A Study of the Efficacy and Safety of CF101 to Patients With Osteoarthritis of the Knee
A Phase 2, Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group Study of the Efficacy and Safety of Daily CF101 Administered Orally for 12 Weeks to Patients With Osteoarthritis of the Knee
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Phase
Phase
- Phase 2
Contacts and Locations
Study Locations
-
-
-
Ashkelon, Israel
- Barzilai Medical Center
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Males and females age 40 years or above
Clinical evidence of knee OA, as indicated by:
- Pain requiring treatment with NSAID or coxib medication for analgesia for at least 6 months prior to the screening visit, and
- Pain requiring treatment with NSAID or coxib medication for analgesia on the majority of days during the preceding month
- Radiographic evidence of knee OA, as indicated by findings of Kellgren-Lawrence Grade 2 or 3 within 1 year prior to the screening visit2
- American College of Rheumatology functional class I, II, or III3
- WOMAC pain subscale score ≥40 mm at baseline
- WOMAC function subscale score >20 mm at baseline
- PGA >10 mm at baseline
- In the Investigator's opinion, the ability to understand the nature of the study and any hazards of participation, and to communicate satisfactorily with the Investigator and to participate in, and to comply with, the requirements of the entire protocol
- Negative screening serum pregnancy test for female patients of childbearing potential
- Females of childbearing potential must utilize, throughout the course of the trial, 2 methods of contraception deemed adequate by the Investigator (for example, oral contraceptive pills plus a barrier method)
- All aspects of the protocol explained and written informed consent obtained
Exclusion Criteria:
- Predominant patellofemoral disease
- Concomitant local or systemic inflammatory arthropathy which could confound evaluation of the knee
- Ipsilateral hip or extremity disease which could confound evaluation of the knee
- History of clinical significant trauma or surgery to the index knee
- Arthroscopy to the index knee within 6 months prior to the screening visit
- Corticosteroid, hyaluronic acid, or other intraatricular injection to the index knee within 3 months prior to the screening visit
- Use of chondroitin sulfate and/or glucosamine, or diacerin, within 2 weeks prior to the screening visit
- Concomitant requirement for NSAID, coxib medication, or opioid analgesics (acetaminophen is allowed)
- Use of systemic corticosteroids >10 mg/d of prednisone, or equivalent
- Presence or history of uncontrolled arterial hypertension or symptomatic hypotension
- Significant cardiac arrhythmia or conduction block, congestive heart failure, or any other evidence of clinically significant heart disease; other clinically significant findings on screening electrocardiogram (ECG)
- Hemoglobin level <10.0 gm/dL at the screening visit
- White blood cell count <3000/mm3 at the screening visit
- Platelet count <125,000/mm3 at the screening visit
- Serum creatinine level outside the central laboratory's normal limits at the screening visit
- Liver aminotransferase (ALT and/or AST) levels greater than the upper limit of normal at the screening visit
- Known or suspected immunodeficiency or human immunodeficiency virus positivity
- Pregnancy, lactation, or inadequate contraception as judged by the Investigator
- Participation in another investigational drug or vaccine trial concurrently or within 30 days prior to screening
- History of drug or alcohol dependence
- History of malignancy within the past 5 years (excluding excised basal or squamous cell carcinoma of the skin)
- Diagnosis of Parkinson's Disease
- Significant acute or chronic medical or psychiatric illness that, in the judgment of the Investigator, could compromise patient safety, limit the patient's ability to complete the study, and/or compromise the objectives of the study
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: CF101 1 mg BID
|
CF101 tablets 1 mg BID
Other Names:
|
|
Placebo Comparator: Placebo
Placebo tablets BID
|
Placebo tablets BID
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Proportion of responders by OMERACT-OARSI definition
Time Frame: 12 weeks
|
12 weeks
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Safety, as assessed through vital signs, physical examinations, adverse event reporting, clinical laboratory testing, and ECGs
Time Frame: 14 weeks
|
14 weeks
|
|
Change from baseline in total WOMAC score, and pain, physical function, and stiffness subscale scores
Time Frame: 12 weeks
|
12 weeks
|
|
Change from baseline in physician's and patient's global assessments
Time Frame: 12 weeks
|
12 weeks
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Michael H Silverman, MD, Can-Fite BioPharma Ltd
Publications and helpful links
General Publications
- Baharav E, Bar-Yehuda S, Madi L, Silberman D, Rath-Wolfson L, Halpren M, Ochaion A, Weinberger A, Fishman P. Antiinflammatory effect of A3 adenosine receptor agonists in murine autoimmune arthritis models. J Rheumatol. 2005 Mar;32(3):469-76.
- Bar-Yehuda S, Silverman MH, Kerns WD, Ochaion A, Cohen S, Fishman P. The anti-inflammatory effect of A3 adenosine receptor agonists: a novel targeted therapy for rheumatoid arthritis. Expert Opin Investig Drugs. 2007 Oct;16(10):1601-13. doi: 10.1517/13543784.16.10.1601.
- van Troostenburg AR, Clark EV, Carey WD, Warrington SJ, Kerns WD, Cohn I, Silverman MH, Bar-Yehuda S, Fong KL, Fishman P. Tolerability, pharmacokinetics and concentration-dependent hemodynamic effects of oral CF101, an A3 adenosine receptor agonist, in healthy young men. Int J Clin Pharmacol Ther. 2004 Oct;42(10):534-42. doi: 10.5414/cpp42534.
Helpful Links
Study record dates
Study Major Dates
Study Start (Anticipated)
Study Start
Primary Completion (Anticipated)
Primary Completion
Study Completion (Anticipated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- CF101-221OA
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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