Evidence map›Paper›PMID 28056936›Full record

Trial reportBMC musculoskeletal disorders2017

A 12-week randomized, double-blind, placebo-controlled multicenter study of choline-stabilized orthosilicic acid in patients with symptomatic knee osteoarthritis.

Piet Geusens, Karel Pavelka, Jozef Rovensky, Johan Vanhoof, Nathalie Demeester, Mario Calomme, Dirk Vanden Berghe

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC musculoskeletal disorders, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Piet GeusensBiomedical Research Institute (BIOMED), Hasselt University, Diepenbeek, Belgium. drpgeusens@gmail.com.
Karel PavelkaInstitute of Rheumatology, Prague, Czech Republic.
Jozef Rovensky, Nábrežie I. Krasku 4782/4, Piešťany, Slovakia.
Johan VanhoofReumaClinic, Bretheistraat 149, Genk, 3600, Belgium.
Nathalie DemeesterResearch & Development, Bio Minerals NV, Destelbergen, Belgium.
Mario CalommeResearch & Development, Bio Minerals NV, Destelbergen, Belgium.ORCID 0000-0001-8546-7053
Dirk Vanden BergheDepartment of Pharmaceutical Sciences, University of Antwerp, Antwerp-Wilrijk, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this study was to assess the efficacy of choline-stabilized orthosilicic acid (ch-OSA) in patients with symptomatic knee osteoarthritis (OA).

methodsIn a multicenter, double-blind, placebo-controlled study, 211 patients with knee OA (Kellgren and Lawrence grade II or III) and moderate to moderately severe pain were randomly allocated to ch-OSA or placebo for 12 weeks. The primary outcome was the change in the WOMAC pain subscale from baseline to week 12. Secondary outcomes were changes from baseline to week 12 in WOMAC total, WOMAC stiffness, WOMAC physical function, Subject Global Assessment and levels of cartilage degradation biomarkers C-terminal telopeptide of collagen type II (CTX-II) and cartilage oligomeric matrix protein (COMP). Pre-specified subgroup analyses included the effect of gender.

resultsA total of 166 (120 women, 46 men) patients were included in the analysis (87 and 79 in the ch-OSA and placebo group, respectively). In the total study population, no differences were observed between the two treatment groups for the different outcomes but significant treatment x gender interactions were found. In men taking ch-OSA, a significant improvement in WOMAC total, WOMAC stiffness and WOMAC physical function as well as a lower increase in biomarker levels of cartilage degradation was observed, but not in women. The change in WOMAC pain showed a similar positive trend in men taking ch-OSA.

conclusionAfter 12 weeks of treatment, no effect was found of ch-OSA in the total study population on clinical parameters and biomarkers, but a gender interaction was observed. In men, ch-OSA was found effective in reducing symptoms of knee OA, which was associated with a slight but significant reduction of biomarkers that are related to cartilage degradation.

trial registrationThe study was registered retrospectively: ISRCTN88583133 . Registration date: 2015-10-07.

Indexed as

Administration, OralAgedBiomarkersCartilageCartilage Oligomeric Matrix ProteinCholineCollagen Type IIDouble-Blind MethodFemaleHumansMaleMiddle AgedOsteoarthritis, KneePain ManagementPain MeasurementSex FactorsBiomarkersCartilage Oligomeric Matrix ProteinCholineCollagen Type IISilicic AcidCartilage degradation markerCholineCholine-stabilized orthosilicic acidKneeOsteoarthritisSiliconWOMAC

Identifiers

PMID28056936
PMCPMC5217239

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Registered trials

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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.