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. 2006 Apr 19;2006(2):CD005321. doi: 10.1002/14651858.CD005321.pub2

McDonald 2000.

Methods Randomised
 Controlled
 Trial
 Double‐blind
 Multicentre (n=12)
 2 wk washout
 Both ITT n=256
 and per protocol, n=233 with publication based on PP.
 analyses done
Participants Country:
 Germany
 Mean age: 62
 % Female: 61
 Mean disease
 duration: 4.4 y
 Duration:6 mth
 Number randomised:256
 (FM 127, HA 129)
 Inclusion:
 radiologically confirmed knee OA (Ahlback 1 to 3) and ACR diagnostic criteria
 investigator approval of with‐
 drawal of analgesic medication
 with escape medication being acetaminophen for study
 Exclusion:
 IA injections or arthroplasty to affected knee in last 3 mth
 concomitant medical condi‐
 tions that could interfere with study assessments such as hip OA
 Baseline values:
 pain
 FM:56.2,HA:57.2
 Lequesne
 FM:11.2,HA:11.1
Interventions Fermathron 2 ml
 5 weekly injections
 Hyalart 2 ml
 5 weekly injections
 Concurrent therapy:
 Paracetamol,
 Aspirin up to 150 mg
 daily
Outcomes Lequesne ‐‐‐‐‐‐‐‐‐
 use of escape medication by pt daily diary
 VAS pain assess‐
 ment of affected
 knee 
 pt global (very good, good,
 average, poor, very poor)
Notes Jadad's:5/5
 R‐2,B‐2,W‐1
 First author of publication is affiliated with Fermentech Medical Ltd.
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment (selection bias) Low risk A ‐ Adequate