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Phase 4 N=31 Randomized Double-blind Basic Science

Assess the Blood-Oxygen-Level-Dependent (BOLD) Signal Changes in the Brain by Paracetamol as Measured by Functional Magnetic Resonance Imaging (fMRI) in Subjects With Osteoarthritis (OA)

Osteoarthritis, Knee

Enrolled (actual)
31
Serious AEs
0.0%
Results posted
Mar 2015
Primary outcome: Primary: Blood Oxygen Level-Dependent (BOLD) Response in the Tibio-femoral Joint of Knee Osteoarthritis (OA): [BOLD (T-f)] — NA; NA; NA Z-score

Study Design & Population

Study type
Interventional
Phase
Phase 4
Interventions
Paracetamol (Drug); Placebo (Drug)
Age
Adult, Older Adult · 45+ yrs
Sex
All
Sponsor
GlaxoSmithKline
Primary completion
Aug 2011

Outcome Measures

OutcomeResultp-value
PRIMARY
Blood Oxygen Level-Dependent (BOLD) Response in the Tibio-femoral Joint of Knee Osteoarthritis (OA): [BOLD (T-f)]
NA; NA; NA
SECONDARY
BOLD Response in the Patello-femoral Joint of Knee Osteoarthritis: [BOLD (P-f)]
0.16; NA; 0.48; 0.46; NA; 0.76
SECONDARY
Subjective Numerical Rating Scale (NRS) Response for Treatment Effect on OA Knee Before Stimulation: [NRS (TRT)]
0.95; -0.52; 0.48
SECONDARY
Subjective NRS Response for Treatment Effect on Tibio-femoral Stimulation Prior the fMRI Scan: [NRS (T-f Pre-scan)]
0.55; 0.17; 0.00
SECONDARY
Subjective NRS Response for Treatment Effect on Patello-femoral Stimulation Prior the fMRI Scan: [NRS (P-f Pre-scan)]
0.60; 0.43; 0.00
SECONDARY
Subjective NRS Response for Treatment Effect on Tibio-femoral Stimulation After the fMRI Scan: [NRS (T-f Post-scan)]
0.15; 0.09; -0.13
SECONDARY
Subjective NRS Response for Treatment Effect on Patello-femoral Stimulation After the fMRI Scan: [NRS (P-f Post-scan)]
0.30; -0.48; -0.39

Summary

Blood-Oxygen-Level-Dependent (BOLD) responses to painful mechanical stimulation of the OA knee following treatment with four consecutive doses (at 8 hour intervals) on giving sustained released paracetamol treatment or placebo will be compared. The fMRI and pain assessments will occur approximately 2-5 hours after taking the final dose.

Eligibility Criteria

Inclusion Criteria

  • Diagnosis of osteoarthritis of at least one knee for 3 months
  • Male or female at least 45 years of age
  • Score a minimum of 4 out of 10 on the numerical pain rating and a maximum of 8 at screening

Exclusion Criteria

  • If female, is pregnant, lactating, or breast feeding
  • Has secondary cause of knee arthritis
  • Lower extremity surgery in the last 6 months
  • Prior injury in the last twelve months to the index knee
  • Used any analgesics (NSAIDs, COX2 inhibitor, etc) within 5 half lives of study start
  • Recently used oral or injected glucocorticoids
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT01105936). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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