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CTRI Number  CTRI/2018/10/016235 [Registered on: 31/10/2018] Trial Registered Prospectively
Last Modified On: 30/10/2018
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Ayurveda 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   Effectiveness of Herbal Oil in Osteoarthritis of Knee 
Scientific Title of Study   A randomized, double blind, placebo controlled comparative study to assess the efficacy and safety of Gogo Pain Relief & MSM (M) oil in treatment of osteoarthritis (OA) of the knee 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
GOS/CMS/13/2018   Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Jitendra Singh Kushwaha 
Designation  Sr. Consultant Physician 
Affiliation  Prakhar Hospital Pvt. Ltd. 
Address  8/150, Arya Nagar Road, Near Indian Overseas Bank

Kanpur Nagar
UTTAR PRADESH
208002
India 
Phone  7906261455  
Fax    
Email  drortho2711@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Jitendra Singh Kushwaha 
Designation  Sr. Consultant Physician 
Affiliation  Prakhar Hospital Pvt. Ltd. 
Address  8/150, Arya Nagar Road, Near Indian Overseas Bank

Kanpur Nagar
UTTAR PRADESH
208002
India 
Phone  7906261455  
Fax    
Email  drortho2711@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Jitendra Singh Kushwaha 
Designation  Sr. Consultant Physician 
Affiliation  Prakhar Hospital Pvt. Ltd. 
Address  8/150, Arya Nagar Road, Near Indian Overseas Bank

Kanpur Nagar
UTTAR PRADESH
208002
India 
Phone  7906261455  
Fax    
Email  drortho2711@gmail.com  
 
Source of Monetary or Material Support  
Gods Own Store LLP, Amritpuri opp Iskcon Temple East of Kailash New Delhi India 
 
Primary Sponsor  
Name  Gods Own Store LLP 
Address  Amritpuri opp Iskcon Temple East of Kailash New Delhi India 
Type of Sponsor  Pharmaceutical industry-Indian 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Jitendra Singh Kushwaha  Prakhar Hospital Pvt Ltd  Room No. 405, Clinical Research Room, 4th Floor, 8/150, Arya Nagar Road, Near Indian Overseas Bank
Kanpur Nagar
UTTAR PRADESH 
7906261455

drortho2711@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
ETHICS COMMITTEE OF THE PRAKHAR HOSPITAL   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M179||Osteoarthritis of knee, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  aromatic coconut oil  A placebo comprising of fragrant coconut oil will be used.  
Intervention  Gogo Pain Relief & MSM   The test product Gogo Pain Relief & MSM (M) is a blend of extracts/oil from Gaultheria Procumbens (Wintergreen), Lavandula Angustifolia, Aniba Rosaeodora, Anthemis Nobilis, Eucalyptus Globulus, Rosmarinus Officinalis, Mentha Piperita, Syzygium Aromaticum and Ocimumbasilicum. 
 
Inclusion Criteria  
Age From  35.00 Year(s)
Age To  80.00 Year(s)
Gender  Both 
Details  1. Participants must be adults, aged at least 35 to 80 yrs old with radiographically established OA.
2. At screening, subjects must complete questionnaires that would provide investigators with information on their medical and OA history and demographics. Pain level in the last week will be evaluated using the Visual Analog Scale (VAS) and functionality in activities of daily living with the Western Ontario and McMaster Universities Osteoarthritis Index.
3. Females Subjects must have a negative pregnancy test. Pregnant patients or individual with history of pregnancy will be excluded from the study.
4. Subjects should be having a pre-randomization score of 40 to 90 on the Western Ontario and McMaster Universities Osteoarthritis Index.
5. Participants should be willing to sign a written consent for participation in the study and undergo a baseline interview.
6. Participants must be willing to apply the test product and return for assessment visits for evaluation.
7. Participants must agree that during the study they will refrain from taking any new herbal supplement and prescription or non-prescription medications that has not been recommended by the study physician.
 
 
ExclusionCriteria 
Details  1. Participants with rheumatoid arthritis; fibromyalgia; recurrent or active pseudogout, cancer, or other serious medical conditions
2. Single or married subjects who are pregnant or have borne children in past one year.
3. Participants with a history of signs or history of kidney or liver failure OR asthma requiring use of corticosteroids OR use of oral corticosteroids within the past 4 weeks
4. Participants with a history of intra-articular knee depo corticosteroids within the previous 3 months, or intra-articular hyaluronate within the previous 6 months.
5. Participants with evidence or history of medical or surgical event in the past year that may significantly affect the study outcome such as arthroscopy of the knee within the previous year; significant injury to the knee within the previous 6 months; or a rash or open wound over the knee.
6 Patients reporting use of prescription or non-prescription drugs that has not been pre-approved by the study physician.
7. Participant with known allergies to the main components of the test product or placebo.
8. Participation in another clinical trial or taking an investigational product in the past three months
9. Any participant who is not able to give informed consent.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
Primary Criteria for efficacy are:
1. A negative change in WOMAC scores from baseline indicating improvement of symptoms and limitations; as compared to the placebo (WOMAC assesses pain, stiffness and physical functional disability using a series of 24 questions).
2. Negative change in the VAS score assessing pain
3. Range of motion in degrees. X-ray will be done both at baseline and at the end of the treatment to evaluate the benefit of the treatment.
 
Day 0
Day 30
Day 60
Day 90 
 
Secondary Outcome  
Outcome  TimePoints 
The secondary endpoints comprise of the safety analyses i.e Adverse events including SAEs.  Day 0
Day 30
Day 60
Day 90 
 
Target Sample Size   Total Sample Size="100"
Sample Size from India="100" 
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   Post Marketing Surveillance 
Date of First Enrollment (India)   12/11/2018 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="2"
Days="14" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   Publication will be done after study completion as per Sponsor requirement 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary  

The study will enrol adults aged between 35-65 years that have diagnosed with OA based on radiographic evidence. Eligible participants screened in baseline interview will be randomized into two groups to be treated with either the test product Gogo Pain Relief & MSM (M) or comparator. The baseline interview will collect sociodemographic data pain level in the last week using the Visual Analog Scale (VAS) (0= no pain; 10= worst pain ever), and functionality in activities of daily living with the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). An X-ray of the affected area will be done for the baseline assessment and at the end of treatment to evaluate the efficacy of the treatment. In addition to the test product/ placebo, a standard treatment prescribed by a physician will be given to the patients with osteoarthritis.

Subjects will be evaluated at the end of first (Day 30), second (Day 60) and third month (Day 90) (assessment visits) regarding pain and functional state, subsequent to the initiation of treatment. Safety analyses will be done at each visit.

 
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