Evidence map›Paper›PMID 28536825›Full record

Trial reportClinical rheumatology2017

Intramuscular clodronate in erosive osteoarthritis of the hand is effective on pain and reduces serum COMP: a randomized pilot trial-The ER.O.D.E. study (ERosive Osteoarthritis and Disodium-clodronate Evaluation).

Gianantonio Saviola, Lul Abdi-Ali, Maria Rosaria Povino, Lorella Campostrini, Silvano Sacco, Luca Dalle Carbonare, Luca Dalle Carbonare

Erratum issuedAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Clinical rheumatology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.1field-weighted citation impact, top 9% 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

16 citing papers in PubMed, 32 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. Review
  6. Journal of fungi (Basel, Switzerland) · 2023
    Article
  7. Article
  8. Observational
  9. Bisphosphonates, Bone and Joint Pain.Current osteoporosis reports · 2021
    Review
  10. Review
  11. Article
  12. Soluble biological markers in osteoarthritis.Therapeutic advances in musculoskeletal disease · 2021
    Review
  13. Review
  14. Article
  15. Article
  16. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Gianantonio SaviolaRheumatology and Rehabilitation Unit, Maugeri Clinical Scientific Institutes-IRCCS of Castel Goffredo, Via Ospedale 36, 46042, Castel Goffredo, Mantua, Italy. gianantonio.saviola@icsmaugeri.it.
Lul Abdi-AliRheumatology and Rehabilitation Unit, Maugeri Clinical Scientific Institutes-IRCCS of Castel Goffredo, Via Ospedale 36, 46042, Castel Goffredo, Mantua, Italy.
Maria Rosaria PovinoRheumatology and Rehabilitation Unit, Maugeri Clinical Scientific Institutes-IRCCS of Castel Goffredo, Via Ospedale 36, 46042, Castel Goffredo, Mantua, Italy.
Lorella CampostriniLaboratory and Clinical Biochemistry Unit, Maugeri Clinical Scientific Institutes-IRCCS of Castel Goffredo, Mantua, Italy.
Silvano SaccoLaboratory and Clinical Biochemistry Unit, Maugeri Clinical Scientific Institutes-IRCCS of Castel Goffredo, Mantua, Italy.
Luca Dalle Carbonare
Luca Dalle Carbonare *Department of Medicine, University of Verona, Verona, Italy.
Istituti Clinici Scientifici Maugeri · ITUniversity of Verona · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We evaluated the efficacy and safety of intramuscular clodronate (CLO) for the treatment of active erosive osteoarthritis of the hand (EOA). Forty outpatients treated with anti-inflammatory (NSAIDs) or analgesic drugs since at least 6 months, for at least 3 days a week, were randomly divided into two groups. Group A: 24 patients treated for 6 months with intramuscular (i.m.) CLO added to usual NSAIDs or analgesic drugs. The attack dose was 200 mg/day i.m. for 10 days followed by a maintenance dose of CLO i.m. 200 mg/day for 6 days after 3 and 6 months. Group B: 16 patients who continued the usual treatment with anti-inflammatory or analgesic drugs. Patients in both groups reported in a diary, day by day, the consumption of symptomatic drugs. In group A, the consumption of anti-inflammatory or analgesic drugs (p < 0.0001), pain (p < 0.0001), number of tender joints (p = 0.0097), number of swollen joints (p = 0.0251), Dreiser score (p = 0.0119), and patient's and physician's global assessment of disease activity significantly decreased (both p < 0.001). At 6 months, serum COMP also significantly decreased (p < 0.0029). Strength of right (p = 0.0465) and left hand (+38%, p = ns) significantly increased. In group B, there was no significant change in all parameters considered. Intramuscular CLO in EOA of the hand is effective and safe on pain with a significant reduction in the consumption of anti-inflammatory or analgesic drugs, increasing the functionality of the hands. Serum COMP reduction suggests that CLO could play a role as a disease-modifying drug (EudraCT number 2013-000832-85).

Indexed as

Injections, IntramuscularAgedAnalgesicsAnti-Inflammatory AgentsAntirheumatic AgentsBone Density Conservation AgentsCartilage Oligomeric Matrix ProteinClodronic AcidDiphosphonatesFemaleHand JointsHumansMaleMiddle AgedOsteoarthritisPainAnalgesicsAnti-Inflammatory AgentsAntirheumatic AgentsBone Density Conservation AgentsCartilage Oligomeric Matrix ProteinClodronic AcidDiphosphonatesTSP5 protein, humanBisphosphonatesCartilage oligomeric matrix proteinClodronateCompErosive osteoarthritis of the hand

Identifiers

PMID28536825
OpenAlexW2617597316

What OpenQuestion holds

Textmetadata
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.