- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04238676
Persica 002 Phase 1b PP353 vs Placebo in the Treatment of Low Back Pain
A Phase 1b Study Investigating the Safety, Tolerability and Efficacy of PP353 in the Treatment of Patients With Chronic Low Back Pain Associated With Vertebral Body Endplate Bone Oedema (Modic 1)
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Estimated)
Phase
- Phase 2
- Phase 1
Contacts and Locations
Study Locations
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København, Denmark, 2605 Brøndby
- Gildhøj Privathospital København
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Christchurch, New Zealand, 8083
- CGM Research Trust
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Granada, Spain
- Hospital Vithas Granada
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Madrid, Spain
- Hospital Universitario La Paz
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Coventry, United Kingdom, CV2 2DX
- University Hospital Coventry & Warwickshire
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Leeds, United Kingdom, LS1 3EX
- Leeds General Infirmary
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Oxford, United Kingdom, OX3 9DU
- Oxford University Hospitals NHS Foundation Trust
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Southampton, United Kingdom, SO16 6YD
- University Hospital Southampton NHS Foundation Trust
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Lancashire
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Preston, Lancashire, United Kingdom, PR2 9HT
- Royal Preston Hospital
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Wales
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Cardiff, Wales, United Kingdom, CF14 4XW
- University Hospital of Wales
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Aged between 18 and 70 years, inclusive.
- Chronic low back pain in the area associated with vertebral body endplate bone oedema (Modic 1) or vertebral body endplate bone oedema and fat (Modic 1 and 2) at a single lumbar level.
- Average LBP NRS score at screening and at Day 1 pre-randomisation ≥ 4 on chronic pain medication and ≥ 6 if not on chronic pain medication; it should be higher than the leg pain NRS score
- RMDQ-23 score ≥ 9 at screening and at Day 1 pre-randomisation.
- Current episode of chronic low back pain has lasted for ≥ 6 months at the time of randomisation.
- Bodyweight of ≥ 50 kg and ≤ 120 kg.
- Failure of standard of care therapies used by their treating physician
Exclusion Criteria:
Any vertebra with Modic 2 only lesions which:
- in the opinion of the investigator, after deep palpation of the vertebral spine, is contributing to the low back pain and/or
- are present within 2 vertebrae from the target lumbar disc.
- The target lumbar disc has lost more than half its original anticipated height at the centre or it is < 5mm in height over the central 15 mm portion
- A clear alternative cause for back pain
- Gross facet joint degeneration or cases where the investigator believes the primary pain generator to be the facet joints
- Interventional back procedure in the 6 months prior to screening or major surgery in the 12 weeks prior to screening
- History of alcohol abuse or drugs of abuse in the past 2 years
- Any other significant illness
- Previously been treated with antimicrobial agents for their low back pain or previously received any antimicrobial intradiscal injection.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
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Experimental: PP353
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active administered by intradiscal injection
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Placebo Comparator: Sham injection
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Sham injection
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Incidence of adverse events
Time Frame: 12 months
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12 months
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Change from baseline in Low Back Pain Numerical Rating Scale (LBP NRS) score
Time Frame: 12 months
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Each question will be assessed by the subject on an 11-point scale with 0 = "no pain" and 10 = "the worst possible pain you can imagine." The LBP NRS score throughout this protocol is defined as the average of the score of the three questions:
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12 months
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change from baseline in Low Back Pain Numerical Rating Scale (LBP NRS) score
Time Frame: 3, 6 & 9 months
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Each question will be assessed by the subject on an 11-point scale with 0 = "no pain" and 10 = "the worst possible pain you can imagine." The LBP NRS score throughout this protocol is defined as the average of the score of the three questions:
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3, 6 & 9 months
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Change from baseline in Roland Morris Disability Questionnaire-23 score
Time Frame: 3, 6, 9 & 12 months
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3, 6, 9 & 12 months
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Clinically relevant improvement
Time Frame: 3, 6, 9 &12 months
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30 percent reduction from baseline in Roland Morris Disability Questionnaire-23 score
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3, 6, 9 &12 months
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Change from baseline in Oswestry Disability Index
Time Frame: 3, 6 & 12 months
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3, 6 & 12 months
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Plasma pharmacokinetics - Tdur (duration above a prescribed threshold)
Time Frame: 11 days
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11 days
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Plasma pharmacokinetics - tmax (the time at which Cmax was apparent)
Time Frame: 11 days
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11 days
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Plasma pharmacokinetics - the area under the concentration versus time curve within a dosing interval
Time Frame: 11 days
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11 days
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Plasma pharmacokinetics - Cmax (the maximum observed concentration)
Time Frame: 11 days
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11 days
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Plasma pharmacokinetics - t½ (the apparent terminal half-life)
Time Frame: 11 days
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11 days
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Plasma pharmacokinetics - CL/F (the systemic clearance calculated from plasma)
Time Frame: 11 days
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11 days
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Other Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Change from baseline of average LBP intensity NRS daily score over a 7-day period
Time Frame: 3, 6, 9 & 12 months
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3, 6, 9 & 12 months
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Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Study Chair: Duncan McHale, MBBS MRCP, Weatherden Ltd
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- Persica 002
- 2018-004488-30 (EudraCT Number)
- U1111-1257-2567 (Registry Identifier: WHO Universal Trial Number)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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