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Mild Knee OsteoarthritisNCT03636035

Tregocel® as a Dietary Supplement in Mild Knee Osteoarthritis

A study testing Tregocel® in people with Mild Knee Osteoarthritis, run by Max Biocare Pty. Ltd. at 1 site in Poland.

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

This study is an assessment of the overall performance of participants with symptomatic mild knee OA taking Tregocel® as a dietary supplement in addition to standard of care treatment. Read more about this study

Who is it for?
Ages 40 years and older
Conditions the study is for
Mild Knee Osteoarthritis
What is being tested?
Tregocel®
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
150 participants
Where
1 sitePoland
Study dates
1 Jan 2019to 30 Jun 2020
Phase
Interventional
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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Compliance with all study procedures
  • Fulfilment of consent process
  • Documented diagnosis of radiologically confirmed mild knee osteoarthritis with stable pain management (including patello-femoral joint, Kellgren-Lawrence classification ≤2 and clinical symptoms lasting more than 6 months prior to screening)
  • Maximal pain score ≥30 on a 100 mm VAS at screening and confirmed at baseline, with PRN use of analgesics during run-in
  • Completed patient diary during run-in
  • Ambulant with ECOG score <2

Who cannot join

  • pregnancy or breastfeeding (women)
  • body mass index less than 18.5 kg/m^2 or more than 35.0 kg/m^2.
  • secondary knee OA
  • clinically apparent tense effusion of the target knee
  • valgus/varus knee/foot deformities, ligament laxity, or meniscal instability
  • changes in regular OA therapy during screening
Show all 13Show fewer
  • chronic diseases which may require treatment with systemic steroids
  • progressive serious medical conditions
  • severe organ dysfunction
  • cardiac insufficiency
  • history of gastrointestinal ulcer or bleeding.
  • any significant medical conditions that may interfere with the study procedures, safety, compliance or overall participation in the study
  • allergies or intolerance to any of the dietary supplement ingredients

Trial locations and contacts

1 site in 1 country.

Poland1 site
  • Clinmed Pharma

    Warsaw

Other trials in Poland

About this study

Official title: Assessment of Performance of Participants With Mild Knee Osteoarthritis Taking Tregocel® as a Dietary Supplement Alongside Standard of Care Treatment

This study is an assessment of the overall performance of participants with symptomatic mild knee OA taking Tregocel® as a dietary supplement in addition to standard of care treatment.

Read the detailed description

Tregocel® is a combination herbal product which as a dietary supplementation may help maintain proper performance of joints. Although some studies have reported beneficial effects for individual components of Tregocel®, there have been no clinical assessments of supplementation with Tregocel® as a finished product. This study will involve collection of data on Tregocel® supplementation in participants with symptomatic mild knee osteoarthritis (OA) who are already receiving standard pharmacological treatment.

Being tested
Tregocel®
Keywords
dietary supplement, arthritis, joint, complementary medicine
Medical subject headings
Arthritis

What participants receive

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

  • Tregocel®Dietary supplement

    Coated tablet (oral)

Study groups in NCT03636035
Study groupRoleWhat they receive
Tregocel® supplementationExperimentalTregocel® coated tablets (2/day) orally for 36 weeks
Receives: Dietary Supplement: Tregocel®

What is being measured

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

  1. Change in distance walked in 6-minutes as an indicator of AMBULATORY MOBILITY

    Challenge involves subject walking unimpeded along a continuous straight line of 30 metre in distance with no incline. Distance covered will by an assistant sured with a 30 metre metric tape measure. Laps and time will be tracked manually with a digital lap counter and timer (second). Baseline values will be compared to values after supplementation to determine any change in individual performance.

    Measured: Tested at Baseline (week 0) and at end of supplementation (week 36)

Secondary outcomes (33)
  1. Physical exam parameter 1: BODY WEIGHT measurement

    Body weight measure using digital scales (recorded in kilogram).

    Measured: Screening (week -2), baseline (week 0); rescored at 12, 24, 36 and 40 weeks

  2. Physical exam parameter 2: SUBJECT HEIGHT measurement

    Body height measured manually using a wall tape measure (recorded in metre). Weight and height values will be used to calculate body mass index [weight (kilogram) / height (metre) ^2]

    Measured: Screening (week -2), baseline (week 0); rescored at 12, 24, 36 and 40 weeks

  3. Vital sign 1: BODY TEMPERATURE

    Measured using a digital ear thermometer after 5 minutes rest, sedentary.(recorded in degree Celsius)

    Measured: Screening (week -2), baseline (week 0); rescored at 12, 24, 36 and 40 weeks

  4. Vital sign 2: BLOOD PRESSURE

    Systolic and diastolic blood pressure values will be determined using an automated sphygnomanometer after 5 minutes rest, sedentary (recorded in millimeter mercury).

    Measured: Screening (week -2), baseline (week 0); rescored at 12, 24, 36 and 40 weeks

  5. Vital sign 3: PULSE RATE

    Recorded using an automated sphygnomanometer after 5 minutes rest, sedentary (beats / minute)

    Measured: Screening (week -2), baseline (week 0); rescored at 12, 24, 36 and 40 weeks

  6. Arthritis self-assessment 1: Initial degree of PERCEIVED PAIN represented by manual marking on a simplified printed 100mm linear scale (during Run-in)

    Subject responds to a request to report maximal pain experienced in 48 hours in target knee by pen or pencil marking along a 100mm line scale (0mm (left) = no pain; 100mm (right) = extreme pain; marks closer to right indicate more pain). Length from 0mm to mark will be measured using a 300mm ruler, to indicate the degree of maximal pain felt. No subscales are included in this assessment. Marks appearing between centre of the line and 100mm limit are considered moderate to severe (total score range = 0-100mm)

    Measured: Run-in period (week -1 to week 0)

  7. Arthritis self-assessment 2: change in degree of PERCEIVED PAIN represented by manual marking on a printed 100mm linear scale (During and after supplementation) in response to WOMAC questionnaire

    Subject responds to a request to report degree of pain experienced in 48 hours in target knee by pen or pencil marking along a 100mm horizontal line (0mm (left) = no pain; 100mm (right) = extreme pain; more pain = closer to right hand end of line). Length from 0mm to mark will be measured using a 300mm ruler. Report includes degree of pain felt while stationary or during normal movement (a set of 5 subscales appearing as separate lines with the same limits). Marks appearing between the centre of the line and 100mm limit are considered between moderate and severe, with more severe toward the right. Total score is a sum of the 5 subscales (range 0-500mm). WOMAC = Western Ontario and McMaster Universities Arthritis index.

    Measured: Scores taken at baseline (week 0); rescored at 12, 24, 36 and 40 weeks

  8. Arthritis self-assessment 3: change in degree of PERCEIVED STIFFNESS represented by manual marking on a printed 100mm linear scale (During and after supplementation) in response to WOMAC questionnaire.

    Subject responds to a request to report feeling of stiffness experienced in 48 hours in target knee by pen or pencil marking along a 100mm horizontal line (0mm (left) = no stiffness; 100mm (right) = extreme stiffness; more pain = closer to right hand end of line). Length from 0mm to mark will be measured using a 300mm ruler, to indicate the degree of stiffness felt at start and end of a day (a set of 2 subscales, appearing as separate lines with the same limits). Marks appearing from the centre of the line to 100mm limit are considered between moderate and severe, with more severe toward the right. Total score is a sum of the 2 subscales (range 0-200mm).

    Measured: Scores taken at baseline (0 week); rescored at 12, 24, 36 and 40 weeks

  9. Arthritis self-assessment 4: change in degree of PERCEIVED DIFFICULTY WITH DAILY TASKS represented by manual marking on a printed 100mm linear scale (During and after supplementation) in response to WOMAC questionnaire.

    Subject responds to a request to report difficult in performing daily tasks in 48 hours due to arthritis in target knee by pen or pencil marking along a 100mm horizontal line (0mm (left) = no pain; 100mm (right) = extreme pain; more pain = closer to right hand end of line). Length from 0mm to mark will be measured using a 300mm ruler, to indicate the degree of difficulty experienced in different domestic activities (set of 17 subscales, appearing as separate lines with the same limits). Marks appearing between the centre of the line to 100mm limit are considered between moderate and severe, with more severe toward the right. Total score is a sum of the 17 subscales (range 0-1700mm).

    Measured: Scores taken at baseline (week 0); rescored at 12, 24, 36 and 40 weeks

  10. Change in target KNEE FLEXIBILITY assessment, based on heel-thigh distance and knee angle at maximal flexion.

    Subjects will lie either supine or prone while holding their target knee statically as close to their thigh as is bearable. Distance from heal to thigh (standard tape measurement) and angle of knee (measured using a goniometer) will be recorded.

    Measured: Scores taken supine and prone for both knees at baseline (week 0); rescored at 12, 24, 36 weeks

  11. Safety assessment 1: clinical HEMATOLOGY parameters (a) Blood cell count

    Number erythrocytes leukocytes and platelets initially and changes thereafter determined using an automated blood sample analyser (number x 10^9/litre)

    Measured: Performed at screening (week -2), baseline (week 0); rescored at 12, 24, 36 and 40 weeks

  12. Safety assessment 1: clinical HEMATOLOGY parameters (b) hemoglobin level

    Hemoglobin will be measured initially and any subsequent changes determined using UV/Vis spectrometry (g/dL).

    Measured: Performed at screening (week -2), baseline (week 0); rescored at 12, 24, 36 and 40 weeks

  13. Safety assessment 1: clinical HEMATOLOGY parameters (c) sodium level

    Blood sodium initially and any subsequent changes to be determined using a blood gas analyser (mM)

    Measured: Performed at screening (week -2), baseline (week 0); rescored at 12, 24, 36 and 40 weeks

  14. Safety assessment 1: clinical HEMATOLOGY parameters (d) potassium level

    Blood sodium initially and any subsequent changes to be determined using a blood gas analyser (mM)

    Measured: Performed at screening (week -2), baseline (week 0); rescored at 12, 24, 36 and 40 weeks

  15. Safety assessment 1: clinical HEMATOLOGY parameters (e) aspartate alanine transferase level

    Blood aspartate alanine transferase initially and any subsequent changes to be determined using ELISA assay (IU/L)

    Measured: Performed at screening (week -2), baseline (week 0); rescored at 12, 24, 36 and 40 weeks

  16. Safety assessment 1: clinical HEMATOLOGY parameters (f) alanine aminotransferase

    Blood alanine aminotransferase level initially and any subsequent changes to be determined using ELISA assay (IU/L)

    Measured: Performed at screening (week -2), baseline (week 0); rescored at 12, 24, 36 and 40 weeks

  17. Safety assessment 1: clinical HEMATOLOGY parameters (g) total bilirubin level

    Blood bilirubin initially and any subsequent changes to be determined using ELISA assay (IU/L).

    Measured: Performed at screening (week -2), baseline (week 0); rescored at 12, 24, 36 and 40 weeks

  18. Safety assessment 1: clinical HEMATOLOGY parameters (h) alkaline phosphatase level

    Alkaline phosphatase level initially and any subsequent changes to be determined using ELISA assay (IU/L).

    Measured: Performed at screening (week -2), baseline (week 0); rescored at 12, 24, 36 and 40 weeks

  19. Safety assessment 1: clinical HEMATOLOGY parameters (i) creatine level

    Creatine level initially and any subsequent changes to be determined using ELISA assay (IU/L).

    Measured: Performed at screening (week -2), baseline (week 0); rescored at 12, 24, 36 and 40 weeks

  20. Safety assessment 1: clinical HEMATOLOGY parameters (j) blood sodium

    Sodium level initially and any subsequent changes to be determined using a blood gas analyser (mM).

    Measured: Performed at screening (week -2), baseline (week 0); rescored at 12, 24, 36 and 40 weeks

  21. Safety assessment 1: clinical HEMATOLOGY parameters (k) blood potassium

    Potassium level initially and any subsequent changes to be determined using a blood gas analyser (mM).

    Measured: Performed at screening (week -2), baseline (week 0); rescored at 12, 24, 36 and 40 weeks

  22. Safety assessment 2: URINALYSIS (a) presence of leukocytes

    Urine will be dipstick tested initially and any subsequent changes determined colorimetrically (negative = grey, positive = increase in purple color intensity).

    Measured: Performed at screening (week -2), baseline (Week 0); rescored at 12, 24, 36 and 40 weeks

  23. Safety assessment 2: URINALYSIS (b) presence of nitrites

    Urine will be dipstick tested initially and any subsequent changes determined colorimetrically (negative = yellow, positive = increase in pink color intensity).

    Measured: Performed at screening (week -2), baseline (Week 0); rescored at 12, 24, 36 and 40 weeks

  24. Safety assessment 2: URINALYSIS (c) level of urobilinogen

    Urine will be dipstick tested initially and any subsequent changes determined colorimetrically (normal = 0.2-1 mg/dL, yellow; raised = 2-8 mg/dL, with increasing pink intensity).

    Measured: Performed at screening (week -2), baseline (Week 0); rescored at 12, 24, 36 and 40 weeks

  25. Safety assessment 2: URINALYSIS (d) presence of protein

    Urine will be dipstick tested initially and any subsequent changes determined colorimetrically (none or trace amounts (quince); raised = increased darkness of green pigment)

    Measured: Performed at screening (week -2), baseline (Week 0); rescored at 12, 24, 36 and 40 weeks

  26. Safety assessment 2: URINALYSIS (e) pH

    Urine will be dipstick tested initially and any subsequent changes determined colorimetrically (dual pigment assay, represented by color change from fading of orange (pH 5) to increased darkness of green pigment (pH 8.5).

    Measured: Performed at screening (week -2), baseline (Week 0); rescored at 12, 24, 36 and 40 weeks

  27. Safety assessment 2: URINALYSIS (f) presence of blood

    Urine will be dipstick tested initially and any subsequent changes determined colorimetrically (none = yellow; trace amounts of non-hemolysed blood (dark-green speckle discoloration on a yellow background); presence of hemolysed blood (increasing darkness of green pigment on yellow background).

    Measured: Performed at screening (week -2), baseline (Week 0); rescored at 12, 24, 36 and 40 weeks

  28. Safety assessment 2: URINALYSIS (g) specific gravity (SG)

    Urine will be dipstick tested initially and any subsequent changes determined colorimetrically (Dark green = 1.000, yellow-green = 1.030; increasing SG correlates with decreasing darkness of green pigment.

    Measured: Performed at screening (week -2), baseline (Week 0); rescored at 12, 24, 36 and 40 weeks

  29. Safety assessment 2: URINALYSIS (h) ketone level

    Urine will be dipstick tested initially and any subsequent changes determined colorimetrically (none = beige; trace (pink = 5, increasing to large (160) mg/dL with increasing darkness of burgundy pigment)

    Measured: Performed at screening (week -2), baseline (Week 0); rescored at 12, 24, 36 and 40 weeks

  30. Safety assessment 2: URINALYSIS (i) presence of bilirubin

    Urine will be dipstick tested initially and any subsequent changes determined colorimetrically (negative = yellow; increasing levels correlate with appearance of light brown pigment).

    Measured: Performed at screening (week -2), baseline (Week 0); rescored at 12, 24, 36 and 40 weeks

  31. Safety assessment 2: URINALYSIS (j) glucose level

    Urine will be dipstick tested and measured, and subsequent changes determined colorimetrically for content of glucose (absence = blue-green; presence = range form 100 (green) to > 2000 mg/dL (dark brown).

    Measured: Performed at screening (week -2), baseline (Week 0); rescored at 12, 24, 36 and 40 weeks

  32. Safety assessment 2: URINALYSIS (k) presence of human chorionic gonadotrophin (hCG)

    Urine will be dipstick tested and measured colorimetrically for presence of hCG (positive test = appearance of blue line on white background; negative = remains white).

    Measured: Performed at screening (week -2), baseline (Week 0); rescored at 12, 24, 36 and 40 weeks

  33. Determination of total usage of PRESCRIPTION ANALGESICS

    Usage of any analgesics will be recorded on a daily basis by subjects using diary, which will be reviewed at clinical consultation. Total consumption will be logged at the end of the supplemention period as an indicator of changes in reliance on prescribed medications. (expressed as number of medications per day, regardless of type).

    Measured: Screening (week -2), baseline (week 0); rescored at 12, 24, 36 and 40 weeks

Timeline

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

  1. First posted17 Aug 2018
  2. Study start1 Jan 2019
  3. Primary completion30 Jun 2020
  4. Study completion30 Jun 2020

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 N/A
Primary purpose
Supportive care
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
150 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03636035
Sponsor's protocol ID
MBTR01
Status last verified
Feb 2020
First submitted
8 Aug 2018
Last updated
21 Sep 2022
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Zegota Z, Gozdzik J, Glogowska-Szelag J. IMPROVED PHYSICAL FUNCTION WITH COMPLEMENTARY USE OF A DIETARY SUPPLEMENT FOR MILD KNEE OSTEOARTHRITIS: A SUBGROUP ANALYSIS. Wiad Lek. 2021;74(9 cz 1):2128-2137.

    PubMed 34725289

Questions about this trial

What is this clinical trial studying?

A study testing Tregocel® in people with Mild Knee Osteoarthritis, run by Max Biocare Pty. Ltd. at 1 site in Poland.

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 6 inclusion and 13 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 21 Sep 2022. 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 Poland. 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.

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 in distance walked in 6-minutes as an indicator of AMBULATORY MOBILITY (time frame: Tested at Baseline (week 0) and at end of supplementation (week 36)). 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 NCT03636035, which also lists 1 linked publication.

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 21 Sep 2022.

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