Evaluation of the Effect of Pro Resolve® Sports on Treatment of Patients With Symptomatic Knee Osteoarthritis
Condition: Knee Osteoarthritis
MeSH terms: Osteoarthritis; Osteoarthritis, Knee
Study type: Interventional

Summary: 
      The GAUDI study was a randomized, multicentre, double-blind, placebo-controlled,
      parallel-group pilot study conducted in 5 Spanish sites.

      Eligible patients were adults younger than 68 years diagnosed with symptomatic knee
      Osteoarthritis and pain score (VAS) ≥ 5.

      The primary endpoint was the change in pain from baseline to week 12. Secondary endpoints
      included the comparison in the change of pain, stiffness, and function according to the
      Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) between groups from
      baseline to week 12, the assessment of the constant, intermittent, and total pain according
      to OMERACT-OARSI score, the changes in health-related quality of life score measured by the
      EUROQoL-5 questionnaire (16) between both study groups, the use of rescue, and
      anti-inflammatory medication, and the incidence of adverse events (AEs) during the study.
    

Detailed description: 
      The GAUDI study was a randomized, multicentre, double-blind, placebo-controlled,
      parallel-group pilot study conducted in 5 Spanish centers in compliance with the World
      Medical Association Declaration of Helsinki, all its amendments, and national regulations.
      The Independent Ethic Committee of Hospital U. La Paz (Madrid, Spain) approved this study.
      All patients gave their written informed consent.

      The study duration was 24 weeks, including a screening period, a treatment period with
      monthly visits from the start of the study until week 12, and a follow-up visit 24 weeks
      after the study initiation conducted by telephone call.

      Participants were instructed to take two 500 mg softgels of LIPINOVA(SPM group) or olive oil
      placebo (placebo group) after breakfast and two after dinner during the first 6 weeks of the
      study. During the next 6 weeks, participants were instructed to take one softgel after
      breakfast and one after dinner. Thus, the treatment period was 12 weeks.

      Eligible patients were adults younger than 68 years diagnosed with symptomatic knee OA
      (according to the American College of Rheumatology [ACR]), primary knee (OA), confirmed 2-3
      Kellgren and Lawrence radiologic degree (15), and pain Visual Analogue Scale (VAS) score ≥ 5.
      Patients were excluded if they were allergic to fish or seafood, had an arthroscopy within
      the last year, had been diagnosed with secondary knee osteoarthritis, cardiopathy,
      pneumopathy, non-compensated nephropathy, neuropathy affecting mobility, non-compensated
      psychiatric disorder, fibromyalgia, and/or cognitive disorder. Patients were also excluded if
      they had received chondroitin sulfate, glucosamine, diacerein, corticoids infiltration,
      and/or platelet-rich plasma infiltration in the knee three months before the study inclusion,
      NSAIDs three weeks before the inclusion, and/or hyaluronic acid infiltration in the knee six
      months before the inclusion. Patients could not have had a drug abuse record three years
      before the inclusion and have participated in another clinical trial.

      The primary endpoint was the change in pain measured on a VAS from baseline to week 12.
      Secondary endpoints included the comparison in the change of pain, stiffness, and function
      according to the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC)
      between groups from baseline to week 12, the assessment of the constant, intermittent, and
      total pain according to OMERACT-OARSI score, the changes in health-related quality of life
      score measured by the EUROQoL-5 questionnaire (16) between both study groups, the use of
      concomitant, rescue, and anti-inflammatory medication, and the incidence of adverse events
      (AEs) during the study.
    

Intervention name(s): SMP group; Placebo group
Intervention type(s): Dietary Supplement; Dietary Supplement
Intervention description(s): Participants were instructed to take two 500 mg softgels of LIPINOVA(SPM group) after breakfast and two after dinner during the first 6 weeks of the study. During the next 6 weeks, participants were instructed to take one softgel after breakfast and one after dinner. Thus, the treatment period was 12 weeks; Participants were instructed to take two 500 mg softgels of olive oil placebo after breakfast and two after dinner during the first 6 weeks of the study. During the next 6 weeks, participants were instructed to take one softgel after breakfast and one after dinner. Thus, the treatment period was 12 weeks
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: randomized, multicentre, double-blind, placebo-controlled, parallel-group pilot study
Masking: Triple (Participant, Care Provider, Investigator)
Primary purpose: Treatment
Keywords: SPMs; Resolvins; Osteoarthritis; Pain; Quality of life