Study to Assess the Effect of E-OA-07 on Acute Pain Response in Subjects Suffering From Knee OA (Osteolanc)
Primary Purpose
Osteoarthritis of Knee
Status
Completed
Phase
Not Applicable
Locations
India
Study Type
Interventional
Intervention
E-OA-07 (Lanconone)
Ibuprofen
Sponsored by
About this trial
This is an interventional treatment trial for Osteoarthritis of Knee focused on measuring Acute pain, Herbal, VAS, Stop watch
Eligibility Criteria
Inclusion Criteria:
- Ambulatory adults of either sex aged 40 to 60 years.
- Subjects with moderate OA of the knee, which can be clinically, categorized as ARA functional Class II and III with radiological confirmation of Kellgren Lawrence Grade II and III. (incase of bilateral OA, the knee with the more severe symptoms will be defined as index joint)
- Subjects with OA in a flare state at the baseline defined by one of following category of flare:
In subjects who have been receiving non steroidal anti-inflammatory drugs (NSAIDs) or analgesic therapy for their OA, flare will be defined as having at least two of the following three criteria while comparing screening to baseline:
- Subject's assessment of arthritis pain VAS walking on a flat surface at baseline of ≥ 40 mm;
- Increase of ≥ 1 grade in the patients global assessment of arthritis;
- Increase of ≥ 1 grade in the physician's global assessment of arthritis;
In subjects who are not receiving NSAID or analgesic therapy , an OA flare state will be defined as having at least two of the following three criteria
- Subject's assessment of arthritis pain VAS walking on a flat surface at baseline of ≥ 40 mm
- Patient's global assessment of arthritis of ''poor''; very poor
- Physician's global assessment of arthritis of ''poor''; very poor
Exclusion Criteria:
- Subjects with any form of arthritis other than osteoarthritis.
- Administration of intra-articular or oral steroids in the past 3 month or intra articular hyaluronic acid in the last 9 months or parenteral use of NSAIDs
- History of major chronic hepatic, cardiovascular, neurological or immunosuppressive conditions or the presence of any infections
- Subjects with localized trauma to the lower limb
- Had received oral, intramuscular, or intra-articular corticosteroids within 8 weeks, or intra-articular hyaluronic acid in the index joint within 6 months of study drug administration;
- Subjects on nutritional supplement or herbal product since last one month
- Subjects otherwise judged by the investigator to be inappropriate for inclusion in the study
Sites / Locations
- Mukund Hospital
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Active Comparator
Arm Label
E-OA-07 (Lanconone)
Ibuprofen
Arm Description
500 mg two capsules to be taken stat at the site
200 mg two capsule to be taken stat at the site
Outcomes
Primary Outcome Measures
Pain score as measured by Visual Analogue Scale
Secondary Outcome Measures
Full Information
NCT ID
NCT02417506
First Posted
January 21, 2015
Last Updated
May 6, 2015
Sponsor
Vedic Lifesciences Pvt. Ltd.
Collaborators
Enovate Biolife Pvt Ltd
1. Study Identification
Unique Protocol Identification Number
NCT02417506
Brief Title
Study to Assess the Effect of E-OA-07 on Acute Pain Response in Subjects Suffering From Knee OA
Acronym
Osteolanc
Official Title
A Double Blind Randomized Comparator Controlled Study to Assess the Effect of E-OA-07 (Lanconone) on Acute Pain Response in Subjects Suffering From Osteoarthritis of the Knee
Study Type
Interventional
2. Study Status
Record Verification Date
May 2015
Overall Recruitment Status
Completed
Study Start Date
August 2014 (undefined)
Primary Completion Date
February 2015 (Actual)
Study Completion Date
February 2015 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Vedic Lifesciences Pvt. Ltd.
Collaborators
Enovate Biolife Pvt Ltd
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
The repetitive motions associated with active life and many sports can increase the wear and tear to the joints that leads to decrease in flexibility and joint pain finally heading its way to osteoarthritis. Activities such as jumping, running can wear away the cartilage that supports and cushions the joints of hands and knees, causing bones to rub against each other. Injuries stemming from repetitive motions can also cause and worsen the joint pain.
Joint pain is discomfort that arises from any joint . Irrespective of the underlying mechanisms, joint pain usually originates in activation of nociceptors, or free nerve endings. Complex neuronal activation occurs, which involves not only local sensitization of joint nociceptors but also modifications in central pain pathways.
Even though, the numerous pharmacological interventions are available for joint pain, there is much debate amongst clinicians about the best approach to the treatment of joint pain. NSAIDs which is frequently used for treatment in such cases, carries concerns related to gastro-intestinal system, cardiovascular system as well as central nervous system .
Hence there is a need of a safer alternative treatment option for relieving acute joint pain which is comparable to the modern medicines, without posing concerns to the subject's general well being.
Herbs are known to be used since ages in traditional literature and do not pose any potential health concern. Inspite of such positive attributes herbs are not employed in treatment of acute pains as there is lack of evidence proving the same.
In order to address the need of the hour Enovate Biolife has invented a novel poly herbal formulation E-OA-07 (Lanconone). Lanconone has been studied previously in patients with osteoarthritis has been proven efficacious . It has a good history of marketing and is sold in the United States, with no reported adverse event related to the product. However there is no concrete evidence proving the product's acute pain relieving dynamics, hence the current study has been employed to comprehend the effect of lanconone in joint acute pain.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Osteoarthritis of Knee
Keywords
Acute pain, Herbal, VAS, Stop watch
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
72 (Actual)
8. Arms, Groups, and Interventions
Arm Title
E-OA-07 (Lanconone)
Arm Type
Experimental
Arm Description
500 mg two capsules to be taken stat at the site
Arm Title
Ibuprofen
Arm Type
Active Comparator
Arm Description
200 mg two capsule to be taken stat at the site
Intervention Type
Other
Intervention Name(s)
E-OA-07 (Lanconone)
Other Intervention Name(s)
Investigational Product
Intervention Type
Drug
Intervention Name(s)
Ibuprofen
Other Intervention Name(s)
Comparator
Primary Outcome Measure Information:
Title
Pain score as measured by Visual Analogue Scale
Time Frame
Day 0
10. Eligibility
Sex
All
Minimum Age & Unit of Time
40 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Ambulatory adults of either sex aged 40 to 60 years.
Subjects with moderate OA of the knee, which can be clinically, categorized as ARA functional Class II and III with radiological confirmation of Kellgren Lawrence Grade II and III. (incase of bilateral OA, the knee with the more severe symptoms will be defined as index joint)
Subjects with OA in a flare state at the baseline defined by one of following category of flare:
In subjects who have been receiving non steroidal anti-inflammatory drugs (NSAIDs) or analgesic therapy for their OA, flare will be defined as having at least two of the following three criteria while comparing screening to baseline:
Subject's assessment of arthritis pain VAS walking on a flat surface at baseline of ≥ 40 mm;
Increase of ≥ 1 grade in the patients global assessment of arthritis;
Increase of ≥ 1 grade in the physician's global assessment of arthritis;
In subjects who are not receiving NSAID or analgesic therapy , an OA flare state will be defined as having at least two of the following three criteria
Subject's assessment of arthritis pain VAS walking on a flat surface at baseline of ≥ 40 mm
Patient's global assessment of arthritis of ''poor''; very poor
Physician's global assessment of arthritis of ''poor''; very poor
Exclusion Criteria:
Subjects with any form of arthritis other than osteoarthritis.
Administration of intra-articular or oral steroids in the past 3 month or intra articular hyaluronic acid in the last 9 months or parenteral use of NSAIDs
History of major chronic hepatic, cardiovascular, neurological or immunosuppressive conditions or the presence of any infections
Subjects with localized trauma to the lower limb
Had received oral, intramuscular, or intra-articular corticosteroids within 8 weeks, or intra-articular hyaluronic acid in the index joint within 6 months of study drug administration;
Subjects on nutritional supplement or herbal product since last one month
Subjects otherwise judged by the investigator to be inappropriate for inclusion in the study
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Shalini Srivastava, M.D.
Official's Role
Study Chair
Facility Information:
Facility Name
Mukund Hospital
City
Mumbai
State/Province
Maharashtra
ZIP/Postal Code
400059
Country
India
12. IPD Sharing Statement
Citations:
PubMed Identifier
27052991
Citation
Girandola RN, Srivastava S, Loullis CC. A clinical trial comparing Lanconone(R) with ibuprofen for rapid relief in acute joint pain. Trials. 2016 Apr 6;17:189. doi: 10.1186/s13063-016-1268-6.
Results Reference
derived
Learn more about this trial
Study to Assess the Effect of E-OA-07 on Acute Pain Response in Subjects Suffering From Knee OA
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