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Interleukin-1 Inhibitor

Biologic Therapy for Osteoarthritis Prevention After ACL Injury

Phase < 1
Recruiting
Research Sponsored by University of California, Los Angeles
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
no more than grade 1 medial collateral ligament injury
patients age 18 to 35 years with closed growth plates as visualized on plain radiographs who participate in cutting and pivoting activities.
Must not have
multi-ligamentous knee injury
current malignancy
Timeline
Screening 3 weeks
Treatment Varies
Follow Up surveys will be obtained prior to surgery and then at 3, 6, 9, 12 and 24 months following surgery

Summary

This trial is testing whether or not a common injury, an ACL tear, can be prevented from turning into arthritis by using a naturally occurring protein.

Who is the study for?
This trial is for men and women aged 18-35 with a recent ACL injury who plan to have ACL reconstruction surgery within 45 days. They must not have severe knee injuries besides the ACL, no history of certain diseases or conditions, and no prior treatments that could interfere with the study.
What is being tested?
The trial tests if injecting Anakinra (a biologic therapy) into the knee after an ACL injury can prevent osteoarthritis. Participants are randomly placed in two groups: one gets Anakinra injections, while the other receives placebo saline injections before their surgery.
What are the potential side effects?
Anakinra may cause reactions at the injection site, increased risk of infection due to immune system suppression, headaches, nausea, and potential allergic reactions in those sensitive to its components.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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My knee injury is minor.
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I am between 18 and 35 years old and engage in sports that involve sudden direction changes.
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My ACL injury was confirmed by an MRI less than 2 weeks ago.
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I do not have an injury to the outer back part of my same-side knee.
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My knee's back ligament is not injured, according to tests.

Exclusion Criteria

You may be eligible for the trial if you check “No” for criteria below:
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I have multiple torn ligaments in my knee.
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I currently have cancer.
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I have a blood clotting disorder or am on blood thinners.
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I have previously been treated with IL-1Ra.
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I am experiencing kidney failure.
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I have an ongoing inflammatory or rheumatologic condition.
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I have severe cartilage damage.
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I have had surgery on the same knee before.
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I do not have any current infections.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~surveys will be obtained prior to surgery and then at 3, 6, 9, 12 and 24 months following surgery
This trial's timeline: 3 weeks for screening, Varies for treatment, and surveys will be obtained prior to surgery and then at 3, 6, 9, 12 and 24 months following surgery for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.
Primary study objectives
Cartilage biomarker analysis of synovial fluid
Cytokine level analysis of synovial fluid
Secondary study objectives
Cartilage biomarker analysis of urine
Patient-reported knee pain and function
Other study objectives
MRI

Trial Design

2Treatment groups
Active Control
Placebo Group
Group I: Two doses AnakinraActive Control1 Intervention
Subjects will receive two injections of anakinra after ACL injury, prior to surgery
Group II: ControlPlacebo Group1 Intervention
Subjects will receive two injections of sterile saline after ACL injury, prior to surgery

Find a Location

Who is running the clinical trial?

University of California, Los AngelesLead Sponsor
1,569 Previous Clinical Trials
10,314,257 Total Patients Enrolled
Orthopedic Research and Education FoundationOTHER
20 Previous Clinical Trials
5,269 Total Patients Enrolled

Media Library

Anakinra (Interleukin-1 Inhibitor) Clinical Trial Eligibility Overview. Trial Name: NCT03968913 — Phase < 1
Anterior Cruciate Ligament Injury Research Study Groups: Control, Two doses Anakinra
Anterior Cruciate Ligament Injury Clinical Trial 2023: Anakinra Highlights & Side Effects. Trial Name: NCT03968913 — Phase < 1
Anakinra (Interleukin-1 Inhibitor) 2023 Treatment Timeline for Medical Study. Trial Name: NCT03968913 — Phase < 1
~8 spots leftby Dec 2025