Skip to main content
. 2006 Apr 19;2006(2):CD005321. doi: 10.1002/14651858.CD005321.pub2

Kawabata 1993.

Methods Randomised
 Controlled
 Trial
 Parallel‐group
 Multicentre (n=23)
 Safety analysis: ITT, n=164,
 Pt. impression & global: per proto‐
 col, n=156
 Usefulness: per 
 protocol, n=159
Participants Country:
 Japan
 Mean age: 67
 % Female: 75
 Mean disease
 duration: NR
 Duration: 5 wk
 Number randomised: 172
 (SLM 87, Artz 85)
 Inclusion:
 diagnosis of knee OA on basis of clinical and xray
 informed consent
 pain during movement
 xray findings: one of osteophyte, JSN, osteoscl‐
 erosis
 Exclusion:
 considered to require an operation
 received ia injection of steroid within 2 wks of start
 newly administered analgesic, NSAID within 2 wk of start
 new PT within 2 wk
 pregnant, lactating, or may become pregnant
 serious complications such as definite hepatic and renal ftn. disorders
 have or have history of hyper‐
 sensitivity to drug
 those judged by the physi‐
 cian in charge to be inappro‐
 priate as trial subjects
 Baseline values:
 movement pain
 mild SLM 39%
 Artz 35%,
 moderate SLM
 55%, Artz 61%
 severe SLM 6%,
 Artz 4%
Interventions SLM‐10 (25 mg/2.5 ml)
 5 weekly injections
 Artz (25 mg/2.5 ml)
 5 weekly injections
 Concurrent therapy:
 "New" analgesics, NSAIDs, steroids and physiotherapy to be avoided
Outcomes assessment by attending physician:
 daily activity dis‐
 order:standing up from chair,up/
 down stairs,
 squatting, sitting
 up straight (easy,
 mild,moderate,
 severe), walking ftn disorder, pain
 (in movement,
 when resting,
 pressure), knee jt findings (swel‐
 ling,feverish
 feeling,floating
 patella), range of motion: all on 4‐point scales (none,mild,mod‐
 erate,severe), +/‐ stagnant synovial fluid,
 if present, volume 
 pt's impression: 7 grades:much
 better,better,
 slightly better,
 unchanged,
 slightly worse,
 worse, much
 worse
 pt global improvement : 7 grades:markedly
 improved, im‐
 proved,slightly
 improved, un‐
 changed,slightly
 deteriorated, de‐
 teriorated, mark‐
 edly deteriorated
 overall safety: 3 grades: safe,
 continued use 
 despite some
 problem, discon‐
 tinued due to
 problem
 usefulness: 7 grades:very use‐
 ful,useful,slightly
 useful,cannot say useful or not,
 slightly undesir‐
 able, undesir‐
 able, very unde‐
 sirable
 Committee assessment: pain, daily activity disorder, knee jt findings, walking ftn: score/100,
 overall severity: 3 grades (mild >=60/100, moderate 30‐50/
 100, severe <= 29/100) and global improvement: 7 grades, overall safety & usefulness
Notes Jadad's: 2/5
 R‐1,B‐0,W‐1
 Pt observation and assessment done by physician other than physician in charge (injection)
 Synovial fluid removed as required.
 Significant group difference in baseline +/‐ of complications.
 Artz provided by Seikagaku Corp‐
 oration.
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment (selection bias) Low risk A ‐ Adequate