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Effect of Cis-9-cetylmyristoleate in Sub-healthy Subjects Presenting With Knee Joint Pain

Primary Purpose

Knee Pain Intermittent

Status
Completed
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
JOINTRUS®
80% dose of JOINTRUS®
62.4% dose of JOINTRUS®
Starch 100%
Sponsored by
Seoul National University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Knee Pain Intermittent

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • sub-healthy persons >18 years of age and knee joint pain with a 0-10 numerical rating scale (NRS) pain score ≤ 4.

Exclusion Criteria:

  • current medication use related to arthritis;
  • current use of FAC containing products;
  • clinical or radiological diagnosis as moderate degree arthritis accompanied by peri-articular spur formation, irregular joint margin, and/or subchondral cyst;
  • previous history of knee surgery;
  • pregnant, breastfeeding, or practicing contraception with reliable methods, or not accepting our guidelines during the research periods;
  • major pain other than knee joint pain;
  • current treatment of gastritis or gastric ulcer;
  • abnormal screening laboratory results;
  • major cardiac, renal disease, or disability that could affect adverse effect assessment or interfere with study completion when enrolled;
  • history of major procedures or operations that might affect study results;
  • enrollment in another clinical trial or human application testing; and
  • judged as unsuitable for human application testing.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm 4

    Arm Type

    Active Comparator

    Active Comparator

    Active Comparator

    Placebo Comparator

    Arm Label

    100% of JOINTRUS®

    80% of JOINTRUS®

    62.4% of JOINTRUS®

    Starch 100%

    Arm Description

    After randomization, 100% dose of JOINTRUS® is taken per day for 3 months in 7 sub-healthy persons >18 years of age and knee joint pain with a 0-10 numerical rating scale (NRS) pain score ≤ 4. This study included a 7-day baseline screening period (Visit 1) and was followed by randomization (Visit 2), a 12-week ingestion period with clinic visits at week 4 (Visit 3), 8 (Visit 4), and 12 (Visit 5) after starting ingestion, and a 4-week post-ingestion safety follow-up. The pain intensity, functional disability state and change in the general status were assessed for a 12-week ingestion period.

    After randomization, 80% dose of JOINTRUS® was taken per day for 3 months in 7 sub-healthy persons >18 years of age and knee joint pain with a 0-10 numerical rating scale (NRS) pain score ≤ 4. This study included a 7-day baseline screening period (Visit 1) and was followed by randomization (Visit 2), a 12-week ingestion period with clinic visits at week 4 (Visit 3), 8 (Visit 4), and 12 (Visit 5) after starting ingestion, and a 4-week post-ingestion safety follow-up. The pain intensity, functional disability state and change in the general status were assessed for a 12-week ingestion period.

    After randomization, 62.4% dose of JOINTRUS® was taken per day for 3 months in 7 sub-healthy persons >18 years of age and knee joint pain with a 0-10 numerical rating scale (NRS) pain score ≤ 4. This study included a 7-day baseline screening period (Visit 1) and was followed by randomization (Visit 2), a 12-week ingestion period with clinic visits at week 4 (Visit 3), 8 (Visit 4), and 12 (Visit 5) after starting ingestion, and a 4-week post-ingestion safety follow-up. The pain intensity, functional disability state and change in the general status were assessed for a 12-week ingestion period.

    After randomization, starch 100% was taken per day for 3 months in 7 sub-healthy persons >18 years of age and knee joint pain with a 0-10 numerical rating scale (NRS) pain score ≤ 4. This study included a 7-day baseline screening period (Visit 1) and was followed by randomization (Visit 2), a 12-week ingestion period with clinic visits at week 4 (Visit 3), 8 (Visit 4), and 12 (Visit 5) after starting ingestion, and a 4-week post-ingestion safety follow-up. The pain intensity, functional disability state and change in the general status were assessed for a 12-week ingestion period.

    Outcomes

    Primary Outcome Measures

    CHANGE of Pain
    using the NRS score, composed of an 11-point scale from 0 (no pain) to 10 (the worst pain possible)

    Secondary Outcome Measures

    difference in NRS pain score from baseline within groups
    change of the WOMAC score
    using the Korean version of WOMAC
    Global Impression of Change
    a scale ranging from 1 (very much improved) to 7 (very much worse).

    Full Information

    First Posted
    June 8, 2016
    Last Updated
    June 10, 2016
    Sponsor
    Seoul National University
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    1. Study Identification

    Unique Protocol Identification Number
    NCT02800759
    Brief Title
    Effect of Cis-9-cetylmyristoleate in Sub-healthy Subjects Presenting With Knee Joint Pain
    Official Title
    The Minimal Effective Dose of Cis-9-cetylmyristoleate (CMO) in Persons Presenting With Knee Joint Pain
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    June 2016
    Overall Recruitment Status
    Completed
    Study Start Date
    September 2013 (undefined)
    Primary Completion Date
    July 2014 (Actual)
    Study Completion Date
    July 2014 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    Seoul National University

    4. Oversight

    Data Monitoring Committee
    Yes

    5. Study Description

    Brief Summary
    Cis-9-cetylmyristoleate (CMO) is a naturally occurring fatty acid complex (FAC). Nutraceuticals containing CMO are used to improve knee pain despite the lack of placebo-controlled studies in humans. The aim of the double-blind controlled clinical trial is to explore the minimal effective dose of CMO for relieving knee joint pain.
    Detailed Description
    Methods: Twenty-eight subjects, who are clinically or radiologically diagnosed as having mild degree arthritic knee joint pain, are randomized into 3 groups; Groups A, B, C that contained 100%, 80%, and 62.4% of fatty acid component with 12.5% of Cis-9-cetylmyristoleate (CMO), and control Group D (starch 100%). The pain intensity, functional disability state and change in the general status were assessed for a 12-week ingestion period.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Knee Pain Intermittent

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Not Applicable
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantCare ProviderInvestigatorOutcomes Assessor
    Allocation
    Randomized
    Enrollment
    28 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    100% of JOINTRUS®
    Arm Type
    Active Comparator
    Arm Description
    After randomization, 100% dose of JOINTRUS® is taken per day for 3 months in 7 sub-healthy persons >18 years of age and knee joint pain with a 0-10 numerical rating scale (NRS) pain score ≤ 4. This study included a 7-day baseline screening period (Visit 1) and was followed by randomization (Visit 2), a 12-week ingestion period with clinic visits at week 4 (Visit 3), 8 (Visit 4), and 12 (Visit 5) after starting ingestion, and a 4-week post-ingestion safety follow-up. The pain intensity, functional disability state and change in the general status were assessed for a 12-week ingestion period.
    Arm Title
    80% of JOINTRUS®
    Arm Type
    Active Comparator
    Arm Description
    After randomization, 80% dose of JOINTRUS® was taken per day for 3 months in 7 sub-healthy persons >18 years of age and knee joint pain with a 0-10 numerical rating scale (NRS) pain score ≤ 4. This study included a 7-day baseline screening period (Visit 1) and was followed by randomization (Visit 2), a 12-week ingestion period with clinic visits at week 4 (Visit 3), 8 (Visit 4), and 12 (Visit 5) after starting ingestion, and a 4-week post-ingestion safety follow-up. The pain intensity, functional disability state and change in the general status were assessed for a 12-week ingestion period.
    Arm Title
    62.4% of JOINTRUS®
    Arm Type
    Active Comparator
    Arm Description
    After randomization, 62.4% dose of JOINTRUS® was taken per day for 3 months in 7 sub-healthy persons >18 years of age and knee joint pain with a 0-10 numerical rating scale (NRS) pain score ≤ 4. This study included a 7-day baseline screening period (Visit 1) and was followed by randomization (Visit 2), a 12-week ingestion period with clinic visits at week 4 (Visit 3), 8 (Visit 4), and 12 (Visit 5) after starting ingestion, and a 4-week post-ingestion safety follow-up. The pain intensity, functional disability state and change in the general status were assessed for a 12-week ingestion period.
    Arm Title
    Starch 100%
    Arm Type
    Placebo Comparator
    Arm Description
    After randomization, starch 100% was taken per day for 3 months in 7 sub-healthy persons >18 years of age and knee joint pain with a 0-10 numerical rating scale (NRS) pain score ≤ 4. This study included a 7-day baseline screening period (Visit 1) and was followed by randomization (Visit 2), a 12-week ingestion period with clinic visits at week 4 (Visit 3), 8 (Visit 4), and 12 (Visit 5) after starting ingestion, and a 4-week post-ingestion safety follow-up. The pain intensity, functional disability state and change in the general status were assessed for a 12-week ingestion period.
    Intervention Type
    Dietary Supplement
    Intervention Name(s)
    JOINTRUS®
    Other Intervention Name(s)
    100% Fatty acid compound with 12.5% Cis-9-cetylmyristoleate
    Intervention Description
    100% Fatty acid compound with 12.5% Cis-9-cetylmyristoleate
    Intervention Type
    Dietary Supplement
    Intervention Name(s)
    80% dose of JOINTRUS®
    Other Intervention Name(s)
    80% Fatty acid compound with 12.5% Cis-9-cetylmyristoleate
    Intervention Description
    80% Fatty acid compound with 12.5% Cis-9-cetylmyristoleate
    Intervention Type
    Dietary Supplement
    Intervention Name(s)
    62.4% dose of JOINTRUS®
    Intervention Description
    62.4% Fatty acid compound with 12.5% Cis-9-cetylmyristoleate
    Intervention Type
    Dietary Supplement
    Intervention Name(s)
    Starch 100%
    Intervention Description
    0% Fatty acid compound with 12.5% Cis-9-cetylmyristoleate
    Primary Outcome Measure Information:
    Title
    CHANGE of Pain
    Description
    using the NRS score, composed of an 11-point scale from 0 (no pain) to 10 (the worst pain possible)
    Time Frame
    change from baseline at 3 months
    Secondary Outcome Measure Information:
    Title
    difference in NRS pain score from baseline within groups
    Time Frame
    at 1-month follow-up, at 2-month follow-up, and at 3-month follow-up
    Title
    change of the WOMAC score
    Description
    using the Korean version of WOMAC
    Time Frame
    change from baseline at 3 months
    Title
    Global Impression of Change
    Description
    a scale ranging from 1 (very much improved) to 7 (very much worse).
    Time Frame
    at 3-month follow-up

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: sub-healthy persons >18 years of age and knee joint pain with a 0-10 numerical rating scale (NRS) pain score ≤ 4. Exclusion Criteria: current medication use related to arthritis; current use of FAC containing products; clinical or radiological diagnosis as moderate degree arthritis accompanied by peri-articular spur formation, irregular joint margin, and/or subchondral cyst; previous history of knee surgery; pregnant, breastfeeding, or practicing contraception with reliable methods, or not accepting our guidelines during the research periods; major pain other than knee joint pain; current treatment of gastritis or gastric ulcer; abnormal screening laboratory results; major cardiac, renal disease, or disability that could affect adverse effect assessment or interfere with study completion when enrolled; history of major procedures or operations that might affect study results; enrollment in another clinical trial or human application testing; and judged as unsuitable for human application testing.

    12. IPD Sharing Statement

    Plan to Share IPD
    Yes
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    Effect of Cis-9-cetylmyristoleate in Sub-healthy Subjects Presenting With Knee Joint Pain

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