Evidence map›Paper›PMID 19912983›Full record

ArticleOsteoarthritis and cartilage2010

The human pharmacokinetics of oral ingestion of glucosamine and chondroitin sulfate taken separately or in combination.

C G Jackson, A H Plaas, J D Sandy, C Hua, S Kim-Rolands, J G Barnhill, C L Harris, D O Clegg

Abstract read
In one paragraph

Article in Osteoarthritis and cartilage, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 101 citations in OpenAlex.

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  14. Galactosaminoglycans: Medical Applications and Drawbacks.Molecules (Basel, Switzerland) · 2019
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

C G JacksonUniversity of Utah School of Medicine, Salt Lake City, UT, USA.
A H Plaas
J D Sandy
C Hua
S Kim-Rolands
J G Barnhill
C L Harris
D O Clegg
Rush University Medical Center · USUniversity of South Florida · USUniversity of Utah · USUniversity of New Mexico · US

Funding

VIRAL DAMAGE TO BRAIN AND NEUROMUSCULAR SYSTEMM01RR000064 · NCRR · UNIVERSITY OF UTAH · PI SWOBODA, KATHRYN J. · 1985 to 2008
$21.7M
A Pharmacokinetic Study of glucosamine and chondroitinR21AT001938 · NCCIH · UNIVERSITY OF UTAH · PI JACKSON, CHRISTOPHER G. · 2004 to 2005
$345k
NCCIH NIH HHS R21 AT001938NCRR NIH HHS M01 RR000064
6 · The paper itself

Abstract

objectiveAs part of the National Institutes of Health (NIH)-sponsored Glucosamine/Chondroitin sulfate Arthritis Intervention Trial (GAIT) our objective here was to examine (1) the pharmacokinetics (PK) of glucosamine (GlcN) and chondroitin sulfate (CS) when taken separately or in combination as a single dose in normal individuals (n=29) and (2) the PK of GlcN and CS when taken as a single dose after 3 months daily dosing with GlcN, CS or GlcN+CS, in patients with symptomatic knee pain (n=28).

methodsThe concentration of GlcN in the circulation was determined by established fluorophore-assisted carbohydrate electrophoresis (FACE) methods. The hydrodynamic size and disaccharide composition of CS chains in the circulation and dosage samples was determined by Superose 6 chromatography and FACE.

resultsWe show that circulating levels of CS in human plasma are about 20 microg/ml. Most significantly, the endogenous concentration and CS disaccharide composition were not detectably altered by ingestion of CS, when the CS was taken alone or in combination with GlcN. On the other hand, the Cmax (single-dose study) and AUC values (multiple-dose study) for ingested GlcN were significantly reduced by combination dosing with CS, relative to GlcN dosing alone.

conclusionsWe conclude that pain relief perceived following ingestion of CS probably does not depend on simultaneous or prior intake of GlcN. Further, such effects on joint pain, if present, probably do not result from ingested CS reaching the joint space but may result from changes in cellular activities in the gut lining or in the liver, where concentrations of ingested CS, or its breakdown products, could be substantially elevated following oral ingestion. Moreover, since combined dosing of GlcN with CS was found to reduce the plasma levels seen with GlcN dosing alone, any improved pain relief by combination dosing cannot be explained by higher circulating concentrations of GlcN.

Indexed as

Administration, OralAdultArthralgiaChondroitin SulfatesClinical Trials as TopicDose-Response Relationship, DrugDrug CombinationsDrug Therapy, CombinationFemaleGlucosamineHumansMaleMiddle AgedOsteoarthritisPain MeasurementTreatment OutcomeChondroitin SulfatesDrug CombinationsGlucosamine

Identifiers

PMID19912983
PMCPMC2826597
OpenAlexW2113853411

What OpenQuestion holds

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LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.