Efficacy and Safety of Cheong-A-Won Gagambang (JCE003) on Knee Osteoarthritis: Randomized Controlled Pilot Trial

H. Kong, J. Kang, Hyun Lee
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Abstract

Background: The aim of this study was to evaluate the effectiveness and safety of Cheong-A-Won Gagambang (JCE003) treatment for degenerative knee osteoarthritis.Methods: This was a single-center, randomized, double-blind, placebo-controlled pilot clinical trial. There were 36 adults with degenerative knee osteoarthritis who were randomly allocated into JCE003 1,000 mg, JCE003 2,000 mg, or the placebo group (in a 1:1:1 ratio). The participants received 12 weeks of treatment and had scheduled tests every 6 weeks. The primary outcomes were measured using the Korean Western Ontario and McMaster Universities scale, and the secondary outcomes were measured using the visual analog scale, European quality of life-5-dimensions, patient global impression of change, C-reactive protein, and erythrocyte sedimentation rate. Changes between baseline scores and scores following study completion were analyzed.Results: There were 29 participants whose data were analyzed in this study. The change of Korean Western Ontario and McMaster Universities, visual analog scale, European quality of life-5-dimensions scores showed significant improvement in the JCE003 1,000 mg group. The change of patient global impression of change was significantly improved in the placebo group. There were 14 adverse events, but there was no clinically significant relationship with the intake of JCE003 compared with the placebo.Conclusion: Taking JCE003 may be effective at improving knee pain in patients with degenerative knee osteoarthritis and appears to be safe. Based on this study, the concentration and feasibility of the test group may be used when conducting a large-scale clinical trial of degenerative knee osteoarthritis in the future.
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清阿源加甘方(JCE003)治疗膝关节骨性关节炎的疗效和安全性:随机对照试验
背景:本研究的目的是评估清阿源加甘方(JCE003)治疗退行性膝骨关节炎的有效性和安全性。方法:这是一项单中心、随机、双盲、安慰剂对照的临床试验。有36名患有退行性膝骨关节炎的成年人被随机分配到JCE003 1,000 mg, JCE003 2,000 mg或安慰剂组(按1:1:1的比例)。参与者接受了12周的治疗,并安排每6周进行一次测试。主要结局采用韩国西部安大略和麦克马斯特大学量表进行测量,次要结局采用视觉模拟量表、欧洲生活质量-5维度、患者总体印象变化、c反应蛋白和红细胞沉降率进行测量。分析基线得分和研究完成后得分之间的变化。结果:本研究共分析了29名参与者的资料。JCE003 1000 mg组韩国西部安大略和麦克马斯特大学、视觉模拟量表、欧洲生活质量5维度评分的变化均有显著改善。安慰剂组患者对变化的整体印象的变化明显改善。有14个不良事件,但与安慰剂相比,JCE003的摄入量与临床无显著关系。结论:JCE003可有效改善退行性膝骨性关节炎患者的膝关节疼痛,且安全性较好。基于本研究,试验组的浓度和可行性可用于将来进行退行性膝骨关节炎的大规模临床试验。
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30
审稿时长
12 weeks
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