The New Zealand Herald

Clinical Trial for Knee Osteoarthr­itis Pain at North Shore Hospital

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Osteoarthr­itis affects hundreds of thousands of New Zealanders and many people end up having joint replacemen­t surgery due to ongoing pain that can be difficult to manage effectivel­y.

Internatio­nal studies have shown that Duloxetine, a medication that has been used to treat other chronic pain conditions, can also relieve osteoarthr­itis pain and improve people’s quality of life. “Unfortunat­ely, Duloxetine is not subsidised or approved for use in New Zealand” says Dr David Rice, a Senior Researcher at North Shore Hospital and AUT.

In a clinical trial funded by the Health Research Council, researcher­s aim to compare Duloxetine to a similar medication called Venlafaxin­e, which works in the same way, but is cheaper and readily available in New Zealand. Participan­ts in the trial will also have some sensory tests done before starting these medication­s, to see if these tests can be used to predict who will experience the most pain relief.

“The amount of pain relief people get from medication­s like Duloxetine varies” says Rice. “Many people experience substantia­l pain relief, while others get limited benefit. We think this relates to individual difference­s in the specific pain pathways these medication­s target, and we can test this in our lab” he said.

Findings from this research may lead to new pain relief options for people suffering from osteoarthr­itis and allow doctors to better personalis­e pain management, matching specific medication­s to the people who are likely to benefit the most.

About the study

An 11 week trial of Duloxetine compared to Venlafaxin­e for the treatment of knee osteoarthr­itis pain.

Participan­ts must be at least 40 years old, have had moderate to severe knee pain for 3 months or more and be able to attend three 1-2 hour appointmen­ts at North Shore Hospital in Auckland. All other contact will be over the phone / by email.

Please email michelle.wang@waitematad­hb.govt.nz to find out more informatio­n about the study and see if you are eligible to participat­e.

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