Knee Osteoarthritis Clinical Trial
Official title:
Open-label, Multicenter, Observational (Non-interventional) Study of Efficacy and Tolerability of Amtolmetin GuAcil in Subjects With Knee osTeoArthrosis With Dyspepsia. (AGATA)
This study is conducted to study the efficacy and safety of Niselat in patients with osteoarthritis.
Osteoarthritis is the most common rheumatic disease. Knee OA (KOA), gonarthrosis (GA), is
characterized by high prevalence, progressive course with early disability of the subject,
persistent pain syndrome for the treatment of which non-steroidal anti inflammatory drugs
(NSAIDs) are actively used in clinical practice. It was revealed that NSAIDs may cause
gastrointestinal adverse effects (AEs), from mild dyspepsia to bleeding and perforation as
well as cardiovascular effects. Gastroprotection with misoprosol, Н2-receptor antagonists
and proton pump inhibitors (PPI) is not always effective. NSAIDs with the lowest
gastrointestinal toxicity with efficacy adequate to suppress joint pain is justified and
reasonable.
Amtolmetin guacil (AMG) is a new NSAID which proved to be the least gastrointestinally toxic
in experimental studies in vivo, in vitro and in comparative clinical studies. AMG does not
have selectivity towards COX-2 or NO. AMG exerts gastroprotective effect due to stimulation
of capsaicin receptors (vanilloid receptors) in gastrointestinal wall. To assess
tolerability of amtolmetin guacil, it is first necessary to obtain data on potential
reduction of dyspeptic symptoms including in subjects with these signs of NSAIDs
intolerability.
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