Phase 2
N=202
Chronic Pain Master Protocol (CPMP): A Study of LY3556050 in Participants With Osteoarthritis
Osteoarthritis
Bottom Line
View on ClinicalTrials.gov: NCT04627038 ↗Enrolled (actual)
202
Serious AEs
1.0%
Results posted
Nov 2023
Primary outcome: Primary: Change From Baseline in Average Pain Intensity as Measured by the Numeric Rating Scale (NRS) — -1.67; -1.76 score on a scale
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 2
- Interventions
- LY3556050 (Drug); Placebo (Drug)
- Age
- Adult, Older Adult · 40+ yrs
- Sex
- All
- Sponsor
- Eli Lilly and Company
- Primary completion
- Oct 2021
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Change From Baseline in Average Pain Intensity as Measured by the Numeric Rating Scale (NRS) |
-1.67; -1.76 | — |
| SECONDARY Change From Baseline on the Western Ontario and McMaster University Arthritis Index (WOMAC®) Pain Subscale |
-2.57; -3.51 | — |
| SECONDARY Change From Baseline on the WOMAC® Stiffness Subscale |
-1.15; -1.39 | — |
| SECONDARY Change From Baseline on the WOMAC® Physical Function Subscale |
-8.33; -12.18 | — |
| SECONDARY Change From Baseline for Overall Improvement as Measured by Patient's Global Impression of Change |
2.76; 2.86 | — |
| SECONDARY Change From Baseline for Worst Pain Intensity as Measured by NRS |
-1.74; -2.05 | — |
| SECONDARY Change From Baseline on the Visual Analog Scale (VAS) for Pain |
-19.69; -25.93 | — |
| SECONDARY Change From Baseline on the Sleep Scale From the Medical Outcomes Study (MOS Sleep Scale) - Average Hours of Sleep |
0.15; -0.01 | — |
| SECONDARY Total Amount of Rescue Medication Use as Measured by Average Daily Dosage |
247.24; 248.06 | — |
| SECONDARY Change From Baseline on the EuroQuality of Life Five Dimensions (5D) Five Level (5L) Questionnaire (EQ-5D-5L) Health State Index (United States Algorithm) |
0.03; 0.05 | — |
Summary
This study is being done to test the safety and efficacy of LY3556050 for the treatment of osteoarthritis pain. This trial is part of the chronic pain master protocol, H0P-MC-CPMP (NCT05986292), which is a protocol to accelerate the development of new treatments for chronic pain.
Eligibility Criteria
Inclusion Criteria
- Have a visual analog scale (VAS) pain value ≥40 and 12 weeks at screening.
- Have an x-ray supporting diagnosis of osteoarthritis according to the American College of Rheumatology with a Kellgren-Lawrence grade 2 to 4 radiographic classification of index knee.
- Are men, or women able to abide by reproductive and contraceptive requirements.
Exclusion Criteria
- Have second- or third-degree atrioventricular (AV) heart block or AV dissociation or history of ventricular tachycardia.
- Have had a procedure within the past 6 months intended to produce permanent sensory loss in the target area of interest (for example, ablation techniques).
- Have surgery planned during the study for any reason, related or not to the disease state under evaluation.
- Have, in the judgment of the investigator, an acute, serious, or unstable medical condition or a history or presence of any other medical illness that would preclude study participation.
- Have had cancer within 2 years of baseline, except for cutaneous basal cell or squamous cell carcinoma resolved by excision.
- Have a substance use disorder as defined by the Diagnostic and Statistical Manual of Mental Disorders (5th edition; DSM-5; American Psychiatric Association).
- Have a positive human immunodeficiency virus (HIV) test result at screening.
- Are in the judgment of the investigator, actively suicidal and therefore deemed to be at significant risk for suicide.
- Have an intolerance to acetaminophen or paracetamol or any of its excipients.
- Have a history of alcohol, illicit drug, analgesic or narcotic use disorder within 2 years prior to screening.
- Are largely or wholly incapacitated and unable to participate fully in all protocol procedures, for example, bedridden or confined to a wheelchair, permitting little or no selfcare.
- Have presence of surgical hardware or other foreign body in the index knee.
- Have an unstable index joint (such as a torn anterior cruciate ligament).
- Have had a surgical procedure or therapeutic injection in the affected knee within 3 months prior to starting the washout period.
- Have fibromyalgia, chronic pain syndrome, or other concurrent medical or arthritic conditions that could interfere with the evaluation of the index knee.
- Have a history of Reiter's syndrome, rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, arthritis associated with inflammatory bowel disease, sarcoidosis, or amyloidosis.
- Have clinical signs and symptoms of active knee infection or crystal disease of the index knee.
- Have a history of infection in the index joint.
- Have a history of arthritis due to crystals (e.g., gout, pseudogout).
- Have pain or functional impairment due to ipsilateral hip osteoarthritis.
- Have a history within 2 years prior to screening or current evidence of syncope, presyncope, uncontrolled vertigo, or postural dizziness, judged to be clinically significant by the investigator.
- Have clinically significant active thyroid disease, including Hashimoto's thyroiditis.
- Are taking metformin therapy.
- Are pregnant or breastfeeding.
- Have had any joint replacement such as knee of the lower extremity, such as hip, knee or ankle, in the past 6 months.
Data sourced from ClinicalTrials.gov (NCT04627038). 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.