NCT00513422

Brief Summary

The primary aim of this study is to determine if the dietary supplements, glucosamine sulphate and/or chondroitin can limit or reduce structural disease progression whilst providing symptomatic benefit in people with osteoarthritis (OA) of the knee. The specific hypotheses to be tested in the proposed double blind, placebo-controlled, randomised clinical trial are that, compared to participants allocated to placebo, participants allocated to either or both of these dietary supplements will demonstrate:

  • reduced medial tibio-femoral joint space narrowing at 2 years AND;
  • reduced knee pain over 1 year These benefits will be achieved by participants allocated to glucosamine sulphate and/or chondroitin (the study treatments) without concomitant:
  • increased use of analgesics
  • reduced health-related quality of life
  • reduced participation in leisure-time physical activity

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
600

participants targeted

Target at P75+ for phase_4

Timeline
Completed

Started Oct 2007

Longer than P75 for phase_4

Geographic Reach
1 country

1 active site

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

August 7, 2007

Completed
1 day until next milestone

First Posted

Study publicly available on registry

August 8, 2007

Completed
2 months until next milestone

Study Start

First participant enrolled

October 1, 2007

Completed
4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 1, 2011

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

October 1, 2011

Completed
Last Updated

June 30, 2010

Status Verified

June 1, 2010

Enrollment Period

4 years

First QC Date

August 7, 2007

Last Update Submit

June 29, 2010

Conditions

Keywords

Osteoarthritis, kneeGlucosamineChondroitinDisease progressionNSAIDs

Outcome Measures

Primary Outcomes (2)

  • Medial tibio-femoral joint space narrowing (mm)

    MRI (1 year) Radiographs (2 years)

  • Knee pain (11 point Likert scale)

    Bimonthly for 1 year

Secondary Outcomes (6)

  • WOMAC

    1 year, 2 years

  • Patients global assessment

    Bimonthly for 1 year

  • Total NSAIDs use

    Bimonthly for 1 year

  • General health status (SF-12v2)

    1 year, 2 years

  • Cost-effectiveness (cost per OMERACT-OARSI responder)

    2 years

  • +1 more secondary outcomes

Study Arms (4)

1

EXPERIMENTAL

Glucosamine sulfate 1500mg and chondroitin sulfate 800mg (low molecular weight, bovine)

Dietary Supplement: Glucosamine sulphate and chondroitin

2

EXPERIMENTAL

Glucosamine sulfate 1500mg

Dietary Supplement: Glucosamine sulphate

3

EXPERIMENTAL

Chondroitin sulfate 800mg

Dietary Supplement: Chondroitin sulphate

4

PLACEBO COMPARATOR

Matching glucosamine/chondroitin placebo capsules

Dietary Supplement: Placebo capsules for glucosamine and chondroitin

Interventions

Glucosamine: Two 750mg capsules once daily for two years; Chondroitin: Two 400mg capsules once daily for two years.

Also known as: Glucosamine, Chondroitin
1
Glucosamine sulphateDIETARY_SUPPLEMENT

Glucosamine: Two 750mg capsules once daily for two years; Placebo Chondroitin: Two capsules once daily for two years.

Also known as: Glucosamine
2
Chondroitin sulphateDIETARY_SUPPLEMENT

Chondroitin sulphate: Two 400mg capsules once daily for two years; Placebo glucosamine: Two capsules once daily for two years.

Also known as: Chondroitin
3

Two placebo glucosamine capsules once daily for two years; Two placebo chondroitin capsules once daily for two years.

Also known as: Double placebo
4

Eligibility Criteria

Age45 Years - 75 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Knee pain, or taking NSAIDs/ analgesia for knee pain on most days past month
  • Knee pain 4-10 on 10cm VAS
  • Medial tibio-femoral compartment joint space narrowing in symptomatic knee

You may not qualify if:

  • Unstable diabetes
  • \<2mm medial tibio-femoral compartment joint space width

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Marlene Fransen

Sydney, New South Wales, 1825, Australia

Location

Related Publications (3)

  • Simic M, Harmer AR, Agaliotis M, Nairn L, Bridgett L, March L, Votrubec M, Edmonds J, Woodward M, Day R, Fransen M. Clinical risk factors associated with radiographic osteoarthritis progression among people with knee pain: a longitudinal study. Arthritis Res Ther. 2021 Jun 4;23(1):160. doi: 10.1186/s13075-021-02540-9.

  • Fransen M, Agaliotis M, Nairn L, Votrubec M, Bridgett L, Su S, Jan S, March L, Edmonds J, Norton R, Woodward M, Day R; LEGS study collaborative group. Glucosamine and chondroitin for knee osteoarthritis: a double-blind randomised placebo-controlled clinical trial evaluating single and combination regimens. Ann Rheum Dis. 2015 May;74(5):851-8. doi: 10.1136/annrheumdis-2013-203954. Epub 2014 Jan 6.

  • Laba TL, Brien JA, Fransen M, Jan S. Patient preferences for adherence to treatment for osteoarthritis: the MEdication Decisions in Osteoarthritis Study (MEDOS). BMC Musculoskelet Disord. 2013 May 6;14:160. doi: 10.1186/1471-2474-14-160.

MeSH Terms

Conditions

Osteoarthritis, KneeDisease Progression

Interventions

GlucosamineChondroitin

Condition Hierarchy (Ancestors)

OsteoarthritisArthritisJoint DiseasesMusculoskeletal DiseasesRheumatic DiseasesDisease AttributesPathologic ProcessesPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

HexosaminesAmino SugarsCarbohydratesGlycosaminoglycansPolysaccharides

Study Officials

  • Marlene Fransen, PhD, MPH

    University of Sydney, Faculty of Health Sciences

    PRINCIPAL INVESTIGATOR
  • Richard Day, MB, BS, MD

    University of New South Wales

    PRINCIPAL INVESTIGATOR
  • Charles Bridges-Webb, MB, BS

    Royal College of General Practitioners

    PRINCIPAL INVESTIGATOR
  • John Edmonds, MB,BS

    University of New South Wales

    PRINCIPAL INVESTIGATOR
  • Robyn Norton, PhD, MPH

    The George Institute, University of Sydney

    PRINCIPAL INVESTIGATOR
  • Mark Woodward, PhD, MSc

    The George Institute, University of Sydney

    PRINCIPAL INVESTIGATOR
  • Lynette March, PhD, MB, BS

    University of Sydney

    PRINCIPAL INVESTIGATOR
  • Philip Sambrook, MB, BS

    Institute of Bone and Joint Research, University of Sydney

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
FACTORIAL
Sponsor Type
OTHER

Study Record Dates

First Submitted

August 7, 2007

First Posted

August 8, 2007

Study Start

October 1, 2007

Primary Completion

October 1, 2011

Study Completion

October 1, 2011

Last Updated

June 30, 2010

Record last verified: 2010-06

Locations