Osteo Arthritis KneePhase 2DuloxetineNCT05486026
Efficacy of Duloxetine Compared to NSIADs in Osteoarthritis of Knee
A Phase 2 study testing Duloxetine 30 MG and Nonsteroidal Antiinflammatory Drug in people with Osteo Arthritis Knee, run by Hawler Medical University at 1 site in Iraq.
Trial summary
Osteoarthritis (OA) is the most common degenerative joint disease, affecting more than 25% of the population . Knee OA is an insidious disease related to structural changes in the joint over many years. Read more about this study
- Who is it for?
- Ages 40 to 75 yearsHealthy volunteers can take part
- Conditions the study is for
- Osteo Arthritis Knee
- What is being tested?
- Duloxetine 30 MG and Nonsteroidal Antiinflammatory Drug
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 200 participants
- Where
- 1 siteIraq
- Study dates
- 20 Aug 2022to 2 Jan 2023
- Phase
- Phase 2
- 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
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- > 40years of age
- both Genders
- who will meet the American College of Rheumatology clinical and radiographic criteria for the diagnosis of osteoarthritis of the knee
- with pain for ≥14days of each separate month for 3months before study entry, with a mean score ≥4 on the 24-h average pain score (0-10) using the average of daily ratings
Who cannot join
- if they have diagnosed with inflammatory arthritis or an autoimmune disease
- if they received invasive therapy in last 3 months (knee arthroscopy) or knee replacement at any time
- patients with psychiatric disorders
- Hypertension
- Heart disease
- patients on antipsychotics or anti-depressant -
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Efficacy of Duloxetine Compared to NSIADs in Osteoarthritis of Knee: A Randomized Open Labelled Clinical Trial
Osteoarthritis (OA) is the most common degenerative joint disease, affecting more than 25% of the population . Knee OA is an insidious disease related to structural changes in the joint over many years. Progressive articular damage results in a loss of the extracellular matrix of cartilage in addition to changes in subchondral bone.
Duloxetine, a selective serotonin, and norepinephrine reuptake inhibitor, it seems to be effective in treating neuropathic and chronic pain conditions.
Read the detailed description
This will be a 13-week A randomized open labelled clinical trail in Iraqi Kurdistan Region, that will be designed to assess the efficacy of duloxetine tablet compared with other group (Nonsteroidal anti-inflammatory) drug on the reduction of pain caused by osteoarthritis of the knee.
Patients will be divided into two groups, first group (case) will receive duloxetine tablet 30mg for two weeks then titrated up to duloxetine 30mg BID. Patients will be instructed to take the medication with meals. Patients will be observed at visits (0) baseline then at second visits at 13 weeks then will be compared to control group that will receive NSAID (nonsteroidal anti-inflammatory drug) at baseline (0) visit then 2nd visits at 13 weeks.
- Conditions
- Osteo Arthritis Knee
- Being tested
- Duloxetine 30 MG, Nonsteroidal Antiinflammatory Drug
- Keywords
- Duloxetine, Osteoarthritis, Kurdistan Region
- Medical subject headings
- Osteoarthritis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Duloxetine 30 MGDrug
Also called Cymbalta
patient in first group (case) will receive duloxetine tablet 30mg for two weeks then titrated up to duloxetine 30mg BID. Patients will be instructed to take the medication with meals. The for 13 weeks
Nonsteroidal Antiinflammatory DrugDrug
Also called NSAID
patient in this second group will receive NSAID for 3 weeks
| Study group | Role | What they receive |
|---|---|---|
| Duloxetine tablet | Active comparator | Patient in the first group (case) will receive duloxetine tablet 30mg for two weeks then titrated up to duloxetine 30mg BID. Patients will be instructed to take the medication with meals for 13 weeks . Receives: Drug: Duloxetine 30 MG; Drug: Nonsteroidal Antiinflammatory Drug |
| NSAID(non steroidal anti inflammatory) | Active comparator | patient in the second group will receive NSAID(non-steroidal anti inflammatory) drugs for 13 weeks Receives: Drug: Duloxetine 30 MG; Drug: Nonsteroidal Antiinflammatory Drug |
What is being measured
The primary outcome is the main question the study is designed to answer.
twenty four hour 24-h average pain scores (short form) in patients with osteoarthritis knee pain
it will report in patients' diaries based on the 11-point Likert scale (an ordinal scale with 0 indicating 'no pain', and 10 indicating 'worst pain imaginable')
Measured: follow-up patients within two months
(WOMAC) WESTERN ONTARIO AND MCMASTER OSTEOARTHITIS INDEX used for evaluation of pain in knee Osteoarthritis
which involve three category about rating of pain(5 item) , stiffness(2item), physical function(17 item
Measured: follow-up patients within two months
Secondary outcomes (1)
The other modality (clinical global improvement)
will be used for severity of modality of pain and therapeutic response even side effect of drug
Measured: follow-up patients within two months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted3 Aug 2022
- Study start20 Aug 2022
- Primary completion29 Dec 2022
- Study completion2 Jan 2023
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Osteo Arthritis KneeStudies 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 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- Patients will be divided into two groups, first group (case) will receive duloxetine tablet 30mg for two weeks then titrated up to duloxetine 30mg BID. Patients will be instructed to take the medication with meals.
- Masking
- None (open label)
- Enrolment
- 200 participants (actual)
Sponsor and investigators
- Lead sponsor
- Hawler Medical University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Aryan Mohamadfatih Jalal, Hawler Medical University
- Investigators
- Aryan MF jalal, M.B.CH.B, Principal investigator, Rheumatology , Hawler Medical University, Kurdistan Board for medical specialtiesNiaz Albarzinji, MBCHB,DRMR, Study director, Rheumatology, Hawler medical university/college of medicine
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05486026
- Sponsor's protocol ID
- Efficacy of Duloxetine
- Acronym
- Duloxetine
- Status last verified
- Nov 2022
- First submitted
- 31 Jul 2022
- Last updated
- 14 Mar 2023
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 14 Mar 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Efficacy of Duloxetine Compared to NSIADs in Osteoarthritis of Knee: A Randomized Open Labelled Clinical Trial
- ClinicalTrials.gov ID
- NCT05486026
- Acronym / sponsor ID
- Duloxetine / Efficacy of Duloxetine
- Conditions
- Osteo Arthritis Knee
- Keywords
- Duloxetine, Osteoarthritis, Kurdistan Region
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 200 participants (actual)
- Lead sponsor
- Hawler Medical UniversityUniversity, hospital or other
- Study start
- 20 Aug 2022 (actual)
- Primary completion
- 29 Dec 2022 (actual)
- Study completion
- 2 Jan 2023 (actual)
- First posted
- 3 Aug 2022 (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.
Osteoarthritis (OA) is the most common degenerative joint disease, affecting more than 25% of the population . Knee OA is an insidious disease related to structural changes in the joint over many years. Progressive articular damage results in a loss of the extracellular matrix of cartilage in addition to changes in subchondral bone.
Duloxetine, a selective serotonin, and norepinephrine reuptake inhibitor, it seems to be effective in treating neuropathic and chronic pain conditions.
Detailed description
This will be a 13-week A randomized open labelled clinical trail in Iraqi Kurdistan Region, that will be designed to assess the efficacy of duloxetine tablet compared with other group (Nonsteroidal anti-inflammatory) drug on the reduction of pain caused by osteoarthritis of the knee.
Patients will be divided into two groups, first group (case) will receive duloxetine tablet 30mg for two weeks then titrated up to duloxetine 30mg BID. Patients will be instructed to take the medication with meals. Patients will be observed at visits (0) baseline then at second visits at 13 weeks then will be compared to control group that will receive NSAID (nonsteroidal anti-inflammatory drug) at baseline (0) visit then 2nd visits at 13 weeks.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
- Model description
- Patients will be divided into two groups, first group (case) will receive duloxetine tablet 30mg for two weeks then titrated up to duloxetine 30mg BID. Patients will be instructed to take the medication with meals.
| Arm | Type | Receives |
|---|---|---|
| Duloxetine tablet | Active comparator | Drug: Duloxetine 30 MG, Drug: Nonsteroidal Antiinflammatory DrugPatient in the first group (case) will receive duloxetine tablet 30mg for two weeks then titrated up to duloxetine 30mg BID. Patients will be instructed to take the medication with meals for 13 weeks . |
| NSAID(non steroidal anti inflammatory) | Active comparator | Drug: Duloxetine 30 MG, Drug: Nonsteroidal Antiinflammatory Drugpatient in the second group will receive NSAID(non-steroidal anti inflammatory) drugs for 13 weeks |
Who may qualify
- Ages
- 40 to 75 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- > 40years of age
- both Genders
- who will meet the American College of Rheumatology clinical and radiographic criteria for the diagnosis of osteoarthritis of the knee
- with pain for ≥14days of each separate month for 3months before study entry, with a mean score ≥4 on the 24-h average pain score (0-10) using the average of daily ratings
Key exclusion criteria (6 listed)
- if they have diagnosed with inflammatory arthritis or an autoimmune disease
- if they received invasive therapy in last 3 months (knee arthroscopy) or knee replacement at any time
- patients with psychiatric disorders
- Hypertension
- Heart disease
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 |
|---|---|---|
| Duloxetine 30 MGAlso: Cymbaltapatient in first group (case) will receive duloxetine tablet 30mg for two weeks then titrated up to duloxetine 30mg BID. Patients will be instructed to take the medication with meals. The for 13 weeks | Drug | Duloxetine tablet, NSAID(non steroidal anti inflammatory) |
| Nonsteroidal Antiinflammatory DrugAlso: NSAIDpatient in this second group will receive NSAID for 3 weeks | Drug | Duloxetine tablet, NSAID(non steroidal anti inflammatory) |
Primary outcome
twenty four hour 24-h average pain scores (short form) in patients with osteoarthritis knee pain
Time frame: follow-up patients within two months
it will report in patients' diaries based on the 11-point Likert scale (an ordinal scale with 0 indicating 'no pain', and 10 indicating 'worst pain imaginable')
(WOMAC) WESTERN ONTARIO AND MCMASTER OSTEOARTHITIS INDEX used for evaluation of pain in knee Osteoarthritis
Time frame: follow-up patients within two months
which involve three category about rating of pain(5 item) , stiffness(2item), physical function(17 item
1 secondary outcome
The other modality (clinical global improvement)
Time frame: follow-up patients within two months
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 14 Mar 2023.
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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.
Aryan MF jalal, M.B.CH.B principal investigator
Rheumatology , Hawler Medical University, Kurdistan Board for medical specialties
Niaz Albarzinji, MBCHB,DRMR study director
Rheumatology, Hawler medical university/college of medicine
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Duloxetine 30 MG and Nonsteroidal Antiinflammatory Drug in people with Osteo Arthritis Knee, run by Hawler Medical University at 1 site in Iraq.
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 4 inclusion and 6 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 14 Mar 2023. 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 Iraq. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
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?
twenty four hour 24-h average pain scores (short form) in patients with osteoarthritis knee pain (time frame: follow-up patients within two 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?
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 14 Mar 2023.