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Effectiveness of Oral Hyaluronic Acid (A+ HA(tm), TOP Pharm.) in Knee Osteoarthritis: Clinical Trial

Primary Purpose

Knee Osteoarthritis

Status
Completed
Phase
Not Applicable
Locations
Taiwan
Study Type
Interventional
Intervention
A+ HA(tm)
Placebo
Sponsored by
China Medical University Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Knee Osteoarthritis

Eligibility Criteria

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

Inclusion Criteria:

  1. Age >= 40 years old
  2. Male or Female
  3. With osteoarthritis of the knee based on the definition of Ahlback 1968 and with significant symptoms within 30 days before enrollment.
  4. No limitation for use of concomitant medication

Exclusion Criteria:

  1. Use of Glucosamine within 1 month before enrollment
  2. Osteoarthritis of the knee due to exercise or occupational injury
  3. Allergy with Oral Hyaluronic Acid
  4. Bilateral Total Knee Replacement
  5. Pregnant
  6. Need use wheelchairs
  7. BMI≥40
  8. With at least one condition: Known other causes of arthritis (infectious arthritis, rheumatoid arthritis, connective tissue disease, gout, pseudogout, or psoriatic arthritis), bony or soft tissue malignancy or skin lesions or peripheral neuropathy involving the lower extremities, cardiopulmonary disease which limits walking more than knee pain. Knee instability defined as report of knee bucking or locking within the past month of the study knee, major neurologic deficit that affects gait, psychiatric illness that limits informed consent, and parkinsonism.
  9. Cancer

Sites / Locations

  • TOP Pharm. & Medicalware

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

A+ HA(tm)

Placebo

Arm Description

20 ml oral solution of hyaluronic acid mixture in a bottle. Administration with 250~500 ml water under fasting condition in the morning.

20 ml oral solution without active ingredients in a bottle. Administration with 250~500 ml water under fasting condition in the morning.

Outcomes

Primary Outcome Measures

Knee Injury and Osteoarthritis Outcome Score (KOOS)
A normalized score (0-100, 0 indicating extreme symptoms and 100 indicating no symptoms) was calculated.

Secondary Outcome Measures

Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC)
A normalized score (0-100, 0 indicating extreme symptoms and 100 indicating no symptoms) was calculated.
SF-36
each item was recorded into score with a 0 to 100 range. Higher scores mean a better outcome.
Chinese version Pittsburgh Sleep Quality Index (CPSQI)
Total score of CPSQI from 0 (better) to 21 (worse) was used as the indicators of sleep quality

Full Information

First Posted
December 25, 2019
Last Updated
January 1, 2020
Sponsor
China Medical University Hospital
Collaborators
TOP Pharm & Medicalware
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1. Study Identification

Unique Protocol Identification Number
NCT04212741
Brief Title
Effectiveness of Oral Hyaluronic Acid (A+ HA(tm), TOP Pharm.) in Knee Osteoarthritis: Clinical Trial
Official Title
Effectiveness of Oral Hyaluronic Acid (A+ HA(tm), TOP Pharm.) in Knee Osteoarthritis: Clinical Trial
Study Type
Interventional

2. Study Status

Record Verification Date
January 2020
Overall Recruitment Status
Completed
Study Start Date
November 2012 (Actual)
Primary Completion Date
July 2014 (Actual)
Study Completion Date
July 2014 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
China Medical University Hospital
Collaborators
TOP Pharm & Medicalware

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
This is a double-blinded, placebo-controlled, randomized trial to assess the efficacy of oral solution of hyaluronic acid mixture (A+ HA(tm)). During 8 weeks treatment period, there were three follow-up visits requested (Week 2, Week 4 and Week 8).
Detailed Description
Subjects were initially screened at the Randomization/Baseline Visit (Week 0). Eligible subjects were randomized at the same visit into treatment period, and received the assigned treatment in a double-blind fashion for 8 weeks. Efficacy was measured by the several questionnaire including Knee injury and Osteoarthritis (KOOS), the Short Form-36 (SF-36) and Pittsburgh Sleep Quality Index (CPSQI) for each visit. Incidences of adverse events (AEs) were monitored for each subject once the subject had received 1 dose of study medication; the incidence of serious AEs (SAEs) were monitored for each subject once the subject had signed the informed consent through to the End-of-Study or ET Visit. Vital signs were measured at baseline and End-of-Study or ET Visit.

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
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
97 (Actual)

8. Arms, Groups, and Interventions

Arm Title
A+ HA(tm)
Arm Type
Experimental
Arm Description
20 ml oral solution of hyaluronic acid mixture in a bottle. Administration with 250~500 ml water under fasting condition in the morning.
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
20 ml oral solution without active ingredients in a bottle. Administration with 250~500 ml water under fasting condition in the morning.
Intervention Type
Dietary Supplement
Intervention Name(s)
A+ HA(tm)
Intervention Description
oral solution of hyaluronic acid mixture
Intervention Type
Dietary Supplement
Intervention Name(s)
Placebo
Intervention Description
oral solution with no-active ingredients
Primary Outcome Measure Information:
Title
Knee Injury and Osteoarthritis Outcome Score (KOOS)
Description
A normalized score (0-100, 0 indicating extreme symptoms and 100 indicating no symptoms) was calculated.
Time Frame
8 weeks
Secondary Outcome Measure Information:
Title
Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC)
Description
A normalized score (0-100, 0 indicating extreme symptoms and 100 indicating no symptoms) was calculated.
Time Frame
8 weeks
Title
SF-36
Description
each item was recorded into score with a 0 to 100 range. Higher scores mean a better outcome.
Time Frame
8 weeks
Title
Chinese version Pittsburgh Sleep Quality Index (CPSQI)
Description
Total score of CPSQI from 0 (better) to 21 (worse) was used as the indicators of sleep quality
Time Frame
8 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
40 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Age >= 40 years old Male or Female With osteoarthritis of the knee based on the definition of Ahlback 1968 and with significant symptoms within 30 days before enrollment. No limitation for use of concomitant medication Exclusion Criteria: Use of Glucosamine within 1 month before enrollment Osteoarthritis of the knee due to exercise or occupational injury Allergy with Oral Hyaluronic Acid Bilateral Total Knee Replacement Pregnant Need use wheelchairs BMI≥40 With at least one condition: Known other causes of arthritis (infectious arthritis, rheumatoid arthritis, connective tissue disease, gout, pseudogout, or psoriatic arthritis), bony or soft tissue malignancy or skin lesions or peripheral neuropathy involving the lower extremities, cardiopulmonary disease which limits walking more than knee pain. Knee instability defined as report of knee bucking or locking within the past month of the study knee, major neurologic deficit that affects gait, psychiatric illness that limits informed consent, and parkinsonism. Cancer
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Shyu-Jye Wang, MD
Organizational Affiliation
China Medical University Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
TOP Pharm. & Medicalware
City
Taichung
Country
Taiwan

12. IPD Sharing Statement

Learn more about this trial

Effectiveness of Oral Hyaluronic Acid (A+ HA(tm), TOP Pharm.) in Knee Osteoarthritis: Clinical Trial

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