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The effectiveness and cost-effectiveness of arthroscopic lavage in the treatment of osteoarthritis of the knee
ISRCTN ISRCTN02328576
ClinicalTrials.gov identifier
Public title The effectiveness and cost-effectiveness of arthroscopic lavage in the treatment of osteoarthritis of the knee
Scientific title
Acronym KORAL
Serial number at source HTA 03/48/01
Study hypothesis This is a pilot study, the design of which has been informed by extensive qualitative feasibility work, to assess in two UK centres (Aberdeen and North Staffordshire) the feasibility of mounting a multicentre, placebo-controlled trial to evaluate the effectiveness of arthoscopic lavage for osteoarthritis of the knee.

Please note that, as of 11/05/2009, the anticipated end date has been updated from 30/06/2010 to 31/10/2008.

Protocol V2 dated July 2006 is available on http://www.hta.ac.uk/protocols/200300480001.pdf
Lay summary Not provided at time of registration
Ethics approval Application submitted to MREC, Scotland as of 09/06/06
Study design Pilot, randomised controlled trial
Countries of recruitment United Kingdom
Disease/condition/study domain Osteoarthritis of the knee
Participants - inclusion criteria 1. Adults (18 years or older) with radiological evidence of osteoarthritis (OA) of the knee who might routinely be considered for arthroscopic lavage
2. Fit for general anaesthetic (American Society of Anesthesiologists [ASA] grade 1 and 2)
3. Able to give informed consent
Participants - exclusion criteria 1. Patients for whom the orthopaedic surgeon judges that arthroscopic lavage is clearly indicated
2. Patients for whom arthroplasty is clearly indicated
3. Clear contraindication to general anaesthesia
4. Inability to fill in follow-up questionnaires
Anticipated start date 01/07/2005
Anticipated end date 31/10/2008
Status of trial Completed
Patient information material
Target number of participants Approximately 70
Interventions 1. Arthroscopic lavage (+/- debridement as deemed clinically necessary)
2. Placebo arthroscopic lavage
3. Non-operative management with specialist re-assessment
Primary outcome measure(s) 1. To examine whether the trial processes as currently planned are appropriate, feasible and acceptable to patients, clinicians and the trial office staff
2. To quantify the throughput of eligible patients
3. To quantify the number of patients approached and the proportion of patients who would accept randomisation to the trial
4. To examine the acceptability of the trial information material to patients
Secondary outcome measure(s) The secondary research outcomes of the main trial (in which we anticipate the pilot patients' data being included) are:
1. General quality of life as measured by 12-item short form questionnaire (SF-12)
2. Patient utility as measured by EQ5D
3. Non-steroidal anti-inflammatory drug (NSAID) or analgesic use
4. Use of other treatments outside the trial interventions
5. Use and cost of health services
6. Cost-effectiveness - incremental cost per quality adjusted life year gained
Sources of funding NIHR Health Technology Assessment Programme - HTA (UK)
Trial website http://www.charttrials.abdn.ac.uk/
Publications 1. 2011 results in http://www.ncbi.nlm.nih.gov/pubmed/21338481
Contact name Prof  Marion  Campbell
  Address Health Services Research Unit
University of Aberdeen
Foresterhill
  City/town Aberdeen
  Zip/Postcode AB25 2ZD
  Country United Kingdom
  Tel +44 (0)1224 554480
  Fax +44 (0)1224 554580
  Email m.k.campbell@abdn.ac.uk
Sponsor Department of Health (UK)
  Address Quarry House
Quarry Hill
  City/town Leeds
  Zip/Postcode LS2 7UE
  Country United Kingdom
  Email Sheila.Greener@doh.gsi.gov.uk
  Sponsor website: http://www.dh.gov.uk/en/index.htm
Date applied 08/06/2006
Last edited 11/07/2011
Date ISRCTN assigned 09/06/2006
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