HYALURONIC ACID FOR INTRA-ARTICULAR INJECTION: EFFICACY AND SAFETY

DOI: https://doi.org/10.29296/25877305-2019-03-17
Download full text PDF
Issue: 
3
Year: 
2019

V. Privolnev(1), Candidate of Medical Sciences, O. Agafonov(2), Candidate of Medical Sciences; A. Rodin(3), Candidate of Medical Sciences; R. Fedorov(4), Candidate of Medical Sciences; A. Shilina(3) 1-Medical Department, AO “R-Pharm”, Smolensk 2-Naval Clinical Hospital No. 1409. Ministry of Defense of Russia, Chernyakhovsk 3-Smolensk State Medical University 4-Federal Center for Traumatology, Orthopedics and Endoprosthesis, Ministry of Health of Russia, Smolensk

Hyaluronic acid (HA) preparations have been known for a rather long time. More than 20 years ago, the Food and Drug Administration (FDA) in the USA permitted their clinical use. Vast experience reflected in numerous high-level studies and meta-analyses has been accumulated during this time. The paper presents data on the pathogenetic substantiation of the clinical use of HA preparations, their results, including those in comparison with other drugs for the therapy of osteoarthrosis (OA). Indications for their use, efficacy, and safety during intra-articular injection are separately considered. The role of HA preparations in the treatment of OA is defined on the basis on the above data.

Keywords: 
rheumatology
osteoarthrosis
gonarthrosis
hyaluronic acid



It appears your Web browser is not configured to display PDF files. Download adobe Acrobat или click here to download the PDF file.

References: 
  1. Balazs E., Denlinger J. Viscosupplementation: a new concept in the treatment of osteoarthritis // J. Rheum. – 1993; 39: 3–9.
  2. Conduah A., Baker C., Baker Jr C. Managing joint pain in osteoarthritis: safety and efficacy of hylan G-F 20 // J. Pain Res. – 2009; 2: 87–98.
  3. Goldberg V., Buckwalter J. Hyaluronans in the treatment of osteoarthritis of the knee: evidence for disease-modifying activity // Osteoarthritis Cartilage. – 2005; 31: 216–24. DOI: 10.1016/j.joca.2004.11.010
  4. Moreland L. Intra-articular hyaluronan (hyaluronic acid) and hylans for the treatment of osteoarthritis: mechanisms of action // Arthritis Res. Ther. – 2003; 5 (2): 54–67. DOI: 10.1186/ar623.
  5. Brockmeier S., Shaffer B. Viscosupplementation therapy for osteoarthritis // Sports Med. Arthrosc. Rev. – 2006; 14 (3): 155–62. DOI: 10.1097/00132585-200609000-00007.
  6. Miyakoshi N., Kobayashi M., Nozaka K. et al. Effects of intra-articular administration of basic fibroblast growth factor with hyaluronic acid on osteochondral defects of the knee in rabbits // Arch. Orthop. Trauma Surg. – 2005; 125 (10): 683–92. DOI: 10.1007/s00402-005-0052-y.
  7. Ghosh P. The role of hyaluronic acid (hyaluronan) in health and disease: interactions with cells, cartilage and components of synovial fluid // Clin. Exper. Rheumatol. – 1994; 12 (1): 75–82.
  8. Goldberg V., Goldberg L. Intra-articular hyaluronans: the treatment of knee pain in osteoarthritis // J. Pain Res. – 2010; 3: 51–6. DOI: 10.2147/JPR.S4733.
  9. Lussier A., Cividino A., McFarlane C. et al. Viscosupplementation with hylan for the treatment of osteoarthritis: findings from clinical practice in Canada // J. Rheumatol. – 1996; 23 (9): 1579–85.
  10. Bellamy N., Campbell J., Robinson V. et al. Viscosupplementation for the treatment of osteoarthritis of the knee // Cochrane Database Syst. Rev. – 2006; 2: CD005321. DOI: 10.1002/14651858.CD005321.pub2.
  11. Wang C., Lin J., Chang C. et al. Therapeutic effects of hyaluronic acid on osteoarthritis of the knee. A meta-analysis of randomized controlled trials // J. Bone Joint Surg. Am. – 2004; 86 (3): 538–45.
  12. Brzusek D., Petron D. Treating knee osteoarthritis with intra-articular hyaluronans // Curr. Med. Res. Opin. – 2008; 24 (12): 3307–22. DOI: 10.1185/03007990802490124.
  13. Dickson D., Hosie G., English J. A double-blind, placebo-controlled comparison of hylan G-F 20 against diclofenac in knee osteoarthritis // J. Clin. Res. – 2001; 4: 41–52.
  14. Caborn D., Rush J., Lanzer W. et al. A randomized, single-blind comparison of the efficacy and tolerability of hylan G-F 20 and triamcinolone hexacetonide in patients with osteoarthritis of the knee // J. Rheumatol. – 2004; 31 (2): 333–43.
  15. Wang S., Wu D., Chang Q. et al. Intra-articular, single-shot co-injection of hyaluronic acid and corticosteroids in knee osteoarthritis: A randomized controlled trial // Exp. Ther. Med. – 2018; 16 (3): 1928–34. DOI: 10.3892/etm.2018.6371.
  16. Karlsson J., Sjogren S., Lohmander L. Comparison of two hyaluronan drugs and placebo in patients with knee osteoarthritis: a controlled, randomized, double-blind, parallel-design multicentre study // Rheumatology (Oxford). – 2002; 41 (11): 1240–8. DOI: 10.1093/rheumatology/41.11.1240.
  17. Kotevoglu N., Iyibozkurt P., Hiz O. et al. A prospective randomized controlled clinical trail comparing the efficacy of different molecular weight hyaluronan solutions in the treatment of knee osteoarthritis // Rheumatol. Int. – 2006; 26 (4): 325–30. DOI: 10.1007/s00296-005-0611-0.
  18. Raynauld J., Goldsmith C., Bellamy N. et al. Effectiveness and safety of repeat courses of hylan G-F 20 in patients with knee osteoarthritis // Osteoarthritis Cartilage. – 2005; 13 (2): 111–9. DOI: 10.1016/j.joca.2004.10.018.
  19. Webber T., Webber A., Matzkin E. Rate of adverse reactions to more than 1 series of viscosupplementation // Orthopedics. – 2012; 35 (4): e514–9. DOI: 10.3928/01477447-20120327-26.
  20. Altman R., Rosen J., Bloch D. et al. Safety and efficacy of retreatment with a bioengineered hyaluronate for painful osteoarthritis of the knee: results of the open-label Extension Study of the FLEXX Trial // Osteoarthritis Cartilage. – 2011; 19 (10): 1169–75. DOI: 10.1016/j.joca.2011.07.001.
  21. Pagnano M., Westrich G. Successful nonoperative treatment of chronic osteoarthritis pain of the knee: safety and efficacy of retreatment with intra-articular hyaluronans // Osteoarthritis Cartilage. – 2005; 13 (9): 751–61. DOI: 10.1016/j.joca.2005.04.012.
  22. Recommendations for the medical management of osteoarthritis of the hip and knee: 2000 update. American College of Rheumatology Subcommittee on Osteoarthritis Guidelines // Arthritis Rheum. – 2000; 43 (9): 1905–15. DOI: 10.1002/1529-0131(200009)43:93.0.CO;2-P.
  23. Hammesfahr J., Knopf A., Stitik T. Safety of intra-articular hyaluronates for pain associated with osteoarthritis of the knee // Am. J. Orthop. – 2003; 32 (6): 277–83.
  24. Waddell D. Viscosupplementation with hyaluronans for osteoarthritis of the knee // Drugs Aging. – 2007; 24 (8): 629–42.
  25. Goldberg V., Coutts R. Pseudoseptic reactions to hylanviscosupplementaion: diagnosis and treatment // Clin. Orthop. Relat. Res. – 2004; 419: 130–7.
  26. Jackson D., Evans N., Thomas B. Accuracy of needle placement into the intra-articular space of the knee // J. Bone Joint Surg. Am. – 2002; 84 (9): 1522–7. DOI: 10.2106/00004623-200209000-00003.
  27. Goomer R., Leslie K., Maris T. et al. Native hyaluronan produces less hypersensitivity than cross-linked hyaluronan // Clin. Orthop. Relat. Res. – 2005; 434: 239–45. DOI: 10.1097/01.blo.0000152443.04202.43.
  28. Leopold S., Warme W., Pettis P. et al. Increased frequency of acute local reaction to intra-articular hylan GF-20 (synvisc) in patients receiving more than one course of treatment // J. Bone Joint Surg. Am. – 2002; 84-A (9): 1619–23. DOI: 10.2106/00004623-200209000-00015.
  29. Ottaviani R., Wooley P., Song Z. et al. Inflammatory and immunological responses to hyaluronan preparations. Study of a murine biocompatibility model // J. Bone Joint Surg. Am. – 2007; 89 (1): 148–57. DOI: 10.2106/JBJS.E.01135.
  30. Monfort J., Lisbona M., Gimenez-Arnau A. et al. Immunoallergic reaction following intraarticular injection of high molecular weight hyaluronic acid // Joint Bone Spine. – 2013; 80 (5): 551–2. DOI: 10.1016/j.jbspin.2013.02.010.
  31. Guidelines for the diagnosis, investigation and management of osteoarthritis of the hip and knee. Report of a Joint Working Group of the British Society for Rheumatology and the Research Unit of the Royal College of Physicians // J. R. Coll. Physicians Lond. – 1993; 27: 391–6.
  32. Allen E., Krohn K. Adverse reaction to hylan GF-20 // J. Rheumatol. – 2000; 27 (6): 1572.
  33. Kahan A., Lleu P., Salin L. Prospective randomized study comparing the medico-economic benefits of hylan G-F 20 vs conventional treatment in knee osteoarthritis // Joint Bone Spine. – 2003; 70 (4): 276–81.
  34. Waddell D., Bricker D. Total knee replacement delayed with hylan G-F 20 use in patients with grade IV osteoarthritis // J. Manag. Care Pharm. – 2007; 13 (2): 113–21. DOI: 10.18553/jmcp.2007.13.2.113.
  35. Altman R., Lim S., Steen R. et al. Hyaluronic acid injections are associated with delay of total knee replacement surgery in patients with knee osteoarthritis: evidence from a large U.S. health claims database // PLoS One. – 2015; 10 (12): e0145776. DOI: 10.1371/journal.pone.0145776.