Lee Sangkwan, Kim Seon-Jong
College of Korean Medicine, Wonkwang University, Iksandae-ro, Iksan, Jeonbuk, Republic of Korea.
College of Korean Medicine, Dongshin University, Geonjae-ro, Naju, Jeollanam-do, Republic of Korea.
Medicine (Baltimore). 2018 Mar;97(12):e0170. doi: 10.1097/MD.0000000000010170.
Arthritis is the most common disease in elderly individuals. Many medications for osteoarthritis treatment have the potential for side effects. Using a bioinformatics tool and preclinical studies, ChondroT, 5 herbal complexes, was identified from Ganghwaljetongyeum, which is a18 herbal complex, which has often used to treat osteoarthritis. The goal of this study is to evaluate short-term safety of ChondroT.
This will be a multicenter, randomized, double-blind, and placebo-controlled trial. There will be a 2-week run-in period before random allocation to 3 groups, ChondroT 1.0 g, 2.0 g, and placebo groups. Total duration of the clinical trial will be 14 weeks including a 4-week washout follow-up. Participants will be followed-up every 4 weeks, and the effect and the safety will be assessed at visit 2, 3, and 4. All participants are asked to maintain the medication schedule in this protocol. The primary outcome will be measured using pain visual analog scale (VAS) after 8 week treatment and secondary outcomes will include pain VAS score after 4 week treatment, SF-36 survey score, patient's global assessment, physical function test, and the change of erythrocyte sedimentation rate, and C-reactive protein. The repeated-measure analysis will be used for the primary efficacy based on full analysis set and per-protocol.
This study has restrictive inclusion, exclusion criteria, and a well-controlled intervention, and it will be the first randomized controlled trial to evaluate the efficacy and safety of ChondroT formula in osteoarthritis patients. The trial according to this protocol may provide a new intervention in the treatment of osteoarthritis.
关节炎是老年人中最常见的疾病。许多用于治疗骨关节炎的药物都有产生副作用的可能性。通过生物信息学工具和临床前研究,从经常用于治疗骨关节炎的18味草药复方“羌活退热汤”中鉴定出了5味草药复方ChondroT。本研究的目的是评估ChondroT的短期安全性。
这将是一项多中心、随机、双盲和安慰剂对照试验。在随机分配到ChondroT 1.0克、2.0克和安慰剂组这3组之前,将有一个为期2周的导入期。临床试验的总时长将为14周,包括4周的洗脱期随访。参与者将每4周接受一次随访,并在第2、3和4次就诊时评估疗效和安全性。所有参与者均被要求按照本方案维持用药计划。主要结局将在治疗8周后使用疼痛视觉模拟量表(VAS)进行测量,次要结局将包括治疗4周后的疼痛VAS评分、SF-36调查问卷评分、患者整体评估、身体功能测试以及红细胞沉降率和C反应蛋白的变化。将基于全分析集和符合方案集,对主要疗效采用重复测量分析。
本研究有严格的纳入、排除标准以及良好控制的干预措施,它将是第一项评估ChondroT配方对骨关节炎患者疗效和安全性的随机对照试验。按照本方案进行的试验可能会为骨关节炎的治疗提供一种新的干预措施。