[Efficacy and safety of undenatured type II collagen in patients with knee osteoarthritis: a multicenter, prospective, double-blind, placebo-controlled, randomized trial].

Pub Date : 2024-06-03 DOI:10.26442/00403660.2024.05.202788
L I Alekseeva, N G Kashevarova, E A Taskina, E A Strebkova, T A Korotkova, E P Sharapova, N M Savushkina, A M Lila, N A Shostak, V I Mazurov, I I Nesterovich, V A Dedkova, V B Vasilyuk, N V Egorova, M A Leontyeva, S P Yakupova, I B Vinogradova, V N Sorotskaya, L Y Shirokova
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Abstract

Background: Non-pharmacological treatments based on collagen as a dietary supplement are emerging as a new area of interest to support preventive or therapeutic effects in patients with osteoarthritis (OA).

Aim: In a multicenter, prospective, double-blind, placebo-controlled, randomized study, to evaluate the effectiveness and safety of the use of the Artneo complex containing undenatured chicken collagen type II in patients with OA of the knee joints.

Materials and methods: The study enrolled 212 outpatients from 12 centers in the Russian Federation with knee OA, stages II and III according to the Kellgren-Lawrence classification. The participants included 171 women (80.7%) and 41 men (19.3%), with an average age of 60.2±9.0 years (range: 40 to 75 years). The study population was randomly allocated in equal proportions into two groups using an interactive web response system (IWRS). Group 1 (Artneo) consisted of 106 patients who took one capsule of the drug once daily for 180 days. Group 2 (Placebo) also had 106 patients, with the dosage form and regimen identical to Group 1. During the treatment period, the following outcomes were assessed: WOMAC index, KOOS, pain according to VAS, quality of life using the EQ-5D questionnaire, and the need for NSAIDs. All patients underwent a clinical blood test, general urine analysis, biochemical blood test, and ultrasound examination of the affected knee joint.

Results: In a prospective, double-blind, placebo-controlled, randomized study, it was demonstrated that the Artneo combination, containing undenatured chicken collagen type II, has a positive effect on all clinical manifestations of OA: it effectively reduces pain, stiffness, and improves the functional state of joints and quality of life. It has a good safety profile and is superior to placebo in all parameters studied.

Conclusion: The results of the study confirm the good effectiveness and safety of the Artneo combination in patients with OA of the knee joints.

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[未变性 II 型胶原蛋白对膝关节骨关节炎患者的疗效和安全性:一项多中心、前瞻性、双盲、安慰剂对照随机试验]。
背景:目的:在一项多中心、前瞻性、双盲、安慰剂对照、随机研究中,评估在膝关节 OA 患者中使用含有未变性鸡 II 型胶原蛋白的 Artneo 复合物的有效性和安全性:根据凯尔格伦-劳伦斯(Kellgren-Lawrence)分类法,该研究从俄罗斯联邦的 12 个中心招募了 212 名患有膝关节 OA(II 期和 III 期)的门诊患者。其中包括 171 名女性(80.7%)和 41 名男性(19.3%),平均年龄为 60.2±9.0 岁(范围:40 至 75 岁)。研究人员通过交互式网络应答系统(IWRS)按等比例随机分配到两组。第一组(Artneo)有 106 名患者,每天服用一粒药物,持续 180 天。第 2 组(安慰剂)也有 106 名患者,剂量和治疗方案与第 1 组相同:WOMAC指数、KOOS、VAS显示的疼痛、使用EQ-5D问卷调查的生活质量以及对非甾体抗炎药的需求。所有患者都接受了临床血液检查、尿液分析、血液生化检查和受影响膝关节的超声波检查:在一项前瞻性、双盲、安慰剂对照随机研究中,结果表明含有未变性鸡 II 型胶原蛋白的 Artneo 复方制剂对 OA 的所有临床表现均有积极作用:它能有效减轻疼痛和僵硬感,改善关节功能状态和生活质量。它具有良好的安全性,在所有研究参数中均优于安慰剂:研究结果证实,Artneo 复方制剂对膝关节 OA 患者具有良好的疗效和安全性。
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