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CompletedNCT07717957Updated Jul 22, 2026

Comparison Between Mobithron® and Crystalline Glucosamine Sulphate in Patients With Knee Osteoarthritis

An interventional study of Mobithron® and Crystalline Glucosamine Sulphate in Knee Osteoarthritis, sponsored by BREGO Life Sciences. Completed at 1 site in Malaysia. Open to participants aged 50 Years to 75 Years. Per ClinicalTrials.gov, last updated 2026-07-22.

Sponsored by BREGO Life Sciences · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 2 years after the study started (first participant enrolled Jul 2024, registered Jul 2026).
Phase
Not applicable
Study type
Interventional
Enrollment
34
Allocation
Randomized
Ages
50 Years to 75 Years
Sex
All
01

Study summary

Knee osteoarthritis is a common degenerative joint disorder that causes pain, functional limitation, and reduced quality of life. This prospective, randomized, open-label, parallel-group study was conducted to compare the clinical effectiveness and safety of Mobithron®, a multi-component oral formulation containing hyaluronic acid matrix, undenatured type II collagen, and Boswellia serrata extract, with crystalline glucosamine sulphate in patients with primary knee osteoarthritis. Participants received either Mobithron® or crystalline glucosamine sulphate for three months in addition to a standardized rehabilitation programme. Clinical outcomes were assessed at baseline, Week 2, Week 4, and Month 3. The primary outcome was change in the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) total score. Secondary outcomes included pain severity measured using the Visual Analogue Scale (VAS) and safety assessment through adverse event monitoring.

Read the detailed description

Knee osteoarthritis is one of the most common degenerative musculoskeletal disorders and is a major cause of chronic pain, reduced physical function, and impaired quality of life among older adults. Conservative treatment remains the cornerstone of management for patients with early to moderate disease and includes exercise therapy, physiotherapy, weight management, analgesics, and oral nutraceutical supplements. Although crystalline glucosamine sulphate is widely prescribed for symptomatic knee osteoarthritis, published evidence regarding its clinical effectiveness remains inconsistent.

Mobithron® is a multi-component oral formulation containing oral hyaluronic acid matrix (Mobilee®), undenatured type II collagen, and Boswellia serrata extract (ApresFlex™). These ingredients have individually demonstrated potential benefits in osteoarthritis through complementary mechanisms, including enhancement of joint lubrication, stimulation of endogenous hyaluronic acid synthesis, immunomodulatory effects that may support cartilage integrity, and inhibition of inflammatory pathways. However, evidence evaluating the combined formulation in comparison with established oral supplements is limited.

This study was designed to compare the clinical effectiveness and safety of Mobithron® with crystalline glucosamine sulphate in patients with primary knee osteoarthritis.

This was a single-centre, prospective, randomized, open-label, parallel-group clinical study conducted at the Sultan Ahmad Shah Medical Centre, International Islamic University Malaysia. Eligible patients aged 50 to 75 years with Kellgren-Lawrence grade II-IV primary knee osteoarthritis were randomized in a 1:1 ratio to receive either Mobithron® once daily or crystalline glucosamine sulphate 1500 mg once daily for three months. Medication allocation was performed by an independent pharmacist using a predetermined allocation schedule, while clinicians and outcome assessors remained blinded to treatment allocation. All participants underwent the same standardized rehabilitation programme consisting of supervised physiotherapy and prescribed home-based exercises throughout the study period.

Clinical assessments were performed at baseline, Week 2, Week 4, and Month 3. The primary outcome was change in the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) total score from baseline. Secondary outcomes included changes in WOMAC pain, stiffness, and physical function subscales, Visual Analogue Scale (VAS) pain scores at rest and during movement, treatment compliance, analgesic consumption, and safety, including adverse event monitoring throughout the study.

The study was conducted in accordance with the Declaration of Helsinki and Good Clinical Practice principles. Ethical approval was obtained from the IIUM Research Ethics Committee (IREC), Sultan Ahmad Shah Medical Centre @ International Islamic University Malaysia (Approval ID: IREC 2024-229; Reference No.: IIUM/504/14/11/2/IREC 2024-229), and written informed consent was obtained from all participants before enrolment.

02

Conditions studied

  • Knee Osteoarthritis

Keywords

  • Osteoarthritis
  • Pain Measurement
  • Crystalline Glucosamine Sulfate
  • Dietary Supplements
  • Western Ontario and McMaster Universities Osteoarthritis Index
03

In context

Osteoarthritis, Knee

3,302 studies on the registry are indexed under Osteoarthritis, Knee; 608 are open to participants now.

This study's enrollment of 34 is below the median of 70 across 2,731 interventional studies indexed under Osteoarthritis, Knee.

Browse Osteoarthritis, Knee studies →

Lead sponsor

This is the only study on the registry with BREGO Life Sciences as lead sponsor.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
50 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Adults aged 50 to 75 years.
  • Diagnosis of primary knee osteoarthritis.
  • Radiographic Kellgren-Lawrence grade II, III, or IV knee osteoarthritis.
  • No previous surgical intervention to the affected knee.
  • At least 6 months since the last intra-articular injection to the affected knee.
  • Able and willing to comply with the rehabilitation programme and follow-up -schedule.
  • Provided written informed consent.

Exclusion criteria

Exclusion Criteria:

  • History of infection involving the affected knee.
  • Secondary osteoarthritis (e.g., inflammatory arthritis).
  • Unable to comply with the rehabilitation programme or follow-up schedule.
  • Declined or unable to provide informed consent.
  • Women of child-bearing potential.
  • History of severe allergic reactions, including anaphylaxis.
  • Severe knee pain at screening (VAS ≥7).
  • Minimal or no knee pain at screening (VAS ≤3).
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
34 participants (actual)

Study arms

  • Experimental
    Mobithron®

    Participants received Mobithron® orally once daily for 3 months in addition to a standardized rehabilitation programme comprising supervised physiotherapy and prescribed home-based exercises.

    Dietary Supplement: Mobithron®

  • Active comparator
    Crystalline Glucosamine Sulphate

    Participants received crystalline glucosamine sulphate 1500 mg orally once daily for 3 months in addition to the same standardized rehabilitation programme comprising supervised physiotherapy and prescribed home-based exercises.

    Dietary Supplement: Crystalline Glucosamine Sulphate

Interventions

  • Dietary supplementMobithron®

    Mobithron® is an oral nutraceutical formulation containing hyaluronic acid matrix (Mobilee® 80 mg, providing 45 mg hyaluronic acid), undenatured type II collagen (10 mg), and Boswellia serrata extract (ApresFlex™ 100 mg). Participants received one oral dose daily for 3 months in addition to a standardized rehabilitation programme.

  • Dietary supplementCrystalline Glucosamine Sulphate

    Crystalline glucosamine sulphate 1500 mg was administered orally once daily for 3 months in addition to the same standardized rehabilitation programme.

06

What researchers measure

Primary outcomes

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

    Change from baseline in functional status measured using the Western Ontario and McMaster Universities Osteoarthritis Index Version 3.1 Likert questionnaire. The instrument contains 24 items across pain, stiffness and physical-function domains. Each item is scored from 0 to 4, producing a total score ranging from 0 to 96. Higher scores indicate greater pain, stiffness and functional impairment; therefore, a reduction from baseline indicates improvement.

    Time frame: Baseline, Week 2, Week 4, and Month 3

Secondary outcomes

  1. Change in Visual Analogue Scale Pain Score

    Change from baseline in pain severity measured using the Visual Analogue Scale. Pain is rated from 0 to 10, where 0 indicates no pain and 10 indicates the worst imaginable pain. Higher scores indicate greater pain severity; therefore, a reduction from baseline indicates improvement. Pain was assessed separately at rest and during movement.

    Time frame: Baseline, Week 2, Week 4, and Month 3

07

Study locations

1 site
  • International Islamic University Malaysia
    Kuantan, Pahang 25200, Malaysia
08

References and documents

Publications

  • Xu R, Wu J, Zheng L, Zhao M. Undenatured type II collagen and its role in improving osteoarthritis. Ageing Res Rev. 2023 Nov;91:102080. doi: 10.1016/j.arr.2023.102080. Epub 2023 Sep 27. PubMed 37774932 ↗

Individual participant data

Plan to share: No — The individual participant data generated and analysed during this study are not publicly available due to confidentiality and institutional restrictions.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 22, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07717957
Lead sponsor
BREGO Life Sciences
Collaborators
International Islamic University Malaysia
Responsible party
Sponsor
First posted
Jul 21, 2026
Start date
Jul 1, 2024
Primary completion
Sep 30, 2025
Completion
Sep 30, 2025
Last update
Jul 22, 2026

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jul 2026. You cannot join it, but the record below documents what was studied.

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