Comparative study of oral native collagen type 2 versus oral glucosamine sulphate in patients with grade 2 and grade 3 primary osteoarthritis of the knee

Author(s): Noel Sukhjit Singh1, Aljo John Padavan2, Noel Sukhjit Singh3, Rajesh Paul3, Abhishek Samuel4
1Department of Orthopedics, Christian Medical College Hospital, Ludhiana, Punjab, India.
2Resident, Department of Orthopaedics, Christian Medical College and Hospital, Ludhiana, Punjab, India.
3Associate Professor, Department of Orthopaedics, Christian Medical College and Hospital, Ludhiana, Punjab, India.
4Professor and Head, Department of Orthopaedics, Christian Medical College and Hospital, Ludhiana, Punjab, India.
Copyright © Noel Sukhjit Singh, Aljo John Padavan, Noel Sukhjit Singh, Rajesh Paul, Abhishek Samuel. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background: Osteoarthritis (OA) is a degenerative joint disease that affects the cartilage and surrounding tissues. This study aimed to compare the efficacy of oral native collagen type 2 and oral glucosamine sulphate in patients with grade 2 and grade 3 primary knee osteoarthritis.
Materials and Methods: This was a randomized observational prospective study conducted on patients aged 30 years or above, of any gender, diagnosed with primary knee osteoarthritis of grade 2 and 3. The patients were randomly assigned to two groups using computer randomization software. Group 1 received native type 2 collagen 40 mg (Tablet Dupact 40 mg, Wockhardt Limited), while Group 2 received oral glucosamine 1500 mg (Lubrijoint 750 mg twice daily).
Results: The majority of participants in the Glucosamine group were in the 51-60 years age group (32.5%), while the majority in the Collagen group were slightly younger, belonging to the 41-50 years age group (30%). The mean age of the Glucosamine group (57.2 \(\pm\) 10.45 years) was similar to the Collagen group (57.2 \(\pm\) 11.39 years), and the difference was not statistically significant. The pre-treatment and post-treatment (after 12 weeks) C-reactive protein (CRP) values did not show a statistically significant difference between the two groups. However, both the Glucosamine and Collagen treatments resulted in a significant reduction in WOMAC score and visual analog scale (VAS) score over the course of the 12-week treatment.
Conclusion: Both Glucosamine and Collagen treatments showed improvements in reducing painful and swollen joints, as well as significant improvements in VAS and WOMAC scores.

Keywords: Osteoarthritis; Native collagen type 2; WOMAC scores.