Comparing collagen injection to placebo for knee osteoarthritis

Hydrolyzed Collagen Formulation Versus Placebo in the Treatment of Degenerative Knee Cartilage Injuries

Not applicable Interventional Istituto Ortopedico Rizzoli · NCT04998188

This study is testing if a single injection of collagen can help people with knee osteoarthritis feel better compared to a placebo shot.

Quick facts

PhaseNot applicable
Study typeInterventional
Enrollment204 (estimated)
Ages18 Years to 75 Years
SexAll
SponsorIstituto Ortopedico Rizzoli Academic / other
Locations1 site (Bologna)
Trial IDNCT04998188 on ClinicalTrials.gov

What this trial studies

This clinical trial aims to evaluate the effectiveness of a single intra-articular injection of hydrolyzed collagen compared to a placebo (saline solution) in patients with knee osteoarthritis. A total of 204 participants will be randomly assigned to receive either the collagen injection or the placebo, with follow-up assessments conducted at 1, 3, and 6 months post-injection. Clinical evaluations will include both subjective questionnaires and objective measures such as thermographic assessments to monitor inflammation. After 6 months, participants in the placebo group will have the option to switch to the collagen treatment for an additional 6 months of follow-up.

Who should consider this trial

Good fit: Ideal candidates are individuals with unilateral knee osteoarthritis who have not responded to conservative treatments.

Not a fit: Patients with recent knee surgeries, other significant medical conditions, or those who have received other intra-articular injections in the past 6 months may not benefit from this study.

Why it matters

Potential benefit: If successful, this treatment could provide a new, effective option for managing knee osteoarthritis symptoms.

How similar studies have performed: While similar approaches have been explored, this specific formulation and method of administration is relatively novel.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Unilateral involvement;
2. Signs and symptoms of degenerative pathology of knee cartilage;
3. Radiographic and MRI signs of degenerative pathology of the knee cartilage (Kellgren-Lawrence 1-4 grades);
4. Failure, defined as the persistence of symptoms, after at least one course of conservative treatment (pharmacological, physiotherapeutic or infiltrative treatment);
5. Ability and consent of patients to actively participate in clinical follow-up;

Exclusion Criteria:

1. Patients who have undergone intra-articular injections of another substance in the previous 6 months;
2. Patients undergoing knee surgery within the previous 12 months;
3. Patients with malignant neoplasms;
4. Patients with rheumatic diseases;
5. Patients with diabetes;
6. Patients with hematologic diseases (coagulopathies);
7. Patients on anticoagulant therapy;
8. Patients with metabolic disorders of the thyroid gland;
9. Patients abusing alcoholic beverages, drugs or medications;
10. Body Mass Index \> 35;
11. Pregnant or lactating women.
12. Patients with established hypersensitivity to bovine collagen or vitamin C.
13. Patients with joint or peri-articular infections, emarto, erythema, or psoriatic patches in the knee joint area

Where this trial is running

Bologna

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Knee Osteoarthritiskneeknee osteoarthritiscollagencollagen injectionosteoarthritisplaceboRandomized controlled trial
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.