Efficacy of JOINS on Cartilage Protection in Knee Osteoarthritis: Prospective Randomized Controlled Trial

In this study, we compared the clinical efficacy of JOINS (SKI306X, SK Chemicals) with placebo on cartilage protection using magnetic resonance imaging (MRI). Sixty-nine patients were randomized to the JOINS group (200 mg, three times daily for 1 year; n=33) or the placebo group (n=36). Changes in c...

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Published inKnee Surgery and Related Research, 29(3) Vol. 29; no. 3; pp. 217 - 224
Main Authors Kim, Joong Il, Choi, Ja Young, Kim, Kwang Gi, Lee, Myung Chul
Format Journal Article
LanguageEnglish
Published Korea (South) Korean Knee Society 01.09.2017
대한슬관절학회
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Online AccessGet full text
ISSN2234-0726
1225-1623
2234-2451
DOI10.5792/ksrr.17.004

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Abstract In this study, we compared the clinical efficacy of JOINS (SKI306X, SK Chemicals) with placebo on cartilage protection using magnetic resonance imaging (MRI). Sixty-nine patients were randomized to the JOINS group (200 mg, three times daily for 1 year; n=33) or the placebo group (n=36). Changes in cartilage volume and thickness were measured using MRI. Changes in the delayed gadolinium-enhanced MRI of cartilage (dGEMRIC) index, subchondral bone marrow abnormality scores, and clinical scores including knee pain visual analog scale (VAS) score and Korean Western Ontario and McMaster Universities Osteoarthritis Index (K-WOMAC) were also evaluated. Changes in cartilage thickness and volume and subarticular bone marrow abnormality scores were not different between groups. Changes in the dGEMRIC index in the lateral tibial plateau were greater in the JOINS group than in the placebo group (19.64±114.33 msec vs. -57.77±123.30 msec; p=0.011). Significantly greater changes in VAS were observed in the JOINS group than in the placebo group (-26.00±12.25 vs. -12.47±21.54; p=0.002) and K-WOMAC (-15.42 ± 7.73 vs. -8.15±13.71; p=0.003). Compared with placebo, JOINS had superior clinical efficacy in regard to cartilage protection.
AbstractList In this study, we compared the clinical efficacy of JOINS (SKI306X, SK Chemicals) with placebo on cartilage protection using magnetic resonance imaging (MRI). Sixty-nine patients were randomized to the JOINS group (200 mg, three times daily for 1 year; n=33) or the placebo group (n=36). Changes in cartilage volume and thickness were measured using MRI. Changes in the delayed gadolinium-enhanced MRI of cartilage (dGEMRIC) index, subchondral bone marrow abnormality scores, and clinical scores including knee pain visual analog scale (VAS) score and Korean Western Ontario and McMaster Universities Osteoarthritis Index (K-WOMAC) were also evaluated. Changes in cartilage thickness and volume and subarticular bone marrow abnormality scores were not different between groups. Changes in the dGEMRIC index in the lateral tibial plateau were greater in the JOINS group than in the placebo group (19.64±114.33 msec vs. -57.77±123.30 msec; p=0.011). Significantly greater changes in VAS were observed in the JOINS group than in the placebo group (-26.00±12.25 vs. -12.47±21.54; p=0.002) and K-WOMAC (-15.42 ± 7.73 vs. -8.15±13.71; p=0.003). Compared with placebo, JOINS had superior clinical efficacy in regard to cartilage protection.
Purpose: In this study, we compared the clinical efficacy of JOINS (SKI306X, SK Chemicals) with placebo on cartilage protection using magnetic resonance imaging (MRI).Materials and Methods: Sixty­nine patients were randomized to the JOINS group (200 mg, three times daily for 1 year; n=33) or the placebo group (n=36). Changes in cartilage volume and thickness were measured using MRI. Changes in the delayed gadolinium­enhanced MRI of cartilage (dGEMRIC) index, subchondral bone marrow abnormality scores, and clinical scores including knee pain visual analog scale (VAS) score and Korean Western Ontario and McMaster Universities Osteoarthritis Index (K­WOMAC) were also evaluated.Results: Changes in cartilage thickness and volume and subarticular bone marrow abnormality scores were not different between groups. Changes in the dGEMRIC index in the lateral tibial plateau were greater in the JOINS group than in the placebo group (19.64±114.33 msec vs. –57.77±123.30 msec; p=0.011). Significantly greater changes in VAS were observed in the JOINS group than in the placebo group (–26.00±12.25 vs. –12.47±21.54; p=0.002) and K­WOMAC (–15.42 ± 7.73 vs. –8.15±13.71; p=0.003).Conclusions: Compared with placebo, JOINS had superior clinical efficacy in regard to cartilage protection. KCI Citation Count: 4
In this study, we compared the clinical efficacy of JOINS (SKI306X, SK Chemicals) with placebo on cartilage protection using magnetic resonance imaging (MRI).PurposeIn this study, we compared the clinical efficacy of JOINS (SKI306X, SK Chemicals) with placebo on cartilage protection using magnetic resonance imaging (MRI).Sixty-nine patients were randomized to the JOINS group (200 mg, three times daily for 1 year; n=33) or the placebo group (n=36). Changes in cartilage volume and thickness were measured using MRI. Changes in the delayed gadolinium-enhanced MRI of cartilage (dGEMRIC) index, subchondral bone marrow abnormality scores, and clinical scores including knee pain visual analog scale (VAS) score and Korean Western Ontario and McMaster Universities Osteoarthritis Index (K-WOMAC) were also evaluated.Materials and MethodsSixty-nine patients were randomized to the JOINS group (200 mg, three times daily for 1 year; n=33) or the placebo group (n=36). Changes in cartilage volume and thickness were measured using MRI. Changes in the delayed gadolinium-enhanced MRI of cartilage (dGEMRIC) index, subchondral bone marrow abnormality scores, and clinical scores including knee pain visual analog scale (VAS) score and Korean Western Ontario and McMaster Universities Osteoarthritis Index (K-WOMAC) were also evaluated.Changes in cartilage thickness and volume and subarticular bone marrow abnormality scores were not different between groups. Changes in the dGEMRIC index in the lateral tibial plateau were greater in the JOINS group than in the placebo group (19.64±114.33 msec vs. -57.77±123.30 msec; p=0.011). Significantly greater changes in VAS were observed in the JOINS group than in the placebo group (-26.00±12.25 vs. -12.47±21.54; p=0.002) and K-WOMAC (-15.42 ± 7.73 vs. -8.15±13.71; p=0.003).ResultsChanges in cartilage thickness and volume and subarticular bone marrow abnormality scores were not different between groups. Changes in the dGEMRIC index in the lateral tibial plateau were greater in the JOINS group than in the placebo group (19.64±114.33 msec vs. -57.77±123.30 msec; p=0.011). Significantly greater changes in VAS were observed in the JOINS group than in the placebo group (-26.00±12.25 vs. -12.47±21.54; p=0.002) and K-WOMAC (-15.42 ± 7.73 vs. -8.15±13.71; p=0.003).Compared with placebo, JOINS had superior clinical efficacy in regard to cartilage protection.ConclusionsCompared with placebo, JOINS had superior clinical efficacy in regard to cartilage protection.
Author Kim, Kwang Gi
Choi, Ja Young
Lee, Myung Chul
Kim, Joong Il
AuthorAffiliation 2 Department of Radiology, Seoul National University Hospital, Seoul, Korea
4 Department of Orthopaedic Surgery, Seoul National University Hospital, Seoul, Korea
3 Department of Biomedical Engineering, Gachon University College of Medicine, Incheon, Korea
1 Department of Orthopaedic Surgery, Hallym University Kangnam Sacred Heart Hospital, Seoul, Korea
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Cites_doi 10.3904/kjim.2014.29.5.647
10.1056/NEJMe058324
10.2165/00002512-200724070-00005
10.1016/S0002-9343(97)90005-X
10.1002/ptr.3007
10.1136/bmj.c4675
10.1142/S0192415X01000502
10.1097/01.bor.0000209426.84775.f8
10.1007/s00296-009-0969-5
10.1002/ptr.3006
10.1002/ptr.2142
10.7326/0003-4819-112-8-559
10.1016/S0033-8389(03)00161-1
10.1001/archinte.1996.00440140039003
10.1016/j.semarthrit.2014.05.014
10.1136/ard.2010.140848
10.1254/jphs.FPJ04058X
10.1016/j.phymed.2007.09.005
10.1002/mrm.10389
10.1016/j.jep.2016.01.029
10.1016/j.joca.2003.11.003
10.4103/0975-7406.106561
10.1053/joca.2002.0526
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Issue 3
Keywords Knee
Cartilage
Osteoarthritis
SKI306X
Language English
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References ref13
ref12
ref15
ref14
ref11
ref10
ref2
ref1
ref17
ref16
ref19
ref18
ref24
ref23
ref26
ref25
ref20
ref22
ref21
ref27
ref8
ref7
ref9
ref4
ref3
ref6
ref5
15977345 - J Rheumatol. 2005 Jun;32(6):1136-8
17658908 - Drugs Aging. 2007;24(7):573-80
16462520 - Curr Opin Rheumatol. 2006 Mar;18(2):147-56
19856319 - Phytother Res. 2009 Nov;23(11):1497-515
26821189 - J Ethnopharmacol. 2016 Apr 2;181:1-7
2038014 - J Rheumatol Suppl. 1991 Mar;28:6-10
17444576 - Phytother Res. 2007 Jul;21(7):675-83
14972335 - Osteoarthritis Cartilage. 2004 Mar;12(3):177-90
9455966 - Am J Med. 1997 Dec 29;103(6A):25S-30S
11789591 - Am J Chin Med. 2001;29(3-4):485-91
23559821 - J Pharm Bioallied Sci. 2013 Jan;5(1):30-8
24953861 - Semin Arthritis Rheum. 2014 Dec;44(3):253-63
12056850 - Osteoarthritis Cartilage. 2002 Jun;10(6):471-8
754840 - Bull Rheum Dis. 1978-1979;29(8):996-1001
16034188 - J Pharmacol Sci. 2005 Jul;98(3):298-306
12594751 - Magn Reson Med. 2003 Mar;49(3):488-92
21367761 - Ann Rheum Dis. 2011 Jun;70(6):982-9
16495399 - N Engl J Med. 2006 Feb 23;354(8):858-60
15049520 - Radiol Clin North Am. 2004 Jan;42(1):1-9, v
20847017 - BMJ. 2010 Sep 16;341:c4675
2327675 - Ann Intern Med. 1990 Apr 15;112(8):559-60
19544061 - Rheumatol Int. 2010 Jan;30(3):357-63
19941324 - Phytother Res. 2009 Dec;23(12):1647-62
17949960 - Phytomedicine. 2008 May;15(5):313-20
8694659 - Arch Intern Med. 1996 Aug 12-26;156(15):1623-8
25228841 - Korean J Intern Med. 2014 Sep;29(5):647-55
10405945 - J Rheumatol. 1999 Jul;26(7):1557-63
References_xml – ident: ref20
  doi: 10.3904/kjim.2014.29.5.647
– ident: ref3
– ident: ref13
  doi: 10.1056/NEJMe058324
– ident: ref12
  doi: 10.2165/00002512-200724070-00005
– ident: ref7
  doi: 10.1016/S0002-9343(97)90005-X
– ident: ref16
  doi: 10.1002/ptr.3007
– ident: ref15
  doi: 10.1136/bmj.c4675
– ident: ref25
  doi: 10.1142/S0192415X01000502
– ident: ref4
  doi: 10.1097/01.bor.0000209426.84775.f8
– ident: ref9
– ident: ref14
  doi: 10.1007/s00296-009-0969-5
– ident: ref17
  doi: 10.1002/ptr.3006
– ident: ref18
  doi: 10.1002/ptr.2142
– ident: ref10
  doi: 10.7326/0003-4819-112-8-559
– ident: ref1
  doi: 10.1016/S0033-8389(03)00161-1
– ident: ref2
– ident: ref11
  doi: 10.1001/archinte.1996.00440140039003
– ident: ref6
  doi: 10.1016/j.semarthrit.2014.05.014
– ident: ref26
  doi: 10.1136/ard.2010.140848
– ident: ref23
  doi: 10.1254/jphs.FPJ04058X
– ident: ref22
  doi: 10.1016/j.phymed.2007.09.005
– ident: ref27
  doi: 10.1002/mrm.10389
– ident: ref19
  doi: 10.1016/j.jep.2016.01.029
– ident: ref8
– ident: ref24
  doi: 10.1016/j.joca.2003.11.003
– ident: ref5
  doi: 10.4103/0975-7406.106561
– ident: ref21
  doi: 10.1053/joca.2002.0526
– reference: 15977345 - J Rheumatol. 2005 Jun;32(6):1136-8
– reference: 16495399 - N Engl J Med. 2006 Feb 23;354(8):858-60
– reference: 12594751 - Magn Reson Med. 2003 Mar;49(3):488-92
– reference: 9455966 - Am J Med. 1997 Dec 29;103(6A):25S-30S
– reference: 19544061 - Rheumatol Int. 2010 Jan;30(3):357-63
– reference: 12056850 - Osteoarthritis Cartilage. 2002 Jun;10(6):471-8
– reference: 19856319 - Phytother Res. 2009 Nov;23(11):1497-515
– reference: 8694659 - Arch Intern Med. 1996 Aug 12-26;156(15):1623-8
– reference: 15049520 - Radiol Clin North Am. 2004 Jan;42(1):1-9, v
– reference: 26821189 - J Ethnopharmacol. 2016 Apr 2;181:1-7
– reference: 23559821 - J Pharm Bioallied Sci. 2013 Jan;5(1):30-8
– reference: 17658908 - Drugs Aging. 2007;24(7):573-80
– reference: 2038014 - J Rheumatol Suppl. 1991 Mar;28:6-10
– reference: 10405945 - J Rheumatol. 1999 Jul;26(7):1557-63
– reference: 16034188 - J Pharmacol Sci. 2005 Jul;98(3):298-306
– reference: 24953861 - Semin Arthritis Rheum. 2014 Dec;44(3):253-63
– reference: 17949960 - Phytomedicine. 2008 May;15(5):313-20
– reference: 14972335 - Osteoarthritis Cartilage. 2004 Mar;12(3):177-90
– reference: 20847017 - BMJ. 2010 Sep 16;341:c4675
– reference: 17444576 - Phytother Res. 2007 Jul;21(7):675-83
– reference: 754840 - Bull Rheum Dis. 1978-1979;29(8):996-1001
– reference: 16462520 - Curr Opin Rheumatol. 2006 Mar;18(2):147-56
– reference: 2327675 - Ann Intern Med. 1990 Apr 15;112(8):559-60
– reference: 25228841 - Korean J Intern Med. 2014 Sep;29(5):647-55
– reference: 21367761 - Ann Rheum Dis. 2011 Jun;70(6):982-9
– reference: 19941324 - Phytother Res. 2009 Dec;23(12):1647-62
– reference: 11789591 - Am J Chin Med. 2001;29(3-4):485-91
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Snippet In this study, we compared the clinical efficacy of JOINS (SKI306X, SK Chemicals) with placebo on cartilage protection using magnetic resonance imaging (MRI)....
In this study, we compared the clinical efficacy of JOINS (SKI306X, SK Chemicals) with placebo on cartilage protection using magnetic resonance imaging...
Purpose: In this study, we compared the clinical efficacy of JOINS (SKI306X, SK Chemicals) with placebo on cartilage protection using magnetic resonance...
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Title Efficacy of JOINS on Cartilage Protection in Knee Osteoarthritis: Prospective Randomized Controlled Trial
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