St. John's Wort Oil on Osteoarthritis

NCT ID: NCT05663996

Last Updated: 2022-12-23

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

NA

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-12-25

Study Completion Date

2018-08-06

Brief Summary

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This study investigated the effect of St. John's Wort oil on pain intensity and physical functions in people with knee osteoarthritis. This study adopted a randomized, placebo-controlled, and qualitative mixed design. The sample consisted of 60 patients randomized into intervention (n=30) and placebo control (n=30) groups. The experimental group participants were treated with St. John's Wort oil three times a week for three weeks, while the placebo control group participants were treated with olive oil three times a week for three weeks. Quantitative data were collected using a patient identification form, the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and the Visual Analogue Scale (VAS). Qualitative data were collected through semi-structured interviews. .

Detailed Description

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This study adopted a randomized, placebo-controlled, and qualitative mixed design. Qualitative data were collected using a semi-structured interview questionnaire.

The study was conducted in the physical therapy and rehabilitation outpatient clinic of a public hospital in Türkiye. The study population consisted of all patients admitted to the outpatient clinic for osteoarthritis-related pain. The data collection process continued from December 2017 to August 2018 and was reported in accordance with the Consolidated Standards of Reporting Trials (CONSORT) guidelines. A pilot study was conducted with five patients before data collection.

Patients diagnosed with osteoarthritis by a physical therapy and rehabilitation specialist according to ACR criteria were randomized into the study by the University Biostatistics Unit. The initial sample consisted of 72 patients divided into intervention (n=36; St. John's wort oil) and placebo control (n=36; olive oil) groups. However, six experimental group participants were excluded because they either could not be contacted on the phone during the follow-ups (n=4) or stated that they would be out of town for a long time (n=2). Six control group participants were also excluded because they either could not be contacted on the phone during the follow-ups (n=3), did not want to keep up with the intervention (n=1), or wanted to withdraw from the study (n=2). Therefore, the final sample consisted of 30 experimental and 30 control group participants.

Conditions

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Osteoarthritis, Knee Pain

Keywords

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osteoarthritis pain St. John's Wort oil physical function nursing

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

The study was conducted using a pre-test and post-test, randomized controlled trial pattern and semi-structured in-depth interview method of qualitative research.
Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

SINGLE

Participants
Patients diagnosed with osteoarthritis by a physical therapy and rehabilitation specialist according to ACR criteria were randomized into the study by the University Biostatistics Unit.

Study Groups

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St. John's Wort oil

Experimental group participants were treated with St. John's Wort oil.

Group Type EXPERIMENTAL

locally applied to the skin

Intervention Type OTHER

Applying St John's wort oil locally on the knee three times a day for three weeks.

Olive Oil

Control group participants were treated with olive oil.

Group Type PLACEBO_COMPARATOR

locally applied to the skin

Intervention Type OTHER

Applying olive oil locally on the knee three times a day for three weeks.

Interventions

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locally applied to the skin

Applying St John's wort oil locally on the knee three times a day for three weeks.

Intervention Type OTHER

locally applied to the skin

Applying olive oil locally on the knee three times a day for three weeks.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* being literate,
* planning no pregnancy during the study,
* not being pregnant,
* having been diagnosed with knee osteoarthritis according to ACR (American College of Rheumatology),
* having had knee pain for the past month,
* needing analgesics for more than 15 days in a month,
* having osteoarthritis-related knee pain despite routine treatment with analgesics,
* having a VAS score of ≥ 4 on one knee,
* speaking Turkish,
* having no communication problems, and
* volunteering

Exclusion Criteria

* Pregnant,
* Having a physical disability in the area where the application will be made,
* Having any skin disease in the area to be treated,
* Having large scar tissue in the area to be treated,
* Having a history of physical trauma in the last three months in the area to be treated,
* Having any peripheral vascular disease in the area to be treated,
* Having inflammatory joint disease,
* Having a history of rheumatoid arthritis and fibromyalgia,
* Using any complementary and integrative (integrated) health application in the last three months,
* Those who have undergone intra-articular treatment in the last three months,
* Receiving pain blocking treatment in the last year,
* Receiving physical therapy in the last three months and during the application,
* Patients with 2 or more pain in the other knee according to the VAS scale were not included in the study.
Minimum Eligible Age

35 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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TC Erciyes University

OTHER

Sponsor Role lead

Responsible Party

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Deniz Zeynep SÖNMEZ

assistant professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Osmaniye Korkut Ata University

Osmaniye, , Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

References

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Barthel HR, Haselwood D, Longley S 3rd, Gold MS, Altman RD. Randomized controlled trial of diclofenac sodium gel in knee osteoarthritis. Semin Arthritis Rheum. 2009 Dec;39(3):203-12. doi: 10.1016/j.semarthrit.2009.09.002.

Reference Type BACKGROUND
PMID: 19932833 (View on PubMed)

Kooshki A, Forouzan R, Rakhshani MH, Mohammadi M. Effect of Topical Application of Nigella Sativa Oil and Oral Acetaminophen on Pain in Elderly with Knee Osteoarthritis: A Crossover Clinical Trial. Electron Physician. 2016 Nov 25;8(11):3193-3197. doi: 10.19082/3193. eCollection 2016 Nov.

Reference Type BACKGROUND
PMID: 28344755 (View on PubMed)

Altındağ, Ö., Sırmatel, Ö., & Tabur,H. (2006). Demographic features and relation with clinical parameters in patients with knee osteoarthritis. Harran Üniversitesi Tıp Fakültesi Dergisi, 3(2), 62-66

Reference Type BACKGROUND

Tütün, Ş., Altın, F., Özgönenel, L, & Çetin, E. (2010). Demographic characteristics in patients with knee osteoarthritis and relationship with obesity, Age, Pain and Gender. İstanbul Med J, 11(3), 109-112.

Reference Type BACKGROUND

Gümüş, K. & Ünsal A. (2014). Evaluation of daily living activities of the individuals with osteoarthritis. Turkish Journal of Osteoporosis, 20,117-24. http://doi:10.4274/tod.93723

Reference Type BACKGROUND

Bellamy N, Buchanan WW, Goldsmith CH, Campbell J, Stitt LW. Validation study of WOMAC: a health status instrument for measuring clinically important patient relevant outcomes to antirheumatic drug therapy in patients with osteoarthritis of the hip or knee. J Rheumatol. 1988 Dec;15(12):1833-40.

Reference Type BACKGROUND
PMID: 3068365 (View on PubMed)

İnan, Ç., & Kıyak, E., (2014) The effect of hot and cold application on pain, stiffness and physical function in patients with knee osteoarthritis. Hemşirelikte Araştırma ve Geliştirme Dergisi, 16(2), 1-10.

Reference Type BACKGROUND

Chen L, Li D, Zhong J, Qiu B, Wu X. Therapeutic Effectiveness and Safety of Mesotherapy in Patients with Osteoarthritis of the Knee. Evid Based Complement Alternat Med. 2018 Jan 4;2018:6513049. doi: 10.1155/2018/6513049. eCollection 2018.

Reference Type BACKGROUND
PMID: 29507592 (View on PubMed)

Cheung C, Wyman JF, Bronas U, McCarthy T, Rudser K, Mathiason MA. Managing knee osteoarthritis with yoga or aerobic/strengthening exercise programs in older adults: a pilot randomized controlled trial. Rheumatol Int. 2017 Mar;37(3):389-398. doi: 10.1007/s00296-016-3620-2. Epub 2016 Dec 2.

Reference Type BACKGROUND
PMID: 27913870 (View on PubMed)

Tuzun EH, Eker L, Aytar A, Daskapan A, Bayramoglu M. Acceptability, reliability, validity and responsiveness of the Turkish version of WOMAC osteoarthritis index. Osteoarthritis Cartilage. 2005 Jan;13(1):28-33. doi: 10.1016/j.joca.2004.10.010.

Reference Type BACKGROUND
PMID: 15639634 (View on PubMed)

Price DD, McGrath PA, Rafii A, Buckingham B. The validation of visual analogue scales as ratio scale measures for chronic and experimental pain. Pain. 1983 Sep;17(1):45-56. doi: 10.1016/0304-3959(83)90126-4.

Reference Type BACKGROUND
PMID: 6226917 (View on PubMed)

Kelly AM. Does the clinically significant difference in visual analog scale pain scores vary with gender, age, or cause of pain? Acad Emerg Med. 1998 Nov;5(11):1086-90. doi: 10.1111/j.1553-2712.1998.tb02667.x.

Reference Type BACKGROUND
PMID: 9835471 (View on PubMed)

Williamson A, Hoggart B. Pain: a review of three commonly used pain rating scales. J Clin Nurs. 2005 Aug;14(7):798-804. doi: 10.1111/j.1365-2702.2005.01121.x.

Reference Type BACKGROUND
PMID: 16000093 (View on PubMed)

Sentürk, S., Tasci, S. (2021). The effects of ginger kidney compress on severity of pain and physical functions of individuals with knee osteoarthritis: A Randomized Controlled Trial International Journal of Traditional and Complementary Medicine Research, 2(2): 83-94. http://doi:10.53811/ijtcmr.972187

Reference Type BACKGROUND

Dogan N, Goris S, Demir H. [Levels of pain and self-efficacy of individuals with osteoarthritis]. Agri. 2016 Jan;28(1):25-31. doi: 10.5505/agri.2015.30085. Turkish.

Reference Type BACKGROUND
PMID: 27225609 (View on PubMed)

Other Identifiers

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TDK-2017-7629

Identifier Type: -

Identifier Source: org_study_id