Status:

COMPLETED

Effect of Glucosamine on Joint Structure and Quality of Life (JOG)

Lead Sponsor:

University of Pittsburgh

Conditions:

Osteoarthritis

Eligibility:

All Genders

35-65 years

Phase:

NA

Brief Summary

The goal of this study is 1) to develop a biomarker of of cartilage synthesis by determining if there is a relationship between changes in the status of knee cartilage and the amount of a biomarker ca...

Detailed Description

Reduced knee function is a significant cause of physical limitations and disability. As cartilage deteriorates due to aging, wear-and-tear, injury, or disease, joint space narrowing and pain can devel...

Eligibility Criteria

Inclusion

  • Female or male (female only for skin sub-study)
  • 35-65 years of age (40 -65 for skin sub-study)
  • Willingness to provide informed consent
  • Willingness to be randomized to glucosamine or placebo
  • Knee pain on more days than not for at least one month in past year
  • Sum of WOMAC pain subscales between 300 and 500 inclusive
  • Ability to read and understand English
  • Ability to understand study procedures
  • Dry skin for sub-study

Exclusion

  • Plans for elective surgery in the next 12 months Plans to move out of the area in the next 12 months
  • Concurrent medical/arthritic disease that could confound or interfere with evaluation of pain or efficacy including inflammatory arthritis
  • Spine or hip pain of sufficient magnitude to interfere with the evaluation of the knee
  • Isolated patellofemoral disease manifested by primarily anterior knee pain in the absence of tibiofemoral radiographic finding
  • History of arthroscopy of the affected knee within 6 months prior to study entry
  • Allergy to,or history of significant clinical or laboratory adverse experience associated with acetaminophen or glucosamine
  • Inability to undergo a MRI of knee
  • Inability to walk without a cane or other assistive device
  • Liver or kidney disease
  • Diabetes mellitus
  • Women who are currently pregnant or nursing, pregnant within the previous six months, or planning on becoming pregnant within the next 6 months
  • Unwilling to use double barrier method of contraception
  • Alcohol use in excess of 3 mixed drinks/day
  • Corticosteroid treatment
  • Sustained use of NSAIDS including aspirin in anti-inflammatory doses may be used for treatment of pain other than knee pain, if such use is intermittent
  • Topical analgesics
  • Other medical therapy for arthritis within one month prior to entry
  • Participation in another clinical study with an investigational agent within the last 4 weeks
  • Have taken glucosamine in past 3 months, chondroitin, Sam-E, MSM or other dietary supplements for knee pain within the past 6 months
  • Have taken a bisphosphonate medication that affects bone turnover in the past 6 months
  • Initiation of physical therapy or muscle conditioning program within 2 months prior to study entry
  • Intra-articular injection of hyaluronic acid or congeners into the knee within past 12 months.
  • Concurrent use of tetracycline, anticoagulants, dietary supplements or other complementary or alternative regimens for joint pain
  • History of knee or hip replacement
  • Weight exceeds 285 in men or 250 in women.
  • Have had any of the following cancers: Acute Leukemia, Brain, Chronic Leukemia, Esophagus, Liver,Lung, Lymphoma, Multiple Myeloma, Pancreas, Skin Melanoma, and Stomach.
  • Have taken any of the following doctor prescribed medications for arthritis: Methotrexate, Plaquenil, Hydroxychloroquine, Enbrel, Etanercept, Remicade, Infliximab, Arava, Leflunomide, Gold shots or pills, Prednisone pills, steroid pills, or glucocorticoid pills taken by mouth, Sulfasalazine, Kineret, Anakinra, Humira, and Adalimumab.
  • Kellgren-Lawrence score of 4 (severe) in both knees based on x-ray.
  • Anterior knee pain only with normal x-ray results.

Key Trial Info

Start Date :

September 1 2006

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

May 1 2008

Estimated Enrollment :

201 Patients enrolled

Trial Details

Trial ID

NCT00377286

Start Date

September 1 2006

End Date

May 1 2008

Last Update

June 14 2011

Active Locations (1)

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University of Pittsburgh

Pittsburgh, Pennsylvania, United States, 15213