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OsteoarthrosisPhase 3NCT00291499

Efficacy Study of Condrosulf in the Treatment of Symptomatic OA of the Hand

A Phase 3 study testing Chondroitin 4&6 sulfate (Condrosulf) in people with Osteoarthrosis, run by IBSA Institut Biochimique SA.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The goal of the present study is to investigate the effectiveness of Condrosulf® 800 mg tablets vs. placebo once a day for 6 months in the symptomatic treatment of finger joint osteoarthritis. Read more about this study

Who is it for?
Ages 40 years and older
Conditions the study is for
Osteoarthrosis
What is being tested?
Chondroitin 4&6 sulfate (Condrosulf)
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
163 participants
Where
No sites listed yet
Study dates
Jun 2005to Aug 2010
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 40 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients of either sex
  • Aged 40 and over
  • Outpatients
  • Patients fulfilling the American Congress of Rheumatology (ACR) criteria for the reporting of hand OA
  • Patients showing X-ray features of hand OA on at least two joints (2 IP and/or 1 IP and 1 TMC) of the dominant hand on standard plain radiographs (< 6 month).
  • Suffering from regular spontaneous pain on the dominant hand (VAS > or = 40 mm at inclusion time).
Show all 13Show fewer
  • Showing a FIHOA score > or = 6.
  • Having had at least two painful flares in a finger joint during the previous 12 month.
  • Patients who have signed the written informed consent for their participation in the study
  • Patients able to understand and follow the protocol.
  • Patients with a satisfying health and nutritional status.
  • Female subjects of childbearing potential using, within three months prior to the inclusion in the study, a reliable form of contraception during the course of the study (oral contraceptive pill, intrauterine device or condoms) or female of non childbearing potential (hysterectomy, bilateral ovariectomy or tubal section/ligation).
  • Female subjects of childbearing potential with a negative urinary pregnancy test before the inclusion in the study.

Who cannot join

  • Inflammatory joint disease of other origin
  • Septic arthritis
  • Chronic inflammatory joint disease
  • Previous articular fracture of the concerned articulations
  • Use of analgesic therapy for other indications
  • Receiving oral corticosteroids
Show all 31Show fewer
  • Mono-articular posttraumatic OA of the finger
  • Planning surgery of the hands in the following 6 months
  • Patients suffering or having suffered from secondary osteoarthritis after one of the following diseases:
  • Infectious arthritis - Acromegaly
  • Ochronosis - Hemachromatosis
  • Gout - Wilson's disease
  • Chondrocalcinosis - Paget's disease
  • Osteochondrosis - Mutation of collagen
  • Genetic problems (for ex. hypermobility) - Previous joint fracture
  • Arthropathies of different aetiologies - Algodystrophy (M. Sudeck)
  • Congenital abnormalities
  • Recurrent pseudogout
  • Major dysplasias
  • Intra-articular injection in a hand joint from less than 3 months
  • Basic treatment of arthritis with symptom-modifying agents (chondroitin sulfate, glucosamine sulfate, diacerhein, hyaluronic acid) in the last 3 months
  • Articular lavage in the last 3 months
  • Treatment with corticoids, by any administration route during the last month
  • Patient suffering from frequent asthma crises
  • Physiotherapy, re-education, alternative medicine (mesotherapy, acupuncture) on the hands foreseeable in the next year
  • Serious organic diseases: heart failure, renal or hepatic insufficiency, blood dyscrasia, serious infection
  • Participation in other clinical trials in the two months preceding the study
  • Known or ascertained hypersensitivity to the active ingredient of the tested drug.
  • Patients refusing to sign the written informed consent form
  • Patients who do not co-operate, not respecting the protocol requirements
  • Pregnant or lactating women

About this study

Official title: Clinical Evaluation of Condrosulf 800 mg in the Treatment of Symptomatic OA of the Hand: a 6-month, Double-blind, Placebo Controlled Study

The goal of the present study is to investigate the effectiveness of Condrosulf® 800 mg tablets vs. placebo once a day for 6 months in the symptomatic treatment of finger joint osteoarthritis.

Primary endpoints of the study are the evaluation of global spontaneous pain (Huskisson's Visual Analogue Scale: VAS) and the score of Dreiser's algo-functional index (FIHOA) during the treatment with the tested product, Condrosulf®, versus placebo.

Read the detailed description

The goal of the present study is to investigate the effectiveness of Condrosulf® 800 mg tablets vs. placebo once a day for 6 months in the symptomatic treatment of finger joint osteoarthritis in 160 randomised patients.

Primary endpoints:

Primary endpoints of the study are the evaluation of global spontaneous pain (Huskisson's Visual Analogue Scale: VAS) and the score of Dreiser's algo-functional index (FIHOA) during the treatment with the tested product, Condrosulf®, versus placebo.

Secondary endpoints are:

Efficacy evaluation: Global impression of efficacy expressed by the patient and the physician (VAS), Grip strength (measured manometrically); Morning stiffness duration; Consumption of Paracetamol; Tolerability (4-point verbal scale); Adverse Events occurring during the treatment period; Other parameters:Treatment compliance; Biological markers of arthritis

Conditions
Osteoarthrosis
Being tested
Chondroitin 4&6 sulfate (Condrosulf), Placebo
Keywords
symptomatic OA of the hand
Medical subject headings
Osteoarthritis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Chondroitin 4&6 sulfate (Condrosulf)Drug

    800 mg/day for 6 months

  • PlaceboOther

    800 mg placebo/day for 6 months

Study groups in NCT00291499
Study groupRoleWhat they receive
Chondroitin 4&6 sulfate (Condrosulf)Active comparatorNot described
Receives: Drug: Chondroitin 4&6 sulfate (Condrosulf)
placeboPlacebo comparatorNot described
Receives: Other: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in Global Spontaneous Pain Intensity of Target Hand

    Intensity of global spontaneous pain is evaluated by the patient himself on a Huskisson's visual analogue scale (VAS) of 100 mm. 0=no pain 100=max pain Change calculated as difference between Month 6 value and baseline value target hand is defined as the patient's most symptomatic hand or, when both hands were equally painful, the patient's dominant hand.

    Measured: 6 months

  2. Change in Functional Index for Hand Osteoarthritis Dreiser's Score (FIHOA) in the Target Hand

    Functional Index for Hand Osteoarthritis (Dreiser's Index). Range 0-30 Patients reported the severity of their symptoms by answering a set of 10 questions. Severity was rated on a numerical scale (0 = possible without difficulty, 1 = possible with slight difficulty, 2 =possible with great difficulty, and 3 = impossible), being 30 points the worst possible pain score.

    Change calculated as difference between the month 6 value and baseline value

    Target hand defined as the patient's most symptomatic hand or, when both hands were equally painful, the patient's dominant hand

    Measured: 6 month

Secondary outcomes (4)
  1. Investigator Global Evaluation on Efficacy

    Global impression of the efficacy judged by the Investigators at month 6 by means of a visual analogue scale from 0 (no efficacy) to 100 mm (very good efficacy)

    Measured: 6 months

  2. Change in Grip Strength

    Grip strength determined on both hands using a Jamar dynamometer.Patients were required to grip the dynamometer handle and squeeze as hard as possible according to their individual pain limits. The right hand grip was measured first, then the left; this procedure was performed 3 times. The mean value of these 3 measurements was recorded.

    Change calculated as difference between the month 6 value and baseline value

    Measured: 6 months

  3. Change in Morning Stiffness Duration

    Change in morning stiffness duration calculated as the difference between the month 6 value and the baseline value

    Measured: 6 months

  4. Consumption of Paracetamol

    Total consumption (between ^baseline and month 6) of paracetamol (500 mg tablets) reported by the patients on a daily diary

    Measured: 6 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted14 Feb 2006 (estimated)
  2. Study startJun 2005
  3. Primary completionDec 2009
  4. Study completionAug 2010

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
163 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00291499
Sponsor's protocol ID
03CH/Ct06
Status last verified
Feb 2021
First submitted
13 Feb 2006
Last updated
4 Mar 2021

Publications

  • Lequesne M. [Symptomatic slow-action anti-arthritic agents: a new therapeutic concept?]. Rev Rhum Ed Fr. 1994 Feb;61(2):75-9. No abstract available. French.

    PubMed 7920505
  • Michel BA, Stucki G, Frey D, De Vathaire F, Vignon E, Bruehlmann P, Uebelhart D. Chondroitins 4 and 6 sulfate in osteoarthritis of the knee: a randomized, controlled trial. Arthritis Rheum. 2005 Mar;52(3):779-86. doi: 10.1002/art.20867.

    PubMed 15751094
  • Uebelhart D, Malaise M, Marcolongo R, de Vathaire F, Piperno M, Mailleux E, Fioravanti A, Matoso L, Vignon E. Intermittent treatment of knee osteoarthritis with oral chondroitin sulfate: a one-year, randomized, double-blind, multicenter study versus placebo. Osteoarthritis Cartilage. 2004 Apr;12(4):269-76. doi: 10.1016/j.joca.2004.01.004.

    PubMed 15023378
  • Cicuttini FM, Spector TD. Osteoarthritis in the aged. Epidemiological issues and optimal management. Drugs Aging. 1995 May;6(5):409-20. doi: 10.2165/00002512-199506050-00007.

    PubMed 7647428
  • Howell DS, Altman RD. Cartilage repair and conservation in osteoarthritis. A brief review of some experimental approaches to chondroprotection. Rheum Dis Clin North Am. 1993 Aug;19(3):713-24.

    PubMed 8210583
  • Volpi N. Oral bioavailability of chondroitin sulfate (Condrosulf) and its constituents in healthy male volunteers. Osteoarthritis Cartilage. 2002 Oct;10(10):768-77. doi: 10.1053/joca.2002.0824.

    PubMed 12359162
  • Conte A, de Bernardi M, Palmieri L, Lualdi P, Mautone G, Ronca G. Metabolic fate of exogenous chondroitin sulfate in man. Arzneimittelforschung. 1991 Jul;41(7):768-72.

    PubMed 1772467
  • Morreale P, Manopulo R, Galati M, Boccanera L, Saponati G, Bocchi L. Comparison of the antiinflammatory efficacy of chondroitin sulfate and diclofenac sodium in patients with knee osteoarthritis. J Rheumatol. 1996 Aug;23(8):1385-91.

    PubMed 8856618
  • Ronca F, Palmieri L, Panicucci P, Ronca G. Anti-inflammatory activity of chondroitin sulfate. Osteoarthritis Cartilage. 1998 May;6 Suppl A:14-21. doi: 10.1016/s1063-4584(98)80006-x.

    PubMed 9743814
  • Uebelhart D, Thonar EJ, Zhang J, Williams JM. Protective effect of exogenous chondroitin 4,6-sulfate in the acute degradation of articular cartilage in the rabbit. Osteoarthritis Cartilage. 1998 May;6 Suppl A:6-13. doi: 10.1016/s1063-4584(98)80005-8.

    PubMed 9743813
  • Bourgeois P, Chales G, Dehais J, Delcambre B, Kuntz JL, Rozenberg S. Efficacy and tolerability of chondroitin sulfate 1200 mg/day vs chondroitin sulfate 3 x 400 mg/day vs placebo. Osteoarthritis Cartilage. 1998 May;6 Suppl A:25-30. doi: 10.1016/s1063-4584(98)80008-3.

    PubMed 9743816
  • Mazieres B, Loyau G, Menkes CJ, Valat JP, Dreiser RL, Charlot J, Masounabe-Puyanne A. [Chondroitin sulfate in the treatment of gonarthrosis and coxarthrosis. 5-months result of a multicenter double-blind controlled prospective study using placebo]. Rev Rhum Mal Osteoartic. 1992 Jul-Sep;59(7-8):466-72. French.

    PubMed 1485136
  • Bucsi L, Poor G. Efficacy and tolerability of oral chondroitin sulfate as a symptomatic slow-acting drug for osteoarthritis (SYSADOA) in the treatment of knee osteoarthritis. Osteoarthritis Cartilage. 1998 May;6 Suppl A:31-6. doi: 10.1016/s1063-4584(98)80009-5.

    PubMed 9743817
  • Uebelhart D, Thonar EJ, Delmas PD, Chantraine A, Vignon E. Effects of oral chondroitin sulfate on the progression of knee osteoarthritis: a pilot study. Osteoarthritis Cartilage. 1998 May;6 Suppl A:39-46. doi: 10.1016/s1063-4584(98)80011-3.

    PubMed 9743819
  • Verbruggen G, Goemaere S, Veys EM. Chondroitin sulfate: S/DMOAD (structure/disease modifying anti-osteoarthritis drug) in the treatment of finger joint OA. Osteoarthritis Cartilage. 1998 May;6 Suppl A:37-8. doi: 10.1016/s1063-4584(98)80010-1.

    PubMed 9743818

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Chondroitin 4&6 sulfate (Condrosulf) in people with Osteoarthrosis, run by IBSA Institut Biochimique SA.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 13 inclusion and 31 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 4 Mar 2021. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 4 Mar 2021). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in Global Spontaneous Pain Intensity of Target Hand (time frame: 6 months). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00291499, which also lists 19 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 4 Mar 2021.

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