OsteoarthritisPhase 4NCT03530930
Comarum Palustre in Knee Osteoarthritis and Diabetes
A Phase 4 study testing Comarum Palustre in people with Osteoarthritis and Diabetes Mellitus, run by Federal State Budgetary Scientific Institution, Research Institute of Fundamental and Clinical Immunology at 1 site in Russia.
Trial summary
The study evaluates analgesic, antiinflammatory and metabolic effects of Comarum palustre in patients with knee osteoarthritis (OA) and diabetes mellitus. Patients with osteoarthritis will receive Comarum palustre together with conventional treatment of osteoarthritis and diabetes. Read more about this study
- Who is it for?
- Ages 40 to 75 years
- Conditions the study is for
- Osteoarthritis, Diabetes Mellitus
- What is being tested?
- Comarum Palustre
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 15 participants
- Where
- 1 siteRussia
- Study dates
- 29 Jun 2018to 25 Nov 2018
- Phase
- Phase 4
- Are there results?
- None posted in the registry
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 to 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- osteoarthritis of the knee fulfilling American College of Rheumatology (ACR) criteria
- diagnosis of type 2 diabetes mellitus
Who cannot join
- use of NSAIDs one month prior to study entry (paracetamol is allowed)
- pregnancy and lactation
- increased sensitivity to the study drug
- clinically significant renal function impairment
- use of antidepressants
- diagnosis of bipolar disorder
- use of symptomatic slow acting drugs of OA (SYSADOA) one month prior to study entry
- any condition which may lead to difficulties to participation in the study from the viewpoint of Investigator
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Analgesic, Antiinflammatory and Metabolic Effects of Comarum Palustre in Patients With Osteoarthritis and Diabetes Mellitus
The study evaluates analgesic, antiinflammatory and metabolic effects of Comarum palustre in patients with knee osteoarthritis (OA) and diabetes mellitus. Patients with osteoarthritis will receive Comarum palustre together with conventional treatment of osteoarthritis and diabetes.
Read the detailed description
Comarum palustre have been shown to exert analgesic properties in patients with knee osteoarthritis not responding to diclofenac. In animal models comarum palustre showed anti-inflammatory, immunomodulatory, analgesic, antioxidant, antihistamine, and membrane-stabilizing effects. Thus, pleiotropic properties of Comarum Palustre may provide a rationale for this use in patients having both osteoarthritis and diabetes mellitus. In this group of patients Comarum Palustre may not only relieve OA-related pain but reduce systemic inflammation, decrease progression of atherosclerosis and diabetes complications.
- Conditions
- Osteoarthritis, Diabetes Mellitus
- Being tested
- Comarum Palustre
- Medical subject headings
- Osteoarthritis, Diabetes Mellitus
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Comarum PalustreDrug
Also called Potentilla palustris
Comarum Palustre tablets 500 mg BID, 1 month
| Study group | Role | What they receive |
|---|---|---|
| Comarum Palustre | Experimental | Patients taking Comarum Palustre together with conventional treatment for osteoarthritis Receives: Drug: Comarum Palustre |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change From Baseline in Visual Analogue Scale for Pain
The Visual Analogue Scale for Pain varies from 0 to 10 cm. Higher values represent worse outcomes.
Measured: Baseline, 4 weeks
Secondary outcomes (15)
Knee injury and Osteoarthritis Outcome Score (KOOS) - subscale Pain
KOOS Pain consists of 9 items, which are answered on a 4-point likert scale (0=no problems, 4=extreme problems). Scores are transformed to a 0-100 scale, with zero representing extreme knee problems and 100 representing no knee problems.
Measured: Baseline, 4 weeks
Knee injury and Osteoarthritis Outcome Score (KOOS) - subscale Activities of daily living (ADL)
KOOS ADL consists of 17 items, which are answered on a 4-point likert scale (0=no problems, 4=extreme problems). Scores are transformed to a 0-100 scale, with zero representing extreme knee problems and 100 representing no knee problems.
Measured: Baseline, 4 weeks
Knee injury and Osteoarthritis Outcome Score (KOOS) - subscale Symptoms
KOOS Symptoms consists of 7 items, which are answered on a 4-point likert scale (0=no problems, 4=extreme problems). Scores are transformed to a 0-100 scale, with zero representing extreme knee problems and 100 representing no knee problems.
Measured: Baseline, 4 weeks
Quality of life with the The Short Form (36) Health Survey score
The Short Form (36) Health Survey is a 36-item, patient-reported survey of patient health. The SF-36 consists of eight scaled scores, which are the weighted sums of the questions in their section.Each scale is directly transformed into a 0-100 scale on the assumption that each question carries equal weight. The lower the score the more disability. The higher the score the less disability i.e., a score of zero is equivalent to maximum disability and a score of 100 is equivalent to no disability.
Measured: Baseline, 4 weeks
Intermittent and Constant Osteoarthritis Pain self-report questionnaire
Pain measure: Scale range 0-100 with higher scores indicating worse pain
Measured: Baseline, 4 weeks
Changes in serum levels of aggrecan
serum levels of aggrecan measured in ng/ml
Measured: Baseline, 4 weeks
Changes in serum levels of antibodies to collagen type II
serum levels of antibodies to collagen type II measured AU/ml
Measured: Baseline, 4 weeks
Changes in serum levels of C-reactive protein
serum levels of C-reactive protein (CRP), g/l
Measured: Baseline, 4 weeks
Changes in histamine levels
serum levels of histamine in ng/ml
Measured: Baseline, 4 weeks
Changes in inflammation biomarkers
serum levels of (CRP), interleukin (IL)-6, IL- 18, adiponectin, IL-10, and interferon (IFN) γ in pg/ml
Measured: Baseline, 4 weeks
Changes in neopterin levels
serum neopterin measured in nmol/L
Measured: Baseline, 4 weeks
Changes in lipid biomarkers
serum total cholesterol, HDL, and LDL measured in mmol/L
Measured: Baseline, 4 weeks
changes in diabetes control
Glycated haemoglobin (HbA1c)
Measured: Baseline, 4 weeks
Changes in depression scores measured with Patient Health Questionnaire-9 (PHQ9P)
The PHQ-9 is a multipurpose instrument for screening, diagnosing, monitoring and measuring the severity of depression. It consists of nine questions with responses ranging from "0" (not at all) to "3" (nearly every day). The possible range is 0-27. Higher values represent worse outcome.
Measured: Baseline, 4 weeks
Patient global assessment of osteoarthritis
The Visual Analogue Scale for the Patient global assessment of osteoarthritis varies from 0 to 10 cm. Higher values represent worse outcomes.
Measured: Baseline, 4 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted21 May 2018
- Study start29 Jun 2018
- Primary completion25 Nov 2018
- Study completion25 Nov 2018
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for OsteoarthritisStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 4
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 15 participants (actual)
Sponsor and investigators
- Lead sponsor
- Federal State Budgetary Scientific Institution, Research Institute of Fundamental and Clinical Immunology
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Ivan Shirinsky, MD, PhD, Federal State Budgetary Scientific Institution, Research Institute of Fundamental and Clinical Immunology
- Investigators
- Ivan Shirinsky, Principal investigator, Federal State Budgetary Scientific Institution, Research Institute of Fundamental and Clinical Immunology
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03530930
- Sponsor's protocol ID
- LCI001
- Status last verified
- May 2019
- First submitted
- 7 Dec 2017
- Last updated
- 15 May 2019
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 15 May 2019. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Analgesic, Antiinflammatory and Metabolic Effects of Comarum Palustre in Patients With Osteoarthritis and Diabetes Mellitus
- ClinicalTrials.gov ID
- NCT03530930
- Acronym / sponsor ID
- LCI001
- Conditions
- Osteoarthritis, Diabetes Mellitus
- Phase
- Phase 4
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 15 participants (actual)
- Lead sponsor
- Federal State Budgetary Scientific Institution, Research Institute of Fundamental and Clinical ImmunologyUniversity, hospital or other
- Study start
- 29 Jun 2018 (actual)
- Primary completion
- 25 Nov 2018 (actual)
- Study completion
- 25 Nov 2018 (actual)
- First posted
- 21 May 2018 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The study evaluates analgesic, antiinflammatory and metabolic effects of Comarum palustre in patients with knee osteoarthritis (OA) and diabetes mellitus. Patients with osteoarthritis will receive Comarum palustre together with conventional treatment of osteoarthritis and diabetes.
Detailed description
Comarum palustre have been shown to exert analgesic properties in patients with knee osteoarthritis not responding to diclofenac. In animal models comarum palustre showed anti-inflammatory, immunomodulatory, analgesic, antioxidant, antihistamine, and membrane-stabilizing effects. Thus, pleiotropic properties of Comarum Palustre may provide a rationale for this use in patients having both osteoarthritis and diabetes mellitus. In this group of patients Comarum Palustre may not only relieve OA-related pain but reduce systemic inflammation, decrease progression of atherosclerosis and diabetes complications.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Comarum Palustre | Experimental | Drug: Comarum PalustrePatients taking Comarum Palustre together with conventional treatment for osteoarthritis |
Who may qualify
- Ages
- 40 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (2 listed)
- osteoarthritis of the knee fulfilling American College of Rheumatology (ACR) criteria
- diagnosis of type 2 diabetes mellitus
Key exclusion criteria (8 listed)
- use of NSAIDs one month prior to study entry (paracetamol is allowed)
- pregnancy and lactation
- increased sensitivity to the study drug
- clinically significant renal function impairment
- use of antidepressants
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Comarum PalustreAlso: Potentilla palustrisComarum Palustre tablets 500 mg BID, 1 month | Drug | Comarum Palustre |
Primary outcome
Change From Baseline in Visual Analogue Scale for Pain
Time frame: Baseline, 4 weeks
The Visual Analogue Scale for Pain varies from 0 to 10 cm. Higher values represent worse outcomes.
15 secondary outcomes
Knee injury and Osteoarthritis Outcome Score (KOOS) - subscale Pain
Time frame: Baseline, 4 weeks
Knee injury and Osteoarthritis Outcome Score (KOOS) - subscale Activities of daily living (ADL)
Time frame: Baseline, 4 weeks
Knee injury and Osteoarthritis Outcome Score (KOOS) - subscale Symptoms
Time frame: Baseline, 4 weeks
Quality of life with the The Short Form (36) Health Survey score
Time frame: Baseline, 4 weeks
Intermittent and Constant Osteoarthritis Pain self-report questionnaire
Time frame: Baseline, 4 weeks
Changes in serum levels of aggrecan
Time frame: Baseline, 4 weeks
Changes in serum levels of antibodies to collagen type II
Time frame: Baseline, 4 weeks
Changes in serum levels of C-reactive protein
Time frame: Baseline, 4 weeks
Changes in histamine levels
Time frame: Baseline, 4 weeks
Changes in inflammation biomarkers
Time frame: Baseline, 4 weeks
Changes in neopterin levels
Time frame: Baseline, 4 weeks
Changes in lipid biomarkers
Time frame: Baseline, 4 weeks
changes in diabetes control
Time frame: Baseline, 4 weeks
Changes in depression scores measured with Patient Health Questionnaire-9 (PHQ9P)
Time frame: Baseline, 4 weeks
Patient global assessment of osteoarthritis
Time frame: Baseline, 4 weeks
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 15 May 2019.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Ivan Shirinsky principal investigator
Federal State Budgetary Scientific Institution, Research Institute of Fundamental and Clinical Immunology
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 4 study testing Comarum Palustre in people with Osteoarthritis and Diabetes Mellitus, run by Federal State Budgetary Scientific Institution, Research Institute of Fundamental and Clinical Immunology at 1 site in Russia.
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 2 inclusion and 8 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 15 May 2019. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Russia. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. 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 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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 From Baseline in Visual Analogue Scale for Pain (time frame: Baseline, 4 weeks). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 15 May 2019.