Osteoarthritis, Pain
Conditions
Keywords
mechanical hyperalgesia, cold hyperalgesia, chronic pain
Brief summary
This study aims to better understand the way in which painful osteoarthritis affects different people and whether an anti-inflammatory medication such as Arcoxia (etoricoxib) can help to modify this pain. The study will use questionnaires and tests of pain sensitivity to identify arthritis sufferers with more widespread, nerve-type pain and then to investigate whether a daily dose of Arcoxia is more effective than a placebo pill in reducing these symptoms and improving functional movements. The study will also be comparing the same test results of a small group of subjects without knee pain.
Interventions
60 mg, daily dose, oral delivery, 14 days duration
Daily dose (1 pill), oral delivery, 14 days
Sponsors
Study design
Eligibility
Inclusion criteria
* unilateral diagnosis of Knee OA \> 6 months * knee pain \> 4/10 on WOMAC pain subscale * if pain in contralateral knee, no greater than mild * no other significant joint involvement * ARA functional Class I, II or III * no arthroscopy or injections into index knee in last 6 months
Exclusion criteria
* history of systemic inflammatory or chronic pain disorders (especially fibromyalgia) * neurological deficit * recent (\< 6 months) lower limb surgery * allergic reaction to NSAIDs or aspirin * skin allergies, dermatitis * contraindications to Cox-2 inhibitors: * congestive heart failure (NYHA II-IV) * unstable hypertension * ischaemic heart disease * peripheral artery disease * cerebrovascular disease including CABG or angioplasty within 1 year * severe hepatic dysfunction * active GI bleeding or peptic ulceration * reduced creatinine clearance \< 30 mL/min * current use of high dose (\> 325 mg daily) aspirin
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pressure Pain Threshold | 15 days, 3 days |
| Western Ontario and McMaster University Osteoarthritis Index (knee) - pain subscale | 15 days, 3 days |
Secondary
| Measure | Time frame |
|---|---|
| Functional Measure (aggregated locomotor score, sit-to-stand time) | 15 days, 3 days |
| WOMAC (knee) total | 15 days, 3 days |
| Cold Pain Threshold | 15 days, 3 days |
| Pain Quality Assessment Scale | 15 days, 3 days |
| PainDETECT questionnaire | 15 days, 3 days |
| SF-36v2 | 15 days, 3 days |
| Topical Cold Response | 15 days, 3 days |
Countries
Australia