Sequential Genicular Nerve Ablation Prior to Geniculate Artery Embolization in Knee Pain
NCT06514755 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 60
Last updated 2024-10-01
Summary
The goal of this clinical trial is to evaluate whether performing genicular nerve ablation (GNA) before geniculate artery embolization (GAE) improves pain relief and knee function in patients with chronic knee pain. The main questions it aims to answer are:
* Does performing GNA prior to GAE enhance pain relief, as measured by the Visual Analog Scale (VAS), at 3 months post-procedure?
* Does the sequential approach improve knee function as assessed by the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC)?
Study investigators will compare two groups to see if the sequential approach (GNA followed by GAE) provides better outcomes compared to GAE alone.
Participants will:
* Undergo either sequential GNA followed by GAE or GAE alone
* Have their knee pain and function assessed at baseline, 1 month, 3 months, and 6 months post-procedure
* Complete a structured patient satisfaction questionnaire (PSQ) at 3 months post-procedure
* Be monitored for procedure-related adverse events up to 6 months post-procedure,
Conditions
- Chronic Knee Pain
- Osteoarthritis
Interventions
- PROCEDURE
-
GNA followed by GAE
Participants in the experimental arm will undergo genicular nerve ablation (GNA), a minimally invasive procedure targeting the genicular nerves to interrupt pain transmission. One month after undergoing GNA, participants will receive geniculate artery embolization (GAE), which targets the geniculate arteries to reduce inflammation and pain.
- PROCEDURE
-
GAE alone
Participants in the active comparator arm will receive geniculate artery embolization (GAE) alone, a minimally invasive procedure targeting the geniculate arteries to reduce inflammation and pain, without prior genicular nerve ablation (GNA).
Sponsors & Collaborators
-
Zagazig University
lead OTHER_GOV
Principal Investigators
-
Ahmed A Bessar, MD, PhD · Assistant Professor of Diagnostic and Interventional Radiology, Zagazig Uni.
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 80 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2024-09-29
- Primary Completion
- 2025-03-30
- Completion
- 2025-04-30
Countries
- Egypt
Study Locations
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