Hip OsteoarthritisHOOTNCT05138380
Hip Osteoarthritis and Foot Orthoses Trial (HOOT)
A study testing Foot orthoses and Flat shoe insert in people with Hip Osteoarthritis, run by La Trobe University at 1 site in Australia.
Trial summary
This trial is a randomized feasibility trial to determine the feasibility of comparing two different shoe inserts and on pain, quality of life and physical activity associated with hip osteoarthritis. Read more about this study
- Who is it for?
- Ages 45 years and older
- Conditions the study is for
- Hip Osteoarthritis
- What is being tested?
- Foot orthoses and Flat shoe insert
- Type of treatment
- Medical device
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 28 participants
- Where
- 1 siteAustralia
- Study dates
- 1 Feb 2022to 26 Oct 2025
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 45 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Primary symptomatic and radiographic hip OA, in accordance with the American College of Rheumatology
- aged > 45 years;
- pain in the hip or groin for more than 3 months;
- average pain intensity over the past week of > 3 out of 10 (Numerical Rating Scale) during functional tasks like walking, climbing stairs or climbing in/out of a car;
- radiographic confirmation of hip osteoarthritis with a Kellgren-Lawrence score ≥ 2 within the last 12 months;
- mild to moderate disability indicated by;
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- able to reciprocally ascend and descend 10 stairs unaided,
- able to safely walk one city block, and
- able to jog five meters if required
Who cannot join
- other musculoskeletal lower limb or back conditions requiring assessment or treatment by a health professional (Doctor, Physiotherapist, Podiatrist etc) in the last 6 months;
- have received active treatment for their hip pain by a health professional (eg physiotherapist) in the last 3 months;
- history of hip trauma or surgery on the affected side;
- corticosteroid use (oral or intra-articular injection) in the past 3 months
- neurological impairment or condition affecting lower limb function
- conditions or factors affecting ability to take part in the intervention, e.g., unavailable for a 6 week intervention period, routine use of gait aids, uncontrolled hypertension, or morbid obesity (body mass index > 40);
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- Use of foot orthoses in the previous 12 months
- systemic inflammatory disease (e.g. rheumatoid arthritis);
- unable to write, read or comprehend English.
Trial locations and contacts
1 site in 1 country.
Australia1 site, 1 recruiting
- Recruiting
La Trobe University
Bundoora, Victoria, 3086
Adam I Semciw, PhD
About this study
Official title: Hip Osteoarthritis and Foot Orthoses Trial (HOOT): A Randomized Feasibility Trial
This trial is a randomized feasibility trial to determine the feasibility of comparing two different shoe inserts and on pain, quality of life and physical activity associated with hip osteoarthritis.
Read the detailed description
Participants will be randomized to one of two groups - contoured prefabricated foot orthoses or flat shoe inserts (the comparator). Participants will be asked to use the inserts daily for a six week period. Adherence to the intervention will be monitored using a daily diary, as well as adverse events and co-interventions. The primary outcome is feasibility domains (Demand, Implementation, Acceptability, Practicality) with secondary outcomes of change in hip-related pain and quality of life and physical activity levels. The primary time-point will be 6-weeks.
- Conditions
- Hip Osteoarthritis
- Being tested
- Foot orthoses, Flat shoe insert
- Medical subject headings
- Osteoarthritis, Hip
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Foot orthosesDevice
Also called Foot Science International Ltd; Formthotic
Manufacturer: Foot Science International.
Material: High grade thermoformable closed-cell polyolefin foam (medium density)
Arch support: inbuilt.
Covering: fabric
Provided by: Study Practitioner: Registered physiotherapist > 2 years musculoskeletal experience will be trained to prescribe the insert according to the prescription algorithm.
Where: Administered via telehealth
When and how much: Week 0 to 1: one telehealth session with study practitioner to fit one pair of pre-fabricated orthoses Week 1 to 2: Follow-up session for questions if required
Tailoring: Orthoses are fit to comfort. Lengths (S, S, M, L, XL, XXL) (dependent on participant's shoe size). Hardness = Medium density. Modifications: can be cut to size to assist in fit using the shoes original sock liner as a guide, by participants using standard scissors. Heat molding: optional.
Adherence: Adherence recorded with diary/ log book (insert wear time)
Flat shoe insertDevice
Manufacturer: Foot Science International.
Material: High grade thermoformable closed-cell polyolefin foam (medium density)
Arch support: no.
Covering: fabric
Provided by: Study Practitioner: Registered physiotherapist > 2 years musculoskeletal experience will be trained to prescribe the insert according to the prescription algorithm.
Where: Administered via telehealth
When and how much: Week 0 to 1: one telehealth session with study practitioner to fit one pair of pre-fabricated orthoses Week 1 to 2: Follow-up session for questions if required
Tailoring: Fit to comfort. Lengths (S, S, M, L, XL, XXL) (dependent on participant's shoe size). Hardness = Medium density. Modifications: can be cut to size to assist in fit using the shoes original sock liner as a guide, by participants using standard scissors. Heat molding: optional.
Adherence: Adherence recorded with diary/ log book (insert wear time)
| Study group | Role | What they receive |
|---|---|---|
| Foot orthoses | Experimental | Not described Receives: Device: Foot orthoses |
| Flat shoe insert | Sham comparator | Not described Receives: Device: Flat shoe insert |
What is being measured
The primary outcome is the main question the study is designed to answer.
Feasibility: adherence
Recruitment rate (average 1 participant per week); 50% log-book completion rate (daily); drop-out <20%; 35 hours per week adherence to intervention (log book)
Measured: 6 weeks
Secondary outcomes (9)
Hip-related pain
Hip osteoarthritis outcome score: pain sub-scale (HOOS-12). Scores range for 0 (better outcomes) - 100 (worse outcomes)
Measured: Baseline and 6 weeks
Hip-related physical function
Hip osteoarthritis outcome score: function and daily living subscale. Scores range for 0 (better outcomes) - 100 (worse outcomes)
Measured: Baseline and 6 weeks
Hip-related quality of life
hip osteoarthritis outcome score: quality of life subscale: Scores range for 0 (better outcomes) - 100 (worse outcomes)
Measured: Baseline and 6 weeks
Fear of movement
Brief Fear of Movement Scale for osteoarthritis (BFOM); 0 to 24, with a higher score indicating lower fear of movement (better score)
Measured: Baseline and 6 weeks
Depressive symptoms
Patient Health Questionnaire -9: Scored from 0 to 27, participants can be classified as having mild (≥ 5), moderate (≥ 10), moderately severe (≥ 15) and severe (≥ 20) depressive symptoms.
Measured: Baseline and 6 weeks
Physical activity- Self-reported
The International Physical Activity Questionnaire: Participants will be asked to recall their physical activity over the last 7 days with regard to vigorous physical activity, moderate physical activity, walking and sitting.
Measured: Baseline and 6 weeks
Physical activity- Walking based physical activity
Will be measured with a tri-axial accelerometer-based activity monitor that is attached on the thigh (activPAL model 4 micro; PAL Technologies Ltd, Glasgow, UK) and will be expressed as a) daily minutes of moderate and vigorous physical activity using the established 100 steps/minute threshold and b) total daily steps (which captures both inside and outside the home walking activity).
Measured: Baseline and 6 weeks
Global rating of change- Physical activity
Seven point rating scale. Much better, better, a little better, no change, a little worse, worse, much worse
Measured: Week 6
Global rating of change- Symptoms
Seven point rating scale. Much better, better, a little better, no change, a little worse, worse, much worse
Measured: Week 6
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted1 Dec 2021
- Study start1 Feb 2022
- Primary completion1 Aug 2024 (estimated)
- Study completion26 Oct 2025 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Hip OsteoarthritisStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- Two-arm, participant blinded, parallel group feasibility RCT
- Masking
- Double blind
- Who is masked
- Participant, Outcomes assessor
- Enrolment
- 28 participants (estimated)
Sponsor and investigators
- Lead sponsor
- La Trobe University
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Adam Semciw, PhD, Principal investigator, La Trobe University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05138380
- Sponsor's protocol ID
- HOOT
- Acronym
- HOOT
- Status last verified
- Mar 2023
- First submitted
- 2 Nov 2021
- Last updated
- 11 Oct 2023
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Publications
King MG, Hon R, Roughead E, Kemp JL, Pizzari T, Wong J, Menz HB, Taylor NF, Harms A, McClelland JA, Semciw AI. Prefabricated contoured foot orthoses to reduce pain and increase physical activity in people with hip osteoarthritis: A randomised feasibility trial. Physiother Res Int. 2024 Oct;29(4):e2118. doi: 10.1002/pri.2118.
PubMed 39132922King MG, Kemp JL, Hon R, Pizzari T, Wong J, Menz H, Taylor NF, Harms A, McClelland JA, Semciw AI. Prefabricated contoured foot orthoses to reduce pain and increase physical activity in people with hip osteoarthritis: protocol for a randomised feasibility trial. BMJ Open. 2022 Sep 6;12(9):e062954. doi: 10.1136/bmjopen-2022-062954.
PubMed 36691129
Study at a glance
From the registry record, last updated by the sponsor on 11 Oct 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Hip Osteoarthritis and Foot Orthoses Trial (HOOT): A Randomized Feasibility Trial
- ClinicalTrials.gov ID
- NCT05138380
- Acronym / sponsor ID
- HOOT / HOOT
- Conditions
- Hip Osteoarthritis
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 28 participants (estimated)
- Lead sponsor
- La Trobe UniversityUniversity, hospital or other
- Study start
- 1 Feb 2022 (actual)
- Primary completion
- 1 Aug 2024 (estimated)
- Study completion
- 26 Oct 2025 (estimated)
- First posted
- 1 Dec 2021 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This trial is a randomized feasibility trial to determine the feasibility of comparing two different shoe inserts and on pain, quality of life and physical activity associated with hip osteoarthritis.
Detailed description
Participants will be randomized to one of two groups - contoured prefabricated foot orthoses or flat shoe inserts (the comparator). Participants will be asked to use the inserts daily for a six week period. Adherence to the intervention will be monitored using a daily diary, as well as adverse events and co-interventions. The primary outcome is feasibility domains (Demand, Implementation, Acceptability, Practicality) with secondary outcomes of change in hip-related pain and quality of life and physical activity levels. The primary time-point will be 6-weeks.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, outcomes assessor)
- Number of arms
- 2
- Model description
- Two-arm, participant blinded, parallel group feasibility RCT
| Arm | Type | Receives |
|---|---|---|
| Foot orthoses | Experimental | Device: Foot orthoses |
| Flat shoe insert | Sham comparator | Device: Flat shoe insert |
Who may qualify
- Ages
- 45 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (9 listed)
- Primary symptomatic and radiographic hip OA, in accordance with the American College of Rheumatology
- aged > 45 years;
- pain in the hip or groin for more than 3 months;
- average pain intensity over the past week of > 3 out of 10 (Numerical Rating Scale) during functional tasks like walking, climbing stairs or climbing in/out of a car;
- radiographic confirmation of hip osteoarthritis with a Kellgren-Lawrence score ≥ 2 within the last 12 months;
Key exclusion criteria (9 listed)
- other musculoskeletal lower limb or back conditions requiring assessment or treatment by a health professional (Doctor, Physiotherapist, Podiatrist etc) in the last 6 months;
- have received active treatment for their hip pain by a health professional (eg physiotherapist) in the last 3 months;
- history of hip trauma or surgery on the affected side;
- corticosteroid use (oral or intra-articular injection) in the past 3 months
- neurological impairment or condition affecting lower limb function
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Foot orthosesAlso: Foot Science International Ltd; FormthoticManufacturer: Foot Science International. Material: High grade thermoformable closed-cell polyolefin foam (medium density) Arch support: inbuilt. Covering: fabric Provided by: Study Practitioner: Registered physiotherapist > 2 years musculoskeletal experience will be trained to prescribe the insert according to the prescription algorithm. Where: Administered via telehealth When and how much: Week 0 to 1: one telehealth session with study practitioner to fit one pair of pre-fabricated orthoses Week 1 to 2: Follow-up session for questions if required Tailoring: Orthoses are fit to comfort. Lengths (S, S, M, L, XL, XXL) (dependent on participant's shoe size). Hardness = Medium density. Modifications: can be cut to size to assist in fit using the shoes original sock liner as a guide, by participants using standard scissors. Heat molding: optional. Adherence: Adherence recorded with diary/ log book (insert wear time) | Device | Foot orthoses |
| Flat shoe insertManufacturer: Foot Science International. Material: High grade thermoformable closed-cell polyolefin foam (medium density) Arch support: no. Covering: fabric Provided by: Study Practitioner: Registered physiotherapist > 2 years musculoskeletal experience will be trained to prescribe the insert according to the prescription algorithm. Where: Administered via telehealth When and how much: Week 0 to 1: one telehealth session with study practitioner to fit one pair of pre-fabricated orthoses Week 1 to 2: Follow-up session for questions if required Tailoring: Fit to comfort. Lengths (S, S, M, L, XL, XXL) (dependent on participant's shoe size). Hardness = Medium density. Modifications: can be cut to size to assist in fit using the shoes original sock liner as a guide, by participants using standard scissors. Heat molding: optional. Adherence: Adherence recorded with diary/ log book (insert wear time) | Device | Flat shoe insert |
Primary outcome
Feasibility: adherence
Time frame: 6 weeks
Recruitment rate (average 1 participant per week); 50% log-book completion rate (daily); drop-out <20%; 35 hours per week adherence to intervention (log book)
9 secondary outcomes
Hip-related pain
Time frame: Baseline and 6 weeks
Hip-related physical function
Time frame: Baseline and 6 weeks
Hip-related quality of life
Time frame: Baseline and 6 weeks
Fear of movement
Time frame: Baseline and 6 weeks
Depressive symptoms
Time frame: Baseline and 6 weeks
Physical activity- Self-reported
Time frame: Baseline and 6 weeks
Physical activity- Walking based physical activity
Time frame: Baseline and 6 weeks
Global rating of change- Physical activity
Time frame: Week 6
Global rating of change- Symptoms
Time frame: Week 6
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 11 Oct 2023.
- Derived from this study: PubMed 39132922King MG, Hon R, Roughead E, Kemp JL, Pizzari T, Wong J, Menz HB, Taylor NF, Harms A, McClelland JA, Semciw AI. Prefabricated contoured foot orthoses to reduce pain and increase physical activity in people with hip osteoarthritis: A randomised feasibility trial. Physiother Res Int. 2024 Oct;29(4):e2118. doi: 10.1002/pri.2118.
- Derived from this study: PubMed 36691129King MG, Kemp JL, Hon R, Pizzari T, Wong J, Menz H, Taylor NF, Harms A, McClelland JA, Semciw AI. Prefabricated contoured foot orthoses to reduce pain and increase physical activity in people with hip osteoarthritis: protocol for a randomised feasibility trial. BMJ Open. 2022 Sep 6;12(9):e062954. doi: 10.1136/bmjopen-2022-062954.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Adam Semciw, PhD principal investigator
La Trobe University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Foot orthoses and Flat shoe insert in people with Hip Osteoarthritis, run by La Trobe University at 1 site in Australia.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 9 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 11 Oct 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Australia. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact Adam Semciw, PhD (+61394796452, a.semciw@latrobe.edu.au), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Feasibility: adherence (time frame: 6 weeks). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT05138380, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 11 Oct 2023.