Phase 2
N=291
A Study to Evaluate the Analgesic Efficacy and Safety of V120083 in Subjects With Osteoarthritis (OA) of the Knee
Osteo Arthritis Knee
Bottom Line
View on ClinicalTrials.gov: NCT03028870 ↗Enrolled (actual)
291
Serious AEs
0.7%
Results posted
Nov 2018
Primary outcome: Primary: Daily "Average Pain Over the Last 24 Hours" Score at Week 4 — 5.9; 5.9; 6.1; 5.9 score on a scale
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 2
- Interventions
- V120083 (Drug); Naproxen (Drug); Placebo (Drug)
- Age
- Adult, Older Adult · 40+ yrs
- Sex
- All
- Sponsor
- Purdue Pharma LP
- Primary completion
- Nov 2017
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Daily "Average Pain Over the Last 24 Hours" Score at Week 4 |
5.9; 5.9; 6.1; 5.9; 4.2; 4.3 | — |
| SECONDARY Weekly Change From Baseline Score of "Average Pain Over the Last 24 Hours" From the mBPI-SF Pain Severity Subscale |
6.242; 6.431; 6.469; 6.543; -0.920; -0.860 | — |
| SECONDARY Average Daily "Pain Right Now" Score Collected by e-Diary |
6.104; 6.737; 6.590; 6.481; 6.366; 7.269 | — |
| SECONDARY Western Ontario and McMaster Osteoarthritis Index (WOMAC) - Pain Subscale |
10.2; 9.6; 9.9; 10.1; 7.0; 7.2 | — |
| SECONDARY Western Ontario and McMaster Osteoarthritis Index (WOMAC) - Stiffness Subscale |
4.6; 4.5; 4.2; 4.5; 3.2; 3.3 | — |
| SECONDARY Western Ontario and McMaster Osteoarthritis Index (WOMAC) - Physical Function Subscale |
34.6; 34.8; 33.6; 35.1; 25.6; 25.0 | — |
| SECONDARY Western Ontario and McMaster Osteoarthritis Index (WOMAC) - Total Score |
49.3; 48.9; 47.6; 49.6; 35.8; 35.5 | — |
| SECONDARY Modified Brief Pain Inventory-Short Form (mBPI-SF) - Total Score (All Parts of 6 Questions) |
55.5; 53.4; 56.0; 53.1; 36.5; 35.3 | — |
| SECONDARY Modified Brief Pain Inventory-Short Form (mBPI-SF) Pain Severity Subscale Score |
5.784; 5.739; 5.747; 5.801; 4.139; 4.135 | — |
| SECONDARY Modified Brief Pain Inventory-Short Form (mBPI-SF) Pain Interference Subscale Score |
4.618; 4.348; 4.718; 4.278; 2.847; 2.679 | — |
| SECONDARY Responder to Treatment (Calculated as the Percentage Reduction of "Average Pain Over the Last 24 Hours") at Week 4 |
46; 42; 57; 42; 28; 25 | — |
| SECONDARY Medical Outcomes Study Short Form-36 (SF-36) - Physical Component Summary |
31.689; 31.629; 32.348; 33.762; 35.515; 36.277 | — |
| SECONDARY Medical Outcomes Study Short Form-36 (SF-36) - Mental Component Summary |
59.248; 59.766; 60.450; 59.450; 59.596; 59.560 | — |
| SECONDARY European Quality of Life Scale - 5 Dimensions (EQ-5D-5L) to Measure Health Status |
73.2; 72.9; 75.4; 74.6; 77.0; 77.4 | — |
| SECONDARY Patient Global Impression of Change (PGIC) |
72; 65; 76; 72; 25; 27 | — |
| SECONDARY Supplemental Analgesic Medication Use |
0.779; 0.686; 0.378; 0.670 | — |
| SECONDARY Number of Participants With Treatment-emergent Suicidal Ideation and Behaviors Assessed by Columbia-Suicide Severity Rating Score (C-SSRS) |
0; 0; 0; 0; 0; 0 | — |
| SECONDARY Change From Baseline to Week 4 in Hospital Anxiety and Depression Scale (HADS) Score |
-0.5; -0.3; -0.4; -0.6; 0.3; 0.6 | — |
Summary
The purpose of this study is to evaluate the analgesic efficacy of V120083 twice daily compared to placebo in subjects with moderate to severe chronic pain due to OA of the knee.
Eligibility Criteria
Key Inclusion Criteria Include:
- Males and females ≥ 40 and ≤ 80 years of age with moderate to severe chronic OA pain of the knee (lasting several hours daily) as their predominant pain condition for at least 6 months prior to screening
- Diagnostic criteria for primary pain condition (American College of Rheumatology [ACR] clinical and radiographic criteria):
- At least 1 of the following in addition to knee pain: age > 50, morning stiffness < 30 minutes, crepitus on active motion, and
- Kellgren-Lawrence (K-L) grade 2 or 3 radiographic evidence at the screening visit as determined by a local radiologist or rheumatologist. If a radiograph is not available, one must be taken and the diagnostic criteria must be confirmed before randomization.
- Subjects whose OA pain of the index knee is not adequately treated prior to the screening visit:
- Subjects must have a self-reported average pain intensity rating of moderate or severe on a verbal rating scale (ie, none, mild, moderate, and severe) over the 7 days prior to the screening visit
- The subjects must have "average pain over the last 24 hours" scores ≥ 4 and ≤ 9 on an 11-point numerical rating scale (NRS) for the index knee on ≥ 3 consecutive days during the pain assessment period and come in for randomization within 96 hours after the latest qualifying pain score entry
- Subjects who are willing and able to stop taking any/all analgesic medications, including over-the-counter pain medications, opioids, marijuana, and topical analgesics for OA pain for the duration of the study, with the exception of study-specific rescue medication.
Key Exclusion Criteria Include:
- Subjects with radiographic evidence of OA with K-L grade 0,1 or 4
- Subjects with chronic pain conditions other than OA of the knee as their predominant pain condition, including gout, pseudogout, psoriatic arthritis, active Lyme disease, rheumatoid arthritis or any other inflammatory arthritis, fibromyalgia, neuropathic pain conditions, bursitis, or acute injury or signs of active infection in the target pain area
- Subjects scheduled for surgical interventions of the disease site or any other major surgery during the study conduct period
- Subjects with a history of a prior joint replacement of the index knee
- Subjects who have had arthroscopy on either knee or hip within 6 months of entering the study, or open surgery on either knee or hip within 12 months of entering the study
- Subjects with a history of significant trauma to a knee, hip or shoulder within the previous year
- Subjects who have significant pain, other than or more than knee pain, including significant hip, back pain, that may confound the analgesic efficacy assessments of this study.
Data sourced from ClinicalTrials.gov (NCT03028870). 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.