Unique ID issued by UMIN | UMIN000005643 |
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Receipt number | R000006666 |
Scientific Title | Effects of COX-2 selective inhibitor and hyaluronan acid to prevent cartilage degeneration in patients with knee osteoarthritis |
Date of disclosure of the study information | 2011/06/01 |
Last modified on | 2011/05/25 19:04:14 |
Effects of COX-2 selective inhibitor and hyaluronan acid to prevent cartilage degeneration in patients with knee osteoarthritis
Effects of COX-2 selective inhibitor and hyaluronan acid to prevent cartilage degeneration
Effects of COX-2 selective inhibitor and hyaluronan acid to prevent cartilage degeneration in patients with knee osteoarthritis
Effects of COX-2 selective inhibitor and hyaluronan acid to prevent cartilage degeneration
Japan |
knee osteoarthritis
Orthopedics | Radiology |
Others
NO
The objective of this research study is to quantitatively and objectively evaluate the efficacy of oral administration of COX-2 selective inhibitor and intraarticular injection of hyaluronan acid to halt or reverse the progression of cartilage degeneration in patients with osteoarthritis using T2 mapping.
Efficacy
MRI examination with T2 mapping
1) MRI examination with Modified Outerbridge classification (T1 weighted image, T2 weighted image, etc.), 2) simple X-ray examination with Kellgren-Lawrence classification, 3) assessment of clinical symptoms using JKOM (Japanese Knee Osteoarthritis Measure), Lysholm score, and VAS (visual analogue scale.
Interventional
Parallel
Randomized
Open -but assessor(s) are blinded
Active
2
Treatment
Medicine |
1)COX-2 selective inhibitor group (36 cases)
A fixed daily dose of COX-2 selective inhibitor, celecoxib (200mg/day in 2 divided doses) will be administered orally for 3 months.
2)Hyaluronan acid group (36 cases)
A fixed dose of sodium hyaluronate injection (25mg/day, once) will be administered intraarticularly once a week for 4 weeks. After 4 weekly injections, a total of 4 injections will be given every 2 weeks (8 injections in total in approximately 3 months).
20 | years-old | <= |
75 | years-old | > |
Male and Female
Of knee osteoarthritis patients treated at the Chiba Medical Center on an outpatient basis, those who satisfy all the following inclusion criteria and do not meet any of the following exclusion criteria will be selected. A total of 72 subjects will be enrolled.
1) Diagnosed as knee osteoarthritis with Kellgren & Lawrence grade of I to III by simple X-ray imaging of knee joint in the upright and frontal position at the first visit
2) Written informed consent
3) Age: 20 years and <75 years
4) Exercise pain or rest pain for more than 3 months
Patients who meet any of the following exclusion criteria will not be enrolled in this research study.
1) History of hypersensitivity to any components of the investigational products to be used in this research study
2) History of hypersensitivity to any other medicinal products
3) Women who are pregnant, breastfeeding, or planning to become pregnant during the study period.
4) Secondary knee osteoarthritis due to trauma or other diseases
5) History of surgery of the involved knee joint (including arthroscopy)
6) Conservative therapy of the involved knee joint within one month of enrollment in this study
7) Diseases in the involved knee joint other than those associated with osteoarthritis, e.g., injury of semi-lunar disc, ligament injury, and cartilage injury
8) Serious renal, hepatic, and/or cardiovascular disease
9) Significant mental disorder, drug dependence, and/or alcohol abuse
10) Patients who are unable to come to the medical center for all scheduled visits
11) Other patients considered to be ineligible for this research study by the investigator
72
1st name | |
Middle name | |
Last name | Atsuya Watanabe |
Teikyo University Chiba Medical Center
Orthopaedic Surgery
3426-3 Anesaki, Ichihara, Chiba
1st name | |
Middle name | |
Last name |
Teikyo University Chiba Medical Center
Orthopaedic Surgery
Teikyo University Chiba Medical Center
Teikyo University Chiba Medical Center
Other
NO
2011 | Year | 06 | Month | 01 | Day |
Unpublished
Open public recruiting
2009 | Year | 09 | Month | 25 | Day |
2009 | Year | 09 | Month | 01 | Day |
2011 | Year | 05 | Month | 25 | Day |
2011 | Year | 05 | Month | 25 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000006666
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