Protocol summary

Summary
Objectives: The effect of crocina on the production of IL-4, IL-1β, IL-17, IL-10 and TGF-β;The effect of crocina on gene expression of transcription factors T-bet, GATA3, FOXP3, ROR-gt; The effect of crocina on number of Th1 and Th2, regulatory T cells and Th17 cells; The effect of crocina on the reduction of pain and joint inflammation. Design: Randomized, Double-blind and Placebo controlled; Study population: OA Patients; Volume: 40 persons; Method: Patients divided into two groups; Crocina tablets prescribed to the first group a tablet 15 mg daily along with the conventional medicines; Placebo tablets prescribed to the second group along with the conventional medicines; Blood sampling done before prescribing drug and four months Later. Major Inclusion Criteria: OA patients aged 40 to 75; The severity of joint damage between grade 2 and 3; Patients with no history of injury; Patients with the Body Mass Index (BMI) less than 30. Major Exclusion Criteria: OA patients aged less than 40 and more than 75; The severity of joint damage in grade 1 and 4; Patients with history of injury and BMI 30 or more. Intervention: Treatment with drug; Prescription of crocina at dose of 15 mg daily; Prescription of placebo at dose of 15 mg daily in the control group. Time: 4 months. Main Outcome Measures: Osteoarthritis, Pain, Inflammation, Crocin, IL-4, IL-1β, IL-17, IL-10, TGFβ, CD127, Gene expression of T-bet; Gene expression of GATA3; Gene expression of FOXP3; Gene expression of RORgt; The number of Th1, Th2, T-regulatory and Th17.

General information

Acronym
IRCT registration information
IRCT registration number: IRCT2015021910507N2
Registration date: 2016-07-11, 1395/04/21
Registration timing: prospective

Last update:
Update count: 0
Registration date
2016-07-11, 1395/04/21
Registrant information
Name
Zhaleh Shariati Sarabi
Name of organization / entity
Department of Internal Medicicince, Imam Reza Hospital
Country
Iran (Islamic Republic of)
Phone
+98 51 1802 2370
Email address
shariatij@mums.ac.ir
Recruitment status
Recruitment complete
Funding source
Vice Chancellor for Research, Mashhad University of Medical Sciences
Expected recruitment start date
2016-07-20, 1395/04/30
Expected recruitment end date
2016-11-20, 1395/08/30
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Evaluation of Crocina on The Cellular Immune Responses in Osteoarthritis Patients
Public title
Evaluation of Crocina on The Cellular Immune Responses in Osteoarthritis Patients
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion Criteria: Osteoarthritis patients aged 40 to 75; Patients with the severity of joint damage between grade 2 and grade 3 based on radiographic images; Patients with no history of joint surgery; Patients with no history of injury, no diabetic disorders, no rheumatism, no kidney disease, no osteonecrosis and gout; Patients with no long history of anti-inflammatory drugs consumption; Patients having no insufferable jobs; Patients with the Body Mass Index (BMI) of 30 or less. Exclusion Criteria: Osteoarthritis patients aged less than 40 and more than 75; Patients with the severity of joint damage of the in grade 1 and grade 4 based on radiographic images; Patients with history of joint surgery; Patients with history of injury, diabetic disorders, rheumatism, kidney disease, osteonecrosis and gout; Patients with long history of anti-inflammatory drugs consumption; Patients having insufferable jobs; Patients with a BMI of 30 or more.
Age
From 40 years old to 75 years old
Gender
Both
Phase
N/A
Groups that have been masked
No information
Sample size
Target sample size: 40
Randomization (investigator's opinion)
Randomized
Randomization description
Blinding (investigator's opinion)
Double blinded
Blinding description
Placebo
Used
Assignment
Parallel
Other design features
Method of Randomization: 30 Pills of crocina or placebo in quite similar cans, be encoded with Excel Software will be given to the patients completely random; The distributor and the patients will have no knowledge of the contents of the cans; After the end of each month, the patients will receive similar to their previous codes

Secondary Ids

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Ethics committees

1

Ethics committee
Name of ethics committee
Ethics committee of Mashhad University of Medical Sciences
Street address
Qoreishi Bulding, Daneshgah Street
City
Mashhad
Postal code
91375345
Approval date
2015-12-17, 1394/09/26
Ethics committee reference number
IR.mums.fm.REC.13940279

Health conditions studied

1

Description of health condition studied
Osteoarthritis
ICD-10 code
M15.9
ICD-10 code description
Polyarthrosis, unspecified Generalized osteoarthritis NOS

Primary outcomes

1

Description
Inflammation
Timepoint
Before The Intervention and 4 months after
Method of measurement
Visual

2

Description
Pain
Timepoint
Before The Intervention and 4 months after
Method of measurement
Visual

3

Description
Osteoarthritis
Timepoint
Before The Intervention and 4 months after
Method of measurement
Visualization and gradation 1 to 4

4

Description
Crocin
Timepoint
Four months after the intervention
Method of measurement
International units per millilitre

5

Description
Interleukin-4
Timepoint
Before the intervention and 4 months after
Method of measurement
Picograms per millilitre using ELISA Assay

6

Description
Interleukin-10
Timepoint
Before the intervention and 4 months after
Method of measurement
Picograms per millilitre using ELISA Assay

7

Description
Interleukin-1β
Timepoint
Before the intervention and 4 months after
Method of measurement
Picograms per millilitre using ELISA Assay

8

Description
TGF-β
Timepoint
Before the intervention and 4 months after
Method of measurement
Picograms per millilitre using ELISA Assay

9

Description
Interleukin-17
Timepoint
Before the intervention and 4 months after
Method of measurement
Picograms per millilitre using ELISA Assay

10

Description
CD127
Timepoint
Before the intervention and 4 months after
Method of measurement
Frequency of desired cells using Fow Cytometry Technique

11

Description
T-bet transcription factor
Timepoint
Before the intervention and 4 months after
Method of measurement
The copy number of desired gene using RT-PCR Assay

12

Description
FOXP3 transcription factor
Timepoint
Before the intervention and 4 months after
Method of measurement
The copy number of desired gene using RT-PCR Assay

13

Description
GATA3 transcription factor
Timepoint
Before the intervention and 4 months after
Method of measurement
The copy number of desired gene using RT-PCR Assay

14

Description
ROR-γt transcription factor
Timepoint
Before the intervention and 4 months after
Method of measurement
The copy number of desired gene using RT-PCR Assay

15

Description
Regulatory T Cells
Timepoint
Before the intervention and 4 months after
Method of measurement
Frequency of desired cells using Flow Cytometry Technique

16

Description
T helper 1 cells
Timepoint
Before the intervention and 4 months after
Method of measurement
Frequency of desired cells using Flow Cytometry Technique

17

Description
Th17 cells
Timepoint
Before the intervention and 4 months after
Method of measurement
Frequency of desired cells using Flow Cytometry Technique

18

Description
T helper 2 cells
Timepoint
Before the intervention and 4 months after
Method of measurement
Frequency of desired cells using Flow Cytometry Technique

Secondary outcomes

empty

Intervention groups

1

Description
Intervention Group: Prescription of Crocina drug daily at dose of 15 milligram for 4 months.
Category
Treatment - Drugs

2

Description
Control Group: Prescription of placebo daily at dose of 15 milligram for 4 months.
Category
Placebo

Recruitment centers

1

Recruitment center
Name of recruitment center
Emam Reza Hospital
Full name of responsible person
Dr. Zhaleh Shariati Sarabi
Street address
Emam Reza Square, Ebne Sina Avenue
City
Mashhad

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
Research Chancellor, Mashhad University of Medical Sciences
Full name of responsible person
Dr. Mohsen Tafaghodi
Street address
Quraishi Building; Daneshgah Street
City
Mashhad
Grant name
931577
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Research Chancellor, Mashhad University of Medical Sciences
Proportion provided by this source
100
Public or private sector
empty
Domestic or foreign origin
empty
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
empty

Person responsible for general inquiries

Contact
Name of organization / entity
Mashhad University of Medical Sciences
Full name of responsible person
Javad Sanchooli
Position
Ph.D Student in Immunology
Other areas of specialty/work
Street address
Buali Research Institute; BuAli Square
City
Mashhad
Postal code
9188986439
Phone
+98 51 3801 2762
Fax
+98 51 3711 2596
Email
Sanchoolij921@mums.ac.ir; Sanchoolijavad@gmail.com
Web page address

Person responsible for scientific inquiries

Contact
Name of organization / entity
Mashhad University of Medical Sciences
Full name of responsible person
Zhaleh Shariati Sarabi
Position
Intenal Medicine
Other areas of specialty/work
Street address
Emam Reza Hospital, Emam Reza Square, Ebne Sina Avenuee
City
Mashhad
Postal code
9188986439
Phone
+98 51 3801 2762
Fax
Email
shariatij@mums.ac.ir; jshariati@yahoo.com
Web page address
http://emamreza.mums.ac.ir

Person responsible for updating data

Contact
Name of organization / entity
Mashhad University of Medical Sciences
Full name of responsible person
Javad Sanchooli
Position
Ph.D Student in Immunology
Other areas of specialty/work
Street address
BuAli Research Institute; BuAli Square
City
Mashhad
Postal code
9188986439
Phone
+98 51 3801 2762
Fax
+98 51 3711 2596
Email
Sanchoolij921@mums.ac.ir; Sanchoolijavad@gmail.com
Web page address

Sharing plan

Deidentified Individual Participant Data Set (IPD)
empty
Study Protocol
empty
Statistical Analysis Plan
empty
Informed Consent Form
empty
Clinical Study Report
empty
Analytic Code
empty
Data Dictionary
empty
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