Feb 26, 2021
Completion
Mar 30, 2021
Results posted
Jan 28, 2025
Last update
Jan 28, 2025

Study contacts

Kara Mezger
study director · Anika Therapeutics

Oversight

Data monitoring committee
No
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 Jan 2025. You cannot join it, but the record below documents what was studied.

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