Effects of GingerT3®, a specialized ginger extract, supplementation for mild to moderate joint pain

ISRCTN ISRCTN74292348
DOI https://doi.org/10.1186/ISRCTN74292348
Secondary identifying numbers IRB2022-1345
Submission date
30/04/2025
Registration date
07/05/2025
Last edited
30/07/2025
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Musculoskeletal Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Background and study aims
Over-the-counter (OTC) nonsteroidal anti-inflammatory drugs (NSAIDs) are commonly taken to reduce inflammation and pain. Although NSAIDs are FDA-approved, chronic use may negatively affect the kidney, liver, and gastrointestinal mucosa and/or promote adverse cardiovascular events. For this reason, there has been interest in finding natural alternatives to NSAIDs that may reduce inflammation and/or perceptions of pain with fewer side effects. One possible nutritional alternative is Ginger extract like GingerT3™ (Specnova, LLC, Wilmington, DE), a high-potency ginger extract that comes from the rhizome of the ginger plant, Zingiber officinale Roscoe. It was designed to have high concentrations of specific classes of compounds to enhance joint support and mobility and reduce perceptions of pain. The purpose of this study is to examine the effects of ginger extract supplementation on markers of inflammation and joint health in individuals who experience mild joint pain in response to physical activity.

Who can participate?
Males and females between 40 and 75 years with a history of mild to severe joint and muscle pain.

What does the study involve?
Participants were matched by age, sex, and body mass and then randomly assigned to receive either 125 mg/day of a placebo or GingerT3® for 58 days. On days 0, 30, and 56 of supplementation, participants provided fasting blood samples, completed questionnaires, rated thigh pain in response to standardized pressure, and performed three sets of 10 squats or deep knee bends while carrying 30% of their body weight. Following each testing session, participants underwent a 2-day recovery period, after which the assessments were repeated.

What are the possible benefits and risks of participating?
Improvement of joint and muscle pain and mobility. The risk would be no experience of positive effects.

Where is the study run from?
Texas A&M University (USA)

When is the study starting and how long is it expected to run for?
April 2023 to December 2024

Who is funding the study?
Specnova LLC (USA)

Who is the main contact?
Prof. Dr. Rick Kreider, rbkreider@tamu.edu

Contact information

Prof Rick Kreider
Public, Scientific, Principal Investigator

Department of Kinesiology & Sport Management
Texas A&M University TAMU 4253
College Station
77843
United States of America

ORCiD logoORCID ID 0000-0002-3906-1658
Phone +1 (0)979 458 1498
Email rbkreider@tamu.edu

Study information

Study designRandomized placebo-controlled double-blind parallel-group and repeated-measures design
Primary study designInterventional
Secondary study designRandomised parallel trial
Study setting(s)University/medical school/dental school
Study typeQuality of life, Treatment, Safety, Efficacy
Participant information sheet Not available in web format
Scientific titleEffects of ginger supplementation on markers of inflammation and functional capacity in individuals with mild to moderate joint pain
Study acronymGingerT3®
Study objectivesThe aim of this study is to investigate how people who experience mild joint pain in response to physical activity perceive pain and inflammation markers after taking a supplement of this stronger ginger extract. Inflammation markers, functional capacity questionnaires, and muscle pain ratings were the main results. Clinical blood markers of safety, reported side effects, over-the-counter analgesic use, joint flexibility, and quality of life were secondary outcomes. The researchers predicted that taking supplements containing this source of ginger would lower inflammation markers and pain perceptions because of its well-known anti-inflammatory qualities.
Ethics approval(s)

Approved 05/04/2023, Texas A&M University's Institutional Review Board (TAMU 4253, College Station, 77843, United States of America; +1 (0)254 519 5741; irb@tamuct.edu), ref: IRB2022-1345

Health condition(s) or problem(s) studiedMild to severe joint and muscle pain
InterventionThirty men and women (average age 56.0 ± 9.0 years; height 164.4 ± 14 cm; weight 86.5 ± 20.9 kg; BMI 31.0 ± 7.5 kg/m²) with a history of mild to severe joint and muscle pain and inflammation participated in a randomized, double-blind, placebo-controlled, parallel-arm trial. On days 0, 30, and 56 of supplementation, participants provided fasting blood samples, completed questionnaires, rated thigh pain in response to standardized pressure, and performed three sets of 10 squats or deep knee bends while carrying 30% of their body weight. Each testing session was followed by a 2-day recovery period during which the assessments were repeated. Participants were matched by age, sex, and body mass and then randomly assigned (block randomization method) to receive either 125 mg/day of a placebo or GingerT3® for 58 days.
Intervention typeSupplement
Primary outcome measure1. Muscle pain measured using the Algometer Graphic Pain Rating Scale (GPRS)
2. Functional capacity measured using three sets of 10 deep knee bends with dumbbells of approximately 30% of body mass
3. Markers of inflammation: creatine kinase, C-reactive protein (CRP), erythrocyte sedimentation rate (ESR), tumor necrosis factor-alpha (TNF-alpha), interleukin-6 (IL-6) using Clinical Pathology Laboratories (CPL)

Measured on days 0, 30, and 56 of supplementation and after 2 days of recovery following each testing session
Secondary outcome measures1. Joint flexibility measured using the Sit and Reach Test and a goniometer to measure hip and knee range of motion
2. Quality of life measured using the SF-36 Quality of Life Questionnaire
3. Use of over-the-counter analgesics measured using the Over The Counter (OTC) Analgesic Medication Log
4. Clinical blood markers of safety measured using Chem-14 Panel, CBC, Lipid Panel using Clinical Pathology Laboratories (CPL)
5. Side effects reported using the Side-Effects Assessment Questionnaire

Measured on days 0, 30, and 56 of supplementation and after 2 days of recovery following each testing session
Overall study start date05/04/2023
Completion date16/12/2024

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit40 Years
Upper age limit75 Years
SexBoth
Target number of participants30
Total final enrolment33
Key inclusion criteria1. Males and females aged between 40 and 75 years
2. History of mild to severe joint and muscle pain with evidence of elevated inflammatory markers in the blood upon entry and/or history of physician-diagnosed osteoarthritis
3. Medically stable with no current uncontrolled cardiovascular, metabolic, or pulmonary disease. Participants will be able to participate if they are taking medications that would not affect study outcomes for non-related chronic diseases or disorders (e.g., to manage blood pressure, blood lipids, thyroid conditions, blood glucose, etc)
Key exclusion criteria1. No history of mild to severe joint and/or muscle pain.
2. History of uncontrolled cardiovascular, metabolic, or pulmonary disease
3. Pregnancy or a desire to become pregnant during the study
4. Current use of prescription COX-2 inhibitor medications (i.e., Celebrex (Pro)/celecoxib, Vioxx/rofecoxib, Bextra (Pro)/valdecoxib, Consensi (Pro) / amlodipine / celecoxib, Elyxyb (Pro) / celecoxib, indomethacin (Indocin)), corticosteroids (i.e., Alclometasone Dipropionate, Diprolene, Betamethasone Dipropionate, Qvar Redihaler, Beclomethasone Dipropionate, Pulmicort, Budesonide, Temovate, Clobetasol Propionate, Topicort, Desoximetasone, Decadron, Dexamethasone Acetate, Fludrocortisone Acetate, Fluticasone Propionate, Flonase Allergy Relief, Cortef, Hydrocortisone, Medrol, Methylprednisolone, Orapred, Prednisolone Sodium Phosphate, Prednisone, Kenalog, Triamcinolone, Dermotic, Cortone (cortisone), Nasarel (flunisolide), Asmanex (mometasone)), or disease-modifying antirheumatic drugs or DMARDS (i.e., Methotrexate / Rheumatrex, Trexall, Sulfasalazine / Azulfidine, Hydroxychloroquine / Plaquenil, Leflunomide / Arava, Azathioprine / Imuran) including Tumor necrosis factor (TNF) inhibitors (etanercept / Enbrel, infliximab / Remicade, adalimumab / Humira, certolizumab pegol / Cimzia, golimumab / Simponi), Interleukin-1 inhibitors (i.e., anakinra / Kineret), Interleukin-6 inhibitors (tocilizumab / Actermra, sarilumab / Kevzara), T-cell inhibitors (abatacept / Orencia), B-cell inhibitors ( rituximab / Rituxan) or Janus kinase inhibitors or biosimilars (i.e., tofacitinib / Xeljanz, baricitinib / Olumiant, upadacitinib / Rinvoq).
5. A history in the prior month of bleeding disorders or current use of prescription blood thinner medications (e.g., Pradaxa (dabigatran), Eliquis (apixaban), Xarelto (rivaroxaban), Coumadin (warfarin), Plavix (clopidogrel), Effient (prasugrel), Brilinta (ticagrelor)). Low-dose use of OTC aspirin to promote heart health (e.g., < 325 mg/day) will be permitted. Individuals taking prescription medications to control chronic disease (e.g., glucose management, lipid lowering, anti-hypertensive, thyroid medications, etc.) that would not affect primary study outcomes (i.e., perceptions of muscle and joint pain) will also be permitted to participate in the study.
6. Inability to perform functional exercise tasks to be used in the study.
Date of first enrolment06/04/2023
Date of final enrolment08/08/2024

Locations

Countries of recruitment

  • United States of America

Study participating centre

Exercise & Sport Nutrition Lab
Human Clinical Research Facility
Department of Kinesiology and Sports Management
Texas A&M University
TAMU 4253
College Station
77843
United States of America

Sponsor information

SpecNova
Industry

8609 Westwood Center Dr. #110
Tysons Corner
22182
United States of America

Phone +1 (202) 780-6381
Email info@specnova.com
Website https://specnova.com/

Funders

Funder type

Industry

SpecNova

No information available

Results and Publications

Intention to publish date01/05/2025
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination planPlanned publication in a high-impact peer-reviewed journal
IPD sharing planThe datasets generated during and/or analyzed during the current study will be available upon request from the principal investigator Prof. Rick Kreider (rbkreider@tamu.edu). The raw data is available and can be shared upon written request, if the request is reasonable, as determined by the principal investigator.

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article 18/07/2025 30/07/2025 Yes No

Editorial Notes

30/07/2025: Publication reference added.
01/05/2025: Study's existence confirmed by Texas A&M University's Institutional Review Board.