Treatment of Rheumatoid Arthritis With Marine and Botanical Oils

NCT ID: NCT00072982

Last Updated: 2008-08-25

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE3

Total Enrollment

156 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-11-30

Study Completion Date

2008-11-30

Brief Summary

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The object of this study is to determine whether treatment of rheumatoid arthritis (RA) with a combination of fish oil and borage seed oil is superior to treatment with either oil alone. This study will also investigate the biochemical, immunological, and molecular mechanism responsible for the therapeutic effects of these fatty acids. Each patient will be followed for eighteen months.

Detailed Description

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See Brief Summary

Conditions

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Rheumatoid Arthritis

Keywords

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Fish oil Borage oil

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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1

Fish Oil

Group Type ACTIVE_COMPARATOR

fish oil

Intervention Type DRUG

The object of this intervention is to determine whether treatment of rheumatoid arthritis with a combination of fish oil and borage seed oil is superior to treatment with either oil alone. Each arm of the study will take 13 capsules daily (divided doses) for 18 months.

2

Borage Oil

Group Type ACTIVE_COMPARATOR

borage seed oil

Intervention Type DRUG

Borage oil 13 capsules divided doses daily for 18 months

3

Fish Oil and Borage Oil

Group Type ACTIVE_COMPARATOR

combination fish oil and borage seed oil

Intervention Type DRUG

Fish oil and borage seed oil capsules - 13 capsules to be be taken daily (divided doses) for a period of 18 months

Interventions

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fish oil

The object of this intervention is to determine whether treatment of rheumatoid arthritis with a combination of fish oil and borage seed oil is superior to treatment with either oil alone. Each arm of the study will take 13 capsules daily (divided doses) for 18 months.

Intervention Type DRUG

borage seed oil

Borage oil 13 capsules divided doses daily for 18 months

Intervention Type DRUG

combination fish oil and borage seed oil

Fish oil and borage seed oil capsules - 13 capsules to be be taken daily (divided doses) for a period of 18 months

Intervention Type DRUG

Other Intervention Names

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EPA GLA EPA and GLA

Eligibility Criteria

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Inclusion Criteria

* Definite RA with onset at \> 16 years, with total disease duration of at least 6 months
* Active disease as manifested by at least 3 joints that are swollen and 6 joints that are tender at time of enrollment, and either an erythrocyte sedimentation rate \>\_28, or a CRP \>1.4, or morning stiffness of at least 45 min
* Stable dose of DMARDs for 2 mos before baseline visit, with total duration of DMARD for 6 mos.
* All standard therapy for RA, including DMARDs and combinations of DMARDs will be allowed as long as doses have been stable for 2 mos
* Stable NSAID for 1 month before baseline if on an NSAID
* Stable prednisone dose of \< 10 mg/day for 1 month before baseline visit, if on prednisone
* Ability to give and understand all elements of informed consent
* Absence of comorbid condition which, in the opinion of the physician-investigator, would render the patient unsuitable for the study
* Willingness to adhere to the clinical protocol.

Exclusion Criteria

* A diagnosis of inflammatory arthritis other than rheumatoid arthritis
* Chronic anticoagulation
* Hypersensitivity to fish or fish products or plant products
* A dose of prednisone of \> 10 mg/day, or either a change in the prednisone dose or intra-articular corticosteroid injection within one month of the baseline evaluation
* An inability or unwillingness to use an effective form of contraception (females) during the duration of the study
* Pregnant and breast-feeding females
* Inability or unwillingness to adhere to the study diet
* Platelet count \< 100,000/mm 3
* Hemoglobin \< 9 g/dl
* Albumin \< 3.3 g
Minimum Eligible Age

18 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Center for Complementary and Integrative Health (NCCIH)

NIH

Sponsor Role lead

Responsible Party

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University of Massachusetts Medical School

Principal Investigators

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Robert B Zurier, MD

Role: PRINCIPAL_INVESTIGATOR

University of Massachusetts, Worcester

Locations

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UAB Arthritis Clinical Intervention Program

Birmingham, Alabama, United States

Site Status

New England Res. Associates

Trumbull, Connecticut, United States

Site Status

RASF Clinical Research Center

Boca Raton, Florida, United States

Site Status

Lake Rheumatology

Tavares, Florida, United States

Site Status

Fallon Clinic Health Care

Worcester, Massachusetts, United States

Site Status

Division of Rheumatology, Umass Memorial Health Care

Worcester, Massachusetts, United States

Site Status

Rheumatology and Internal Medicine Associates of West County, PC

St Louis, Missouri, United States

Site Status

Joel M. Kremer

Albany, New York, United States

Site Status

Prem Tambar, MD

Niagara Falls, New York, United States

Site Status

Bryn Mawr Medical Specialists

Bryn Mawr, Pennsylvania, United States

Site Status

Geisinger Medical Center

Danville, Pennsylvania, United States

Site Status

Altoona Center for Clinical Research

Duncansville, Pennsylvania, United States

Site Status

Piedmont Arthritis Clinic

Greenville, South Carolina, United States

Site Status

Countries

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United States

Other Identifiers

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NIH RO1 AT000309-01A2

Identifier Type: -

Identifier Source: secondary_id

UMASS IRB Docket #10225

Identifier Type: -

Identifier Source: secondary_id

NEIRB Docket #04-039

Identifier Type: -

Identifier Source: secondary_id

FDA IND #69,292

Identifier Type: -

Identifier Source: secondary_id

R01AT000309-01A2

Identifier Type: NIH

Identifier Source: org_study_id

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