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The purpose of this study is to evaluate the pharmacodynamic profile of an oral enzyme treatment with Bromelain, Trypsin and Rutoside in subjects with osteoarthritis.
Full description
This study is a randomised, placebo controlled, two parallel arms, cross over, and multicentric trial in 40 male and female subjects suffering from osteoarthritis. While is it well established that Wobenzyme is safe and have proven efficacy in painful conditions, inflammation and osteoarthritis, little is known about its clear mechanism of action underlying its clinical efficacy. This study hypothesises that oral enzyme combination therapy with Wobenzyme will lead to systemic pharmacodynamic effects which will be documented by a holistic assessment of the inflammasome, innate immune system, cartilage turnover, systemic inflammatory markers, as well as potential cellular pathways.
Enrollment
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Volunteers
Inclusion criteria
Male or female ≥ 40 years of age and with BMI ≤ 35 kg/m2;
Uni- or bilateral femorotibial knee OA :
Mild-to-Moderate mean knee pain score at rest or at walking over the last 24 hours on the index knee evaluated on VAS (0-100) ≥ 40 at baseline;
Able to follow the instructions of the study;
Having signed an informed consent.
Exclusion criteria
Related to knee:
Recent macro-trauma of the knee responsible of the symptomatic knee left to the Investigator's discretion;
Concurrent articular disease interfering with the evaluation of pain left to the Investigator's discretion;
Prosthesis in the target knee;
Knee swelling requiring corticosteroids local injection.
Related to treatments:
Analgesics to manage knee pain 24 hours before inclusion visit;
Corticosteroids injection in the target knee in the last 3 months;
Hyaluronan injection in the target knee in the last 6 months;
Arthroscopy in the last 6 months;
Oral corticotherapy ≥ 5mg/day (in Prednisolone equivalent) in the last 3 months;
Symptomatic slow-acting drugs for osteoarthritis (SYSADOA) or dietary supplement, i.e., curcuma extract, chondroitin, glucosamine, diacerein or avocado-soya unsaponifiables in the last 3 months;
An anticipated need for any forbidden treatments during the trial;
Contraindications to the product :
Hypersensitivity or allergy to the product components, and pineapple;
Treatments based on strontium ranelate, bisphosphonates, selective estrogen-receptor modulator (SERM) and parathormone (PTH) in the last 12 months;
Treatment based on zoledronate in the last 2 years;
Treatment based on denosumab in the last 6 months;
Treatment with anticoagulants and/or anti-platelet agents
Related to associated diseases:
Any severe, uncontrolled and limiting disease left to the Investigator's discretion;
Patient with widespread pain/depression (e.g. fibromyalgia);
Lower or upper extremity surgery or fracture in the last 6 months;
Anticipated need for any surgical or other invasive procedure during the trial including prosthesis in the target knee;
Severe alteration of mobility enabling functional evaluation.
Related to subjects
Close collaborators to the investigational team, the study coordinator (ARTIALIS) or to the Sponsor;
Currently participating or having participated in another therapeutic clinical trial in the three previous months;
Having made a blood donation in the past month;
Under guardianship or judicial protection;
Pregnancy, breastfeeding, planned conception, or premenopausal women without effective contraception (tablet, patch, ring, diaphragm, implant and intrauterine device, tubal ligation or hysterectomy);
Counter-indication to an MRI examination.
Primary purpose
Allocation
Interventional model
Masking
40 participants in 2 patient groups, including a placebo group
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Data sourced from clinicaltrials.gov
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