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OsteoarthitisMedial OA CSINCT07804446

Patient Pain and Function in Medial Knee Osteoarthritis After Anteromedial vs Anterolateral Intra-Articular Corticosteroid Injection

A study testing Anteromedial Injection and Anterolateral Injection in people with Osteoarthitis and Osteoarthritic Knee Pain, run by University of Chicago at 5 sites in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The primary purpose of this study is to find out if there is a difference in pain experienced in patients with knee arthritis of the inside of their knee if they get a steroid injection on the inside or outside of their knee. Participants will: 1. Read more about this study

Who is it for?
Ages 40 years and older
What is being tested?
Anteromedial Injection and Anterolateral Injection
Could I receive a placebo?
No, everyone receives an active treatment
How many people
140 participants
Where
5 sitesUnited States
Study dates
31 Aug 2026to 1 May 2027
Phase
Interventional
Are there results?
Not yet: the study is under way

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 40 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Age ≥ 40
  • Clinical diagnosis of knee OA with predominant medial compartment symptoms
  • Radiographic moderate-to-severe medial compartment OA (KL grade 3-4 or equivalent)
  • Agreed to and preparing to receive a CSI of the knee as part of standard care from surgeon, regardless of past injection of the knee
  • Able to provide informed consent
  • Able to complete phone, email, or MyChart follow-ups in English

Who cannot join

  • Predominant lateral compartment OA or patellofemoral-only OA
  • Inflammatory arthritis (RA, gout flare, etc.)
  • Suspected or confirmed joint infection or overlying cellulitis
  • Prior knee arthroplasty on the index knee
  • Planned surgery for index knee within 12-week follow-up
  • Inability to complete follow-up assessments
  • Other clinician-determined contraindication to CSI

Trial locations and contacts

5 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Malik J Scott, B.A. contact

773-834-3531

mjscott1@uchicago.edu

5 sites in 1 country

United States5 sites, 5 recruiting
  • Bolingbrook Clinic

    Bolingbrook, Illinois, 60440

    Brandon Pardi, M.D., 630-759-1248, brandon.pardi.md@adventhealth.com

    Brandon Pardi, M.D.

    Recruiting
  • Hyde Park Clinic

    Chicago, Illinois, 60637

    Sara J Wallace, M.D./M.P.H., 773-834-3531, swallace2@bsd.uchicago.edu

    Malik Scott, B.A., mjscott1@uchicago.edu

    Recruiting
  • La Grange Clinic

    La Grange, Illinois, 60525

    Sara JS Wallace, M.D./M.P.H., 773-834-3531, swallace2@bsd.uchicago.edu

    Sara JS Wallace, M.D./M.P.H.

    Recruiting
  • Orland Park Clinic

    Orland Park, Illinois, 60462

    Sara JS Wallace, M.D./M.P.H., 888-824-0200, swallace2@bsd.uchicago.edu

    Malik J Scott, B.A., mjscott1@uchicago.edu

    Recruiting
  • Woodridge Clinic

    Woodridge, Illinois, 60517

    Brandon Pardi, M.D., 630-759-1248, brandon.pardi.md@adventhealth.com

    Brandon Pardi, M.D.

    Recruiting

Other trials in United States

About this study

Official title: Does Injection Site (Anteromedial vs Anterolateral) Affect Pain Relief After Intra-Articular Corticosteroid Injection in Moderate-to-Severe Medial Knee Osteoarthritis?

The primary purpose of this study is to find out if there is a difference in pain experienced in patients with knee arthritis of the inside of their knee if they get a steroid injection on the inside or outside of their knee. Participants will:

  1. Be randomly divided into getting their steroid injection on the inside or outside of their knee.
  2. Answer a pain survey before their injection as well as over the phone 2 weeks, 6 weeks, and 12 weeks after their injection.
Being tested
Anteromedial Injection, Anterolateral Injection
Keywords
osteoarthritis, arthritis, corticosteroid, steroid injection, pain, pain control, pain survey, knee, knee arthritis, knee osteoarthritis, knee pain, knee injection
Medical subject headings
Osteoarthritis, Arthritis, Pain, Agnosia, Osteoarthritis, Knee

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Anteromedial InjectionProcedure or surgery

    If randomized to this intervention, patients will receive a corticosteroid injection in the anteromedial side of their knee.

  • Anterolateral InjectionProcedure or surgery

    If randomized to this intervention, patients will receive a corticosteroid injection on the anterolateral side of their knee.

Study groups in NCT07804446
Study groupRoleWhat they receive
AnterolateralActive comparatorThese patients will receive their corticosteroid injections on their anterolateral knees.
Receives: Procedure: Anterolateral Injection
AnteromedialActive comparatorThis group of patients will receive injections on the anteromedial side of their knee.
Receives: Procedure: Anteromedial Injection

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Numeric Pain Rating Scale

    This survey asks patients to rate their pain on a scale from 0 to 10.

    Measured: Pre-procedure, 2 weeks, 6 weeks, and 12 weeks post-injection

  2. Knee Osteoarthritis and Outcome Score-Joint Replacement

    This standardized survey asks patients to describe the impact of their knee stiffness and pain on daily tasks.

    Measured: Pre-procedure, 2 weeks, 6 weeks, and 12 weeks post-injection

Secondary outcomes (2)
  1. Institutional Survey on Satisfaction with Injection

    This survey asks patients to rate their satisfaction with their corticosteroid injection on a scale from 0 to 10.

    Measured: 2 weeks, 6 weeks, and 12 weeks post-injection

  2. Patient Global Impression of Change

    This survey asks patients to rate their overall health status on a scale from 1 to 7.

    Measured: 2 weeks, 6 weeks, and 12 weeks post-injection

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted4 Sep 2026
  2. Study start31 Aug 2026
  3. Primary completion1 Apr 2027 (estimated)
  4. Study completion1 May 2027 (estimated)

Resources

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
The population will be adults with symptomatic, radiographically moderate-to-severe medial compartment knee osteoarthritis who are already undergoing corticosteroid injections as part of routine care on their native knee. They wil be randomized to receive their injection on either the anteromedial or anterolateral knee.
Masking
None (open label)
Enrolment
140 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07804446
Sponsor's protocol ID
IRB26-0169
Acronym
Medial OA CSI
Status last verified
Aug 2026
First submitted
31 Aug 2026
Last updated
4 Sep 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided: IPD may not be shared due to privacy concerns, but the authors will consider sharing de-identified data upon reasonable request.

Publications

  • Hanley MA, Jensen MP, Ehde DM, Robinson LR, Cardenas DD, Turner JA, Smith DG. Clinically significant change in pain intensity ratings in persons with spinal cord injury or amputation. Clin J Pain. 2006 Jan;22(1):25-31. doi: 10.1097/01.ajp.0000148628.69627.82.

    PubMed 16340590
  • Salaffi F, Stancati A, Silvestri CA, Ciapetti A, Grassi W. Minimal clinically important changes in chronic musculoskeletal pain intensity measured on a numerical rating scale. Eur J Pain. 2004 Aug;8(4):283-91. doi: 10.1016/j.ejpain.2003.09.004.

    PubMed 15207508
  • Dworkin RH, Turk DC, Wyrwich KW, Beaton D, Cleeland CS, Farrar JT, Haythornthwaite JA, Jensen MP, Kerns RD, Ader DN, Brandenburg N, Burke LB, Cella D, Chandler J, Cowan P, Dimitrova R, Dionne R, Hertz S, Jadad AR, Katz NP, Kehlet H, Kramer LD, Manning DC, McCormick C, McDermott MP, McQuay HJ, Patel S, Porter L, Quessy S, Rappaport BA, Rauschkolb C, Revicki DA, Rothman M, Schmader KE, Stacey BR, Stauffer JW, von Stein T, White RE, Witter J, Zavisic S. Interpreting the clinical importance of treatment outcomes in chronic pain clinical trials: IMMPACT recommendations. J Pain. 2008 Feb;9(2):105-21. doi: 10.1016/j.jpain.2007.09.005. Epub 2007 Dec 11.

    PubMed 18055266
  • Toda Y, Tsukimura N. A comparison of intra-articular hyaluronan injection accuracy rates between three approaches based on radiographic severity of knee osteoarthritis. Osteoarthritis Cartilage. 2008 Sep;16(9):980-5. doi: 10.1016/j.joca.2008.01.003. Epub 2008 Mar 12.

    PubMed 18339561
  • Courtney P, Doherty M. Joint aspiration and injection and synovial fluid analysis. Best Pract Res Clin Rheumatol. 2013 Apr;27(2):137-69. doi: 10.1016/j.berh.2013.02.005.

    PubMed 23731929
  • Hermans J, Bierma-Zeinstra SM, Bos PK, Verhaar JA, Reijman M. The most accurate approach for intra-articular needle placement in the knee joint: a systematic review. Semin Arthritis Rheum. 2011 Oct;41(2):106-15. doi: 10.1016/j.semarthrit.2011.02.007.

    PubMed 22036252
  • Huang Y, Liu P. Expert consensus on glucocorticoids injection for knee osteoarthritis. J Orthop Surg Res. 2026 Jan 8;21(1):25. doi: 10.1186/s13018-025-06363-1.

    PubMed 41508090
  • van Middelkoop M, Arden NK, Atchia I, Birrell F, Chao J, Rezende MU, Lambert RG, Ravaud P, Bijlsma JW, Doherty M, Dziedzic KS, Lohmander LS, McAlindon TE, Zhang W, Bierma-Zeinstra SM. The OA Trial Bank: meta-analysis of individual patient data from knee and hip osteoarthritis trials show that patients with severe pain exhibit greater benefit from intra-articular glucocorticoids. Osteoarthritis Cartilage. 2016 Jul;24(7):1143-52. doi: 10.1016/j.joca.2016.01.983. Epub 2016 Feb 2.

    PubMed 26836288
  • Najm A, Alunno A, Gwinnutt JM, Weill C, Berenbaum F. Efficacy of intra-articular corticosteroid injections in knee osteoarthritis: A systematic review and meta-analysis of randomized controlled trials. Joint Bone Spine. 2021 Jul;88(4):105198. doi: 10.1016/j.jbspin.2021.105198. Epub 2021 Apr 24.

    PubMed 33901659
  • Wylde V, Beswick A, Bruce J, Blom A, Howells N, Gooberman-Hill R. Chronic pain after total knee arthroplasty. EFORT Open Rev. 2018 Aug 16;3(8):461-470. doi: 10.1302/2058-5241.3.180004. eCollection 2018 Aug.

    PubMed 30237904
  • Waimann CA, Fernandez-Mazarambroz RJ, Cantor SB, Lopez-Olivo MA, Zhang H, Landon GC, Siff SJ, Suarez-Almazor ME. Cost-effectiveness of total knee replacement: a prospective cohort study. Arthritis Care Res (Hoboken). 2014 Apr;66(4):592-9. doi: 10.1002/acr.22186.

    PubMed 24124052
  • Lutzner J, Kasten P, Gunther KP, Kirschner S. Surgical options for patients with osteoarthritis of the knee. Nat Rev Rheumatol. 2009 Jun;5(6):309-16. doi: 10.1038/nrrheum.2009.88.

    PubMed 19491912
  • Silverstein FE, Faich G, Goldstein JL, Simon LS, Pincus T, Whelton A, Makuch R, Eisen G, Agrawal NM, Stenson WF, Burr AM, Zhao WW, Kent JD, Lefkowith JB, Verburg KM, Geis GS. Gastrointestinal toxicity with celecoxib vs nonsteroidal anti-inflammatory drugs for osteoarthritis and rheumatoid arthritis: the CLASS study: A randomized controlled trial. Celecoxib Long-term Arthritis Safety Study. JAMA. 2000 Sep 13;284(10):1247-55. doi: 10.1001/jama.284.10.1247.

    PubMed 10979111
  • McGettigan P, Henry D. Cardiovascular risk with non-steroidal anti-inflammatory drugs: systematic review of population-based controlled observational studies. PLoS Med. 2011 Sep;8(9):e1001098. doi: 10.1371/journal.pmed.1001098. Epub 2011 Sep 27.

    PubMed 21980265
  • McAlindon TE, Bannuru RR, Sullivan MC, Arden NK, Berenbaum F, Bierma-Zeinstra SM, Hawker GA, Henrotin Y, Hunter DJ, Kawaguchi H, Kwoh K, Lohmander S, Rannou F, Roos EM, Underwood M. OARSI guidelines for the non-surgical management of knee osteoarthritis. Osteoarthritis Cartilage. 2014 Mar;22(3):363-88. doi: 10.1016/j.joca.2014.01.003. Epub 2014 Jan 24.

    PubMed 24462672

Questions about this trial

What is this clinical trial studying?

A study testing Anteromedial Injection and Anterolateral Injection in people with Osteoarthitis and Osteoarthritic Knee Pain, run by University of Chicago at 5 sites in United States.

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 6 inclusion and 7 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: looking for participants now, as of the sponsor's last update on 4 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 5 sites in United States. 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. 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?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Malik J Scott, B.A. (773-834-3531, mjscott1@uchicago.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Numeric Pain Rating Scale (time frame: Pre-procedure, 2 weeks, 6 weeks, and 12 weeks post-injection). The study lists 2 primary outcomes in all. 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 NCT07804446, which also lists 25 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 4 Sep 2026.

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