Osteoarthritis

Is detection of disease-modifying osteoarthritis drug treatment more effective when performing cartilage morphometry without blinding to MR image acquisition order?

Osteoarthritis CartilagePublished Secondary analysis of the FORWARD randomised trial

Primary result · TFTJ_ThC change, unblinded vs blinded (all groups)Result — go to the resultDifference −35 µm

Authors' conclusion

These results do not reveal that detection of proposed DMOAD treatment is enhanced with MRIs read unblinded to order; rather, the sensitivity is similar to blinded analysis.

Study context

Population
Knee OA patients in the FORWARD RCT randomised 1:1:1:1:1 to intra-articular placebo, sprifermin 30 µg or 100 µg every 6 or 12 M549 randomised
Participants
352 patients
Comparison
Cartilage morphometry read unblinded vs blinded to magnetic resonance imaging (MRI) acquisition order
Primary endpoint
Total femorotibial joint cartilage thickness (TFTJ_ThC) change, unblinded vs blinded analysis
Follow-up
24 months
Methodological detailsmethodological comparison of blinded vs unblinded MRI reading
  • Methodological comparison of blinded vs unblinded MRI reading

Primary result

As reported in the abstract

TFTJ_ThC change, unblinded vs blinded (all groups)

Difference

−35 µm

Further findings

OutcomePlacebo100 µg/every 6 MDifference (µm) (95% CI)
TFTJ_ThC change, unblinded analysis: placebovs 100 µg every 6 M · 24 monthsCohen D = −0.66−46 ± 57 µm−2.2 ± 73 µm44 (22–66)
TFTJ_ThC change, blinded analysis: placebovs 100 µg every 6 M · 24 monthsCohen D = −0.69−11 ± 53 µm30 ± 62 µm40 (21–60)

Treatment effect of 100 µg sprifermin every 6 M on TFTJ_ThC (both analyses) · 24 months

Statistically significant treatment effects
P < 0.001

Original publication

Is detection of disease-modifying osteoarthritis drug treatment more effective when performing cartilage morphometry without blinding to MR image acquisition order? Osteoarthritis Cartilage. Published 4 June 2024. doi:10.1016/j.joca.2024.05.012

Composed by AI from the published abstract and checked against it. How Briefs are made →

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