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CTRI Number  CTRI/2010/091/000059 [Registered on: 01/10/2010]
Last Modified On: 30/01/2015
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study
Modification(s)  
Drug 
Study Design  Randomized, Parallel Group, Multiple Arm Trial 
Public Title of Study   Evaluation of efficacy and tolerability of a fixed dose combination of Glucosamine sulphate and Omega 3 Fatty Acid For treatment of Painful Osteoarthritis of knee 
Scientific Title of Study   Evaluation of efficacy and tolerability of a fixed dose combination of Glucosamine sulphate and Omega 3 Fatty Acid For treatment of Painful Osteoarthritis of knee: An open, prospective, randomized three arm study. 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
MRCK/FLEX/02/09  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name   
Designation   
Affiliation   
Address 

Not Applicable
N/A

India 
Phone    
Fax    
Email    
 
Details of Contact Person
Scientific Query

Modification(s)  
Name  Dr Khokan Debnath 
Designation  Assistant Manager Clinical Operation 
Affiliation  Merck Limited 
Address  A -Shivsagar Estate
Dr. Annie Besant Road
Mumbai
MAHARASHTRA
400018
India 
Phone  91-22-66609003  
Fax  91-22-4936046  
Email  khokan.debnath@merck.co.in  
 
Details of Contact Person
Public Query

Modification(s)  
Name  Dr Khokan Debnath 
Designation  Assistant Manager Clinical Operation 
Affiliation   
Address  A- Shivsagar Estate
Dr. Annie Besant Road
Mumbai
MAHARASHTRA
400018
India 
Phone  91-22-66609003  
Fax  91-22-4936046  
Email  khokan.debnath@merck.co.in  
 
Source of Monetary or Material Support  
Merck Limited 
 
Primary Sponsor
Modification(s)  
Name  Merck Limited 
Address  5th floor, A, Shivsagar estate, Dr. Annie Besant Road, Worli 18, Mumbai, Phone- 66609000 
Type of Sponsor  Pharmaceutical industry-Global 
 
Details of Secondary Sponsor
Modification(s)  
Name  Address 
Smega Drugs Research Lab  Pratik Society, 16-251. K.N. Nagar -1 Vikhroli (E) Mumbai-83 Phone-91-2578566 91-9867757856 
 
Countries of Recruitment     India  
Sites of Study
Modification(s)  
No of Sites = 3  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Chandrakant Thorat  GMC - Aurangabad  Panchakki Road Aurangabad 431001
Aurangabad
BIHAR 
91-9820654780
91-0240-2402418
drcrt2007@rediffmail.com 
Dr Ajay Chandanwale  J J Hospital  J J Hospital Grant Medical College Byculla Mumbai 400008
Mumbai
MAHARASHTRA 
91-9420697474

drasc62@rediffmail.com 
Dr Bikash Medhi  PGIMER  PGIMER,Sector 12-160012
Chandigarh
CHANDIGARH 
91-9815409652

drbikashus@yahoo.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 3  
Name of Committee  Approval Status 
Ethics Committee: Institutional ethics committee, GMC, Mumbai  Approved 
Ethics Committee: Institutional ethics committee, PGIMER, Chandigarh Under   Approved 
Ethics Committee: Institutional ethics committee- Aurangabad  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied
Modification(s)  
Health Type  Condition 
Patients  Painful osteoarthritis of Knee joint,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Flexi Joint capsules  Each capsule contains glucosamine sulphate 500 mg plus Omega 3 Fatty Acids in the form of EPA 90 mg & DHA 60 mg) Dose: One soft gelatin capsule 3 times in a day orally for 12 weeks  
Comparator Agent  Glucosamine  Glucosamine sulphate 500 mg Dose: One tablet 3 times in a day orally for 12 weeks  
Comparator Agent  Maxepa  Each capsule containing EPA 90 mg & DHA 60 mg. Dose: One capsule 3 times in a day orally for 12 weeks. 
 
Inclusion Criteria
Modification(s)  
Age From   
Age To   
Gender   
Details  - Patients of either sex above 25 years of age - Clinical diagnosis of primary Osteoarthritis (OA) of the knee (tibiofemoral joint) based on clinical and radiographic criteria. i.e. patients at the time of enrollment in this study having mild to moderate unilateral or bilateral knee pain with or without morning stiffness of <30 minutes duration, and radiographic osteophytes with one or more of the following: ? Marginal lipping ? Narrowing of joint space ? Sharpened articular margin ? sclerosis i.e. damaged thickened or eburnated subchondral bone cysts - ARA Functional Class I, II, or III - Clinical symptoms of OA for at least 6 months prior to study entry - Patient ready to give informed consent.  
 
ExclusionCriteria 
Details  -Patients having overt joint deformity
-Traumatic joint pain.
-Patients who require surgical intervention
-History of Ischemic Heart Disease
-Pregnant and lactating females
-Those receiving corticosteroid treatment
-Patients with H/O gastritis, peptic ulcer, bleeding ulcers.
-Patients with known hepatic or renal impairment
-Intra-articular injection of corticosteroids, hyaluronic acid or congeners into study joint with 12 months
-Implementation of any other medical therapy for arthritis within 1 week prior to enrollment.
-Patients with known hypersensitivity to any component of study drug.
-Pregnant and lactating females
-Patients with H/O drug/alcoholic abuse
-Any other condition that, in the opinion of the investigator, does not justify the inclusion of the subject in the study
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
- Improvement in the WOMAC 21 (Western Ontario and McMaster Universities) Score (Sum total of subscale scores for Pain, Stiffness and Function deficit)  At the end of study period 
 
Secondary Outcome  
Outcome  TimePoints 
- Reduction of concurrent use of rescue analgesic - Global Efficacy Assessment evaluated on a 5-point scale of Excellent, Good, Fair, Poor, & Worse   At the end of study period 
 
Target Sample Size
Modification(s)  
Total Sample Size="210"
Sample Size from India="210" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 3 
Date of First Enrollment (India)
Modification(s)  
10/05/2010 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  10/05/2010 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="10"
Days="0" 
Recruitment Status of Trial (Global)   Open to Recruitment 
Recruitment Status of Trial (India)   
Publication Details
Modification(s)  
Not yet published 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary   It a trial to evaluate efficacy and tolerability of a fixed dose combination of Glucosamine sulphate and Omega 3 Fatty Acid For treatment of Painful Osteoarthritis of knee. Its an open, prospective, randomized three arm study.The estimated sample size for three arm study is 180 anticipating a dropout rate of 15%, a total of 210 patients would be enrolled (70 in each arm).210 patients would be enrolled (70 in each arm).All medications to be administered by oral route. The study will be conducted at 3 centres all across the country. There are three arms in the study. Study arm is a combination Glucosamine and Omega three fatty acids versus plain Glucosamine versus plain Omega three fatty acids 
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