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To Assess Efficacy of Epiitalis on Knee Pain in Patients Suffering From Knee Osteoarthritis

Primary Purpose

Knee Osteoarthritis

Status
Completed
Phase
Not Applicable
Locations
India
Study Type
Interventional
Intervention
Epiitalis
Placebo
Sponsored by
Vedic Lifesciences Pvt. Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Knee Osteoarthritis

Eligibility Criteria

40 Years - 65 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

1. Male & female aged ≥ 40 to ≤ 65 years suffering from primary idiopathic osteoarthritis of the knee diagnosed at least 3 months prior to screening.

2 BMI ≥ 18 and ≤ 29.9 kg/m2. 3 Fasting blood sugar ≤ 126 mg/dl 4 LFT: Serum Glutamic oxaloacetic transaminase (SGOT) & <2X Upper Limit of Normal (UNL) and Serum Glutamic-Pyruvic transaminase (SGPT) & <2X UNL.

5 Serum Creatinine & <1.5X UNL. 6 Index knee joint pain rated ≥ 60 on a 100-point Pain-Visual Analogue Scale (VAS).

7. Osteoarthritis grade II/ III (Kellgren-Lawrence classification) as confirmed by: Grade II - Definite osteophytes and possible joint space narrowing (JSN) on the anteroposterior weight-bearing radiograph Grade III - Multiple osteophytes, definite JSN, sclerosis, and possible bony deformity 8. Systolic blood pressure & <140 mmHg and diastolic blood pressure & < 90 mmHg 9. In the case of hypothyroidism, only euthyroid patients will be allowed to be screened further. Blood reports of last 3 months will be valid at the time of screening.

10. Female participants of childbearing age must be willing to use the accepted methods of contraception during the course of the study.

11. Participants should be willing to be involved in some

Exclusion Criteria:

  1. History of osteoarthritis for more than 3 years.
  2. History of osteoporosis and/or frequent fractures.
  3. History of major trauma to the index joint.
  4. History of arthroscopic surgery or intervention on the index joint or awaiting a replacement of knee or hip joint.
  5. History of restless leg syndrome.
  6. Participants who have received intra-articular steroids or hyaluronic acid within the last three months.
  7. Not willing to abstain from the use of NSAIDs (including low dose aspirin 50 mg/day for cardiovascular health) or herbal/ nutraceutical supplements for joint health.
  8. Not willing to abstain from application of local analgesics, herbal oil 48 hours prior to study visit.
  9. Use of any immunosuppressive drugs in the last 12 months (including steroids).
  10. Participants with deformity of the knee joint.
  11. Participants categorized as ACR Functional Class I osteoarthritis
  12. Participants who are significantly incapacitated or disabled and would be categorized as ACR Functional Class IV osteoarthritis (largely or wholly incapacitated), or unable to walk without assistive devices.
  13. Participants with other known rheumatic or inflammatory diseases such as rheumatoid arthritis, osteomyelitis, and bone metastasis.
  14. Current smokers or chronic alcoholics.
  15. History of bleeding disorders.
  16. Participants suffering from deep vein thrombosis.
  17. Participants suffering from diabetic neuropathy.
  18. History of major chronic hepatic, cardiovascular, neurological or immunosuppressive conditions or the presence of any infections.
  19. Participants planning to travel in the next 56 days or engage in any non-routine activity that is likely to strain the knees.
  20. Participants having a history of any malignancy.
  21. Inability to comply with the protocol requirements.
  22. Participation in any other clinical trial within 3 months of registering in this trial.
  23. . Women of child-bearing potential with a positive pregnancy test or who are lactating.
  24. Any other condition which in the opinion of the Investigator may jeopardize the study.

Sites / Locations

  • Kurla Nursing Home
  • Sai Baba Hospital
  • Diamond Hospital
  • Ayush Nursing Home
  • Dinanath Orthopaedic Nursing Home
  • K. K. Medical Centre
  • Healthcare Medical Center and diagnostics
  • Rainbow multispeciality hospital and trauma center

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Active Comparator

Active Comparator

Active Comparator

Placebo Comparator

Arm Label

Epiitalis low dose

Epiitalis mid dose

Epiitalis high dose

Placebo

Arm Description

Two capsules twice daily 30 mins before meals (breakfast & dinner).

Two capsules twice daily 30 mins before meals (breakfast & dinner).

Two capsules twice daily 30 mins before meals (breakfast & dinner).

Two capsules twice daily 30 mins before meals (breakfast & dinner).

Outcomes

Primary Outcome Measures

Effect of consumption of IP on knee joint pain as assessed by the change in the 100-point Visual Analogue Scale (VAS) from baseline and when compared with the placebo.
Participant's assessment of pain will be done on a 100 mm Visual Analogue Scale (Pain), where 0 means no pain and 100 means unbearable pain.

Secondary Outcome Measures

Quality of life as assessed by a SF-36 questionnaire
The 36 Item Short Form Health Survey (SF36) Questionnaire is a set of generic, coherent, and easily administered quality of life measures. These measures rely upon participant self reporting.
Effect of IP consumption and the placebo on Knee joint pain, Knee joint stiffness & Knee joint function as assessed by a specific questionnaire
WOMAC is a widely used questionnaire for Osteoarthritis. WOMAC Index is a tri dimensional self administered questionnaire to assess joint pain, stiffness & physical function. WOMAC Pain comprises of 5 questions related to knee joint pain that score fro 0 to 4 (0 means no pain & 4 means extreme pain). WOMAC Stiffness consists of 2 items (score 0-4, 0 means no stiffness and 4 means extreme stiffness). WOMAC Physical function consists of 17 items with scores 0 to 4 with same scoring pattern.

Full Information

First Posted
October 3, 2019
Last Updated
January 31, 2022
Sponsor
Vedic Lifesciences Pvt. Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT04117490
Brief Title
To Assess Efficacy of Epiitalis on Knee Pain in Patients Suffering From Knee Osteoarthritis
Official Title
A Double Blind, Double Dummy, Dose Response, Randomized, Placebo Controlled Study to Assess the Efficacy of Epiitalis on Knee Pain in Patients Suffering From Knee Osteoarthritis
Study Type
Interventional

2. Study Status

Record Verification Date
November 2020
Overall Recruitment Status
Completed
Study Start Date
December 12, 2019 (Actual)
Primary Completion Date
October 21, 2020 (Actual)
Study Completion Date
October 21, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Vedic Lifesciences Pvt. Ltd.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
Epiitalis is an ingredient of a currently marketed product named as Osteo-Restore, indicated for joint health.The present study is primarily planned to establish the role of Epiitalis as a single ingredient in the treatment of mild to moderate cases of knee Osteoarthritis.

6. Conditions and Keywords

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

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Epiitalis low dose
Arm Type
Active Comparator
Arm Description
Two capsules twice daily 30 mins before meals (breakfast & dinner).
Arm Title
Epiitalis mid dose
Arm Type
Active Comparator
Arm Description
Two capsules twice daily 30 mins before meals (breakfast & dinner).
Arm Title
Epiitalis high dose
Arm Type
Active Comparator
Arm Description
Two capsules twice daily 30 mins before meals (breakfast & dinner).
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Two capsules twice daily 30 mins before meals (breakfast & dinner).
Intervention Type
Other
Intervention Name(s)
Epiitalis
Intervention Description
Two capsules twice daily 30 mins before meals (breakfast & dinner).
Intervention Type
Other
Intervention Name(s)
Placebo
Intervention Description
Two capsules twice daily 30 mins before meals (breakfast & dinner).
Primary Outcome Measure Information:
Title
Effect of consumption of IP on knee joint pain as assessed by the change in the 100-point Visual Analogue Scale (VAS) from baseline and when compared with the placebo.
Description
Participant's assessment of pain will be done on a 100 mm Visual Analogue Scale (Pain), where 0 means no pain and 100 means unbearable pain.
Time Frame
From baseline to 56 days
Secondary Outcome Measure Information:
Title
Quality of life as assessed by a SF-36 questionnaire
Description
The 36 Item Short Form Health Survey (SF36) Questionnaire is a set of generic, coherent, and easily administered quality of life measures. These measures rely upon participant self reporting.
Time Frame
From baseline to 56 days
Title
Effect of IP consumption and the placebo on Knee joint pain, Knee joint stiffness & Knee joint function as assessed by a specific questionnaire
Description
WOMAC is a widely used questionnaire for Osteoarthritis. WOMAC Index is a tri dimensional self administered questionnaire to assess joint pain, stiffness & physical function. WOMAC Pain comprises of 5 questions related to knee joint pain that score fro 0 to 4 (0 means no pain & 4 means extreme pain). WOMAC Stiffness consists of 2 items (score 0-4, 0 means no stiffness and 4 means extreme stiffness). WOMAC Physical function consists of 17 items with scores 0 to 4 with same scoring pattern.
Time Frame
From baseline to 56 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
40 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: 1. Male & female aged ≥ 40 to ≤ 65 years suffering from primary idiopathic osteoarthritis of the knee diagnosed at least 3 months prior to screening. 2 BMI ≥ 18 and ≤ 29.9 kg/m2. 3 Fasting blood sugar ≤ 126 mg/dl 4 LFT: Serum Glutamic oxaloacetic transaminase (SGOT) & <2X Upper Limit of Normal (UNL) and Serum Glutamic-Pyruvic transaminase (SGPT) & <2X UNL. 5 Serum Creatinine & <1.5X UNL. 6 Index knee joint pain rated ≥ 60 on a 100-point Pain-Visual Analogue Scale (VAS). 7. Osteoarthritis grade II/ III (Kellgren-Lawrence classification) as confirmed by: Grade II - Definite osteophytes and possible joint space narrowing (JSN) on the anteroposterior weight-bearing radiograph Grade III - Multiple osteophytes, definite JSN, sclerosis, and possible bony deformity 8. Systolic blood pressure & <140 mmHg and diastolic blood pressure & < 90 mmHg 9. In the case of hypothyroidism, only euthyroid patients will be allowed to be screened further. Blood reports of last 3 months will be valid at the time of screening. 10. Female participants of childbearing age must be willing to use the accepted methods of contraception during the course of the study. 11. Participants should be willing to be involved in some Exclusion Criteria: History of osteoarthritis for more than 3 years. History of osteoporosis and/or frequent fractures. History of major trauma to the index joint. History of arthroscopic surgery or intervention on the index joint or awaiting a replacement of knee or hip joint. History of restless leg syndrome. Participants who have received intra-articular steroids or hyaluronic acid within the last three months. Not willing to abstain from the use of NSAIDs (including low dose aspirin 50 mg/day for cardiovascular health) or herbal/ nutraceutical supplements for joint health. Not willing to abstain from application of local analgesics, herbal oil 48 hours prior to study visit. Use of any immunosuppressive drugs in the last 12 months (including steroids). Participants with deformity of the knee joint. Participants categorized as ACR Functional Class I osteoarthritis Participants who are significantly incapacitated or disabled and would be categorized as ACR Functional Class IV osteoarthritis (largely or wholly incapacitated), or unable to walk without assistive devices. Participants with other known rheumatic or inflammatory diseases such as rheumatoid arthritis, osteomyelitis, and bone metastasis. Current smokers or chronic alcoholics. History of bleeding disorders. Participants suffering from deep vein thrombosis. Participants suffering from diabetic neuropathy. History of major chronic hepatic, cardiovascular, neurological or immunosuppressive conditions or the presence of any infections. Participants planning to travel in the next 56 days or engage in any non-routine activity that is likely to strain the knees. Participants having a history of any malignancy. Inability to comply with the protocol requirements. Participation in any other clinical trial within 3 months of registering in this trial. . Women of child-bearing potential with a positive pregnancy test or who are lactating. Any other condition which in the opinion of the Investigator may jeopardize the study.
Facility Information:
Facility Name
Kurla Nursing Home
City
Mumbai
State/Province
Maharashtra
ZIP/Postal Code
400 070
Country
India
Facility Name
Sai Baba Hospital
City
Mumbai
State/Province
Maharashtra
ZIP/Postal Code
400 074
Country
India
Facility Name
Diamond Hospital
City
Mumbai
State/Province
Maharashtra
ZIP/Postal Code
400064
Country
India
Facility Name
Ayush Nursing Home
City
Mumbai
State/Province
Maharashtra
ZIP/Postal Code
400067
Country
India
Facility Name
Dinanath Orthopaedic Nursing Home
City
Mumbai
State/Province
Maharashtra
ZIP/Postal Code
400067
Country
India
Facility Name
K. K. Medical Centre
City
Mumbai
State/Province
Maharashtra
ZIP/Postal Code
400068
Country
India
Facility Name
Healthcare Medical Center and diagnostics
City
Mumbai
State/Province
Maharashtra
ZIP/Postal Code
400092
Country
India
Facility Name
Rainbow multispeciality hospital and trauma center
City
Navi Mumbai
State/Province
Maharashtra
ZIP/Postal Code
400708
Country
India

12. IPD Sharing Statement

Citations:
PubMed Identifier
35732989
Citation
Mitchell PG, Bright CA, Bright DR, Srivastava SN, Raote SS, Kumar S. The Biota orientalis, oil extract Epiitalis(R), is efficacious at reducing the symptoms of knee osteoarthritis: a pilot, multi-site, dose-ranging, randomized, blinded, placebo-controlled trial. Inflammopharmacology. 2022 Aug;30(4):1323-1334. doi: 10.1007/s10787-022-01013-y. Epub 2022 Jun 22.
Results Reference
derived

Learn more about this trial

To Assess Efficacy of Epiitalis on Knee Pain in Patients Suffering From Knee Osteoarthritis

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