NCT07786181

Brief Summary

Joint pain has a negative effect on quality of life by limiting daily physical activity, and can lead to reduced work capacity, chronic stress, sleep problems, fatigue and reduced social life. Many people with joint pain find that taking fish oils reduces joint pain, and this may be related to an anti-inflammatory effect of omega-3 polyundaturated fatty acids (PUFAs). The investigators have recently shown that another group of fatty acids, that is, omega-11 monounsaturated fatty acids (MUFAs), have a strong anti-inflammatory effect in rats with chronic inflammation. Therefore, the investigators want to continue researching health effects of omega-11 MUFAs and investigate whether an anti-inflammatory effect can also be observed in people with joint pain. Omega-11 MUFAs including cetoleic acid (C22:1n-11) are found in high amounts in oils from certain fish species such as herring. In this study the effects of marine oils given as supplements (capsules) will be investigated in adults with joint pain, with particular focus on changes in pain and stiffness in joints and on levels of selected inflammation markers in blood samples. The study has three arms; one group receives herring oil with regular content of omega-11 MUFAs, one group receives herring oil with high content of omega-11 MUFAs, and a third group receives a commercail fish oil that does contain omega-11 MUFAs. The omega-3 content is similar in all intervention capsule types.

Trial Health

65
Monitor

Trial Health Score

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

Enrollment
150

participants targeted

Target at P75+ for not_applicable

Timeline
64mo left

Started Aug 2026

Longer than P75 for not_applicable

Status
not yet recruiting

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

Trial Relationships

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Study Timeline

Key milestones and dates

Study Progress2%
Aug 2026Dec 2031

Study Start

First participant enrolled

August 1, 2026

Completed
2 days until next milestone

First Submitted

Initial submission to the registry

August 3, 2026

Completed
22 days until next milestone

First Posted

Study publicly available on registry

August 25, 2026

Completed
4.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2030

Expected
11 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2031

Last Updated

August 25, 2026

Status Verified

August 1, 2026

Enrollment Period

4.4 years

First QC Date

August 3, 2026

Last Update Submit

August 21, 2026

Conditions

Outcome Measures

Primary Outcomes (1)

  • Joint inflammation

    Inflammation will be assessed using three approaches: (1) The number of tender and swollen joints among the 28 joints included in the DAS28, a validated disease activity measure for rheumatoid arthritis; (2) ultrasound findings in tender and/or swollen joints; and (3) circulating levels of the inflammatory markers TNF-alpha and IL-6. Both the joint examination and ultrasound assessment will be performed by a rheumatologist. Ultrasound-detected synovitis will be assessed using the EULAR-OMERACT semiquantitative scoring system, with grey-scale synovitis and power Doppler signal graded from 0 to 3, where 0 represents the lowest grade and 3 the maximum grade.

    Change between baseline and endpoint (6 months)

Secondary Outcomes (14)

  • Self-assessment of joint health using the RAID questionnaire

    Change between baseline, 3 months and endpoint (6 months)

  • Concentration of interleukin-6 in blood

    Change between baseline, 3 months and endpoint (6 months).

  • Concentration of TNF-alpha in blood

    Change between baseline, 3 months and endpoint (6 months).

  • Quantification of fatty acid contents in leucocytes

    Change between baseline, 3 months and endpoint (6 months)

  • Serum concentration of total cholesterol

    Change between baseline, 3 months and endpoint (6 months)

  • +9 more secondary outcomes

Study Arms (3)

Herring oil

EXPERIMENTAL

Dietary supplement: herring oil in capsules, regular content of omega-11 MUFAs and omega-3 PUFAs, 4 g oil daily for 6 months

Dietary Supplement: Herring oil

Omega-11 concentrate produced from herring oil

EXPERIMENTAL

Dietary supplement: omega-11 concentrate in capsules, containing mainly omega-11 MUFAs and omega-3 PUFAs, 4 g oil daily for 6 months

Dietary Supplement: Omega-11 concentrate produced from herring oi

Control oil

ACTIVE COMPARATOR

Dietary supplement: control oil (fish oil) in capsules, containing omega-3 PUFAs but no omega-11 MUFAs, 4 g oil daily for 6 months

Dietary Supplement: Control oil

Interventions

Herring oilDIETARY_SUPPLEMENT

Capsules containing herring oil concentrate, taken daily for 6 months.

Herring oil

Capsules containing omega-11 concentrate, taken daily for 6 months

Omega-11 concentrate produced from herring oil
Control oilDIETARY_SUPPLEMENT

Capsules containing a control oil, taken daily for 6 months.

Control oil

Eligibility Criteria

Age50 Years - 75 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Adults (50-75 years)
  • Mild to moderate joint pain for at least 3 months
  • Stable body weight last 3 months

You may not qualify if:

  • Diagnosed reumatic disease
  • Allergies towards fish, milk, egg, gluten
  • Daily tobacco use (cigarettes or snus)
  • Serious illness (cardiovascular disease, neurological disease, cancer, diseases affecting intestinal function, kidney function or insulin secretion)
  • Use of medications targeting cholesterol or glucose metabolism
  • Use of dietary supplements
  • Pregnant or breastfeeding
  • Following a strict diet
  • Had bariatric surgery or using medications for weight loss
  • Recent or planned surgical procedures
  • High intake of fish/seafood

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

Arthralgia

Condition Hierarchy (Ancestors)

Joint DiseasesMusculoskeletal DiseasesPainNeurologic ManifestationsSigns and SymptomsPathological Conditions, Signs and Symptoms

Central Study Contacts

Oddrun A Gudbrandsen, PhD

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
BASIC SCIENCE
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

August 3, 2026

First Posted

August 25, 2026

Study Start

August 1, 2026

Primary Completion (Estimated)

December 31, 2030

Study Completion (Estimated)

December 1, 2031

Last Updated

August 25, 2026

Record last verified: 2026-08

Data Sharing

IPD Sharing
Will not share