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Trial registered on ANZCTR
Registration number
ACTRN12607000433404
Ethics application status
Approved
Date submitted
16/08/2007
Date registered
24/08/2007
Date last updated
27/02/2010
Type of registration
Prospectively registered
Titles & IDs
Public title
The long-term evaluation of glucosamine sulphate (LEGS) study
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Scientific title
Among people with symptomatic osteoarthritis of the knee, does glucosamine sulphate, with or without chondroitin, result in reduced knee pain and slowing the rate of joint space narrowing
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Osteoarthritis knee
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Condition category
Condition code
Musculoskeletal
2361
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0
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Osteoarthritis
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
1. Glucosamine sulphate (1500mg) and chondroitin (800mg): two 750mg glucosamine sulphate capsules and two 400mg chondroitin capsules daily for two years
2. Glucosamine sulphate (1500mg): two 750mg glucosamine capsules and two placebo chondroitin capsules daily for two years
3. Chondroitin (800mg): two 400mg chondroitin capsules and two placebo glucosamine capsules daily for two years
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Intervention code [1]
1980
0
Treatment: Other
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Comparator / control treatment
Double placebo (2 capsules of inactive powder matched in taste and appearance to glucosamine sulphate capsules; 2 capsules of inactive powder matched in taste and appearance to chondroitin capsules)ondroitin placebo, daily for two years
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Knee pain (11 point Likert scale)
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Assessment method [1]
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Timepoint [1]
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0, 2, 4, 6, 8, 10, 12 months
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Primary outcome [2]
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Medial tibiofemoral joint space narrowing (mm)
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Assessment method [2]
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Timepoint [2]
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1 year, 2 years
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Secondary outcome [1]
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Knee pain and function (WOMAC)
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Assessment method [1]
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Timepoint [1]
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0, 1 year, 2 years
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Secondary outcome [2]
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General health status (SF-12)
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Assessment method [2]
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Timepoint [2]
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0, 1 year, 2 years
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Secondary outcome [3]
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Leisure time physical activity
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Assessment method [3]
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Timepoint [3]
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0, 1 year, 2 years
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Secondary outcome [4]
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50ft walk time
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Assessment method [4]
5363
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Timepoint [4]
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0, 1 year, 2 years
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Secondary outcome [5]
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Patient global assessment
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Assessment method [5]
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Timepoint [5]
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0, 2, 4, 6, 8, 10, 12 months
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Eligibility
Key inclusion criteria
Chronic knee pain
Loss of medial tibio-femoral joint space
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Minimum age
45
Years
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Maximum age
75
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Unstable diabetes
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Subjects will telephone the study Research Officer who will screen for eligibility. Screening eligibility will be confirmed by signature of their nominated GP. Screened and radiologically eligibile participants will be required to complete a baseline assessment and two week run-in period prior to randomisation. Research officers randomising participants will be unaware of the randomisation schedule. An administrative officer, not associated with the LEGS study, will despatch study treatment from a central off-site location.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
The randomisation schedule will be computer generated, off-site, in permuted blocks (mix of blocks of two different sizes).
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Factorial
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Other design features
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Phase
Phase 4
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Active, not recruiting
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Date of first participant enrolment
Anticipated
28/08/2007
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
600
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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National Health and Medical Research Council
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Address [1]
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Canberra
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Country [1]
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Australia
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Primary sponsor type
University
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Name
Clinical and Rehabilitation Sciences Research Group, Faculty of Health Sciences
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Address
PO Box 456
Lidcombe NSW 1825
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
2256
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Country [1]
2256
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Ethics approval
Ethics application status
Approved
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Summary
Brief summary
There is no known cure for OA and no intervention demonstrated to slow disease progression or delay time to joint replacement surgery. Currently patients are managed symptomatically with all clinical guidelines recommending paracetamol as 'the preferred long term oral analgesic'. This recommendation is based on the increased risk of serious gastrointestinal, cardiovascular and renal diseases with long-term NSAIDs use in older people. However, NSAIDs appear to provide better pain relief for patients with more than mild joint pain. Amongst patients with OA, there is much demand for the dietary supplement glucosamine and chondroitin. Marketing has led to the belief these products are able to slow the rate of joint destruction and cartilage loss and help ease joint pain with little risk of side effects. However, the few trials conducted to date have been inconclusive. A total of 600 patients with knee OA will be randomly allocated to glucosamine sulphate and chondroitin sulphate or matching placebo capsules for two years. Participants will be required to take four capsules, once daily for two years. Clinic visits for assessment, including knee radiographs, will be required at the start of the study as well as 1 year and 2 years later. The main outcomes will be the rate of joint space narrowing, knee pain and physical disability. If glucosamine results in slowing disease progression or in reducing pain, the widespread use of this product would effectively decrease pain, disability and possibly NSAIDs-related illnesses amongst the increasing number of people with OA.
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Trial website
www.fhs.usyd.edu.au/LEGS
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Dr Marlene Fransen
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Address
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Faculty of Health Sciences,
University of Sydney
PO Box 456
Lidcombe 1825
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Country
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Australia
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Phone
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61 2 93519829
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Dr Marlene Fransen
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Address
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Faculty of Health Sciences,
University of Sydney
PO Box 456
Lidcombe 1825
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Country
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Australia
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Phone
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61 2 9351 9829
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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