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Efficacy of Chondroitin Sulfate for Painful Knee Osteoarthritis: A One-Year, Randomized, Double-Blind, Multicenter Clinical Study in Japan
We explored the effects of chondroitin sulfate on knee osteoarthritis in a one-year, randomized, double-blind, dose-comparison study. Patients with painful, Kellgren–Lawrence grade 2–3, osteoarthritis of the knee were treated with oral chondroitin sulfate at a dose of either 260 mg/d (low-dose group...
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Published in: | Biological & pharmaceutical bulletin 2018/02/01, Vol.41(2), pp.163-171 |
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creator | Morita, Mitsuhiro Yamada, Kotaro Date, Hideki Hayakawa, Kazue Sakurai, Hidetomo Yamada, Harumoto |
description | We explored the effects of chondroitin sulfate on knee osteoarthritis in a one-year, randomized, double-blind, dose-comparison study. Patients with painful, Kellgren–Lawrence grade 2–3, osteoarthritis of the knee were treated with oral chondroitin sulfate at a dose of either 260 mg/d (low-dose group, control group) or 1560 mg/d (high-dose group). Symptoms were evaluated by the Lequesne’s index and visual analog scale for pain. We made subgroup analyses according to background symptom severity (Lequesne’s index ≥8 or |
doi_str_mv | 10.1248/bpb.b17-00556 |
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Patients with painful, Kellgren–Lawrence grade 2–3, osteoarthritis of the knee were treated with oral chondroitin sulfate at a dose of either 260 mg/d (low-dose group, control group) or 1560 mg/d (high-dose group). Symptoms were evaluated by the Lequesne’s index and visual analog scale for pain. We made subgroup analyses according to background symptom severity (Lequesne’s index ≥8 or <8) in 73 patients. Serum level of cartilage oligomeric matrix protein and hyaluronic acid were also determined. In the subgroup with severe symptoms (Lequesne’s index ≥8), the chondroitin sulfate dose of 1560 mg/d improved pain faster after 6 and 9 months’ therapy. However, no dose-related effects were found on cartilage oligomeric matrix protein or hyaluronic acid levels. Chondroitin sulfate also had good tolerability. We conclude that chondroitin sulfate is useful for pain control in knee osteoarthritis.</description><identifier>ISSN: 0918-6158</identifier><identifier>EISSN: 1347-5215</identifier><identifier>DOI: 10.1248/bpb.b17-00556</identifier><identifier>PMID: 29176264</identifier><language>eng</language><publisher>Japan: The Pharmaceutical Society of Japan</publisher><subject>Arthritis ; Cartilage diseases ; Cartilage oligomeric matrix protein ; Chondroitin sulfate ; clinical trial ; Clinical trials ; Double-blind studies ; Hyaluronic acid ; Knee ; Matrix protein ; Osteoarthritis ; Pain ; pain-management ; Randomization ; randomized controlled trial ; Sulfates</subject><ispartof>Biological and Pharmaceutical Bulletin, 2018/02/01, Vol.41(2), pp.163-171</ispartof><rights>2018 The Pharmaceutical Society of Japan</rights><rights>Copyright Japan Science and Technology Agency 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c702t-4583bf7f51011792f9bd19c805e603b7fb99824ec34fe162c8a4261b34899ed03</citedby><cites>FETCH-LOGICAL-c702t-4583bf7f51011792f9bd19c805e603b7fb99824ec34fe162c8a4261b34899ed03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29176264$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Morita, Mitsuhiro</creatorcontrib><creatorcontrib>Yamada, Kotaro</creatorcontrib><creatorcontrib>Date, Hideki</creatorcontrib><creatorcontrib>Hayakawa, Kazue</creatorcontrib><creatorcontrib>Sakurai, Hidetomo</creatorcontrib><creatorcontrib>Yamada, Harumoto</creatorcontrib><creatorcontrib>Fujita Health University</creatorcontrib><creatorcontrib>aDepartment of Orthopaedic Surgery</creatorcontrib><creatorcontrib>Zeria Pharmaceutical Co</creatorcontrib><creatorcontrib>bConsumer Healthcare Products Development</creatorcontrib><creatorcontrib>Ltd</creatorcontrib><title>Efficacy of Chondroitin Sulfate for Painful Knee Osteoarthritis: A One-Year, Randomized, Double-Blind, Multicenter Clinical Study in Japan</title><title>Biological & pharmaceutical bulletin</title><addtitle>Biol Pharm Bull</addtitle><description>We explored the effects of chondroitin sulfate on knee osteoarthritis in a one-year, randomized, double-blind, dose-comparison study. Patients with painful, Kellgren–Lawrence grade 2–3, osteoarthritis of the knee were treated with oral chondroitin sulfate at a dose of either 260 mg/d (low-dose group, control group) or 1560 mg/d (high-dose group). Symptoms were evaluated by the Lequesne’s index and visual analog scale for pain. We made subgroup analyses according to background symptom severity (Lequesne’s index ≥8 or <8) in 73 patients. Serum level of cartilage oligomeric matrix protein and hyaluronic acid were also determined. In the subgroup with severe symptoms (Lequesne’s index ≥8), the chondroitin sulfate dose of 1560 mg/d improved pain faster after 6 and 9 months’ therapy. However, no dose-related effects were found on cartilage oligomeric matrix protein or hyaluronic acid levels. Chondroitin sulfate also had good tolerability. We conclude that chondroitin sulfate is useful for pain control in knee osteoarthritis.</description><subject>Arthritis</subject><subject>Cartilage diseases</subject><subject>Cartilage oligomeric matrix protein</subject><subject>Chondroitin sulfate</subject><subject>clinical trial</subject><subject>Clinical trials</subject><subject>Double-blind studies</subject><subject>Hyaluronic acid</subject><subject>Knee</subject><subject>Matrix protein</subject><subject>Osteoarthritis</subject><subject>Pain</subject><subject>pain-management</subject><subject>Randomization</subject><subject>randomized controlled trial</subject><subject>Sulfates</subject><issn>0918-6158</issn><issn>1347-5215</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNpdkUtv1DAUhSMEokNhyRZZYsOiKX4lsdmVoZRH0SAKC1aW7VwzHmXswU4Ww0_gV-N0yiAhWdey76dzru6pqqcEnxPKxUuzM-eGdDXGTdPeqxaE8a5uKGnuVwssiahb0oiT6lHOG4xxhyl7WJ1QSbqWtnxR_b50zltt9yg6tFzH0KfoRx_QzTQ4PQJyMaHP2gc3DehjAECrPELUaVynwuVX6AKtAtTfQacz9EWHPm79L-jP0Js4mQHq14MP5fVpGkZvIYyQ0LJ8Fc8B3YxTv0fF7IPe6fC4euD0kOHJ3X1afXt7-XX5rr5eXb1fXlzXtkw_1rwRzLjONQQT0knqpOmJtAI30GJmOmekFJSDZdwBaakVmtOWGMaFlNBjdlq9OOjuUvw5QR7V1mcLw6ADxCkrIlspmWgxL-jz_9BNnFIo0ylKeTkcs5mqD5RNMecETu2S3-q0VwSrOSRVQlIlJHUbUuGf3alOZgv9kf6bSgGuDkDpzouKoWwM_nnb3Bkfh6goJqKIcoJpuZjCpJ1LRximopGz1fKgtMmj_gFHq5KftwPcDsaJonM5Dnjs2rVOCgL7A2I-unQ</recordid><startdate>20180201</startdate><enddate>20180201</enddate><creator>Morita, Mitsuhiro</creator><creator>Yamada, Kotaro</creator><creator>Date, Hideki</creator><creator>Hayakawa, Kazue</creator><creator>Sakurai, Hidetomo</creator><creator>Yamada, Harumoto</creator><general>The Pharmaceutical Society of Japan</general><general>Pharmaceutical Society of Japan</general><general>Japan Science and Technology Agency</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7QR</scope><scope>7TK</scope><scope>7U9</scope><scope>8FD</scope><scope>FR3</scope><scope>H94</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>20180201</creationdate><title>Efficacy of Chondroitin Sulfate for Painful Knee Osteoarthritis: A One-Year, Randomized, Double-Blind, Multicenter Clinical Study in Japan</title><author>Morita, Mitsuhiro ; 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Patients with painful, Kellgren–Lawrence grade 2–3, osteoarthritis of the knee were treated with oral chondroitin sulfate at a dose of either 260 mg/d (low-dose group, control group) or 1560 mg/d (high-dose group). Symptoms were evaluated by the Lequesne’s index and visual analog scale for pain. We made subgroup analyses according to background symptom severity (Lequesne’s index ≥8 or <8) in 73 patients. Serum level of cartilage oligomeric matrix protein and hyaluronic acid were also determined. In the subgroup with severe symptoms (Lequesne’s index ≥8), the chondroitin sulfate dose of 1560 mg/d improved pain faster after 6 and 9 months’ therapy. However, no dose-related effects were found on cartilage oligomeric matrix protein or hyaluronic acid levels. Chondroitin sulfate also had good tolerability. 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subjects | Arthritis Cartilage diseases Cartilage oligomeric matrix protein Chondroitin sulfate clinical trial Clinical trials Double-blind studies Hyaluronic acid Knee Matrix protein Osteoarthritis Pain pain-management Randomization randomized controlled trial Sulfates |
title | Efficacy of Chondroitin Sulfate for Painful Knee Osteoarthritis: A One-Year, Randomized, Double-Blind, Multicenter Clinical Study in Japan |
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