Protocol summary

Study aim
The aim of this study is evaluated the effect of Portulaca oleracea extract capsule on clinical criteria of knee osteoarthritis.
Design
Randomized double-blind, controlled clinical trial, parallel, phase 2-3 on 80 patients with moderate knee osteoarthritis (40 patients in each group) using computer randomization method.
Settings and conduct
A total of 80 patients, based on diagnostic criteria College of Rheumatology American and opinion specialty respectable knee, knee osteoarthritis diagnosed and other inclusion criteria are eligible. After learning about the research and consent, refer to the management team and then for each questionnaire, including demographic data, comorbidities, medications consumer, medical history and its complications will be completed. Then patients randomly into two groups A and B. using the parcel divided Group A Portulaca oleracea capsule three times a day, and Group B placebo capsule three times a day will use. Both common treatment involves taking pills of meloxicom before and during the study will receive. The study will be done in Mashhad University of Medical Sciences.
Participants/Inclusion and exclusion criteria
Inclusion criteria for this study include the following: Initial symptomatic osteoarthritis in at least one knee ; a score higher than 30 at baseline VAS scale; Obtain routine medical treatment (meloxicam tablets) for at least two weeks before the study; Exclusion criteria are as follows: The treatment with corticosteroids, hormonal drugs or hyaluronic acid before the start of the study
Intervention groups
Intervention Group: Portulaca oleracea capsule three times a day, and routine treatment with meloxicam tablets Control group: Placebo capsule three times a day, and routine treatment with meloxicam tablets
Main outcome variables
Improvement of clinical symptoms of osteoarthritis (pain, Joint stiffness and physical performance)

General information

Reason for update
Acronym
IRCT registration information
IRCT registration number: IRCT20190406043175N5
Registration date: 2021-08-30, 1400/06/08
Registration timing: prospective

Last update: 2021-08-30, 1400/06/08
Update count: 0
Registration date
2021-08-30, 1400/06/08
Registrant information
Name
fatemeh forouzanfar
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 51 3761 7318
Email address
forouzanfarf@mums.ac.ir
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2021-10-23, 1400/08/01
Expected recruitment end date
2023-10-23, 1402/08/01
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Clinical trial of Portulaca oleracea extract capsule on clinical indicators of osteoarthritis
Public title
The effect of Portulaca oleracea capsule on knee osteoarthritis
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
Initial symptomatic osteoarthritis in at least one knee by clinical or radiological criteria ACR (American College of Rheumatology) is approved Lack of proper adherence to routine drug treatment (meloxicam tablets) for at least two weeks before the study Score higher than 30 at baseline VAS scale
Exclusion criteria:
The intra-articular injection of hyaluronic acid in the three months before the start of the study The 4-week treatment with oral corticosteroids before the start of the study Patients with a history of deep vein thrombosis Active liver or renal disease and malignancies Secondary osteoarthritis or suspected Patients treated with hormonal drugs Patients treated with anticoagulation drugs Patients with a history of ischemic or hemorrhagic stroke
Age
From 40 years old to 80 years old
Gender
Both
Phase
2-3
Groups that have been masked
  • Participant
  • Outcome assessor
Sample size
Target sample size: 80
Randomization (investigator's opinion)
Randomized
Randomization description
In this study, we used Random Allocation software for randomization. The random sequence of samples was performed equally as Intervention and control groups using this software. For allocation concealment, sealed envelopes were used. In this method, each of the random sequences written on a card and is placed in the envelopes, respectively. Finally, the lid of the envelopes is glued and placed in a box, respectively. At the registration time, based on the order in which eligible participants enter the study, one of the envelopes of their choice will be opened and their assigned group will be revealed.
Blinding (investigator's opinion)
Double blinded
Blinding description
The capsules were packaged in the same shape and coded by an expert one in the research center using Random Allocation Software. Patients, and evaluators assess the outcome, are not aware of the contents of the package and grouping, and samples were delivered to patients randomly using Allocation concealment.
Placebo
Used
Assignment
Parallel
Other design features

Secondary Ids

empty

Ethics committees

1

Ethics committee
Name of ethics committee
Ethics committee of Mashhad University of Medical Sciences
Street address
Mashhad University of Medical Sciences, Azadi Square, Mashhad
City
Mashhad
Province
Razavi Khorasan
Postal code
9177948564
Approval date
2021-04-13, 1400/01/24
Ethics committee reference number
IR.MUMS.MEDICAL.REC.1400.230

Health conditions studied

1

Description of health condition studied
Knee osteoarthritis
ICD-10 code
ICD-10 code description

Primary outcomes

1

Description
Pain
Timepoint
Early intervention, four weeks after the intervention, eight weeks after intervention
Method of measurement
Western Ontario and McMasters Universities Osteoarthritis Index (Womac) questionnaire and Visual Analog Scale (VAS) scale

2

Description
Joint stiffness
Timepoint
Early intervention, four weeks after the intervention, eight weeks after intervention
Method of measurement
(Womac) questionnaire and (VAS) scale

3

Description
Physical performance
Timepoint
Early intervention, four weeks after the intervention, eight weeks after intervention
Method of measurement
(Womac) questionnaire and (VAS) scale

Secondary outcomes

empty

Intervention groups

1

Description
Intervention group: Portulaca oleracea capsule (prepared in Pharmacological Research Center of Medicinal Plants) three times a day, and routine treatment with meloxicam tablets.
Category
Treatment - Drugs

2

Description
Control group: Placebo capsule (prepared in Pharmacological Research Center of Medicinal Plants) three times a day, and routine treatment with meloxicam tablets.
Category
Placebo

Recruitment centers

1

Recruitment center
Name of recruitment center
Clinics affiliated to Mashhad University of Medical Sciences
Full name of responsible person
Fatemeh Forouzanfar
Street address
Mashhad University of Medical Science, Azadi Square
City
Mashad
Province
Razavi Khorasan
Postal code
9177948564
Phone
+98 51 3800 2000
Email
forouzanfarf@mums.ac.ir

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
Mashhad University of Medical Sciences
Full name of responsible person
Taphaghodi, Mohsen
Street address
Deputy of Research and Technology, Ghorashi Building, next to Hoveyzeh Cinema, University Street
City
Mashhad
Province
Razavi Khorasan
Postal code
9138813944
Phone
+98 51 3841 1538
Email
tafaghodim@mums.ac.ir
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Mashhad University of Medical Sciences
Proportion provided by this source
100
Public or private sector
Public
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic

Person responsible for general inquiries

Contact
Name of organization / entity
Mashhad University of Medical Sciences
Full name of responsible person
Fatemeh Forouzanfar
Position
Assistant professor
Latest degree
Ph.D.
Other areas of specialty/work
Pharmacology
Street address
Mashhad University of Medical Sciences, Azadi square
City
Mashhad
Province
Razavi Khorasan
Postal code
9177948564
Phone
+98 51 3800 2538
Email
forouzanfarf@mums.ac.ir

Person responsible for scientific inquiries

Contact
Name of organization / entity
Mashhad University of Medical Sciences
Full name of responsible person
Fatemeh Forouzanfar
Position
Assistant Professor
Latest degree
Ph.D.
Other areas of specialty/work
Pharmacology
Street address
Mashhad University of Medical Sciences, Azadi square
City
Mashhad
Province
Razavi Khorasan
Postal code
9177948564
Phone
+98 51 3800 2538
Email
forouzanfarf@mums.ac.ir

Person responsible for updating data

Contact
Name of organization / entity
Mashhad University of Medical Sciences
Full name of responsible person
Fatemeh Forouzanfar
Position
Assistant Professor
Latest degree
Ph.D.
Other areas of specialty/work
Pharmacology
Street address
Mashhad University of Medical Sciences, Azadi square
City
Mashhad
Province
Razavi Khorasan
Postal code
9177948564
Phone
+98 51 3800 2538
Email
forouzanfarf@mums.ac.ir

Sharing plan

Deidentified Individual Participant Data Set (IPD)
Undecided - It is not yet known if there will be a plan to make this available
Study Protocol
Undecided - It is not yet known if there will be a plan to make this available
Statistical Analysis Plan
Undecided - It is not yet known if there will be a plan to make this available
Informed Consent Form
Undecided - It is not yet known if there will be a plan to make this available
Clinical Study Report
Undecided - It is not yet known if there will be a plan to make this available
Analytic Code
Undecided - It is not yet known if there will be a plan to make this available
Data Dictionary
Undecided - It is not yet known if there will be a plan to make this available
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