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Managing knee pain with simple analgesia: the efficacy, cost and adherence implications
ISRCTN ISRCTN87954265
DOI 10.1186/ISRCTN87954265
ClinicalTrials.gov identifier
EudraCT number
Public title Managing knee pain with simple analgesia: the efficacy, cost and adherence implications
Scientific title
Acronym N/A
Serial number at source G9900285
Study hypothesis 1. Treatment trial: to test the hypothesis that continuous use of simple analgesia in osteoarthritis (OA) knee is more effective in reducing pain in the affected joint than analgesia used on an 'as required' basis.
2. Adherence trial: to test the hypothesis that a simple intervention delivered by practice nurses can increase adherence to continuous analgesia.
Lay summary
Ethics approval Not provided at time of registration
Study design Randomised controlled trial
Countries of recruitment United Kingdom
Disease/condition/study domain Osteoarthritis of the knee
Participants - inclusion criteria 1. Male and female patients over 55 years
2. Clinical diagnosis osteoarthritis of the knee
3. Current joint pain score greater than 30 on a 10 mm visual analogue scale
Participants - exclusion criteria 1. Serious concomitant illness
2. Other pain-related conditions
3. Abnormal liver function tests
4. History of analgesic abuse or overdose
5. Severe OA awaiting joint replacement
6. Psychological disorders requiring treatment
7. Patients unable to follow instructions/complete questionnaires.
8. Use of over the counter medication containing paracetamol for duration of the study
Anticipated start date 01/09/1999
Anticipated end date 01/03/2002
Status of trial Completed
Patient information material
Target number of participants 244 - Discontinued after March 2002
Interventions Treatment trial:
1. Continuous use paracetamol (4 g daily)
2. 'As required' paracetamol (up to 4 g daily as needed)

Adherence trial (all patients in treatment group 1):
1. Individualised educational intervention to promote adherence delivered by practice nurse
2. No intervention
Primary outcome measure(s) Treatment trial: pain in the affected joint measured by 100 mm visual analogue scale
Adherence trial: Proportion of patients who adhere to the regimen for continuous paracetamol
Secondary outcome measure(s) Not provided at time of registration
Sources of funding Medical Research Council (MRC) (UK)
Trial website
Publications Trial not published due to insufficient number of participants
Contact name Dr  Alison  Carr
  Address Academic Rheumatology
University of Nottingham
Clinical Sciences Building
  City/town Nottingham
  Zip/Postcode NG5 1PB
  Country United Kingdom
  Email
Sponsor Medical Research Council (MRC) (UK)
  Address 20 Park Crescent
  City/town London
  Zip/Postcode W1B 1AL
  Country United Kingdom
  Tel +44 (0)20 7636 5422
  Fax +44 (0)20 7436 6179
  Email clinical.trial@headoffice.mrc.ac.uk
  Sponsor website: http://www.mrc.ac.uk
Date applied 23/10/2000
Last edited 30/07/2009
Date ISRCTN assigned 23/10/2000
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