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Efficacy Study on Symptomatic Control of Patient With Knee Osteoarthritis Between 0.0125% of Capsaicin to Placebo (OAknee)

Primary Purpose

Osteoarthritis, Knee Joint, Capsicum

Status

Completed

Phase

Phase 3

Locations

Thailand

Study Type

Interventional

Intervention

0.0125% Capsaicin gel "CAPSIKA gel"

Placebo

About this trial

This is an interventional treatment trial for Osteoarthritis, Knee Joint focused on measuring osteoarthritis, knee, capsaicin gel, capsicum

Eligibility Criteria

40 Years - 80 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

Subjects eligible for enrollment in the study must meet all of the following criteria:

Subjects who are capable of giving written informed consent, which includes compliance with the requirements and restrictions listed in the consent form.
Ambulatory nom pregnant females and males 40-<80 years of age.
Subjects who withdraw pain medication or nutritional supplements for symptom relief for knee OA for a total of at least 15 days before screening visit 0.
Pain at or below 80 mm on a 100 mm VAS in the index knee.
A documented diagnosis of OA of the knee, or meeting American College of Rheumatology (ACR) clinical criteria for classification of idiopathic (primary) OA for at least 6 months prior to screening. If OA is presented in both knees the investigator will identify which knee will be X-rayed for study entry, with preference for the knee with more severe pain (<80mm VAS).
Has documented radiographic evidence of OA of the knee from the screening Visit radiograph of grade 2 or 3 according to Kellgren and Lawrence Radiographic Grading.
Subjects with baseline minimum joint space width in the medial compartment of the index knee of > 1.5 mm at Baseline, measured from radiographs using the MTP view.
Subjects with baseline minimum joint space width in the lateral compartment of the index knee of > 2.5 mm at Baseline, measured from radiographs using the MTP view.
Subject is able to understand and complete pain/function, global arthritis evaluation, and health outcome assessment.

Exclusion Criteria:

Subjects with any of the following criteria must not be enrolled in the study:

Subjects with history of hypersensitivity to capsaicin.
Subjects with skin lesion at the index knee.
A history of lower extremity surgery within 6 months prior to screening V0.
Significant prior injury to the index knee within 12 months prior to screening V0.
Disease of the spine or other lower extremity joints of sufficient degree to affect the index knee.
Treatment with other drugs potentially affecting bone or cartilage metabolism as described below:
- chronic systematic corticosteroids
- hyaluronan injection into the index knee with in the previous 6 months.
- Diacerin treatment within the last 12 months.

Sites / Locations

Weerachai Kosuwon

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Arm Description

Capsaicin and placebo controlled,Cross-over design study

Outcomes

Primary Outcome Measures

VAS and WOMAC

Secondary Outcome Measures

Full Information

NCT ID

NCT00471055

First Posted

May 8, 2007

Last Updated

July 8, 2008

Sponsor

Khon Kaen University

Collaborators

Bangkok Laboratories and Cosmetics

1. Study Identification

Unique Protocol Identification Number

NCT00471055

Brief Title

Efficacy Study on Symptomatic Control of Patient With Knee Osteoarthritis Between 0.0125% of Capsaicin to Placebo

Acronym

OAknee

Official Title

Efficacy Study on Symptomatic Control of Patient With Knee Osteoarthritis Between 0.0125% of Capsaicin to Placebo

Study Type

Interventional

2. Study Status

Record Verification Date

April 2008

Overall Recruitment Status

Completed

Study Start Date

June 2007 (undefined)

Primary Completion Date

October 2007 (Actual)

Study Completion Date

December 2007 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor

Khon Kaen University

Collaborators

Bangkok Laboratories and Cosmetics

4. Oversight

Data Monitoring Committee

Yes

5. Study Description

Brief Summary

The purpose of this study is to determine whether capsaicin gel is effective in treating mild to moderate degrees of osteoarthritis of the knee in the elderly patient compared with placebo gel.

Detailed Description

Osteoarthritis (OA) is the most common form of arthritis in the population. It is characterized pathologically by both focal loss of articular cartilage and marginal and central new bone formation. OA of knee, the principal large joint to be affected, results in disabling knee symptoms in an estimated 10% of people older than 55 years, a quarter of whom are severely disabled. The risk of disability attributable to knee OA alone is as great as that due to cardiac disease and greater than that due to any other medical disorder in the elderly. A recent World Health Organization report on the global burden of disease indicates that knee OA is likely to become the fourth most important global cause of disability in women and the eighth most important in men. Knee OA is associated with symptoms of pain and functional disability. Physical disability arising from pain and loss of functional capacity reduces quality of life and increases the risk of further morbidity and mortality. Current treatments aim at alleviating these symptoms of mild to moderate OA by several different methods: non-pharmacological treatment (for example education, exercise, lifestyle changes) or pharmacological treatments(for example paracetamol, NSAIDs and Capsaicin gel topical treatments). Current evidence to support the various treatments in current use, however, is very variable. Capsaicin, the active principle of hot chili pepper, is thought to selectively stimulate unmyelinated C fibre afferent neurons and cause the release of substance P. Prolonged application of capsaicin reversibly depletes stores of substance P, and possibly other neurotransmitters, from sensory nerve endings. This reduces or abolishes the transmission of painful stimuli from the peripheral nerve fibres to the higher centres.There were many study on Capsaicin gel to confirm the effectiveness of capsaicin gel in many dosages. However, there has been no efficacy study on the capsaicin 0.0125% of the Thai produce "Capsika gel " before, therefore, this study is proposed.

6. Conditions and Keywords

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

Osteoarthritis, Knee Joint, Capsicum

Keywords

osteoarthritis, knee, capsaicin gel, capsicum

7. Study Design

Primary Purpose

Treatment

Study Phase

Phase 3

Interventional Study Model

Crossover Assignment

Masking

ParticipantInvestigatorOutcomes Assessor

Allocation

Randomized

Enrollment

100 (Actual)

8. Arms, Groups, and Interventions

Arm Title

Arm Type

Experimental

Arm Description

Capsaicin and placebo controlled,Cross-over design study

Arm Title

Arm Type

Placebo Comparator

Arm Description

Capsaicin and placebo controlled,Cross-over design study

Intervention Type

Drug

Intervention Name(s)

0.0125% Capsaicin gel "CAPSIKA gel"

Intervention Type

Drug

Intervention Name(s)

Placebo

Intervention Description

Placebo

Primary Outcome Measure Information:

Title

VAS and WOMAC

Time Frame

8 months

Title

VAS and WOMAC

Time Frame

8-month study

10. Eligibility

Sex

All

Minimum Age & Unit of Time

40 Years

Maximum Age & Unit of Time

80 Years

Accepts Healthy Volunteers

Eligibility Criteria

Inclusion Criteria: Subjects eligible for enrollment in the study must meet all of the following criteria: Subjects who are capable of giving written informed consent, which includes compliance with the requirements and restrictions listed in the consent form. Ambulatory nom pregnant females and males 40-<80 years of age. Subjects who withdraw pain medication or nutritional supplements for symptom relief for knee OA for a total of at least 15 days before screening visit 0. Pain at or below 80 mm on a 100 mm VAS in the index knee. A documented diagnosis of OA of the knee, or meeting American College of Rheumatology (ACR) clinical criteria for classification of idiopathic (primary) OA for at least 6 months prior to screening. If OA is presented in both knees the investigator will identify which knee will be X-rayed for study entry, with preference for the knee with more severe pain (<80mm VAS). Has documented radiographic evidence of OA of the knee from the screening Visit radiograph of grade 2 or 3 according to Kellgren and Lawrence Radiographic Grading. Subjects with baseline minimum joint space width in the medial compartment of the index knee of > 1.5 mm at Baseline, measured from radiographs using the MTP view. Subjects with baseline minimum joint space width in the lateral compartment of the index knee of > 2.5 mm at Baseline, measured from radiographs using the MTP view. Subject is able to understand and complete pain/function, global arthritis evaluation, and health outcome assessment. Exclusion Criteria: Subjects with any of the following criteria must not be enrolled in the study: Subjects with history of hypersensitivity to capsaicin. Subjects with skin lesion at the index knee. A history of lower extremity surgery within 6 months prior to screening V0. Significant prior injury to the index knee within 12 months prior to screening V0. Disease of the spine or other lower extremity joints of sufficient degree to affect the index knee. Treatment with other drugs potentially affecting bone or cartilage metabolism as described below: chronic systematic corticosteroids hyaluronan injection into the index knee with in the previous 6 months. Diacerin treatment within the last 12 months.

Overall Study Officials:

First Name & Middle Initial & Last Name & Degree

weerachai Kosuwon, M.D

Organizational Affiliation

Department of Orthopedics, Faculty of Medicine, Khon kaen University

Official's Role

Principal Investigator

Facility Information:

Facility Name

Weerachai Kosuwon

City

Khon kaen University

State/Province

Khon Kaen

ZIP/Postal Code

40002

Country

Thailand

12. IPD Sharing Statement

Learn more about this trial

Efficacy Study on Symptomatic Control of Patient With Knee Osteoarthritis Between 0.0125% of Capsaicin to Placebo

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