The Long-term Evaluation of Glucosamine Sulphate Study

NCT ID: NCT00513422

Last Updated: 2010-06-30

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

PHASE4

Total Enrollment

600 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-10-31

Study Completion Date

2011-10-31

Brief Summary

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The primary aim of this study is to determine if the dietary supplements, glucosamine sulphate and/or chondroitin can limit or reduce structural disease progression whilst providing symptomatic benefit in people with osteoarthritis (OA) of the knee.

The specific hypotheses to be tested in the proposed double blind, placebo-controlled, randomised clinical trial are that, compared to participants allocated to placebo, participants allocated to either or both of these dietary supplements will demonstrate:

* reduced medial tibio-femoral joint space narrowing at 2 years AND;
* reduced knee pain over 1 year

These benefits will be achieved by participants allocated to glucosamine sulphate and/or chondroitin (the study treatments) without concomitant:

* increased use of analgesics
* reduced health-related quality of life
* reduced participation in leisure-time physical activity

Detailed Description

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The LEGS study is a double blind, placebo-controlled randomised clinical trial using a 2 x 2 factorial design. Participant will be randomly allocated to one of the four possible treatment combinations:

* Glucosamine and Chondroitin (double active)
* Placebo Glucosamine and Chondroitin
* Glucosamine and Placebo Chondroitin
* Placebo Glucosamine and Placebo Chondroitin (double placebo)

Each allocation involves taking 4 study treatment capsules once a day for two years.

A total of 600 participants with symptomatic knee OA will be recruited by general media advertising and by General Practitioners through the New South Wales Divisions of general practice.

Conditions

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Osteoarthritis, Knee

Keywords

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Osteoarthritis, knee Glucosamine Chondroitin Disease progression NSAIDs

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

FACTORIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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1

Glucosamine sulfate 1500mg and chondroitin sulfate 800mg (low molecular weight, bovine)

Group Type EXPERIMENTAL

Glucosamine sulphate and chondroitin

Intervention Type DIETARY_SUPPLEMENT

Glucosamine: Two 750mg capsules once daily for two years;

Chondroitin: Two 400mg capsules once daily for two years.

2

Glucosamine sulfate 1500mg

Group Type EXPERIMENTAL

Glucosamine sulphate

Intervention Type DIETARY_SUPPLEMENT

Glucosamine: Two 750mg capsules once daily for two years;

Placebo Chondroitin: Two capsules once daily for two years.

3

Chondroitin sulfate 800mg

Group Type EXPERIMENTAL

Chondroitin sulphate

Intervention Type DIETARY_SUPPLEMENT

Chondroitin sulphate: Two 400mg capsules once daily for two years;

Placebo glucosamine: Two capsules once daily for two years.

4

Matching glucosamine/chondroitin placebo capsules

Group Type PLACEBO_COMPARATOR

Placebo capsules for glucosamine and chondroitin

Intervention Type DIETARY_SUPPLEMENT

Two placebo glucosamine capsules once daily for two years;

Two placebo chondroitin capsules once daily for two years.

Interventions

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Glucosamine sulphate and chondroitin

Glucosamine: Two 750mg capsules once daily for two years;

Chondroitin: Two 400mg capsules once daily for two years.

Intervention Type DIETARY_SUPPLEMENT

Glucosamine sulphate

Glucosamine: Two 750mg capsules once daily for two years;

Placebo Chondroitin: Two capsules once daily for two years.

Intervention Type DIETARY_SUPPLEMENT

Chondroitin sulphate

Chondroitin sulphate: Two 400mg capsules once daily for two years;

Placebo glucosamine: Two capsules once daily for two years.

Intervention Type DIETARY_SUPPLEMENT

Placebo capsules for glucosamine and chondroitin

Two placebo glucosamine capsules once daily for two years;

Two placebo chondroitin capsules once daily for two years.

Intervention Type DIETARY_SUPPLEMENT

Other Intervention Names

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Glucosamine Chondroitin Glucosamine Chondroitin Double placebo

Eligibility Criteria

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Inclusion Criteria

* Knee pain, or taking NSAIDs/ analgesia for knee pain on most days past month
* Knee pain 4-10 on 10cm VAS
* Medial tibio-femoral compartment joint space narrowing in symptomatic knee

Exclusion Criteria

* Unstable diabetes
* \<2mm medial tibio-femoral compartment joint space width
Minimum Eligible Age

45 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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National Health and Medical Research Council, Australia

OTHER

Sponsor Role collaborator

University of Sydney

OTHER

Sponsor Role lead

Responsible Party

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University of Sydney

Principal Investigators

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Marlene Fransen, PhD, MPH

Role: PRINCIPAL_INVESTIGATOR

University of Sydney, Faculty of Health Sciences

Richard Day, MB, BS, MD

Role: PRINCIPAL_INVESTIGATOR

University of New South Wales

Charles Bridges-Webb, MB, BS

Role: PRINCIPAL_INVESTIGATOR

Royal College of General Practitioners

John Edmonds, MB,BS

Role: PRINCIPAL_INVESTIGATOR

University of New South Wales

Robyn Norton, PhD, MPH

Role: PRINCIPAL_INVESTIGATOR

The George Institute, University of Sydney

Mark Woodward, PhD, MSc

Role: PRINCIPAL_INVESTIGATOR

The George Institute, University of Sydney

Lynette March, PhD, MB, BS

Role: PRINCIPAL_INVESTIGATOR

University of Sydney

Philip Sambrook, MB, BS

Role: PRINCIPAL_INVESTIGATOR

Institute of Bone and Joint Research, University of Sydney

Locations

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Marlene Fransen

Sydney, New South Wales, Australia

Site Status

Countries

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Australia

References

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Simic M, Harmer AR, Agaliotis M, Nairn L, Bridgett L, March L, Votrubec M, Edmonds J, Woodward M, Day R, Fransen M. Clinical risk factors associated with radiographic osteoarthritis progression among people with knee pain: a longitudinal study. Arthritis Res Ther. 2021 Jun 4;23(1):160. doi: 10.1186/s13075-021-02540-9.

Reference Type DERIVED
PMID: 34088340 (View on PubMed)

Fransen M, Agaliotis M, Nairn L, Votrubec M, Bridgett L, Su S, Jan S, March L, Edmonds J, Norton R, Woodward M, Day R; LEGS study collaborative group. Glucosamine and chondroitin for knee osteoarthritis: a double-blind randomised placebo-controlled clinical trial evaluating single and combination regimens. Ann Rheum Dis. 2015 May;74(5):851-8. doi: 10.1136/annrheumdis-2013-203954. Epub 2014 Jan 6.

Reference Type DERIVED
PMID: 24395557 (View on PubMed)

Laba TL, Brien JA, Fransen M, Jan S. Patient preferences for adherence to treatment for osteoarthritis: the MEdication Decisions in Osteoarthritis Study (MEDOS). BMC Musculoskelet Disord. 2013 May 6;14:160. doi: 10.1186/1471-2474-14-160.

Reference Type DERIVED
PMID: 23647688 (View on PubMed)

Other Identifiers

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NHMRC 402511

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

NHMRC 402781

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

GI-IM-LEGS-L

Identifier Type: -

Identifier Source: org_study_id