Meta-analysis of clinical trials of osteoarthritis treatment effectiveness with Chondroguard

I. Torshin, A. Lila, A. Naumov, A. Kochish, L. Alekseeva, E. Taskina, I. Sarvilina, A. Galustyan, A. N. Gromov, A. K. Khadzhidis, L. Vasilieva, E. F. Yevstratova, M. I. Udovika, O. Gromova
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引用次数: 26

Abstract

Aim . A meta-analysis of 8 controlled studies (n=771, age 53.6±6.2 years) of tie use of tie Chondroguard (100 mg i.m. first 3 injections, from tie 4th injection - 200 mg i.m., EOD, course 20-30 injections) in the complex therapy of osteoarthritis (OA). Materials and Methods . Tie meta-analysis according to tie fixed-effects model included all published clinical studies on tie efficacy and safety of the CG drug in OA). The effectiveness of therapy was assessed using the VAS, Lequesne, WOMAC scales/indices. For each study, information was collected on 23 features. Data analysis was carried out using the MEDSTUDY and "R" software packages. Results . Meta-analysis confirmed significant associations between the use of Chondroguard (CG. and pain reduction assessed by the visual analog scale (V)S. - CG: a decrease in pain intensity by -28.3 points, control: -11.6; p=0.042. There was a significant reduction in pain according to VAS at night (CG: -20.1; control: -9.9; p=0.05018., while sitting or lying down (CG: -15.5; control: -7.6; p=0.01656., when walking (CG: -28.2; control: -17.0; p=0.04957). The use of CG led to a significant decrease in the scores of the Lequesne index (CG: -4.3; control: -1.4; p=0.0349., and of the WOMAC index (CG: -338.4; control: -219.8; p=0.004., including WOMAC "function" (CG: -247.8; control: -96; p=0.0027., and WOMAC "stiffness" (CG: -25.4; control: -11.2; p=0.0462.. The incidence of side effects did not differ significantly from the control. Conclusion . Chondroguard is an effective treatment for osteoarthritis and has a good safety profile.
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软骨卫士治疗骨关节炎疗效临床试验的meta分析
的目标。一项8项对照研究(n=771,年龄53.6±6.2岁)的荟萃分析显示,在骨关节炎(OA)的综合治疗中,使用软骨保护蛋白(前3次注射100 mg,第4次注射- 200 mg, EOD,疗程20-30次注射)。材料与方法。根据固定效应模型进行meta分析,纳入了所有已发表的关于CG药物治疗OA的疗效和安全性的临床研究。采用VAS、Lequesne、WOMAC评分/指数评价治疗效果。每项研究收集了23个特征的信息。使用MEDSTUDY和“R”软件包进行数据分析。结果。荟萃分析证实了软骨素(CG)的使用与用视觉模拟量表(V)S评估疼痛减轻程度。- CG:疼痛强度降低-28.3分,对照组:-11.6分;p = 0.042。根据夜间VAS评分,疼痛明显减轻(CG: -20.1;控制:-9.9;p = 0.05018。,坐着或躺着时(CG: -15.5;控制:-7.6;p = 0.01656。,行走时(CG: -28.2;控制:-17.0;p = 0.04957)。使用CG导致Lequesne指数得分显著下降(CG: -4.3;控制:-1.4;p = 0.0349。, WOMAC指数(CG: -338.4;控制:-219.8;p = 0.004。,包括WOMAC“功能”(CG: -247.8;控制:-96;p = 0.0027。, WOMAC“刚度”(CG: -25.4;控制:-11.2;p = 0.0462 . .副作用的发生率与对照组没有显著差异。结论。软骨保护蛋白是治疗骨关节炎的有效药物,具有良好的安全性。
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