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A+HA Premium Oral Hyaluronic Acid Drink Functional Evaluation Trial for Delaying Joint Pain

30. srpna 2026 aktualizováno: Taipei Medical University
Evaluate the effect of A+HA premium oral hyaluronic acid drink on relieving knee pain.

Přehled studie

Postavení

Zatím nenabíráme

Podmínky

Intervence / Léčba

Detailní popis

Arthritis is an inflammation of one or more joints that is characterized by pain, stiffness (especially in the early morning or after exercise), swelling, deformation, and/or reduced mobility. Osteoarthritis, also known as degenerative arthritis, is caused by abnormal damage to the cartilage at the ends of bones. Some patients are caused by injury or congenital abnormalities in the proteins that make up cartilage.

Once the cartilage tissue changes from smooth to rough, or into small pieces. Cartilage is gradually destroyed, and the normally smooth surface becomes irregular. Osteoarthritis usually occurs in joints that require weight load, such as the spine, knees, hips and back, and is usually preceded by some pain and Symptoms of stiffness (mostly stiffness first, then pain), but swelling is not necessarily present. However, a small number of them will cause disability, but once the bones become more fragmented, they are more likely to cause fractures. When osteoarthritis is more severe, the bones can overgrow into osteophytes, known as bone spurs. When bone spurs develop, they can be detected with X-rays, usually in the neck or waist near degenerative cartilage. Formation, these phenomena will not produce any changes in appearance.

Osteoarthritis usually does not occur in adults under the age of 40. Most patients are over the age of 60. Symptoms may be so mild that you are unaware of them until detected by X-ray. The incidence is almost higher in women than in men. three times. Degenerative arthritis is increasing among the elderly in Taiwan. It has become a very important health problem and directly affects the quality of life. Pain control can improve the quality of life.

Previous studies have shown that orally administered hyaluronic acid (HA) can bind to toll-like receptor 4 (TLR-4) on intestinal epithelial cells, thereby increasing the secretion of the anti-inflammatory cytokine IL-10 and suppressor of cytokine signaling 3 (SOCS3), while suppressing the expression of the pro-inflammatory cytokine pleiotrophin, ultimately alleviating osteoarthritis. Regarding the regulation of cartilage degradation-related factors, HA can reduce irregularities on the cartilage surface as well as the loss of cartilage tissue and chondrocytes by suppressing the mRNA expression of MMP-3, MMP-9, and MMP-13 in cartilage tissue. In terms of oxidative stress, HA may also alleviate cartilage damage by downregulating inducible nitric oxide synthase (iNOS), thereby reducing nitric oxide (NO) production, and by inhibiting cyclooxygenase-2 (COX-2) and prostaglandin E2 (PGE2) production. To further enhance its efficacy in improving osteoarthritis, hyaluronic acid was combined with glucosamine and chondroitin. Previous studies have demonstrated that these two ingredients can improve connective tissue function and reduce cartilage matrix degradation. Therefore, the aim of this study was to investigate the effects of A+HA premium oral hyaluronic acid drink on improving knee pain.

Typ studie

Intervenční

Zápis (Odhadovaný)

60

Fáze

  • Nelze použít

Kontakty a umístění

Tato část poskytuje kontaktní údaje pro ty, kteří studii provádějí, a informace o tom, kde se tato studie provádí.

Studijní místa

      • Taipei, Tchaj-wan
        • Taipei Medical University
        • Kontakt:
          • YiWen Chien, PhD
          • Telefonní číslo: +886 2-27361661 #28363
          • E-mail: ychien@tmu.edu.tw

Kritéria účasti

Výzkumníci hledají lidi, kteří odpovídají určitému popisu, kterému se říká kritéria způsobilosti. Některé příklady těchto kritérií jsou celkový zdravotní stav osoby nebo předchozí léčba.

Kritéria způsobilosti

Věk způsobilý ke studiu

  • Dospělý
  • Starší dospělý

Přijímá zdravé dobrovolníky

Ne

Popis

Inclusion Criteria:

  1. Aged 45 to 80 years.
  2. Knee osteoarthritis classified as Ahlbäck stage I or II, or Kellgren-Lawrence grade <3.
  3. A Visual Analogue Scale (VAS) pain score ≤3.
  4. A Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) pain subscale score >2 or a total WOMAC score >12.

Exclusion Criteria:

  1. Pregnant or breastfeeding women.
  2. Individuals with a history of knee joint trauma or surgery.
  3. A body mass index (BMI) ≥ 40 kg/m².
  4. Individuals with a psychiatric disorder.
  5. Individuals with severe cardiovascular disease, severe cerebrovascular disease, severe rheumatic disease, crystal deposition arthropathy, or cancer.
  6. Individuals who use a wheelchair and have a Manual Muscle Testing (MMT) grade ≤3 in the lower extremities, or who require a wheelchair due to physical discomfort.
  7. Use of anti-inflammatory analgesics, corticosteroids, or other medications that may affect the study outcomes within one week before the trial.
  8. Receipt of intra-articular corticosteroid injections, hyaluronic acid injections, platelet-rich plasma (PRP) therapy, or nerve block treatment within one month before the trial.
  9. Use of medications or consumption of foods that, in the judgment of a physician or dietitian, may affect the outcome measures.
  10. Any other condition considered by the physician to make the individual unsuitable for participation in the trial.

Studijní plán

Tato část poskytuje podrobnosti o studijním plánu, včetně toho, jak je studie navržena a co studie měří.

Jak je studie koncipována?

Detaily designu

  • Primární účel: Léčba
  • Přidělení: Randomizované
  • Intervenční model: Paralelní přiřazení
  • Maskování: Dvojnásobek

Zbraně a zásahy

Skupina účastníků / Arm
Intervence / Léčba
Komparátor placeba: Placebo
Placebo use contents without active ingredients
1 drink daily
Experimentální: A+HA premium oral hyaluronic acid drink
A+HA premium oral hyaluronic acid drink contains hyaluronic acid, glucosamine hydrochloride, and chondroitin
1 drink daily

Co je měření studie?

Primární výstupní opatření

Měření výsledku
Popis opatření
Časové okno
Points change of pain evaluation scale
Časové okno: From the start to the end of treatment at 12 weeks
Self-assess pain using a visual analog scale (VAS), which is a straight line 10 cm in length, with 0 cm on the left representing no pain and 10 cm on the right representing extreme pain. Explain to the subjects that the pain intensity increases from left to right. Ask the subjects to mark the point on the line that corresponds to their pain level, and then record the distance in centimeters from the 0 cm mark. Record the points that the subjects wrote.
From the start to the end of treatment at 12 weeks
Points change of Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC)
Časové okno: From the start to the end of treatment at 12 weeks
Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), a widely used questionnaires used by health professionals to evaluate the condition of patients with osteoarthritis of the knee and hip, and the total score was 96 points (Minimum: 0 points; Maximum: 96 points). The question content was divided into three parts: Pain (20 points), Stiffness (8 points), and Physical function (68 points). The higher score meant worse knee joint function. Record the points that the subjects got.
From the start to the end of treatment at 12 weeks

Další výstupní opatření

Měření výsledku
Popis opatření
Časové okno
Concentration change of aspartate aminotransferase (AST)
Časové okno: From the start to the end of treatment at 12 weeks
Measured from participants' blood samples for safety monitoring purposes
From the start to the end of treatment at 12 weeks
Concentration change of alanine aminotransferase (ALT)
Časové okno: From the start to the end of treatment at 12 weeks
Measured from participants' blood samples for safety monitoring purposes
From the start to the end of treatment at 12 weeks
Concentration change of blood glucose
Časové okno: From the start to the end of treatment at 12 weeks
Measured from participants' blood samples for safety monitoring purposes
From the start to the end of treatment at 12 weeks
Concentration change of high-density lipoprotein
Časové okno: From the start to the end of treatment at 12 weeks
Measured from participants' blood samples for safety monitoring purposes
From the start to the end of treatment at 12 weeks
Concentration change of low-density lipoprotein
Časové okno: From the start to the end of treatment at 12 weeks
Measured from participants' blood samples for safety monitoring purposes
From the start to the end of treatment at 12 weeks
Concentration change of free fatty acid
Časové okno: From the start to the end of treatment at 12 weeks
Measured from participants' blood samples for safety monitoring purposes
From the start to the end of treatment at 12 weeks
Concentration change of cholesterol
Časové okno: From the start to the end of the treatment at 12 weeks
Measured from participants' blood samples for safety monitoring purposes
From the start to the end of the treatment at 12 weeks
Concentration change of triglyceride
Časové okno: From the start to the end of treatment at 12 weeks
Measured from participants' blood samples for safety monitoring purposes
From the start to the end of treatment at 12 weeks
Count change of differential count (DC)
Časové okno: From the start to the end of treatment at 12 weeks
Measured from participants' blood samples for safety monitoring purposes
From the start to the end of treatment at 12 weeks
Mean corpuscular volume (MCV)
Časové okno: From the start to the end of treatment at 12 weeks
Measured from participants' blood samples for safety monitoring purposes
From the start to the end of treatment at 12 weeks
Concentration change of hemoglobin
Časové okno: From the start to the end of treatment at 12 weeks
Measured from participants' blood samples for safety monitoring purposes
From the start to the end of treatment at 12 weeks
Concentration change of hematocrit
Časové okno: From the start to the end of treatment at 12 weeks
Measured from participants' blood samples for safety monitoring purposes
From the start to the end of treatment at 12 weeks
Red blood cell count
Časové okno: From the start to the end of treatment at 12 weeks
Measured from participants' blood samples for safety monitoring purposes
From the start to the end of treatment at 12 weeks
Concentration change of gamma-glutamyl transferase (γ-GT)
Časové okno: From the start to the end of treatment at 12 weeks
Measured from participants' blood samples for safety monitoring purposes
From the start to the end of treatment at 12 weeks
Concentration change of albumin
Časové okno: From the start to the end of treatment at 12 weeks
Measured from participants' blood samples for safety monitoring purposes
From the start to the end of treatment at 12 weeks
Concentration change of blood urea nitrogen (BUN)
Časové okno: From the start to the end of treatment at 12 weeks
Measured from participants' blood samples for safety monitoring purposes
From the start to the end of treatment at 12 weeks
Concentration change of creatinine
Časové okno: From the start to the end of treatment at 12 weeks
Measured from participants' blood samples for safety monitoring purposes
From the start to the end of treatment at 12 weeks
Concentration change of urea acid
Časové okno: From the start to the end of treatment at 12 weeks
Measured from participants' blood samples for safety monitoring purposes
From the start to the end of treatment at 12 weeks
Concentration change of thyroid-stimulating hormone (TSH)
Časové okno: From the start to the end of treatment at 12 weeks
Measured from participants' blood samples for safety monitoring purposes
From the start to the end of treatment at 12 weeks
Concentration change of triiodothyronine (T3)
Časové okno: From the start to the end of treatment at 12 weeks
Measured from participants' blood samples for safety monitoring purposes
From the start to the end of treatment at 12 weeks
Concentration change of thyroxine (T4)
Časové okno: From the start to the end of treatment at 12 weeks
Measured from participants' blood samples for safety monitoring purposes
From the start to the end of treatment at 12 weeks
Concentration change of sodium (Na)
Časové okno: From the start to the end of treatment at 12 weeks
Measured from participants' blood samples for safety monitoring purposes
From the start to the end of treatment at 12 weeks
Concentration change of potassium (K)
Časové okno: From the start to the end of treatment at 12 weeks
Measured from participants' blood samples for safety monitoring purposes
From the start to the end of treatment at 12 weeks
Concentration change of calcium (Ca)
Časové okno: From the start to the end of treatment at 12 weeks
Measured from participants' blood samples for safety monitoring purposes
From the start to the end of treatment at 12 weeks
Concentration change of magnesium (Mg)
Časové okno: From the start to the end of treatment at 12 weeks
Measured from participants' blood samples for safety monitoring purposes
From the start to the end of treatment at 12 weeks
Concentration change of phosphorus (P)
Časové okno: From the start to the end of treatment at 12 weeks
Measured from participants' blood samples for safety monitoring purposes
From the start to the end of treatment at 12 weeks
Change of urine pH value
Časové okno: From the start to the end of treatment at 12 weeks
Measured from participants' blood samples for safety monitoring purposes
From the start to the end of treatment at 12 weeks
Concentration change of urine protein
Časové okno: From the start to the end of treatment at 12 weeks
Measured from participants' blood samples for safety monitoring purposes
From the start to the end of treatment at 12 weeks
Concentration change of urine glucose
Časové okno: From the start to the end of treatment at 12 weeks
Measured from participants' blood samples for safety monitoring purposes
From the start to the end of treatment at 12 weeks

Spolupracovníci a vyšetřovatelé

Zde najdete lidi a organizace zapojené do této studie.

Sponzor

Spolupracovníci

Termíny studijních záznamů

Tato data sledují průběh záznamů studie a předkládání souhrnných výsledků na ClinicalTrials.gov. Záznamy ze studií a hlášené výsledky jsou před zveřejněním na veřejné webové stránce přezkoumány Národní lékařskou knihovnou (NLM), aby se ujistily, že splňují specifické standardy kontroly kvality.

Hlavní termíny studia

Začátek studia (Odhadovaný)

1. září 2026

Primární dokončení (Odhadovaný)

31. ledna 2027

Dokončení studie (Odhadovaný)

28. února 2027

Termíny zápisu do studia

První předloženo

12. srpna 2026

První předloženo, které splnilo kritéria kontroly kvality

30. srpna 2026

První zveřejněno (Aktuální)

2. září 2026

Aktualizace studijních záznamů

Poslední zveřejněná aktualizace (Aktuální)

2. září 2026

Odeslaná poslední aktualizace, která splnila kritéria kontroly kvality

30. srpna 2026

Naposledy ověřeno

1. června 2026

Více informací

Termíny související s touto studií

Další identifikační čísla studie

  • N202606002

Plán pro data jednotlivých účastníků (IPD)

Plánujete sdílet data jednotlivých účastníků (IPD)?

NE

Informace o lécích a zařízeních, studijní dokumenty

Studuje lékový produkt regulovaný americkým FDA

Ne

Studuje produkt zařízení regulovaný americkým úřadem FDA

Ne

Tyto informace byly beze změn načteny přímo z webu clinicaltrials.gov. Máte-li jakékoli požadavky na změnu, odstranění nebo aktualizaci podrobností studie, kontaktujte prosím register@clinicaltrials.gov. Jakmile bude změna implementována na clinicaltrials.gov, bude automaticky aktualizována i na našem webu .