高生物利用度姜黄素治疗膝骨关节炎的疗效和安全性:一项为期6个月的开放标签前瞻性研究。

IF 1.9 Q2 ORTHOPEDICS Clinical Medicine Insights. Arthritis and Musculoskeletal Disorders Pub Date : 2020-08-12 eCollection Date: 2020-01-01 DOI:10.1177/1179544120948471
Yasuaki Nakagawa, Shogo Mukai, Shigeru Yamada, Satoru Murata, Hiromitsu Yabumoto, Takahiro Maeda, Shota Akamatsu
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引用次数: 16

摘要

背景:我们之前开发了一种表面可控的水分散形式的姜黄素,我们称之为Theracurmin®。人血药浓度-时间曲线下面积(AUC)是姜黄素粉的27倍。以前,我们报道了Theracurmin对膝关节骨关节炎的抗炎作用。假设/目的:我们确定了口服Theracurmin治疗膝关节骨性关节炎患者6个月的临床效果。研究设计:开放性前瞻性研究。方法:50例40岁以上的Kellgren-Lawrence II、III、IV级膝关节骨性关节炎患者参加了这项临床研究。含180 mg/天姜黄素的Theracurmin每天口服,持续6个月。为了监测不良事件,在每次干预前后6个月进行血液生化分析。根据日本膝关节骨性关节炎量表、膝关节疼痛视觉模拟量表和日本骨科协会膝关节评分系统,分别在0、1、2、3、4、5和6个月对患者的膝关节症状进行评估。结果:研究过程中有5例中途退出,无一例因重大问题退出。包括血液生化分析结果在内,未观察到Theracurmin治疗的主要副作用。有效组34例(75.6%),无效组11例。结论:本研究证明了Theracurmin治疗各种类型膝关节骨性关节炎的安全性和良好的疗效。Theracurmin在治疗人类膝关节骨关节炎方面显示出巨大的潜力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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The Efficacy and Safety of Highly-Bioavailable Curcumin for Treating Knee Osteoarthritis: A 6-Month Open-Labeled Prospective Study.

Background: We previously developed a surface-controlled water-dispersible form of curcumin that we called Theracurmin®. The area under the blood concentration-time curve (AUC) of Theracurmin in humans was 27-fold higher than that of curcumin powder. Previously, we reported on the anti-inflammatory effects of Theracurmin for knee osteoarthritis.

Hypothesis/purpose: We determined the clinical effects of orally administered Theracurmin in patients with knee osteoarthritis over a 6-month period.

Study design: Open prospective study.

Methods: Fifty patients Kellgren-Lawrence grade II, III, or IV knee osteoarthritis who were above 40 years old were enrolled in this clinical study. Theracurmin containing 180 mg/day of curcumin was administered orally every day for 6 months. To monitor for adverse events, blood biochemistry analyses were performed before and after 6 months of each intervention. The patients' knee symptoms were evaluated at 0, 1, 2, 3, 4, 5, and 6 months based on the Japanese Knee Osteoarthritis Measure, the knee pain visual analog scale, and the knee scoring system of the Japanese Orthopedic Association.

Results: Five cases dropped out during the study, but no cases dropped out because of major problems. No major side effects were observed with Theracurmin treatment, including the blood biochemistry analysis results. The effective group included 34 cases (75.6%), while the not-effective group included 11 cases.

Conclusion: This study demonstrates the safety and good efficacy of Theracurmin for various types of knee osteoarthritis. Theracurmin shows great potential for the treatment of human knee osteoarthritis.

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CiteScore
4.40
自引率
0.00%
发文量
14
审稿时长
8 weeks
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