[PMID]: | 28056936 |
[Au] Autor: | Geusens P; Pavelka K; Rovensky J; Vanhoof J; Demeester N; Calomme M; Vanden Berghe D |
[Ad] Endereço: | Biomedical Research Institute (BIOMED), Hasselt University, Diepenbeek, Belgium. drpgeusens@gmail.com. |
[Ti] Título: | A 12-week randomized, double-blind, placebo-controlled multicenter study of choline-stabilized orthosilicic acid in patients with symptomatic knee osteoarthritis. |
[So] Source: | BMC Musculoskelet Disord;18(1):2, 2017 Jan 05. |
[Is] ISSN: | 1471-2474 |
[Cp] País de publicação: | England |
[La] Idioma: | eng |
[Ab] Resumo: | BACKGROUND: The aim of this study was to assess the efficacy of choline-stabilized orthosilicic acid (ch-OSA) in patients with symptomatic knee osteoarthritis (OA). METHODS: In a multicenter, double-blind, placebo-controlled study, 211 patients with knee OA (Kellgren and Lawrence grade II or III) and moderate to moderately severe pain were randomly allocated to ch-OSA or placebo for 12 weeks. The primary outcome was the change in the WOMAC pain subscale from baseline to week 12. Secondary outcomes were changes from baseline to week 12 in WOMAC total, WOMAC stiffness, WOMAC physical function, Subject Global Assessment and levels of cartilage degradation biomarkers C-terminal telopeptide of collagen type II (CTX-II) and cartilage oligomeric matrix protein (COMP). Pre-specified subgroup analyses included the effect of gender. RESULTS: A total of 166 (120 women, 46 men) patients were included in the analysis (87 and 79 in the ch-OSA and placebo group, respectively). In the total study population, no differences were observed between the two treatment groups for the different outcomes but significant treatment x gender interactions were found. In men taking ch-OSA, a significant improvement in WOMAC total, WOMAC stiffness and WOMAC physical function as well as a lower increase in biomarker levels of cartilage degradation was observed, but not in women. The change in WOMAC pain showed a similar positive trend in men taking ch-OSA. CONCLUSION: After 12 weeks of treatment, no effect was found of ch-OSA in the total study population on clinical parameters and biomarkers, but a gender interaction was observed. In men, ch-OSA was found effective in reducing symptoms of knee OA, which was associated with a slight but significant reduction of biomarkers that are related to cartilage degradation. TRIAL REGISTRATION: The study was registered retrospectively: ISRCTN88583133 . Registration date: 2015-10-07. |
[Mh] Termos MeSH primário: |
Proteína de Matriz Oligomérica de Cartilagem/análise Colina/uso terapêutico Colágeno Tipo II/análise Osteoartrite do Joelho/tratamento farmacológico Manejo da Dor/métodos Ácido Silícico/uso terapêutico
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[Mh] Termos MeSH secundário: |
Administração Oral Idoso Biomarcadores/análise Cartilagem/patologia Colina/administração & dosagem Método Duplo-Cego Feminino Seres Humanos Masculino Meia-Idade Medição da Dor Fatores Sexuais Ácido Silícico/administração & dosagem Resultado do Tratamento
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[Pt] Tipo de publicação: | JOURNAL ARTICLE; MULTICENTER STUDY; RANDOMIZED CONTROLLED TRIAL |
[Nm] Nome de substância:
| 0 (Biomarkers); 0 (Cartilage Oligomeric Matrix Protein); 0 (Collagen Type II); 1343-98-2 (Silicic Acid); N91BDP6H0X (Choline) |
[Em] Mês de entrada: | 1709 |
[Cu] Atualização por classe: | 170926 |
[Lr] Data última revisão:
| 170926 |
[Sb] Subgrupo de revista: | IM |
[Da] Data de entrada para processamento: | 170107 |
[St] Status: | MEDLINE |
[do] DOI: | 10.1186/s12891-016-1370-7 |
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