Study of FX005 for the Treatment of Pain in Patients With Osteoarthritis of the Knee
A Double-Blind, Randomized,Placebo-Controlled, Two-Phase Study (a Single Ascending Dose Phase Followed by a Proof of Concept Phase) to Assess the Safety, Efficacy and Pharmacokinetics of FX005 for the Treatment of Pain in Osteoarthritis of the Knee
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
The objectives of the study are to assess FX005, as compared to placebo control, for:
- Safety and tolerability
- Analgesic effect
- Pharmacokinetics
Analgesic effect will be assessed using the Western Ontario & McMaster University Osteoarthritis Index (WOMAC), the Measure of Intermittent and Constant Osteoarthritis Pain (ICOAP) questionnaire, and patient and clinical observer global assessments.
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
- Phase 1
Contacts and Locations
Study Locations
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Graz, Austria
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Wien, Austria
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British Columbia
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Penticton, British Columbia, Canada
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Ontario
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Newmarket, Ontario, Canada
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Toronto, Ontario, Canada
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Windsor, Ontario, Canada
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Quebec
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Sainte-Foy, Quebec, Canada
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A Coruna, Spain
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Barcelona, Spain
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Sevilla, Spain
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A Coruna
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Santiago de Compostela, A Coruna, Spain
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Cantabria
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Santander, Cantabria, Spain
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Southampton, United Kingdom
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Male or female ≥40 years of age
- Diagnosis of unilateral or bilateral osteoarthritis of the knee for at least 6 months; confirmation of osteoarthritis according to American College of Rheumatology Criteria (clinical and radiological)
- Kellgren-Lawrence grades II or III
- Mean score for the WOMAC A subscale (pain) between 2.0 and 3.5 for the index knee
- Score of 2-3 for the WOMAC A1 score (pain on walking) for the index knee
- Body mass index ≤ 40 kg/m2
- Willingness to abstain from use of restricted medications during the study
- Willingness and ability to comply with the study procedures and visit schedule
Exclusion Criteria:
- Kellgren-Lawrence Grade 0, I or IV radiographic stage of the index knee
- Clinically apparent tense effusion in index knee
- Presence of surgical hardware or other foreign body in the index knee
- Clinical signs and symptoms of active knee infection or crystal disease
- Intra-articular corticosteroid within 3 months of Screening
- Intra-articular hyaluronic acid within 6 months of Screening
- Other intra-articular therapy within 3 months of Screening
- Prior arthroscopic or open surgery of the index knee within 12 months of Screening
- Planned/anticipated surgery of the index knee during the study period
- History of malignancy or other serious, non-malignant, significant, acute or chronic medical (e.g.. uncontrolled diabetes) or active psychiatric illness
- Skin breakdown at the knee where the injection would take place
- Women who are pregnant, nursing or likely to become pregnant during the time of the study
- Women of child-bearing potential (not surgically sterile or post-menopausal for at least 1 year) not using effective contraception
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 |
|---|---|
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Experimental: FX005
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Single Ascending Dose (SAD) Phase Cohorts: 1, 10 or 45 mg intra-articular injection; Proof of Concept Phase: Maximum, well-tolerated dose intra-articular injection (determined during SAD Phase)
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Placebo Comparator: Placebo 1 (Carrier)
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Single intra-articular injection
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Placebo Comparator: Placebo 2 (Diluent)
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Single intra-articular injection
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
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Change from baseline in the WOMAC A score (pain subscale)
Time Frame: at 4 weeks post treatment
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at 4 weeks post treatment
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
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Change from baseline in WOMAC A score (pain subscale)
Time Frame: over 4, 8 and 12 weeks post treatment
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over 4, 8 and 12 weeks post treatment
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Change from baseline for WOMAC A score (pain subscale)
Time Frame: at 2, 8 and 12 weeks post treatment
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at 2, 8 and 12 weeks post treatment
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Change from baseline for WOMAC B score (stiffness subscale)
Time Frame: at 2, 4, 8 and 12 weeks post treatment
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at 2, 4, 8 and 12 weeks post treatment
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Change from baseline for WOMAC C score (function subscale)
Time Frame: at 2, 4, 8 and 12 weeks post treatment
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at 2, 4, 8 and 12 weeks post treatment
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Change from baseline for WOMAC A1 response (pain on walking)
Time Frame: at 2, 4, 8 and 12 weeks post treatment
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at 2, 4, 8 and 12 weeks post treatment
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Change from baseline for WOMAC A1 response (pain on walking)
Time Frame: over 4, 8 and 12 weeks post treatment
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over 4, 8 and 12 weeks post treatment
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Change from baseline for WOMAC total score
Time Frame: at 2, 4, 8 and 12 weeks post treatment
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at 2, 4, 8 and 12 weeks post treatment
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Change from baseline for ICOAP intermittent pain score
Time Frame: at 2, 4, 8 and 12 weeks post treatment
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at 2, 4, 8 and 12 weeks post treatment
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Change from baseline for ICOAP constant pain score
Time Frame: at 2, 4, 8 and 12 weeks post treatment
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at 2, 4, 8 and 12 weeks post treatment
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Change from baseline for ICOAP total score
Time Frame: at 2, 4, 8 and 12 weeks post treatment
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at 2, 4, 8 and 12 weeks post treatment
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Percent of responders according to the OMERACT-OARSI (Outcome Measures in Rheumatoid Arthritis Clinical Trials-Osteoarthritis Research Society International) criteria
Time Frame: at 4, 8 and 12 weeks post treatment
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at 4, 8 and 12 weeks post treatment
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Change in patient's global assessment score
Time Frame: at 4, 8 and 12 weeks post treatment
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at 4, 8 and 12 weeks post treatment
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Change in clinical observer's global assessment score
Time Frame: at 4, 8 and 12 weeks post treatment
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at 4, 8 and 12 weeks post treatment
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Average weekly consumption of analgesic medications
Time Frame: over 12 weeks post treatment
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over 12 weeks post treatment
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Incidence of treatment emergent adverse events
Time Frame: up to 12 weeks post treatment
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up to 12 weeks post treatment
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Neil Bodick, MD, PhD, Pacira Pharmaceuticals, Inc
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimated)
First Posted
Study Record Updates
Last Update Posted (Estimated)
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
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- FX005-2010-001
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