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Glucosamine is an important part of the treatment strategy for osteoarthritis, but its effectiveness is still controversial. To explain the efficacy differences of glucosamine, in this study the investigators detect the concentration of glucosamine in the plasma and synovial fluid, some effect indexes such as inflammatory markers and gene polymorphism of glucosamine transporters. On the one hand, the investigators compare the plasma peak and gluten glucosamine concentration and the concentration in synovial fluid among participants to observe the individual differences of glucosamine exposure in vivo. On the other hand, the investigators investigate the correlation between drug concentrations, effect index and gene polymorphism. The hypothesis is that glucosamine exposure in vivo has individual differences and gene polymorphism can explain this differences.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Drug group | patients taking glucosamine |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Glucosamine Sulfate | Drug | Patients taking glucosamine sulfate 1500mg every day for at least four days. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Drug concentration in plasma | Drug concentration is measured by HPLC-MS/MS | Fasting venous blood before the first administration |
| Drug concentration in plasma | Drug concentration is measured by HPLC-MS/MS | 3 hours after the third administration |
| Drug concentration in plasma | Drug concentration is measured by HPLC-MS/MS | 9 hours after the third administration |
| Drug concentration in plasma | Drug concentration is measured by HPLC-MS/MS | Fasting venous blood before the fourth administration |
| Drug concentration in plasma | Drug concentration is measured by HPLC-MS/MS | Venous blood during the operation of total knee arthroplasty |
| Drug concentration in synovial fluid | Drug concentration is measured by HPLC-MS/MS | During the operation of total knee arthroplasty |
| Inflammatory markers in plasma | Leptin | Fasting venous blood before the first administration |
| Inflammatory markers in plasma | Leptin |
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Inclusion Criteria:
Exclusion Criteria:
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Patients undergoing total knee arthroplasty for knee osteoarthritis
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Qing Jiang | Contact | +8613605192953 | qingj@nju.edu.cn | |
| Ruijuan Xu | Contact | +8613851502360 | jean0129@163.com |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 17605605 | Background | Chan PS, Caron JP, Orth MW. Effects of glucosamine and chondroitin sulfate on bovine cartilage explants under long-term culture conditions. Am J Vet Res. 2007 Jul;68(7):709-15. doi: 10.2460/ajvr.68.7.709. | |
| 17265490 | Background | Herrero-Beaumont G, Ivorra JA, Del Carmen Trabado M, Blanco FJ, Benito P, Martin-Mola E, Paulino J, Marenco JL, Porto A, Laffon A, Araujo D, Figueroa M, Branco J. Glucosamine sulfate in the treatment of knee osteoarthritis symptoms: a randomized, double-blind, placebo-controlled study using acetaminophen as a side comparator. Arthritis Rheum. 2007 Feb;56(2):555-67. doi: 10.1002/art.22371. |
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| ID | Term |
|---|---|
| D020370 | Osteoarthritis, Knee |
| ID | Term |
|---|---|
| D010003 | Osteoarthritis |
| D001168 | Arthritis |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
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| ID | Term |
|---|---|
| D005944 | Glucosamine |
| ID | Term |
|---|---|
| D006595 | Hexosamines |
| D000606 | Amino Sugars |
| D002241 | Carbohydrates |
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| 3 hours after the third administration |
| Inflammatory markers in plasma | Leptin | 9 hours after the third administration |
| Inflammatory markers in plasma | Leptin | Fasting venous blood before the fourth administration |
| Inflammatory markers in plasma | Leptin | During the operation of total knee arthroplasty |
| Inflammatory markers in plasma | IL-1β | Fasting venous blood before the first administration |
| Inflammatory markers in plasma | IL-1β | 3 hours after the third administration |
| Inflammatory markers in plasma | IL-1β | 9 hours after the third administration |
| Inflammatory markers in plasma | IL-1β | Fasting venous blood before the fourth administration |
| Inflammatory markers in plasma | IL-1β | During the operation of total knee arthroplasty |
| Inflammatory markers in plasma | COX-2 | Fasting venous blood before the first administration |
| Inflammatory markers in plasma | COX-2 | 3 hours after the third administration |
| Inflammatory markers in plasma | COX-2 | 9 hours after the third administration |
| Inflammatory markers in plasma | COX-2 | Fasting venous blood before the fourth administration |
| Inflammatory markers in plasma | COX-2 | During the operation of total knee arthroplasty |
| Inflammatory markers in plasma | IL-6 | Fasting venous blood before the first administration |
| Inflammatory markers in plasma | IL-6 | 3 hours after the third administration |
| Inflammatory markers in plasma | IL-6 | 9 hours after the third administration |
| Inflammatory markers in plasma | IL-6 | Fasting venous blood before the fourth administration |
| Inflammatory markers in plasma | IL-6 | During the operation of total knee arthroplasty |
| Inflammatory markers in plasma | TNFα | Fasting venous blood before the first administration |
| Inflammatory markers in plasma | TNFα | 3 hours after the third administration |
| Inflammatory markers in plasma | TNFα | 9 hours after the third administration |
| Inflammatory markers in plasma | TNFα | Fasting venous blood before the fourth administration |
| Inflammatory markers in plasma | TNFα | During the operation of total knee arthroplasty |
| Inflammatory markers in plasma | MMP-3 | Fasting venous blood before the first administration |
| Inflammatory markers in plasma | MMP-3 | 3 hours after the third administration |
| Inflammatory markers in plasma | MMP-3 | 9 hours after the third administration |
| Inflammatory markers in plasma | MMP-3 | Fasting venous blood before the fourth administration |
| Inflammatory markers in plasma | MMP-3 | During the operation of total knee arthroplasty |
| Inflammatory markers in plasma | ADAM-TS5 | Fasting venous blood before the first administration |
| Inflammatory markers in plasma | ADAM-TS5 | 3 hours after the third administration |
| Inflammatory markers in plasma | ADAM-TS5 | 9 hours after the third administration |
| Inflammatory markers in plasma | ADAM-TS5 | Fasting venous blood before the fourth administration |
| Inflammatory markers in plasma | ADAM-TS5 | During the operation of total knee arthroplasty |
| Inflammatory markers in synovial fluid | Leptin | During the operation of total knee arthroplasty |
| Inflammatory markers in synovial fluid | IL-1β | During the operation of total knee arthroplasty |
| Inflammatory markers in synovial fluid | COX-2 | During the operation of total knee arthroplasty |
| Inflammatory markers in synovial fluid | IL-6 | During the operation of total knee arthroplasty |
| Inflammatory markers in synovial fluid | TNFα | During the operation of total knee arthroplasty |
| Inflammatory markers in synovial fluid | MMP-3 | During the operation of total knee arthroplasty |
| Inflammatory markers in synovial fluid | ADAM-TS5 | During the operation of total knee arthroplasty |
| Gene polymorphism | Gene polymorphisms of glucosamine transporters in vivo | Fasting venous blood before the first administration |
| 11642003 | Background | Setnikar I, Rovati LC. Absorption, distribution, metabolism and excretion of glucosamine sulfate. A review. Arzneimittelforschung. 2001 Sep;51(9):699-725. doi: 10.1055/s-0031-1300105. |
| D012216 |
| Rheumatic Diseases |