Complex Āyurvedic Treatment in Osteoarthritis of the Knee Compared to Standard Care.
CARAKA
The CARAKA-Trial: Complex Āyurvedic Treatment in Osteoarthritis of the Knee Against Standard Care.A Multicentre, Randomized, Controlled Clinical Trial Based on Traditional Āyurveda-Diagnosis.
1 other identifier
interventional
150
1 country
2
Brief Summary
The aim of this study is to evaluate the effectiveness of a complex āyurvedic diagnosis and treatment compared to conventional standard care in patients with OA of the knee.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_3
Started Oct 2010
Typical duration for phase_3
2 active sites
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
Study Start
First participant enrolled
October 1, 2010
CompletedFirst Submitted
Initial submission to the registry
October 6, 2010
CompletedFirst Posted
Study publicly available on registry
October 20, 2010
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 1, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
March 1, 2015
CompletedMarch 31, 2015
March 1, 2015
3.8 years
October 6, 2010
March 30, 2015
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Western Ontario and McMaster University Osteoarthritis Index (WOMAC)
week 12
Secondary Outcomes (11)
Western Ontario and McMaster University Osteoarthritis Index (WOMAC) Subscales
month 6
SF-36-questionnaire
week 12
POMS-questionnaire
week 12
Visual Analogue Scales: Pain
week 12
Visual Analogue Scales: Sleep
week 12
- +6 more secondary outcomes
Study Arms (2)
Complex Ayurvedic Treatment
ACTIVE COMPARATORIn the Āyurveda arm treatment will be individualized according to the Āyurveda diagnosis and include manual treatments, massages, dietary advice, specific consideration of selected food items, nutritional supplements, āyurvedic lifestyle and yoga posture advice and daily self-applied knee massage.
Conventional Care
ACTIVE COMPARATORPatients in the conventional standard care group will receive conventional standard care for OA of the Knee which includes self care advice, pain medication and intensified physiotherapy and follows the current international guidelines for OA of the knee.
Interventions
In the Āyurveda group treatment will be individualized according to the Āyurveda diagnosis and include manual treatments, massages, dietary advice, specific consideration of selected food items, nutritional supplements, āyurvedic lifestyle and yoga posture advice and daily self-applied knee massage.
Patients in the conventional standard care group will receive conventional standard care for OA of the Knee which includes self care advice, pain medication and intensified physiotherapy and follows the current international guidelines for OA of the knee.
Eligibility Criteria
You may qualify if:
- Male and female patients,
- Age 40-70 years,
- Prediagnosed, confirmed and documented diagnosis of OA of the knee. Diagnosis performed by a medical specialist (orthopedic surgeon, surgeon, radiologist) according to the American College of Rheumatology criteria,
- Documented radiologic changes of the knee-joint Kellgren-Lawrence criteria \> or = grade 2 in conventional X-ray or MRI-scan,
- Mean average pain intensity of 40 or more on two 100 mm visual analogue scales in the 7 days before baseline assessment,
- Written informed consent.
You may not qualify if:
- Pain in the knee caused by oCongenital dysplasia of the affected knee oRheumatoid arthritis oAutoimmune diseases oMalignancies oStatus post Knee surgery oStatus post Arthroscopy
- Administration of chondroprotective drugs in the preceding 3 months,
- Intra-articular injection into the affected knee-joint during the preceding 3 months,
- Beginning of a systemic medication with corticosteroids within the preceding three months,
- Beginning of any new treatment for OA during the previous 4 weeks (with the exception of analgesic treatment with Paracetamol or NSAIDs),
- Pregnancy or breastfeeding,
- Acute mental disorders,
- Serious acute organic diseases,
- Serious chronic co-morbidity,
- Obesity WHO-grade II/III
- Blood coagulation disorders,
- Coagulation-inhibiting medication other than Aspirin and Clopidogrel,
- Invasive measures performed at the affected joint during the previous 12 weeks or planned within the following 12 month,
- In the process of applying for pension or disability benefits,
- Simultaneous participation in any other clinical trial,
- +1 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
Charité Medical University Cooperation Center Sonne und Mond
Berlin, State of Berlin, 10119, Germany
Immanuel Krankenhaus
Berlin, State of Berlin, 14109, Germany
Related Publications (2)
Kessler CS, Dhiman KS, Kumar A, Ostermann T, Gupta S, Morandi A, Mittwede M, Stapelfeldt E, Spoo M, Icke K, Michalsen A, Witt CM. Effectiveness of an Ayurveda treatment approach in knee osteoarthritis - a randomized controlled trial. Osteoarthritis Cartilage. 2018 May;26(5):620-630. doi: 10.1016/j.joca.2018.01.022. Epub 2018 Feb 7.
PMID: 29426006DERIVEDWitt CM, Michalsen A, Roll S, Morandi A, Gupta S, Rosenberg M, Kronpass L, Stapelfeldt E, Hissar S, Muller M, Kessler C. Comparative effectiveness of a complex Ayurvedic treatment and conventional standard care in osteoarthritis of the knee--study protocol for a randomized controlled trial. Trials. 2013 May 23;14:149. doi: 10.1186/1745-6215-14-149.
PMID: 23701973DERIVED
Related Links
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Andreas Michalsen, Prof. Dr.
Charité Medical University Berlin
- PRINCIPAL INVESTIGATOR
Claudia M Witt, Prof. Dr.
Charité University Medical Center Berlin
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Prof. Dr. med. Andreas Michalsen
Study Record Dates
First Submitted
October 6, 2010
First Posted
October 20, 2010
Study Start
October 1, 2010
Primary Completion
July 1, 2014
Study Completion
March 1, 2015
Last Updated
March 31, 2015
Record last verified: 2015-03