Unique ID issued by UMIN | UMIN000000721 |
---|---|
Receipt number | R000000864 |
Scientific Title | Effects of NSAIDS on activities of cartilage degrading enzymes in osteoarthritic knees |
Date of disclosure of the study information | 2008/03/31 |
Last modified on | 2016/11/28 14:45:40 |
Effects of NSAIDS on activities of cartilage degrading enzymes in osteoarthritic knees
NSAIDS and OA cartilage degradation
Effects of NSAIDS on activities of cartilage degrading enzymes in osteoarthritic knees
NSAIDS and OA cartilage degradation
Japan |
Osteoarthritis of the knee
Orthopedics |
Others
NO
Osteoarthritis of the knee (OA) is one of major diseases that cause ADL disturbances of the elder. OA causes several joint dysfunctions but among them knee pain is the biggest problem for patients. Therefore, NSAIDS prescription is one of common therapy. NSAIDS is effective for about 60 to 70 percent of patients but its action against normal cartilage metabolism is a concern because they may enhance cartilage degradation. Activities against Cyclooxygenase-1 (COX-1) is thought be main cause for this. Desirable action of NSAIDS is attributable on its COX-2 prohibition but inevitably NSAIDS prohibit both COX-1 and COX-2. Recently new NSAIDS that preferentially prohibit COX-2 are on market. Those new NSAIDS are not affecting normal cartilage metabolism much and moreover potentially protect cartilage from degradation. 1) Increased production of ECM and 2) Suppression of MMP activities are reported. So in the present study effects of NSAIDS on cartilage degrading enzymes will be studied.
Pharmacodynamics
Exploratory
Pragmatic
Phase IV
MMP-3,9,13 and TIMP-1,2 of joint fluid
Interventional
Parallel
Non-randomized
Open -no one is blinded
Historical
2
Treatment
Medicine |
Diclofenac (COX-1 and 2 supressor)
Meloxicam (selective COX-2 supressor)
55 | years-old | <= |
75 | years-old | >= |
Male and Female
Osteoarthritic knees that require joint punctuation or joint injection on regular basis
1) Gastric ulcer
2) Liver disfunction
3) Uncontrolled hypertension
4) Allergy against aspirin
5) Asthma indeuced by aspirin
6) Pregnancy
7) Other condtitions that are not suitable for the study judged by medical doctors
30
1st name | |
Middle name | |
Last name | TAKAHISA SASHO |
Graduate school of medicine, Chiba University
Department of orthopaedic surgery
1-8-1, Inohana, Cyuou, Chiba
043-226-2117
1st name | |
Middle name | |
Last name |
Graduate school of medicine, Chiba University
Department of orthopaedic surgery
shiken@office.chiba-u.jp
Department of orthopaedic surgery, Graduate school of medicine, Chiba University
Department of orthopaedic surgery, Graduate school of medicine, Chiba University
NO
2008 | Year | 03 | Month | 31 | Day |
Unpublished
Terminated
2007 | Year | 04 | Month | 16 | Day |
2007 | Year | 06 | Month | 01 | Day |
2010 | Year | 03 | Month | 01 | Day |
2007 | Year | 05 | Month | 23 | Day |
2016 | Year | 11 | Month | 28 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000000864