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Evaluation of the effect of Apremilast in moderate to severe knee osteoarthritis

Efficacy and safety of Apremilast in patients with moderate to severe knee osteoarthritis :a randomized, double-blind, placebo-controlled clinical trial

Status
Active, not recruiting
Phases
Phase 3
Study type
Interventional
Source
IRCT
Registry ID
IRCT20190810044500N31
Enrollment
60
Registered
2025-12-07
Start date
2026-01-06
Completion date
Unknown
Last updated
2025-12-08

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Moderate to severe osteoarthritis of the knee. Osteoarthritis of knee, unspecified

Interventions

Intervention 1: Intervention group: The intervention group will receive 10 mg of Apermilast from the first to the twelfth day, 20 mg of Apermilast from the thirteenth to the twenty-fifth day, and 30 m

Sponsors

Abidi Pharmaceutical Company
Lead Sponsor

Eligibility

Sex/Gender
All
Age
40 Years to 75 Years

Inclusion criteria

Inclusion criteria: Patients aged 40 to 75 years Clinical and radiological diagnosis of knee osteoarthritis (OA) based on ACR criteria WOMAC pain score =4 Kellgren -Lawrence grade II, III in radiography No use of other joint disease-modifying medications in the last 3 months

Exclusion criteria

Exclusion criteria: Severe osteoarthritis (Kellgren and Lawrence system grade IV) History of inflammatory joint diseases (RA, PsA, gout) Concomitant use of systemic corticosteroids or intra-articular injections in the last 4 weeks Severe heart disease, kidney failure (CrCl < 30), or liver failure Psychiatric disorders or severe depression History of sensitivity or intolerance to PDE4 inhibitors

Design outcomes

Secondary

MeasureTime frame
Serum levels of the inflammatory factor IL-6. Timepoint: Week 0, Week 12. Method of measurement: Analysis of serum IL-6 levels from collected venous blood samples.

Primary

MeasureTime frame
WOMAC pain score criterion in the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) questionnaire and WOMAC score. Timepoint: Week 0, Week 4, Week 8, Week 12. Method of measurement: Assessment of pain and physical function using the WOMAC questionnaire.

Countries

Iran (Islamic Republic of)

Contacts

Public ContactFatemeh Saghafi

Yazd University of Medical Sciences

F.saghafi@ssu.ac.ir+98 35 3820 3419

Outcome results

None listed

Source: IRCT (via WHO ICTRP) · Data processed: Feb 4, 2026