Broccoli florets in a pot

BRoccoli In Osteoarthritis

The first study of knee pain and broccoli intervention in humans

A dietary intervention trial to examine the protective effect of broccoli bioactives (specifically sulforaphane) on osteoarthritis

The BRIO study

Osteoarthritis is the most common form of joint disease and affects at least 8 million people in the United Kingdom. This pilot study is a multi-centre, randomised, placebo-controlled, double-blind dietary intervention designed to look at whether broccoli can affect pain in patients with knee osteoarthritis. This means that participants will be randomly assigned to consume the control soup or broccoli soup. Nobody will know which group the participants are assigned until after the trial has finished. This pilot study is crucial for the design and implementation of a full-scale trial that may benefit millions of people.

How will this help?

  • Osteoarthritis and pain

  • Pilot study

  • RCT Design

  • Dietary intervention

  • Norwich and Leeds study sites

  • Broccoli soup

A bowl containing broccoli soup

We're here

Postal Adress: BRIO Research Team, Biomedical Research Centre, University of East Anglia, Norwich Research Park, Norwich, Norfolk, NR4 7TJ, United Kingdom

Phone: +44(0) 1603 591471

Email: brio.study@uea.ac.uk

Our publications

  • Broccoli florets in a pot

    Sulforaphane represses matrix-degrading proteases and protects cartilage from destruction in vitro and in vivo

    August 2013

    by Davidson and Jupp et al.-

    This study examines the impact of sulforaphane treatment on signalling pathways in human articular chondrocytes from the knee and demonstrates that sulforaphane might prevent cartilage destruction in osteoarthritis.

    Read more
  • Broccoli florets in a pot

    The potential for dietary factors to prevent or treat osteoarthritis

    May 2014

    by Green et al.

    Dietary modification could be effective in preventing osteoarthritis. This review focuses on dietary factors that may reduce the risk or progression of QA, including micronutrients, fatty acids, flavonoids and phytochemicals.

    Read more
  • Broccoli florets in a pot

    Dietary intervention for osteoarthritis: Clinical trials after the ‘Bone and Joint Decade’

    August 2015

    by Davidson and Clark

    There is an unmet need for investment in clinical trials of dietary intervention, for developing disease biomarkers and refining the definition of OA so that. clinically relevant outcome measures can be improved.

    Read more
  • Broccoli florets in a pot

    Isothiocyanates are detected in human synovial fluid following broccoli consumption and can affect the tissues of the knee joint

    June 2017

    by Davidson et al.

    The detection of broccoli-derived natural compounds in the human knee joint following consumption of steamed broccoli and how these may change the protein profile of synovial fluid.

    Read more
  • Broccoli florets in a pot

    Impact and therapy of osteoarthritis: the Arthritis Care OA Nation 2012 survey

    September 2015

    by Conaghan et al.

    This study explored the personal impact of osteoarthritis in a sample of 2000 people in the UK: most reported persistent pain despite medication; the economic and social impact was large; and a need for improvement was identified in the provision of information and promotion of self-management strategies by clinicians to support people in managing their condition.

    Read more
  • Broccoli florets in a pot

    Pain reduction with oral methotrexate in knee osteoarthritis, a pragmatic phase iii trial of treatment effectiveness (PROMOTE): study protocol for a randomized controlled trial

    This paper outlines the study protocol for the PROMOTE trial which. aims to understand whether methotrexate, the most commonly used drug for treating rheumatoid arthritis, is effective at reducing pain and symptoms of osteoarthritis. The study. has recently completed and results will be published shortly.

    Read more
  • Broccoli florets in a pot

    Hydroxychloroquine Effectiveness in Reducing Symptoms of Hand Osteoarthritis: A Randomized Trial

    This large UK trial found that hydroxychloroquine was not more effective that placebo in reducing symptoms in people with moderate to severe hand osteoarthritis, providing evidence for a change in practice for the off-label use of this drug in these patients.

    Read more

Meet the Researchers

  • A photo of Prof Alex MacGregor

    Prof Alex MacGregor

    Chief Investigator

    Chair of Chronic Diseases and Genetic Epidemiology (UEA)

  • A photo of Prof Ian Clark

    Prof Ian Clark

    Co-Investigator

    Chair of Musculoskeletal Biology (UEA)

  • A photo of Prof Philip Conaghan

    Prof Philip Conaghan

    Co-Investigator

    Chair of Musculoskeletal Medicine (Leeds)

  • A photo of Dr Sarah Kingsbury

    Dr Sarah Kingsbury

    Co-Investigator

    Osteoarthritis Strategic Lead (Leeds)

  • A photo of Prof Aedin Cassidy

    Prof Aedin Cassidy

    Co-Investigator

    Professor of Nutrition (UEA)

  • A photo of Dr Allan Clark

    Dr Allan Clark

    Co-Investigator, Biostatistician

    Senior Lecturer in Medical Statistics (UEA)

  • A photo of Prof William Fraser

    Prof William Fraser

    Co-Investigator

    Chair of Medicine (UEA)

  • A photo of Dr Rose Davidson

    Dr Rose Davidson

    Trial Manager

    Research Scientist (UEA)

  • A photo of Mrs Laura Watts

    Mrs Laura Watts

    Senior Research Associate (UEA)

BRIO