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

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

Studieoversigt

Status

Ikke rekrutterer endnu

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

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.

Undersøgelsestype

Interventionel

Tilmelding (Anslået)

60

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

      • Taipei, Taiwan
        • Taipei Medical University
        • Kontakt:

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

  • Voksen
  • Ældre voksen

Tager imod sunde frivillige

Ingen

Beskrivelse

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.

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Dobbelt

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Placebo komparator: Placebo
Placebo use contents without active ingredients
1 drink daily
Eksperimentel: A+HA premium oral hyaluronic acid drink
A+HA premium oral hyaluronic acid drink contains hyaluronic acid, glucosamine hydrochloride, and chondroitin
1 drink daily

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Points change of pain evaluation scale
Tidsramme: 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)
Tidsramme: 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

Andre resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Concentration change of aspartate aminotransferase (AST)
Tidsramme: 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)
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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)
Tidsramme: 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)
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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)
Tidsramme: 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
Tidsramme: 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)
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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)
Tidsramme: 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)
Tidsramme: 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)
Tidsramme: 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)
Tidsramme: 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)
Tidsramme: 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)
Tidsramme: 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)
Tidsramme: 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)
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Samarbejdspartnere

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Anslået)

1. september 2026

Primær færdiggørelse (Anslået)

31. januar 2027

Studieafslutning (Anslået)

28. februar 2027

Datoer for studieregistrering

Først indsendt

12. august 2026

Først indsendt, der opfyldte QC-kriterier

30. august 2026

Først opslået (Faktiske)

2. september 2026

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

2. september 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

30. august 2026

Sidst verificeret

1. juni 2026

Mere information

Begreber relateret til denne undersøgelse

Andre undersøgelses-id-numre

  • N202606002

Plan for individuelle deltagerdata (IPD)

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INGEN

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