SECOND GENERATION VISCOSUPPLEMENT
INDICATED IN THE TREATMENT OF ANKLE, HIP, SHOULDER and KNEE OSTEOARTHRITIS
UNIQUE COMBINATION OF CROSS-LINKED HYALURONIC ACID + MANNITOL
MEDICAL DEVICE – 1 x 2.2 ml pre-filled syringe (SINGLE INTRA-ARTICULAR INJECTION)
High concentration for prolonged activity
HAppyCross™ contains high concentration of hyaluronic acid (1.6%) i.e. 35.2 mg/syringe.
Cross-linked Hyaluronic Acid
HAppyCross™ is a cross-linked hyaluronic acid gel (IPN-Like technology). Cross-linking:
- Ensures a gel-like rheological behaviour, maximizing then the mechanical properties of hyaluronic acid.
- Increases the residence time of the gel in the joint cavity, preventing biodegradation from free radicals and enzymes.
A unique and patented cross-linking process
Compared to the classic cross-linking technique, the IPN-Like technology, or InterPenetrated Cross-linked Networks, involves combining, inserting one into another, two monophasic hyaluronic acid networks previously purified and cross-linked which are mechanically independent. Interpenetration of Cross-linked Networks:
- Optimizes the density of the chemical bonds while minimizing the use of reticulating agent (BDDE) within the monophasic gel, ensuring a longer-lasting effect of the product.
- Preserves the partial independence of the inter-penetrated networks and guarantees the gel is supple and easy to inject into the joint.
HAppyCross™ also contains high concentration of mannitol (77mg/syringe).
Long-lasting effect: Mannitol is an anti-oxidant which protects hyaluronic acid chains from free radicals and limits their degradation, increasing then their residence time in the joint cavity.
Analgesic effect: Due to its free radical scavenging properties, mannitol also ensures local analgesic effect.
Stabilizer: because it is a thermal stabilizer, mannitol allows HAppyCross™ to guarantee a stability of its rheological properties all along its storage.
HAppyCross™ is highly purified and results from bacterial fermentation.
HAPPYCROSS IN THE HIP
- Predictors of response to viscosupplementation in patients with hip osteoarthritis. Results of a prospective observational, multicenter, open-label, pilot study. F. Eymard; B. Maillet; H. Lellouche; S. Mellac-Ducamp; D. Loeuille; X. Chevalier; T. Conrozier. -Publication-
- Viscosupplementation with HANOX-M-XL (HappyCross®) is effective in moderate hip osteoarthritis but is not an alternative to hip joint surgery in patients with severe disease. Results of a clinical survey in 191 patients treated in daily practice. T.Conrozier; M. Bossert; A. Walliser-Lohse; M. Sondag; JC Balblanc. Eur J Musculoskeletal Dis. 2015; 2:49-55. -Publication-
HAPPYCROSS IN THE ANKLE
- Imaging guidance improves the results of viscosupplementation with HANOX-M-XL in patients with ankle osteoarthritis. Results of a clinical survey in 50 patients treated in daily practice. M. Bossert; D. Boulbil; JM Parisaux; AM Bozgan; E. Richelme; T. Conrozier. -Publication- Preliminary results on the first 20 patients available, c.f. poster presentation
HAPPYCROSS IN THE KNEE
- Safety and Efficacy of Single Intra-Articular Injection of a Cross-Linked Hyaluronic Acid/Mannitol Formulation [HAppycross®] in knee Osteoarthritis Results of a Prospective Observational Study in Daily Practice Conditions. Monet M, Bozgan AM, Conrozier T. Ortho & Rheum Open Access 2017; 5(3): 555664. DOI: 10.19080/OROAJ.2017.05.555664. –Publication-
- Standardized Follow-up of Patients with Symptomatic Knee Osteoarthritis Treated with a Single Intra-articular Injection of a Combination of Cross-Linked Hyaluronic Acid and Mannitol. Thierry Conrozier, Ana-Maria Bozgan, Marie Bossert, Maxime Sondag, Anne Lohse-Walliser and Jean-Charles Balblanc. Clin Med Insights Arthritis Musculoskelet Disord. 2016 Sep 25;9:175-9. doi: 10.4137/CMAMD.S39432. eCollection 2016. -Publication-
- Getting Better or Getting Well? The Patient Acceptable Symptom State (PASS) Better Predicts Patient’s Satisfaction than the Decrease of Pain, in Knee Osteoarthritis Subjects Treated with Viscosupplementation. Thierry Conrozier, Matthieu Monet, Anne Lohse, Raghu Raman. Cartilage. 2017 Aug 1:1947603517723072. doi: 10.1177/1947603517723072. -Publication-
- Reduction of the Serum Levels of a Specific Biomarker of Cartilage Degradation (Coll2-1) by Hyaluronic Acid (KARTILAGE® CROSS) Compared to Placebo in Painful Knee Osteoarthritis Patients: the EPIKART Study, a Pilot Prospective Comparative Randomized Double Blind Trial. Henrotin Y., Berenbaum F., Chevalier X., Marty M., Richette P., Rannou F. BMC Musculoskelet Disord. 2017 May 26;18(1):222. doi: 10.1186/s12891-017-1585-2. -Publication-
This study has been conducted with biomarkers in order to demonstrate that HAppyCross reduces cartilage degradation in patients with knee OA (decrease of the biomarkers of type II collagen). This study shows HAppyCross is effective to decrease degradation of collagen but has not been designed to show any clinical effects.
- Effect of Mannitol on Hyaluronic Acid Stability in Two in Vitro Models of Oxidative Stress. M. Rinaudo; B Lardy; L. Grange; T. Conrozier. Polymers 2014, 6, 1948-1957; doi: 10.3390/polym6071948 -Publication-
- Mannitol preserves the elasto-viscous properties of hyaluronic acid in an in vitro model of oxidative stress. T. Conrozier; P. Mathieu; M. Rinaudo. Rheumatol Ther. 2014; doi: 10.1007/s407444-014-0001-8. -Publication-
- Addition of Mannitol to Hyaluronic Acid may Shorten Viscosupplementation Onset of Action in Patients with Knee Osteoarthritis: Post-Hoc Analysis of A Double-blind, Controlled Trial. Eymard F, Bossert M, Lecurieux R, Maillet B, Chevalier X, et al. (2016) J Clin Exp Orthop 2: 21. doi: 10.4172/2471-8416.100021 -Publication-
- Is the addition of a polyol to hyaluronic acid a significant advance in the treatment of osteoarthritis? Conrozier T. Curr Rheumatol Rev. 2017 Jul 10. doi:10.2174/1573397113666170710115558. -Publication-
- Consensus statement on viscosupplementation with hyaluronic acid for the management of OA. Y. Henrotin; R. Raman; P. Richette; H. Bard, J. Jerosch; T. Conrozier; X. Chevalier; A. Migliore. Semin Arthritis Rheum. 2015 Apr 30. doi: 10.1016/j.semarthrit.2015.04.011. -Publication-
- Steroids, lidocaine and ioxaglic acid modify the viscosity of hyaluronic acid: in vitro study and clinical implications. T. Conrozier; J. Patarin; P. Mathieu; M. Rinaudo. SpringerPlus . 2016;5:170; doi: 10.1186/s40064-016-1762-z. –Publication-
- Decision Algorithms for the Retreatment with Viscosupplementation in Patients Suffering from Knee Osteoarthritis. Recommendations from the EUROpean VIScosupplementation COnsensus Group (EUROVISCO). R. Raman, Y. Henrotin, X. Chevalier, A. Migliore, J. Jerosch, J. Montfort, H. Bard, D. Baron, P. Richette, T. Conrozier. Cartilage. February-01-2017. Doi: 10.1177/1947603517693043 -Publication-