Ultrasound for Osteoarthritis

Not yet recruiting at 1 trial location
RO
Overseen ByRalph Ortiz, DO, MPH
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Prior Safety DataThis treatment has passed at least one previous human trial

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a new ultrasound treatment, specifically Long Duration High Frequency Ultrasound, to determine its effectiveness in easing knee pain from osteoarthritis and improving joint function over 12 weeks. Participants will receive either ultrasound treatment with a medicated patch, a non-medicated patch, or a corticosteroid injection. The trial seeks individuals diagnosed with mild to moderate knee osteoarthritis who experience frequent pain affecting daily life. Those who find knee pain problematic and can commit to daily treatment may find this trial suitable. As a Phase 2 trial, the research focuses on measuring the treatment's effectiveness in an initial, smaller group, offering participants a chance to contribute to important advancements in osteoarthritis care.

Do I have to stop taking my current medications for the trial?

You cannot use or start using opioid or non-opioid pain medications during the study. You also need to stop any other treatments on your knee, like electrical stimulation or traditional ultrasound.

What prior data suggests that this ultrasound treatment is safe for knee osteoarthritis?

Research has shown that the SAM Ultrasound Device used in this trial is generally well-tolerated. In earlier studies, patients using the SAM device with a diclofenac patch reported no significant side effects. The device uses ultrasound energy to reduce pain and improve joint function. The FDA has approved it for home use, indicating trust in its safety for pain relief.

When combined with the diclofenac patch, the SAM device has not raised major safety concerns. Studies suggest it is easy to use and does not cause serious side effects, making it a potentially safe option for individuals with knee osteoarthritis seeking pain relief.

The trial also includes a corticosteroid injection (triamcinolone acetonide) for comparison. These injections are commonly used and generally considered safe for short-term pain relief in osteoarthritis patients, though they can sometimes cause side effects like joint infection or increased pain.

Overall, past research has shown that the treatments studied in this trial have good safety records.12345

Why are researchers excited about this trial's treatments?

Researchers are excited about the use of high-frequency ultrasound for osteoarthritis because it offers a non-invasive approach to pain relief and joint function improvement. Unlike standard treatments such as oral medications or injections, the SAM Ultrasonic Diathermy Device emits continuous ultrasound waves that can penetrate deeper into tissues, potentially enhancing healing and reducing inflammation without systemic side effects. Additionally, the combination of ultrasound with a diclofenac patch provides targeted anti-inflammatory benefits right at the source of pain, which is a novel delivery method that could improve patient outcomes compared to traditional treatments.

What evidence suggests that this trial's treatments could be effective for knee Osteoarthritis pain?

Research has shown that using the SAM Ultrasound Device with a diclofenac patch, one of the treatment options in this trial, may help reduce knee osteoarthritis pain. Earlier studies found this combination effective in easing arthritis pain and improving joint function. The device delivers continuous ultrasound waves for extended periods, which can lessen pain and aid healing. Some studies also suggest it can reduce the need for pain medications. Multiple research findings support this method, showing promise for people with knee osteoarthritis. Another arm of this trial will test the SAM Ultrasound Device with a SAM patch containing no diclofenac, while a separate arm will evaluate the effects of a single corticosteroid injection.13678

Are You a Good Fit for This Trial?

This trial is for people aged 65-85 with mild to moderate knee osteoarthritis who have frequent knee pain affecting their quality of life. Participants must be able to use the device themselves, not use other pain treatments or creams on the knee, and meet specific health criteria set by their doctor.

Inclusion Criteria

I have had frequent pain rated between 4 and 7 out of 10 in the past week.
Are deemed appropriate by their physician or by the study site physician to participate
I am willing to only use the provided ultrasound gel during treatment.
See 7 more

Exclusion Criteria

Has a pacemaker
I have cancer in the area that will be treated.
I have a diagnosed nerve or brain disorder.
See 14 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive treatment with the SAM Ultrasonic Diathermy Device and either a diclofenac patch or SAM patch for 12 weeks. Treatment is self-applied for 4 hours daily, at least 5 days a week.

12 weeks
Daily self-application

Follow-up

Participants are monitored for safety and effectiveness after treatment, with assessments of pain and joint function.

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Long Duration High Frequency Ultrasound

Trial Overview

The study compares long-duration high-frequency ultrasound therapy (with or without a diclofenac patch) applied daily at home versus standard injection treatment for relieving knee osteoarthritis pain and improving joint function over 12 weeks.

How Is the Trial Designed?

3

Treatment groups

Experimental Treatment

Active Control

Group I: SAM Ultrasound Device and Diclofenac PatchExperimental Treatment1 Intervention
Group II: SAM Ultrasound Device and SAM PatchActive Control1 Intervention
Group III: Corticosteroid InjectionActive Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

ZetrOZ, Inc.

Lead Sponsor

Trials
17
Recruited
1,500+

Citations

Evaluation of Sustained Acoustic Medicine for Treating ... - PMC

An osteoarthritis study was performed with patients with high BMIs treating relatively larger joints, which found SAM effective [42, 51, 52]. Ultrasound wave ...

NCT05882812 | Sustained Acoustic Medicine (SAM) for ...

This is an 8-week study to clinically evaluate the effectiveness of the Sustained Acoustic Medicine (SAM) device combined with diclofenac on symptoms of ...

Sustained Acoustic Medicine Combined with A Diclofenac ...

The objective of this study was to determine the efficacy of long-duration continuous ultrasound delivered by the SAM device combined with 1% ...

sam® 2.0 Device and sam® Single Peel Gel Capture ...

The sam® 2.0 device delivers sustained acoustic medicine (sam®) through continuous, long-duration, high-frequency ultrasound to reduce pain and improve ...

Clinical Studies & Abstracts

sam is a daily multi-hour continuous ultrasound treatment that can reduce the use of narcotics, treat arthritis pain and accelerate the natural healing cascade ...

Sustained Acoustic Medicine: A Novel Long Duration ... - PMC

The first FDA cleared device using the principles of SAM (conveniently named sam®) to enhance ultrasound therapy is currently available for characterization and ...

June 23, 2023 ZetrOZ Systems, LLC Sabrina Lewis QAR ...

The sam 2.0 Long Duration Ultrasound Device is intended for home use to apply ultrasonic energy to generate deep heat within body tissues for ...

Sustained Acoustic Medicine for Symptomatic Treatment of ...

Patients receive treatment from the wired SAM Ultrasonic Diathermy Device for 4 hours at least 5 days a week for 24 weeks combined with 2.5% diclofenac patch.