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Analgesic action of acetaminophen in symptomatic osteoarthritis of the knee: a randomised controlled study
ISRCTN ISRCTN14751911
ClinicalTrials.gov identifier
Public title Analgesic action of acetaminophen in symptomatic osteoarthritis of the knee: a randomised controlled study
Scientific title
Acronym Knee study
Serial number at source N/A
Study hypothesis The study was designed to investigate the analgesic effects and mechanisms of acetaminophen (paracetamol) in symptomatic osteoarthritis (OA) of the knee.
Lay summary
Ethics approval The study was approved by the local ethical committee (Kantonale Ethikkommission, Spezialisierte Unterkommission fur Spezialfa cher) (ref: 343)
Study design Randomised controlled trial
Countries of recruitment Switzerland
Disease/condition/study domain Osteoarthritis of the knee
Participants - inclusion criteria Patients and healthy subjects: 20 patients fulfilled the American College of Rheumatology criteria for knee OA accompanied with joint pain (visual analogue scale [VAS] ≥60) were recruited to the study. For control, blood from 20 age and gender-matched healthy subjects was obtained from a local blood bank, the Blutspenderdienst Zürich. All patients signed the informed consent.
Participants - exclusion criteria 1. Secondary OA as a consequence of inflammation, gout, pseudogout or tumour
2. Kidney insufficiency
3. OA-influencing concomitant diseases
4. Drug medication with opioids
Anticipated start date 01/11/2001
Anticipated end date 31/03/2002
Status of trial Completed
Patient information material
Target number of participants 20
Interventions After washout of earlier OA medications, patients were randomly allocated into two groups treated with either acetaminophen up to 4 g per day (n = 10, age 60-77 years) or rofecoxib 25 mg per day (n = 10, age 48-80 years) for 3 months.
Primary outcome measure(s) The functional status of the knee joint was assessed by the Western Ontario McMaster Universities Osteoarthritis (WOMAC) questionnaire in German. Visits and measurements were scheduled upon entry (T0), month 1 (T1) and month 3 (T3).
Secondary outcome measure(s) The intensity of joint pain was evaluated by 100-mm visual analogue scale (VAS) at rest. Visits and measurements were scheduled upon entry (T0), month 1 (T1) and month 3 (T3).
Sources of funding 1. Merck Sharp and Dohme (MSD) (Switzerland) - gave a Medical School Grant in 2001 to perform the study, and provided the drug Vioxx (rofecoxib). The acetaminophen drugs and the other research costs were paid for from the grant.
2. University Hospital Zurich (Switzerland) - provided the infrastructure
Trial website
Publications Results in http://www.ncbi.nlm.nih.gov/pubmed/16449370
Contact name Dr  Haiko  Sprott
  Address Department of Rheumatology and Institute of Physical Medicine
University Hospital Zurich
Gloriastrasse 25
  City/town Zurich
  Zip/Postcode 8091
  Country Switzerland
  Tel +41 (0)44 2558679
  Fax +41 (0)44 2554388
  Email haiko.sprott@usz.ch
Sponsor Merck Sharp and Dohme (MSD) (Switzerland)
  Address Schaffhauserstrasse 136
  City/town Glattbrugg
  Zip/Postcode 8152
  Country Switzerland
  Tel +41 (0)1 8287111
  Fax +41 (0)1 8287210
  Email claude_fischlewitz@merck.com
Date applied 09/05/2005
Last edited 15/02/2008
Date ISRCTN assigned 10/05/2005
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