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Assessment of the Effects of Chondroitin Sulphate in Patients With Knee Osteoarthritis With Functional Magnetic Resonance Imaging (fMRI)

Primary Purpose

Knee Osteoarthritis

Status
Unknown status
Phase
Phase 4
Locations
Spain
Study Type
Interventional
Intervention
Chondroitin sulphate (Condrosan®)
Placebo
Sponsored by
Bioiberica
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Knee Osteoarthritis focused on measuring Chondroitin sulphate, Knee osteoarthritis, Functional Magnetic Resonance Imaging

Eligibility Criteria

40 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Primary knee OA according to ACR criteria
  • OA of radiological stages 2 to 3 according to Kellgren-Lawrence
  • Estable knee pain during the last months before to start the clinical trial
  • Patients with pain as the VAS≥50mm at baseline

Exclusion Criteria:

  • Patients with skin conditions that could interfere in the clinical trial evaluation
  • Pregnant or breastfeeding woman
  • Patients with a history of alcoholism or other drug abuse
  • Patients with an uncontrolled active psychiatric disorder
  • Patients with other inflammatory or systemic conditions affecting other joints
  • Patients who suffer more intense pain in the joint in another location
  • Patients unable to differentiate between symptoms caused by the knee in front of the joint study opposite
  • OA of radiological stages 1 or 4 according to Kellgren-Lawrence
  • Other bone and articular diseases such as chondrocalcinosis, Paget's disease, rheumatoid arthritis, aseptic osteonecrosis, gout, septic arthritis, ochronosis, acromegaly, hemochromatosis, Wilson's disease, osteochondromatosis
  • Patients with contraindications to perform an MRI such as: certain tattoos, pacemakers, intracranial clips incompatible with MRI, in the heart valves, hearing aids and other types of implants are incompatible with MRI
  • Known allergy to chondroitin sulphate
  • Washout period for OA treatments before beginning the study

Sites / Locations

  • Hospital del Mar

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

1

2

Arm Description

Chondroitin sulphate

Placebo

Outcomes

Primary Outcome Measures

Brain response to pain caused on arthritic knee selected by fMRI
Functional magnetic resonance imaging (fMRI) is particularly suited to investigating the effects of pharmacological agents on pain processing within the human central nervous system. The measures are based on the haemodynamic resonse to a neuronal event and constitute indirect measures of excitatory and inhibitory neuronal activity. The neuronal activation is associated with an increase of the oxygen extraction fraction from the capillaries and with an increase in regional cerebral blood flow. The measure which derived from blood oxygenation is called the BOLD effect.

Secondary Outcome Measures

Assessment of the reduction of pain by Huskisson VAS
Determination of pain and functional capacity using the Lequesne Algofunctional Index
Use of rescue medication
Assessment of the quality of life of patients by SF-36 Health Questionaire

Full Information

First Posted
October 8, 2010
Last Updated
October 1, 2012
Sponsor
Bioiberica
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1. Study Identification

Unique Protocol Identification Number
NCT01226615
Brief Title
Assessment of the Effects of Chondroitin Sulphate in Patients With Knee Osteoarthritis With Functional Magnetic Resonance Imaging (fMRI)
Official Title
Randomized, Double-blind, Placebo-controlled Study to Asses the Effect of Chondroitin Sulphate in Patients With Knee Osteoarthritis by Functional Magnetic Resonance Imaging
Study Type
Interventional

2. Study Status

Record Verification Date
October 2012
Overall Recruitment Status
Unknown status
Study Start Date
October 2010 (undefined)
Primary Completion Date
October 2011 (Actual)
Study Completion Date
December 2012 (Anticipated)

3. Sponsor/Collaborators

Name of the Sponsor
Bioiberica

4. Oversight

5. Study Description

Brief Summary
The main purposes of this study are: to determine the effects of chondroitin sulphate on brain response to pain assessed through fMRI in patients with knee osteoarthritis. to investigate the relationship between treatment response detected by fMRI and the results of the different parameters of clinical assessment.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Knee Osteoarthritis
Keywords
Chondroitin sulphate, Knee osteoarthritis, Functional Magnetic Resonance Imaging

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
64 (Actual)

8. Arms, Groups, and Interventions

Arm Title
1
Arm Type
Experimental
Arm Description
Chondroitin sulphate
Arm Title
2
Arm Type
Placebo Comparator
Arm Description
Placebo
Intervention Type
Drug
Intervention Name(s)
Chondroitin sulphate (Condrosan®)
Intervention Description
800mg (two capsules of 400mg each) taken once a day for four months
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Two placebo capsules taken once a day for four months.
Primary Outcome Measure Information:
Title
Brain response to pain caused on arthritic knee selected by fMRI
Description
Functional magnetic resonance imaging (fMRI) is particularly suited to investigating the effects of pharmacological agents on pain processing within the human central nervous system. The measures are based on the haemodynamic resonse to a neuronal event and constitute indirect measures of excitatory and inhibitory neuronal activity. The neuronal activation is associated with an increase of the oxygen extraction fraction from the capillaries and with an increase in regional cerebral blood flow. The measure which derived from blood oxygenation is called the BOLD effect.
Time Frame
4 months
Secondary Outcome Measure Information:
Title
Assessment of the reduction of pain by Huskisson VAS
Time Frame
4 months
Title
Determination of pain and functional capacity using the Lequesne Algofunctional Index
Time Frame
4 months
Title
Use of rescue medication
Time Frame
4 months
Title
Assessment of the quality of life of patients by SF-36 Health Questionaire
Time Frame
4 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
40 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Primary knee OA according to ACR criteria OA of radiological stages 2 to 3 according to Kellgren-Lawrence Estable knee pain during the last months before to start the clinical trial Patients with pain as the VAS≥50mm at baseline Exclusion Criteria: Patients with skin conditions that could interfere in the clinical trial evaluation Pregnant or breastfeeding woman Patients with a history of alcoholism or other drug abuse Patients with an uncontrolled active psychiatric disorder Patients with other inflammatory or systemic conditions affecting other joints Patients who suffer more intense pain in the joint in another location Patients unable to differentiate between symptoms caused by the knee in front of the joint study opposite OA of radiological stages 1 or 4 according to Kellgren-Lawrence Other bone and articular diseases such as chondrocalcinosis, Paget's disease, rheumatoid arthritis, aseptic osteonecrosis, gout, septic arthritis, ochronosis, acromegaly, hemochromatosis, Wilson's disease, osteochondromatosis Patients with contraindications to perform an MRI such as: certain tattoos, pacemakers, intracranial clips incompatible with MRI, in the heart valves, hearing aids and other types of implants are incompatible with MRI Known allergy to chondroitin sulphate Washout period for OA treatments before beginning the study
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jordi Monfort, MD
Organizational Affiliation
Hospital del Mar
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Jesús Pujol, MD
Organizational Affiliation
Hospital del Mar
Official's Role
Principal Investigator
Facility Information:
Facility Name
Hospital del Mar
City
Barcelona
Country
Spain

12. IPD Sharing Statement

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Assessment of the Effects of Chondroitin Sulphate in Patients With Knee Osteoarthritis With Functional Magnetic Resonance Imaging (fMRI)

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