Table I.
Area | Key points | Supporting points |
---|---|---|
Overarching | Future PTOA trials are needed and supported | Early treatments that seek to prevent PTOA (i.e. around the time of injury) are likely to be feasible and acceptable with the right processes in place |
Design of trials | It is important to have those who have experienced a knee injury, those with PTOA, and clinicians delivering care involved in trial design | |
Approaches to stratification are supported in principle, but there are barriers to this that need to be addressed | The method of selecting those at ‘high’ and ‘low’ risk at the time of injury needs careful consideration | |
Stratification using molecular data was seen as more acceptable than stratification based on demographic features such as sex, age, or modifiable factors like BMI | ||
The likely effect of the specific treatment target should be considered | ||
How we screen/enrol people for trials should be based on the person’s likelihood to respond to that treatment | ||
More work is needed to decide the choice and best use of preclinical models and human studies that establish molecular predictors of outcome, including mechanistic readouts of target response | ||
New target development for trials | Improved understanding of disease pathology is supported to identify novel targets and enhance design of experimental medicine studies | Targeting symptoms as well as prevention of structural PTOA would be likely to increase appeal to younger patients |
PTOA, post-traumatic osteoarthritis.