Metformin as Adjuvant Therapy in Obese Knee Osteoarthritis Patients

NCT ID: NCT05638893

Last Updated: 2022-12-07

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

COMPLETED

Clinical Phase

PHASE2/PHASE3

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-02-01

Study Completion Date

2022-04-15

Brief Summary

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This study aims to evaluate the possible efficacy and safety of addition of metformin to celecoxib in patients with knee osteoarthritis.

Detailed Description

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Metformin is a safe, well-tolerated oral biguanide widely used as first-line therapy for type 2 diabetes for over 50 years. In addition to its glucose-lowering effects, metformin modulates inflammatory and metabolic factors resulting in weight loss and reduced inflammation and plasma lipids. Data from animal studies suggest that metformin could limit OA development and progression, possibly through activating AMPK.

Retrospective cohort study of participants with OA and type 2 diabetes reported that patients receiving a combination of cyclooxygenase-2 inhibitors and metformin therapy had a lower risk of joint replacement than those receiving cyclooxygenase-2 inhibitors alone .

These findings shed light on possible therapeutic potential of metformin in treatment of OA.

Conditions

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Knee Osteoarthritis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Placebo group

Placebo tablet twice daily + celecoxib 200mg capsule once daily for 12 weeks.

Group Type EXPERIMENTAL

Placebo Tablet

Intervention Type DRUG

Placebo (tablet/12hr) + celecoxib (200mg/day) for three months.

Metformin group

Metformin 500mg tablet twice daily + celecoxib 200mg capsule once daily for 12 weeks.

Group Type EXPERIMENTAL

Metformin Hcl 500Mg Tab

Intervention Type DRUG

Metformin (500mg/12hr) + celecoxib (200mg/day) for three months.

Interventions

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Placebo Tablet

Placebo (tablet/12hr) + celecoxib (200mg/day) for three months.

Intervention Type DRUG

Metformin Hcl 500Mg Tab

Metformin (500mg/12hr) + celecoxib (200mg/day) for three months.

Intervention Type DRUG

Other Intervention Names

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Cidophage 500mg Oral Tablet

Eligibility Criteria

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Inclusion Criteria

* Patients have symptomatic and radiological evidence of OA in one or both knee joints.
* Age ≥ 45 years.
* Both obese male and female will be included (BMI ≥ 30 kg/m²).

Exclusion Criteria

* Patients with inflammatory rheumatic diseases, crystal deposition arthritis or infection-induced OA.
* Patient with hypertension or diabetes mellitus.
* Patient with hepatic or renal impairment.
* Patients who have active peptic ulcer.
* Patients with positive malignancy.
* Steroid injection into the affected knee joint within 3 months of recruitment for the study.
* Pregnant or lactating female patients.
Minimum Eligible Age

45 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Tanta University

OTHER

Sponsor Role lead

Responsible Party

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Amany Abd Elaal Mohamed Aiad

pharmacist

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Sahar M El-Haggar, Professor

Role: STUDY_CHAIR

Tanta University

Amal M El-Barbary, Professor

Role: STUDY_CHAIR

Tanta University

Locations

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Tanta university

Tanta, Gharbia Governorate, Egypt

Site Status

Countries

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Egypt

References

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Aiad AAE, El-Haggar SM, El-Barbary AM, El-Afify DR. Metformin as adjuvant therapy in obese knee osteoarthritis patients. Inflammopharmacology. 2024 Aug;32(4):2349-2359. doi: 10.1007/s10787-024-01495-y. Epub 2024 Jun 13.

Reference Type DERIVED
PMID: 38869746 (View on PubMed)

Other Identifiers

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Metformin knee osteoarthritis

Identifier Type: -

Identifier Source: org_study_id

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