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Phase 3 N=1,650 Randomized Triple-blind Treatment

Study to Determine the Safety and the Efficacy of Fasinumab Compared to Placebo and Nonsteroidal Anti-inflammatory Drugs (NSAIDs) for Treatment of Adults With Pain From Osteoarthritis of the Knee or Hip

Osteoarthritis, Knee · Osteoarthritis, Hip

Enrolled (actual)
1,650
Serious AEs
6.5%
Results posted
Feb 2023
Primary outcome: Primary: Change From Baseline in the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Pain Subscale Scores up to Week 24 in Participants Treated With Fasinumab Compared to Placebo — -2.21; -2.84; -2.01; -2.78 Score on a Scale — p== 0.0003

Study Design & Population

Study type
Interventional
Phase
Phase 3
Interventions
Fasinumab (Drug); Diclofenac (Other); Celecoxib (Other); Matching placebo (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Regeneron Pharmaceuticals
Primary completion
Dec 2019

Outcome Measures

OutcomeResultp-value
PRIMARY
Change From Baseline in the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Pain Subscale Scores up to Week 24 in Participants Treated With Fasinumab Compared to Placebo
-2.21; -2.84; -2.01; -2.78 = 0.0003 sig
PRIMARY
Change From Baseline in WOMAC Physical Function Subscale Scores up to Week 24 in Participants Treated With Fasinumab Compared to Placebo
-2.02; -2.65; -1.80; -2.62 = 0.0003 sig
SECONDARY
Percentage of Participants With Greater Than or Equal to (≥) 30 Percent (%) Reduction From Baseline up to Week 24 in WOMAC Pain Subscale Score in Participants Treated With Fasinumab Compared to Placebo
48.7; 59.8 = 0.0013 sig
SECONDARY
Change From Baseline in Patient Global Assessment (PGA) Score up to Week 24 in Participants Treated With Fasinumab Compared to Placebo
-0.66; -0.81 = 0.0365 sig
SECONDARY
Change From Baseline in WOMAC Pain Subscale Scores up to Week 24 in Participants Treated With Fasinumab Compared to Participants Treated With NSAIDs
-2.60; -2.84; -2.48; -2.78
SECONDARY
Change From Baseline in WOMAC Physical Function Subscale Scores up to Week 24 in Participants Treated With Fasinumab Compared to Participants Treated With NSAIDs
-2.33; -2.65; -2.26; -2.62
SECONDARY
Change From Baseline in PGA Score up to Week 24 in Participants Treated With Fasinumab Compared to Participants Treated With NSAIDs
-0.75; -0.81
SECONDARY
Change From Baseline in Weekly Average Walking Index Joint Pain Score up to Week 24 by Using the Numeric Rating Scale (NRS) Pain Scale
-1.85; -2.13; -2.51
SECONDARY
Number of Participants With Adjudicated Arthropathy (AA) Events
5; 9; 34
SECONDARY
Number of Participants With AA Events Meeting Destructive Arthropathy (DA) Criteria
0; 0; 2
SECONDARY
Number of Participants With Treatment Emergent Adverse Events (TEAEs)
186; 406; 403
SECONDARY
Number of Participants With Sympathetic Nervous System (SNS) Dysfunction Events
0; 0; 0
SECONDARY
Number of Participants With At-least One Peripheral Sensory Adverse Events (AEs)
8; 24; 31
SECONDARY
Number of Participants Who Underwent a Joint Replacements (JR) Surgery From Baseline up to Week 24
2; 7; 3
SECONDARY
Number of Participants Who Underwent a Joint Replacements (JR) Surgery From Baseline up to Week 44
6; 13; 10
SECONDARY
Number of Participants With Joint Replacement (JR) Surgery Reported at End of Study (EOS) (Week 72)
11; 29; 21
SECONDARY
Serum Concentrations of Functional Fasinumab
0.000155; 0.0469; 0.0644; 0.0738; 0.0713; 0.000349
SECONDARY
Number of Participants With At-least One Positive Anti-Drug Antibody (ADA) Development
10; 9; 15; 0; 0; 0

Summary

The primary objective of the study is to evaluate the efficacy of fasinumab compared to placebo, when administered for up to 24 weeks in patients with pain due to osteoarthritis (OA) of the knee or hip. The secondary objectives of the study are: * To evaluate the efficacy of fasinumab compared to non-steroidal anti-inflammatory drugs (NSAID)s, when administered for up to 24 weeks in patients with pain due to OA of the knee or hip * To assess the safety and tolerability of fasinumab compared to placebo and compared to NSAIDs, when administered for up to 24 weeks in patients with pain due to OA of the knee or hip

Eligibility Criteria

Key Inclusion Criteria (additional criteria may apply at screening):

  • A clinical diagnosis of osteoarthritis (OA) of the knee or hip based on the American College of Rheumatology criteria with radiologic evidence of OA (K-L score ≥2 for the index joint) at the screening visit.
  • Willing to discontinue current pain medications and to adhere to study requirements for rescue treatments (acetaminophen/paracetamol to be taken as needed with a maximum daily dose of 2500 mg [countries where 500 mg strength tablets/capsules are available] or 2600 mg [countries where 325 mg strength tablets/capsules are available])
  • A history of at least 12 weeks of inadequate pain relief or intolerance to analgesics used for pain due to OA of the knee or hip
  • Currently using a stable dose of NSAID
  • Willing to discontinue glucosamine sulfate and chondroitin sulfate treatments during the 24 weeks of treatment

Key Exclusion Criteria (additional criteria may apply at screening):

  • Non-compliance with the numeric rating scale (NRS) recording during the pre-randomization period
  • History or presence at the screening visit of non-OA inflammatory joint disease, Paget's disease of the spine, pelvis or femur, neuropathic disorders, multiple sclerosis, fibromyalgia, tumors or infections of the spinal cord, or renal osteodystrophy
  • History or presence on imaging of arthropathy, hip or knee dislocation, extensive subchondral cysts, evidence of severe structural damage, bone collapse, or primary metastatic tumor with the exception of chondromas or pathologic fractures
  • Trauma to the index joint within 3 months prior to the screening visit
  • Signs or symptoms of carpal tunnel syndrome within 6 months of screening
  • Patient is not a candidate for magnetic resonance imaging (MRI)
  • Is scheduled for a JR surgery to be performed during the study period or who would be unwilling or unable to undergo JR surgery if needed
  • History or presence at the screening visit of autonomic or diabetic neuropathy, or other peripheral neuropathy, including reflex sympathetic dystrophy
  • Evidence of autonomic neuropathy as defined in the schedule of assessments (SoAs)
  • History or diagnosis of chronic autonomic failure syndrome including pure autonomic failure, multiple system atrophy
  • Use of systemic corticosteroids within 30 days prior to the screening visit. Intra-articular corticosteroids in the index joint within 12 weeks prior to the screening visit, or to any other joint within 30 days prior to the screening visit
  • Exposure to an anti-NGF antibody prior to the screening visit or known sensitivity or intolerance to anti-NGF antibodies
  • Women of childbearing potential who are unwilling to practice highly effective contraception prior to the start of the first treatment, during the study, and for at least 20 weeks after the last dose
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03304379). 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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