A Randomized, Placebo-controlled, Double-blind Study to Evaluate the Efficacy of E-PR-01 on Musculoskeletal Health in Physically Active Individuals
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Joint Pain
- Sponsor
- Vedic Lifesciences Pvt. Ltd.
- Enrollment
- 157
- Locations
- 6
- Primary Endpoint
- To evaluate the effect of E-PR-01 (Low Dose and High Dose) on the musculoskeletal health as assessed by the Musculoskeletal Health Questionnaire (MSK-HQ) compared to baseline and placebo.
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
The present study is a randomized, placebo-controlled, parallel-group, double-blind (double-dummy) clinical study. Not more than 210 individuals will be screened, and considering a screening failure rate of 18%, approximately 168 participants will be randomized in a ratio of 1:1:1 to receive E-PR-01 (LD: 200 mg/day), E-PR-01 (HD: 400 mg/day), or placebo (400 mg/day). After accounting for a dropout/withdrawal rate of 15%, each group will have at least 48 completed participants with equal numbers of participants having knee and lumbo-sacral as index joint. The intervention duration for all the study participants will be approximately 90 days.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Males \& females aged 40-60 years with history of knee and/or low back pain aggravation on physical stress (squatting, walking, running, and cycling) for at least 3 months and maximum up to 3 years.
- •BMI ≥24.9 to ≤29.9 kg/m
- •Participants with either of the following two criteria:
- •On screening, low back pain score ≥60 on a 100-point P-NRS after completion of 4 sets of five-repetition sit-to-stand test along with radiological evidences of lumbo-sacral degeneration indicated by 2 or more of the following:
- •i. Loss of lordosis ii. Joint space narrowing iii. Presence of osteophytes iv. Bony spurs
- •On screening, knee joint pain score ≥60 on a 100-point P-NRS after completion of 4 sets of five-repetition sit-to-stand test along with radiological evidences of knee degeneration indicated by doubtful narrowing of the joint space, possible osteophytes, or definite small osteophytes, definite narrowing of the joint space.
- •Participants with a score of ≤30 on the MSK-HQ scale.
- •Moderate physical activity level as assessed by International Physical Activity Questionnaire (IPAQ)-Short form.
- •Willingness to participate in the study and comply with the study procedures and required visits.
- •Has the ability to understand and sign a written informed consent form, which must be completed prior to study specific tasks being performed.
Exclusion Criteria
- •P-NRS score \>40 points on rest.
- •Any other type of pain except joint pain including muscular, nervine or pain due to acute injury.
- •For knee joint, participants with the radiographic evidence of no presence of OA, or multiple moderately sized osteophytes with definite JSN, sclerosis, or definite bony deformity will be excluded.
- •For lumbo-sacral joint, participants with the radiographic evidence of normal, or disc space narrowing with osteophytes, or bone sclerosis, disc space narrowing, large osteophytes will be excluded.
- •Known cases of osteoporosis.
- •Current intake of disease modifying antirheumatic drugs for joint pain.
- •Participants with neurological characteristic of pain (shooting, burning, stabbing, or electric shock-like pain, tingling, numbness, or a "pins and needles" feeling).
- •Participants suffering from insomnia and restless leg syndrome.
- •Participants with uncontrolled hypertension (defined as systolic blood pressure (SBP)≥140 mm Hg and/or diastolic blood pressure (DBP) ≥90 mm Hg despite anti-hypertensive treatment).
- •Participants suffering from uncontrolled type II diabetes mellitus (Random blood glucose (RBG)≥200 mg/dl (11.1 mmol/l) despite anti-diabetic treatment).
Outcomes
Primary Outcomes
To evaluate the effect of E-PR-01 (Low Dose and High Dose) on the musculoskeletal health as assessed by the Musculoskeletal Health Questionnaire (MSK-HQ) compared to baseline and placebo.
Time Frame: Day 30
The MSK-HQ is a short 14 item questionnaire that allows people with musculoskeletal conditions to report their symptoms and quality of life. The total score ranges from 0-56, with 56 being the best possible musculoskeletal health state.
Secondary Outcomes
- To evaluate the effect of 90 days' administration of E-PR-01 (LD and HD) on Pain Numeric Rating Scale (P-NRS) compared to baseline and placebo.(Day 7, 30, and 90)
- To evaluate the effect of 90 days' administration of E-PR-01 (LD and HD) on Rescue Medication consumption.(Day 30 and 90)
- To evaluate the effect of 90 days' administration of E-PR-01 (LD and HD) on Quality of life (QoL) compared to baseline and placebo.(Day 30 and 90)
- To evaluate the effect of 90 days' administration of E-PR-01 (LD and HD) on Range of motion (ROM) of the index joint compared to baseline and placebo.(Day 90)