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一项随机、双盲、安慰剂对照、平行组研究,旨在评估 Curene®与安慰剂在减轻膝骨关节炎症状方面的安全性和有效性。

A Randomized, Double Blind, Placebo Controlled, Parallel-Group Study to Evaluate the Safety and Efficacy of Curene® versus Placebo in Reducing Symptoms of Knee OA.

机构信息

Head Operation, Ocius Life Sciences Pvt. Ltd., Chennai 600029, India.

CSO, Olene Life Sciences Pvt. Ltd., Chennai 600058, India.

出版信息

Biomed Res Int. 2018 Oct 25;2018:5291945. doi: 10.1155/2018/5291945. eCollection 2018.

Abstract

BACKGROUND

Curene® is a bioavailable formulation of turmeric  extract comprising naturally derived curcuminoids formulated with proprietary Aquasome® technology. Curcuminoids were found to have anti-inflammatory properties by inhibiting Cyclooxygenase-2 (COX-2) and 5-lipoxygenase (5-LOX) enzyme and hence have potential application in the treatment of Osteoarthritis (OA). To evaluate the safety and efficacy of Curene® a randomized, double blind, placebo controlled, parallel-group study was conducted in subjects with knee OA. Significant improvements in clinical endpoints were observed during the trial along with excellent safety profile.

METHODS

Fifty (50) subjects aged between 40 and 75 years who were suffering from unilateral or bilateral OA of the knee for greater than 3 months according to American College of Rheumatology (ACR) criteria were enrolled. They were randomized into two treatment groups; one group received Curene® 500 mg once daily and the other group received placebo. Efficacy was evaluated using change from baseline in Visual Analogue Scale (VAS) and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score. Biochemical and hematological parameters including urine analysis were performed to evaluate the safety of Curene® in OA patients.

RESULT

Forty-six (46) subjects completed the study. The reduction from baseline in total WOMAC score (also subscale scores) and VAS score resulted in statistically significant difference when compared to placebo. It was also found to be safe and well tolerated as there was no incidence of treatment related AEs.

CONCLUSION

Curene® results in statistically significant and clinically meaningful reduction in pain, stiffness, and improvement in physical functioning in subjects suffering from knee OA. Curene® also demonstrates excellent safety profile during the study.

TRIAL REGISTRATION

This trial is registered with Clinical Trial Registry, India, CTRI/2017/07/009044, registered on 14th July 2017, http://ctri.nic.in/Clinicaltrials/showallp.php?mid1=19264&EncHid=&userName=ocius%20life%20sciences.

摘要

背景

Curene®是一种姜黄提取物的生物利用剂型,含有天然衍生的姜黄素,采用专有的 Aquasome®技术配制。姜黄素通过抑制环氧化酶-2(COX-2)和 5-脂氧合酶(5-LOX)酶而具有抗炎特性,因此具有在治疗骨关节炎(OA)中的潜在应用。为了评估 Curene®的安全性和疗效,一项针对患有膝骨关节炎的受试者的随机、双盲、安慰剂对照、平行组研究进行了评估。在试验过程中观察到临床终点的显著改善,同时具有出色的安全性。

方法

50 名年龄在 40 岁至 75 岁之间的受试者,根据美国风湿病学会(ACR)标准,患有单侧或双侧膝骨关节炎,病史超过 3 个月,他们被随机分为两组;一组接受 Curene®500mg 每日一次,另一组接受安慰剂。使用视觉模拟量表(VAS)和西安大略和麦克马斯特大学骨关节炎指数(WOMAC)评分从基线的变化来评估疗效。进行生化和血液学参数,包括尿液分析,以评估 Curene®在 OA 患者中的安全性。

结果

46 名受试者完成了研究。与安慰剂相比,总 WOMAC 评分(也包括子量表评分)和 VAS 评分从基线的降低具有统计学意义。也发现它是安全且耐受良好的,因为没有发生与治疗相关的不良事件。

结论

Curene®可使膝骨关节炎患者的疼痛、僵硬和身体功能得到统计学上显著和临床上有意义的改善。在研究期间,Curene®也表现出极好的安全性。

试验注册

该试验在印度临床试验注册处进行,注册号为 CTRI/2017/07/009044,注册于 2017 年 7 月 14 日,网址为 http://ctri.nic.in/Clinicaltrials/showallp.php?mid1=19264&EncHid=&userName=ocius%20life%20sciences。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9904/6222223/07f6b1320186/BMRI2018-5291945.001.jpg

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