Efficacy of Aflapin® in the treatment of osteoarthritis of knee

ISRCTN ISRCTN69643551
DOI https://doi.org/10.1186/ISRCTN69643551
Secondary identifying numbers 09-002/Aflapin®/OA
Submission date
05/09/2009
Registration date
06/04/2010
Last edited
14/02/2012
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Musculoskeletal Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English Summary

Not provided at time of registration

Contact information

Dr Amar Anand Vishal
Scientific

Department of Orthopaedics
ASR Academy of Medical Sciences
Eluru
534 002
India

Study information

Study designRandomised placebo-controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Not specified
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific titleEfficacy of Aflapin® in the treatment of osteoarthritis of knee: a randomised, double-blind placebo controlled clinical study
Study hypothesisAflapin® is an improved novel composition of Boswellia serrata extract standardised to 30% 3-O-acetyl-11-keto-beta-boswellic acid (BE-30). Pre-clinical studies demonstrate that Aflapin® is up to 25% more bioavailable than BE-30. Therefore, we hypothesise that Aflapin® would provide faster relief form clinical symptoms of osteoarthritis (OA).

Results of a related study with BE-30 against osteoarthritis can be found at: http://www.ncbi.nlm.nih.gov/pubmed/18667054 (this trial is registered with ISRCTN05212803).
Ethics approval(s)Institutional Review Board (IRB) of Alluri Sitarama Raju Academy of Medical Sciences (ASRAM) approved on the 1st August 2009.
ConditionOsteoarthritis
Intervention60 subjects randomised into 2 groups (n = 30):
1. Aflapin® (oral) 50 mg twice daily (bid)
2. Placebo

Ibuprofen will be used as a rescue medication for both groups. The study duration is 30 days and evaluations will be at baseline, 5, 15 and 30 days.
Intervention typeDrug
Pharmaceutical study type(s)
PhaseNot Specified
Drug / device / biological / vaccine name(s)Aflapin®
Primary outcome measure1. Pain, assessed by VAS
2. LFI
3. Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC)-pain, WOMAC-stiffness and WOMAC-physical ability

Measured at baseline, 5, 15 and 30 days of the study.
Secondary outcome measures1. Tumor necrosis factor alpha (TNFa)
2. C-reactive protein (CRP)
3. Matrix metelloproteinase-3 (MMP-3)

Measured at baseline, 5, 15 and 30 days of the study.
Overall study start date01/09/2009
Overall study end date01/11/2009

Eligibility

Participant type(s)Patient
Age groupAdult
SexBoth
Target number of participantsSixty (60)
Participant inclusion criteria1. Participants must understand risks and benefits of the protocol and able to give informed consent
2. Male and female subjects of 40 - 80 years of age
3. Females of child bearing potential must agree to use an approved form of birth control and have a negative pregnancy test result
4. Unilateral or bilateral OA of the knee for more than 3 months
5. Visual Analogue Scale (VAS) score during the most painful knee movement between 40 - 70 mm after 7 day withdrawal of usual medication
6. Lequesne's Functional Index (LFI) score greater than 7 points after 7 days of withdrawal of usual medication
7. Ability to walk
8. Availability for the duration of the entire study period
Participant exclusion criteria1. History of underlying inflammatory arthropathy or severe rheumatoid arthritis (RA)
2. Hyperuricemia (greater than 440 umol/L) and/or past history of gout
3. Recent injury in the area affected by OA of the knee (past 4 months) and expectation of surgery in the next 4 months
4. Intra-articular corticosteroid injections within the last 3 months
5. Hypersensitivity to non-steroidal anti-inflammatory drugs (NSAIDs), abnormal liver or kidney function tests, history of peptic ulceration and upper gastrointestinal (GI) haemorrhage, congestive heart failure, hypertension, hyperkalemia
6. Major abnormal findings on complete blood count, history of coagulopathies, haematological or neurological disorders
7. High alcohol intake (greater than 2 standard drinks per day)
8. Pregnant, breastfeeding or planning to become pregnant during the study
9. Use of concomitant prohibited medication other than ibuprofen
10. Obesity: body mass index (BMI) more than 30 kg/m^2
Recruitment start date01/09/2009
Recruitment end date01/11/2009

Locations

Countries of recruitment

  • India

Study participating centre

Department of Orthopaedics
Eluru
534 002
India

Sponsor information

Laila Impex R&D Center (India)
Industry

Unit 1 Phase III
Jawahar Autonagar
Vijayawada
520007
India

Website http://lailaimpex.tradeindia.com/
ROR logo "ROR" https://ror.org/05q6g7072

Funders

Funder type

Industry

Laila Impex R&D Center (India)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/11/2011 Yes No