Effect of Diacerein on Hand Osteoarthritis
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Purpose
Ostearthritis is one of the most common arthritis, affecting more than 30% of aged people world-widely. The disease is characterized by pain and stiffness of the affected joints and is the most common cause of disability in aged people. It commonly affects knee, hip, hand and spine joints. Diacerein is a drug developed specifically for the treatment of osteoarthritis. It has inhibitory effects on interleukin-1 (IL-1) and metalloproteases which are known to play key roles in the pathogenesis of osteoarthritis while exerting no effect on phospholipase A2, cyclooxygenase or lipoxygenase. It showed anti-inflammatory effects on animal models and reduced structural changes in several animal models. Therefore, we investigate the role of diacerein in patients with hand osteoarthritis.
| Condition | Intervention | Phase |
|---|---|---|
|
Osteoarthritis |
Drug: diacerein Drug: placebo |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | Phase IV Study of Diacerein in Human Hand Osteoarthritis |
- Australian/Canadian Osteoarthritis Hand Index (AUSCAN) pain score at 4 week point [ Time Frame: 12 weeks ] [ Designated as safety issue: Yes ]
- AUSCAN stiffness score at 4 week point [ Time Frame: 12wks ] [ Designated as safety issue: Yes ]
- AUSCAN pain score at 12 week point [ Time Frame: 12wk ] [ Designated as safety issue: Yes ]
| Enrollment: | 86 |
| Study Start Date: | June 2008 |
| Study Completion Date: | December 2009 |
| Primary Completion Date: | October 2009 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: 1
Diacerein 50mg bid
|
Drug: diacerein
Diacerein 50mg bid
Other Name: Atrodar 50mg bid
|
|
Placebo Comparator: 2
placebo 50mg bid
|
Drug: placebo
placebo
Other Name: placebo
|
Eligibility| Ages Eligible for Study: | 40 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Ages over 40 years-old
- Conforming to the classification criteria of American College of Rheumatology*
- More than 1 tender joints
- Self reported hand pain which is more than 30 mm on the Australian/Canadian Osteoarthritis Hand Index visual analogue scales (VAS) after wash out period of 2 weeks
Exclusion Criteria:
- Pregnant or lactating women
- Previous history of hypersensitivity to Diacerein
- Patients who had taken oral corticosteroid or intraarticular steroid to hand joints within 3 months of enrollment
- Patients who were injected with hyaluronic acid to hand joints within 6 months of enrollment
- Patients who underwent surgery in any joints of the hands
- AST/ALT > 2x upper normal range
- Serum Cr > 1.4 mg/dl
- Patients who have severe comorbidities such as severe congestive heart failure or pulmonary disease
- Patients who took oral anticoagulants.
- Patients who refuse to sign the consent form
Contacts and Locations| Korea, Republic of | |
| Seoul National University Hospital | |
| Seoul, Korea, Republic of, 110-744 | |
| Principal Investigator: | Eun Bong Lee, MD | Seoul National University Hospital |
More Information
No publications provided
| Responsible Party: | Seoul National University Hopital, Eun Bong Lee |
| ClinicalTrials.gov Identifier: | NCT00685542 History of Changes |
| Other Study ID Numbers: | H-081-043-232 |
| Study First Received: | May 24, 2008 |
| Last Updated: | December 2, 2010 |
| Health Authority: | Korea: Food and Drug Administration |
Keywords provided by Seoul National University Hospital:
|
diacerein osteoarthritis hand |
Additional relevant MeSH terms:
|
Osteoarthritis Arthritis Joint Diseases Musculoskeletal Diseases Rheumatic Diseases |
Diacetylrhein Anti-Inflammatory Agents Therapeutic Uses Pharmacologic Actions |
ClinicalTrials.gov processed this record on May 22, 2013