- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05363020
S-Asenosyl-L-Methionine vs Placebo for Osteoarthritis of the Hands (SAMe)
S-Adenosyl-L-Methionine (SAMe) vs Placebo for Discomfort and Functional Limitations Associated With Osteoarthritis of the Hands: a Pilot Study
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
At week 0, all patients giving written informed consent and meeting eligibility requirements will be randomized in a double-blind manner (participant and investigator) in a 1:1 ratio to SAMe (400mg orally, twice daily) or placebo (400mg, twice daily) for 8 weeks. Followed by a one week wash out period followed by another 8 weeks of SAMe (400mg, twice daily) or placebo (400mg, twice daily) for 8 weeks (whichever was not given during the first 8 week period).
Participants will complete weekly surveys during the entire study regarding hand discomfort, functional limitations and side effects
Study Type
Enrollment (Actual)
Phase
- Phase 4
Contacts and Locations
Study Contact
- Name: Dorothy H Barker
- Phone Number: 603-653-6830
- Email: Dorothy.H.Barker@Hitchcock.org
Study Contact Backup
- Name: Zoe M Daudier
- Email: Zoe.M.Daudier@Hitchcock.org
Study Locations
-
-
New Hampshire
-
Lebanon, New Hampshire, United States, 03756
- Dartmouth-Hitchcock Medical Center
-
Contact:
- Dorothy H. Barker
- Phone Number: 603-653-6830
- Email: dorothy.h.barker@hitchcock.org
-
Contact:
- Zoe M. Daudier
- Email: zoe.m.daudier@hitchcock.org
-
Principal Investigator:
- Scott C. Jaynes, MD
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Current primary care provider within the Dartmouth Health system
- Office visit at Dartmouth Health in the past 3 years
- Participants must be 40 or older at the time of signing the informed consent
Participants have discomfort or functional limitations of one or both hands AND either:
- Objective findings of at least one hand meeting diagnostic criteria based on the American College of Rheumatology (ACR)* or
- Existing radiographic evidence of osteoarthritis as judged by a radiologist
- Patients taking OTC or prescription analgesics who are willing to stop their current analgesics for two weeks prior to study entry and remain off those medications over the course of the study
- *Objective inclusion criteria (see poster schematic)
Swelling or deformity of 2 of the following ten joints: the 2nd and 3rd distal interphalangeal (DIP) of each hand, the 2nd and 3rd proximal interphalangeal (PIP) of each hand, and the 1st carpometacarpal joints of both hands.
Exclusion Criteria:
- Patients taking prescription medications other than NSAIDs for their OA who are unable to stop their medication
- Patients with diagnoses of arthritis from conditions other than OA
- Patients whose symptomatic joint is an artificial joint
- Patients with Bipolar Disorder
Patients taking any of the following medications at study entry OR starting any of these medications during the study period:
- daily opioids (including tramadol or buprenorphine)
- gabapentin or pregabalin
- prednisone
- Prescription NSAIDs that they are unable to stop or topical diclofenac
- SNRI drugs (Effexor, Cymbalta, Fetzima, Pristiq)
- The participant has a condition or is in a situation which, in the investigator's opinion, may put the participant at significant risk, may confound the study results, or may interfere significantly with the participant's participation in the study
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: Triple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: S-Adenosyl-L-Methionine (SAMe)
Participants receive S-Adenosyl-L-Methionine (SAMe) 400mg capsule orally twice daily for 8 weeks, followed by a 1 week washout period.
|
400 mg capsule
400 mg identically appearing placebo
|
Placebo Comparator: Placebo
Participants receive identically appearing 400mg capsule orally twice daily for 8 weeks, followed by a 1 week washout period.
|
400 mg capsule
400 mg identically appearing placebo
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Determine the effect of SAMe supplements on hand discomfort relative to placebo, as measured by the change in discomfort scores over time on a visual analog scale
Time Frame: Weekly for 17 weeks
|
Scores range from 0-10, 0 being no discomfort and 10 being maximum discomfort
|
Weekly for 17 weeks
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Determine the effect of SAMe supplementation on quality of life measures regarding hand arthritis, as measured by DASH (Disability of Arm, Shoulder and Hand) survey responses done weekly for 17 weeks
Time Frame: Weekly for 17 weeks
|
Survey using descriptors of disability and function ranging from no disability to complete disability with 3 other levels of disability in between done weekly for 17 weeks
|
Weekly for 17 weeks
|
Determine tolerability of SAMe supplementation compared to placebo, as measured by a survey of 14 common symptoms one may experience from a supplement
Time Frame: Weekly for 17 weeks
|
14 symptoms queried for occurrence over the week ranging from "Not at All" to "Very Much" with three additional options in between
|
Weekly for 17 weeks
|
Collaborators and Investigators
Investigators
- Principal Investigator: Scott C Jaynes, MD, Dartmouth-Hitchcock Medical Center
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- STUDY02001354
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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