Effect of Buglossoides Oil on Recent Chronic Non-injurious Hip and Knee Pain

Study Overview
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Brief Summary
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The effect of Buglossoides oil emulsion on the intensity of recent chronic knee and hip pain, on plasma and mononuclear blood cells fatty acid profiles and on whole blood Eicosapentaenoic acid production will be investigated.

Detailed Description
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This study will document the impact of an emulsion of Buglossoides oil on the intensity of recent chronic knee and hip pain. Secondly, the impact of consuming Buglossoides oil on plasma and leukocyte fatty acid profiles will be investigated, thus providing clinical evidence on the efficacy of an emulsion of Buglossoides oil in increasing EPA content. Lastly, a comprehensive analysis of whole blood eicosanoid production following supplementation will provide data on the potential for Buglossoides oil to modulate immune function.

Official Title
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Effect of Buglossoides Oil on Recent Chronic Non-injurious Hip and Knee Pain

Conditions
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Hip Pain Chronic, Knee Pain Chronic

Intervention / Treatment
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* Dietary Supplement: High Oleic Sunflower Oil
* Dietary Supplement: Buglossoides Oil


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Men or non-pregnant women, using an effective form of birth control (such as oral contraceptives, injectable contraceptives or the barrier method such as a intrauterine device (IUD) with a spermicide, a diaphragm with a spermicide, a condom with a spermicide or a sponge with a spermicide) for at least 3 months prior to entry into the study and continuing during participation in the study. 18 to 65 years of age, inclusive. Body mass index (BMI) 18 - 39.9 kg/m2 Subject has recent (less than 6 months) current chronic (having lasted more than two weeks) knee (one or both) and/or hip pain that is not the result of an acute injury. Pain intensity is 20 mm or higher using a Visual Analog Scale ranging from 0-100 mm. Subject has no planned knee or hip surgery. Subject is willing to avoid alcohol consumption for 24h prior to every clinic visit. The subject will not modify smoking habits during supplementation period. No significant medical conditions that in the opinion of the qualified physician, would preclude the subject's participation in the study. Signed informed consent. Willing to follow all study procedures including study visits, fasting blood draws, stable body weight, normal eating habits, current activity level, and compliance with study preparation. Willing to not consume fish, crustaceans and shellfish for the duration of the study. Willing to avoid taking anti-inflammatory medications (analgesics and NSAIDs) for 24 hours prior to Visits 2 and 5. Exclusion Criteria: Pregnancy or lactation. Women trying to conceive. Women who will try to conceive who are unwilling to commit to the use of a medically approved form of contraception throughout the study period. Method of contraception must be recorded in the case report file. Has had a diagnosis of rheumatoid arthritis. Individual has a condition the study physician believes would interfere with the participant's ability to provide informed consent, comply with his responsibilities during the study, which might confound the interpretation of the study results or put the person at undue risk. Self-reported medical conditions including an active peptic ulcer, inflammatory bowel disease, or gastrointestinal bleeding and any medical condition or prior gastrointestinal surgery that could influence absorption, metabolism or excretion of the study supplement. History or presence of significant, renal, hepatic, gastrointestinal, pulmonary, biliary, neurological or endocrine disorders. History or presence of cancer in the past 2 yrs, except for non-melanoma skin cancers (e.g. basal or squamous cell carcinoma of the skin). Clinically significant abnormal laboratory test results including but not limited to LDL-cholesterol ≥ 4.1mM, triglyceride levels ≥3.95mM, fasting creatinine ≥ 1.5 mg/dL, ALT or AST ≥ 1.5X the upper limit of normal. Currently being treated for angina, arrhythmia and/or congestive heart failure. History of myocardial infarction or stroke. Uncontrolled hypertension (resting systolic blood pressure ≥ 160 mmHg or diastolic blood pressure ≥ 100 mmHg). Type 1 or 2 diabetes. Fasting glucose ≥ 100 mg/dL. HbA1c ≥ 6.0. If a smoker, subject smokes no more than 1 pack (20 cigarettes) daily. History (within 12 months) or current alcohol or substance abuse (no more than 14 consumptions per week; 1 consumption= 12 oz beer, 5 oz wine, 1.5 oz distilled spirits). Use of steroidal anti-inflammatory medications (prednisone, etc) Use of any lipid-altering medications (statins, bile acid sequestrants, cholesterol absorption inhibitors, fibrates, prescription formulations of niacin). Unstable use of thyroid medication. Stable, treated hypothyroidism is not an exclusion criteria. Use of any weight loss or lipid metabolism medication/supplement/program (including lipase inhibitors) within 1 month of study period OR weight gain or loss > 2 kg in the past 3 months. Currently taking fish oil or any other omega-3 or omega-6 PUFA supplement/drug within one month of Visit 1 and throughout the study. Consumption of fatty fish (salmon, herring, mackerel, albacore tuna, and sardines) more than 2X a month within one month of visit 1 and throughout the study period. Consumption (more than twice a month) of any EPA/DHA enriched foods (e.g. DHA-enriched eggs) within one month of Visit 1. Unwillingness to avoid all fish including shellfish and crustaceans throughout the study period. Use of alpha-linolenic acid-containing seeds and oils such as flax seed, chia seed, perilla seed, hemp, spirulina, walnut, mustard seed or black currant seeds/oil within one month of Visit 1 and throughout the study. Use of an investigational product within the previous 30 days. Has donated blood up to 4 weeks before the start of the study. Not willing to cease being a blood donor during the study.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Basic Science
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Triple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Placebo Comparator: High oleic sunflower oil (HOSO)<br>30 ml HOSO emulsion (equivalent to 9.9 ml oil) in a single dose, 56 days | Dietary Supplement: High Oleic Sunflower Oil<br>* Consume oil smoothie (emulsified HOSO) with a meal once daily for 9 weeks<br>* Other names: HOSO;|
| Experimental: Buglossoides oil emulsion<br>30 ml Buglossoides oil emulsion (equivalent to 9.9 ml oil) in a single dose, 56 days | Dietary Supplement: Buglossoides Oil<br>* Consume oil smoothie (emulsified Buglossoides oil) with a meal once daily for 9 weeks<br>* Other names: Ahiflower;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in the nature of pain severity | Defined by visual analogue scale (VAS) | Baseline, 19, 38, 56 days | 
| Change in the nature of fatigue severity | Defined by visual analogue scale (VAS) | Baseline, 19, 38, 56 days | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Nature and frequency of analgesic use |  | 56 days | 
| Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) pain, stiffness and physical function scores |  | Baseline, 19, 38, 56 days | 
| Plasma eicosapentaenoic concentration (EPA) | Expressed as umol/L plasma | Baseline and day 56 | 
| Plasma 20:4n-3 | Expressed as umol/L plasma | Baseline and day 56 | 
| Plasma docosapentaenoic acid | Expressed as umol/L plasma | Baseline and day 56 | 
| Plasma 20:4n-3, EPA and DPA individually as % of total fatty acids |  | Baseline and day 56 | 
| Mononuclear cell 20:4n-3, EPA and DPA individually as % of total fatty acids |  | Baseline and day 56 | 
| Eicosanoid profile following ex vivo whole blood immune challenge |  | Baseline and day 56 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Buglossoides arvensis, vegetable oil, omega-3 fatty acids, participants