Treating or preventing the early stages of degeneration of
articular cartilage or
subchondral bone in the affected joint of a
mammal is accomplished by administering a chondroprotective compound of Formula (I):where A is hydroxy, (C1-C4)alkoxy, amino, hydroxy-amino, mono-(C1-C2)alkylamino, di-(C1-C2)alkylamino; X and Y are independently H or (C1-C2)
alkyl; and n is 1 or 2; R6 is
halogen, (C1-C3)
alkyl,
trifluoromethyl, or nitro; R9 is H; (C1-C2)
alkyl; phenyl or phenyl-(C1-C2)alkyl, where phenyl is optionally mono-substituted by fluoro or chloro; -C(=O)-R, where R is (C1-C2)alkyl or phenyl, optionally mono-substituted by fluoro or chloro; or -C(=O)-O-R', where R1 is (C1-C2)alkyl.This treatment ameliorates, diminishes, actively treats, reverses or prevents any injury, damage or loss of
articular cartilage or
subchondral bone subsequent to said early stage of said degeneration. Whether or not a
mammal needs such treatment is determined by whether or not it exhibits a statistically significant deviation from normal standard values in
synovial fluid or membrane from the affected joint, with respect to at least five of the following substances: increased
interleukin-1 beta (IL-1beta); increased
tumor necrosis factor alpha (TNFalpha); increased ratio of IL-1beta to IL-1
receptor antagonist protein (IRAP); increased expression of p55 TNF receptors (p55 TNF-R); increased
interleukin-6 (IL-6); increased
leukemia inhibitory factor (LIF); decreased
insulin-like
growth factor-1 (IGF-1); decreased
transforming growth factor beta (TGFbeta); decreased
platelet-derived
growth factor (PDGF); decreased
basic fibroblast growth factor (b-FGF); increased
keratan sulfate; increased stromelysin; increased ratio of stromelysin to tissue inhibitor of metalloproteases (TIMP); increased
osteocalcin; increased
alkaline phosphatase; increased cAMP responsive to
hormone challenge; increased
urokinase plasminogen activator (uPA); increased
cartilage oligomeric matrix
protein; and increased
collagenase.