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Knee Osteoarthritis (Kellgren-Lawrence Grade 1-3)NCT07746466

Efficacy of Bioactive Collagen Peptide Compared to Glucosamine and Chondroitin Sulphate in Grade I-III Knee Osteoarthritis

A study testing Bioactive Collagen Peptide and Glucosamine and Chondroitin Sulphate in people with Knee Osteoarthritis (Kellgren-Lawrence Grade 1-3), run by Liaquat National Hospital & Medical College at 1 site in Pakistan.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Brief Summary The goal of this clinical trial is to learn whether bioactive collagen peptide works as well as glucosamine and chondroitin sulphate for improving pain, stiffness, physical function, and quality of life in adults with mild to moderate knee osteoarthritis (Kellgren-Lawrence grades I to III). Read more about this study

Who is it for?
Ages 40 years and older
What is being tested?
Bioactive Collagen Peptide and Glucosamine and Chondroitin Sulphate
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
150 participants
Where
1 sitePakistan
Study dates
1 Jun 2023to 17 Aug 2025
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 40 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Adults aged 40 years and older.
  • Clinical diagnosis of knee osteoarthritis according to the American College of Rheumatology (ACR) criteria.
  • Radiographic Kellgren-Lawrence grade I, II, or III osteoarthritis in at least one knee.
  • Willing and able to provide written informed consent.
  • Willing to comply with the study protocol and attend all follow-up visits.

Who cannot join

  • Inflammatory arthritis, including rheumatoid arthritis, systemic lupus erythematosus, spondyloarthropathy, or polymyalgia rheumatica.
  • Post-traumatic osteoarthritis.
  • Patients with hyperuricemia.
  • Pregnancy or breastfeeding.
  • Previous use of collagen peptide or glucosamine-chondroitin supplements before enrollment.
  • Inability or unwillingness to comply with study procedures or complete follow-up.

Trial locations and contacts

1 site in 1 country.

Pakistan1 site
  • Liaquat National Hospital and Medical College

    Karachi, Sindh, 74800

Other trials in Pakistan

About this study

Official title: Efficacy of Bioactive Collagen Peptide Versus Glucosamine and Chondroitin Sulphate in Grade I-III Knee Osteoarthritis: A Randomized Controlled Trial

Brief Summary

The goal of this clinical trial is to learn whether bioactive collagen peptide works as well as glucosamine and chondroitin sulphate for improving pain, stiffness, physical function, and quality of life in adults with mild to moderate knee osteoarthritis (Kellgren-Lawrence grades I to III).

Read more

The main questions it aims to answer are:

Does bioactive collagen peptide improve knee pain, stiffness, and physical function over 12 weeks? Does bioactive collagen peptide improve health-related quality of life? Is bioactive collagen peptide as safe and effective as glucosamine and chondroitin sulphate for treating knee osteoarthritis?

Researchers will compare bioactive collagen peptide with glucosamine and chondroitin sulphate to determine whether one treatment provides greater improvement in symptoms and quality of life.

Participants will:

Be randomly assigned to receive either bioactive collagen peptide once daily or glucosamine and chondroitin sulphate twice daily for 12 weeks.

Attend study visits at the start of the study and again at 6 and 12 weeks. Complete questionnaires about their knee pain, stiffness, physical function, and overall health-related quality of life at each visit.

Be monitored for treatment adherence, use of rescue pain medication, and any side effects throughout the study.

The information from this study may help healthcare providers better understand whether bioactive collagen peptide is an effective and safe non-surgical treatment option for people with symptomatic knee osteoarthritis.

Read the detailed description

Knee osteoarthritis is one of the leading causes of chronic pain, disability, and reduced quality of life among adults. Current non-surgical management focuses primarily on symptom relief through exercise, weight management, physical therapy, and analgesic medications. Although non-steroidal anti-inflammatory drugs (NSAIDs) remain widely used, their long-term use may be limited by gastrointestinal, cardiovascular, and renal adverse effects. As a result, there is increasing interest in nutraceutical therapies that may provide symptomatic relief with a more favorable safety profile.

Glucosamine and chondroitin sulphate are among the most commonly used symptomatic slow-acting agents for osteoarthritis, although published evidence regarding their effectiveness remains inconsistent. Bioactive collagen peptides have emerged as a potential alternative treatment because they may support cartilage metabolism and reduce symptoms associated with osteoarthritis. However, direct comparative evidence between bioactive collagen peptides and glucosamine-chondroitin sulphate remains limited.

This study is a prospective, single-center, open-label, parallel-group randomized controlled trial designed to compare the efficacy and safety of oral bioactive collagen peptide with oral glucosamine and chondroitin sulphate in adults with symptomatic Kellgren-Lawrence grade I to III knee osteoarthritis.

Participants are randomly assigned in a 1:1 ratio to receive either oral bioactive collagen peptide or oral glucosamine and chondroitin sulphate for 12 weeks. Clinical assessments are performed at baseline, 6 weeks, and 12 weeks. The study evaluates changes in knee pain, stiffness, physical function, and health-related quality of life using validated patient-reported outcome measures, including the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and the EuroQol 5-Dimension 5-Level (EQ-5D-5L) questionnaire. Safety is evaluated throughout the study by monitoring adverse events, medication compliance, and the use of rescue analgesics.

The primary objective is to determine whether bioactive collagen peptide provides clinical improvement comparable to glucosamine and chondroitin sulphate in reducing symptoms and improving function in patients with knee osteoarthritis. Secondary objectives include evaluating changes in health-related quality of life and comparing the safety and tolerability of both treatment strategies.

The findings of this study will provide comparative evidence regarding two commonly prescribed oral nutraceutical therapies for knee osteoarthritis and may help inform evidence-based conservative management of patients with early and moderate disease.

Being tested
Bioactive Collagen Peptide, Glucosamine and Chondroitin Sulphate
Keywords
Knee osteoarthritis, collagen peptides, glucosamine, chondroitin sulphate, WOMAC index, EQ-5D-5L, quality of life, nutraceuticals, symptomatic slow-acting drugs for osteoarthritis, randomized controlled trial, RCT
Medical subject headings
Osteoarthritis, Knee

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Bioactive Collagen PeptideDietary supplement

    Also called Collagen Peptide, Hydrolyzed Fish Collagen Peptide

    Participants assigned to this intervention receive oral bioactive collagen peptide (Movgen®), containing fish collagen 4,000 mg and Curcuma longa extract 250 mg. The supplement is administered orally at a dose of 8 g once daily for 12 weeks as conservative treatment for symptomatic Kellgren-Lawrence grade I-III knee osteoarthritis.

  • Glucosamine and Chondroitin SulphateDietary supplement

    Also called Glucosamine Sulphate, Chondroitin Sulphate, Glucosamine-Chondroitin Combination

    Participants assigned to this intervention receive an oral combination of glucosamine sulphate and chondroitin sulphate (Gebon Plus®), containing glucosamine sulphate 400 mg, chondroitin sulphate 300 mg, methylsulfonylmethane 200 mg, hyaluronic acid 100 mg, Boswellia serrata extract 40 mg, Smilax chinensis extract 30 mg, and Curcuma longa extract 30 mg. The supplement is administered orally twice daily for 12 weeks as conservative treatment for symptomatic Kellgren-Lawrence grade I-III knee osteoarthritis.

Study groups in NCT07746466
Study groupRoleWhat they receive
Bioactive Collagen Peptide (Movgen®)ExperimentalOral bioactive collagen peptide Fish collagen 4000 mg + Curcuma longa extract 250 mg Dose: 8 g once daily Duration: 12 weeks
Receives: Dietary Supplement: Bioactive Collagen Peptide
Glucosamine and Chondroitin Sulphate (Gebon Plus®)Active comparatorGlucosamine sulphate 400 mg Chondroitin sulphate 300 mg Methylsulfonylmethane 200 mg Hyaluronic acid 100 mg Boswellia serrata extract 40 mg Smilax chinensis extract 30 mg Curcuma longa extract 30 mg Dose: Twice daily Duration: 12 weeks
Receives: Dietary Supplement: Glucosamine and Chondroitin Sulphate

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Total Score

    Change in the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) total score from baseline to 12 weeks. The WOMAC total score ranges from 0 to 96, with lower scores indicating less pain, stiffness, and physical disability and therefore better clinical outcomes. The questionnaire includes three domains: pain, stiffness, and physical function.

    Measured: From baseline to 6 weeks and from 6 weeks to 12 weeks (Total 3 months)

  2. Change in Health-Related Quality of Life (EQ-5D-5L)

    Change in health-related quality of life measured using the EuroQol 5-Dimension 5-Level (EQ-5D-5L) questionnaire from baseline to 12 weeks. Outcomes include the EQ-5D-5L Index, which ranges from less than 0 (health states considered worse than death) to 1.0 (full health), with higher scores indicating better health-related quality of life, and the EQ Visual Analogue Scale (EQ VAS), which ranges from 0 to 100, where higher scores indicate better perceived overall health.

    Measured: From baseline to 6 weeks and from 6 weeks to 12 weeks (Total 12 weeks/3months)

Secondary outcomes (1)
  1. Incidence of Adverse Events

    Number and type of treatment-related adverse events reported during the 12-week study period, including treatment discontinuation due to adverse effects.

    Measured: Throughout the 12-week treatment period

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted5 Aug 2026
  2. Study start1 Jun 2023
  3. Primary completion15 Aug 2025
  4. Study completion17 Aug 2025

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
150 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07746466
Sponsor's protocol ID
RC-LNH-Ortho-05/2023/52
Status last verified
Aug 2026
First submitted
28 Jul 2026
Last updated
10 Aug 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided: Individual participant data (IPD) that underlie the results reported in publications, after de-identification, will be made available to qualified researchers upon reasonable request. Requests will be reviewed by the principal investigator, and data may be shared for scientifically sound research purposes following approval of a data sharing agreement and in accordance with institutional policies and applicable ethical and regulatory requirements. No personally identifiable participant information will be shared.

Publications

  • Trc T, Bohmova J. Efficacy and tolerance of enzymatic hydrolysed collagen (EHC) vs. glucosamine sulphate (GS) in the treatment of knee osteoarthritis (KOA). Int Orthop. 2011 Mar;35(3):341-8. doi: 10.1007/s00264-010-1010-z. Epub 2010 Apr 19.

    PubMed 20401752
  • Knapik JJ, Pope R, Hoedebecke SS, Schram B, Orr R, Lieberman HR. Effects of Oral Glucosamine Sulfate on Osteoarthritis-Related Pain and Joint-Space Changes: Systematic Review and Meta-Analysis. J Spec Oper Med. 2018 Winter;18(4):139-147. doi: 10.55460/AUC0-QM7H.

    PubMed 30566740
  • Simental-Mendia M, Sanchez-Garcia A, Vilchez-Cavazos F, Acosta-Olivo CA, Pena-Martinez VM, Simental-Mendia LE. Effect of glucosamine and chondroitin sulfate in symptomatic knee osteoarthritis: a systematic review and meta-analysis of randomized placebo-controlled trials. Rheumatol Int. 2018 Aug;38(8):1413-1428. doi: 10.1007/s00296-018-4077-2. Epub 2018 Jun 11.

    PubMed 29947998
  • Benito-Ruiz P, Camacho-Zambrano MM, Carrillo-Arcentales JN, Mestanza-Peralta MA, Vallejo-Flores CA, Vargas-Lopez SV, Villacis-Tamayo RA, Zurita-Gavilanes LA. A randomized controlled trial on the efficacy and safety of a food ingredient, collagen hydrolysate, for improving joint comfort. Int J Food Sci Nutr. 2009;60 Suppl 2:99-113. doi: 10.1080/09637480802498820. Epub 2009 Feb 11.

    PubMed 19212858
  • Bruyere O, Zegels B, Leonori L, Rabenda V, Janssen A, Bourges C, Reginster JY. Effect of collagen hydrolysate in articular pain: a 6-month randomized, double-blind, placebo controlled study. Complement Ther Med. 2012 Jun;20(3):124-30. doi: 10.1016/j.ctim.2011.12.007. Epub 2012 Jan 20.

    PubMed 22500661
  • Van Vijven JP, Luijsterburg PA, Verhagen AP, van Osch GJ, Kloppenburg M, Bierma-Zeinstra SM. Symptomatic and chondroprotective treatment with collagen derivatives in osteoarthritis: a systematic review. Osteoarthritis Cartilage. 2012 Aug;20(8):809-21. doi: 10.1016/j.joca.2012.04.008. Epub 2012 Apr 17.

    PubMed 22521757

Questions about this trial

What is this clinical trial studying?

A study testing Bioactive Collagen Peptide and Glucosamine and Chondroitin Sulphate in people with Knee Osteoarthritis (Kellgren-Lawrence Grade 1-3), run by Liaquat National Hospital & Medical College at 1 site in Pakistan.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 10 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Pakistan. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Total Score (time frame: From baseline to 6 weeks and from 6 weeks to 12 weeks (Total 3 months)). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT07746466, which also lists 6 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 10 Aug 2026.

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