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Osteoarthritis, KneePhase 2NCT01147458

A Study Of The Safety And Efficacy Of PF-04191834 In Patients With Osteoarthritis Of The Knee

A Phase 2 study testing PF-04191834 and Naproxen in people with Osteoarthritis, Knee, run by Pfizer at 31 sites in 3 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

PF-04191834 works in animal models by inhibiting one of the enzymes, 5-lipoxygenasein which is involved in the pathway that causes inflammation and pain. The purpose of this study is to test how effective, safe and tolerated PF-04191834 is in patients with osteoarthritis of the knee by itself or with naproxen… Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Osteoarthritis, Knee
What is being tested?
PF-04191834 and Naproxen
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
190 participants
Where
31 sitesin 3 countries
Study dates
Jul 2010to Feb 2011
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Subjects must have a diagnosis of osteoarthritis based on the American College of Rheumatology criteria confirmed by an X-ray
  • Subjects must be willing and able to stop all current pain therapy for the duration of the study
  • Subjects must be willing and able to complete a daily diary

Who cannot join

  • BMI of >39 kg/m2
  • Known allergy or hypersensitivity to naproxen
  • Any condition or medical history that might interfere with the subject's ability to complete the study visits and assessments

Trial locations and contacts

31 sites in 3 countries.

31 sites in 3 countries

United States25 sites
  • Pfizer Investigational Site

    Anaheim, California, 92801

  • Pfizer Investigational Site

    Arlington, Virginia, 22205

  • Pfizer Investigational Site

    Austin, Texas, 78705

  • Pfizer Investigational Site

    Carmichael, California, 95608

  • Pfizer Investigational Site

    Columbus, Ohio, 43213

  • Pfizer Investigational Site

    DeLand, Florida, 32720

  • Pfizer Investigational Site

    Denver, Colorado, 80209

  • Pfizer Investigational Site

    Edina, Minnesota, 55435

  • Pfizer Investigational Site

    Fair Oaks, California, 95628

  • Pfizer Investigational Site

    Fargo, North Dakota, 58103

  • Pfizer Investigational Site

    Las Vegas, Nevada, 89144

  • Pfizer Investigational Site

    Monroe, North Carolina, 28112

  • Pfizer Investigational Site

    Oklahoma City, Oklahoma, 73112

  • Pfizer Investigational Site

    Overland Park, Kansas, 66211

  • Pfizer Investigational Site

    Overland Park, Kansas, 66212

  • Pfizer Investigational Site

    Pensacola, Florida, 32504

  • Pfizer Investigational Site

    Peoria, Arizona, 85381

  • Pfizer Investigational Site

    Philadelphia, Pennsylvania, 19139

  • Pfizer Investigational Site

    Phoenix, Arizona, 85013

  • Pfizer Investigational Site

    Phoenix, Arizona, 85015

  • Pfizer Investigational Site

    Saint Paul, Minnesota, 55114

  • Pfizer Investigational Site

    San Diego, California, 92128

  • Pfizer Investigational Site

    South Bend, Indiana, 46601

  • Pfizer Investigational Site

    South Miami, Florida, 33143

  • Pfizer Investigational Site

    Worcester, Massachusetts, 01610

Other trials in United States

Canada4 sites
  • Pfizer Investigational Site

    Québec, Quebec, G1V 3M7

  • Pfizer Investigational Site

    Québec, Quebec, G1W 4R4

  • Pfizer Investigational Site

    Sherbrooke, Quebec, J1H 1Z1

  • Pfizer Investigational Site

    St. John's, Newfoundland and Labrador, A1A 3R5

Other trials in Canada

Sweden2 sites
  • Pfizer Investigational Site

    Gothenburg, 413 45

  • Pfizer Investigational Site

    Stockholm, 115 22

Other trials in Sweden

About this study

Official title: A Phase 2 Randomized, Double-Blinded, Double-Dummy, Placebo And Active Controlled Two Cohort Two-Way Cross-Over, Multi-Centre Clinical Trial To Examine The Pain Relief Produced By 2 Weeks Of Daily Oral Administration Of A 5-Lipoxygenase (5-Lox) Inhibitor PF-04191834 Alone And In Combination With Naproxen In Patients With Flare-Enriched Osteoarthritis Of The Knee

PF-04191834 works in animal models by inhibiting one of the enzymes, 5-lipoxygenasein which is involved in the pathway that causes inflammation and pain. The purpose of this study is to test how effective, safe and tolerated PF-04191834 is in patients with osteoarthritis of the knee by itself or with naproxen, particularly to test if patients have less pain.

Read the detailed description

This study has been terminated in response to a reported serious adverse event (SAE). The sponsor's assessment of the limited data available at the time of the initial SAE report was that the SAE may alter the potential benefit - risk profile of the study medication.

Being tested
PF-04191834, PF-04191834 placebo, Naproxen placebo, Naproxen
Keywords
Cross-over, safety, efficacy, tolerability, osteoarthritis, knee, pain
Medical subject headings
Osteoarthritis, Knee, Osteoarthritis, Pain

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • PF-04191834Drug

    100 mg tablets of PF-04191834 to provide a 600 mg BID dose administered for two weeks

  • PF-04191834 placeboDrug

    Matching PF-04191834 placebo tablets to be administered BID for two weeks

  • Naproxen placeboDrug

    Matching naproxen placebo tablets to be administered BID for 4 weeks

  • PF-04191834 placeboDrug

    Matching PF-04191834 placebo tablets to be administered BID for two weeks

  • PF-04191834Drug

    100 mg tablets of PF-04191834 to provide a 600 mg BID dose administered for two weeks

  • Naproxen placeboDrug

    Matching naproxen placebo tablets to be administered BID for 4 weeks

  • PF-04191834Drug

    100 mg tablets of PF-04191834 to provide a 600 mg BID dose administered for two weeks

  • NaproxenDrug

    Naproxen 500 mg tablet administered BID for a total of four weeks

  • PF-04191834 placeboDrug

    Matching PF-04191834 placebo tablets to be administered BID for two weeks

  • NaproxenDrug

    Naproxen 500 mg tablet administered BID for a total of four weeks

  • PF-04191834 placeboDrug

    Matching PF-04191834 placebo tablets to be administered BID for two weeks

  • PF-04191834Drug

    100 mg tablets of PF-04191834 to provide a 600 mg BID dose administered for two weeks

Study groups in NCT01147458
Study groupRoleWhat they receive
PF-04191834 followed by placeboExperimentalPF-04191834 600 mg BID dose followed by matched placebo plus naproxen placebo.
Receives: Drug: PF-04191834; Drug: PF-04191834 placebo; Drug: Naproxen placebo
Placebo followed by PF-04191834ExperimentalPlacebo followed by 600 mg BID dose of PF-04191834 plus naproxen placebo.
Receives: Drug: PF-04191834 placebo; Drug: PF-04191834; Drug: Naproxen placebo
PF-04191834+Naproxen followed by NaproxenExperimentalPF-04191834 600 mg BID + Naproxen 500 mg BID followed by Naproxen 500 mg BID plus PF-04191834 placebo
Receives: Drug: PF-04191834; Drug: Naproxen; Drug: PF-04191834 placebo
Naproxen followed by PF-04191834+NaproxenExperimentalNaproxen 500 mg BID followed by PF-04191834 600 mg BID + Naproxen 500 mg BID
Receives: Drug: Naproxen; Drug: PF-04191834 placebo; Drug: PF-04191834

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change From Baseline in Western Ontario & McMaster (WOMAC) Osteoarthritis Index Pain Score at the End of Treatment Period 1

    The WOMAC Pain subscale, comprised of 5 questions regarding the amount of pain experienced in the index joint, was calculated as the mean of the scores from the 5 individual questions. The WOMAC Pain subscale scores for each question range from 0 to 4 giving a possible overall score range of 0-20, with higher scores indicating higher pain.

    Measured: Baseline (Day 1 of Visit 3) and end of treatment Period 1 (Day 15+1 of Visit 5)

  2. Change From Baseline in Western Ontario & McMaster (WOMAC) Osteoarthritis Index Pain Score at the End of Treatment Period 2

    The WOMAC Pain subscale, comprised of 5 questions regarding the amount of pain experienced in the index joint, was calculated as the mean of the scores from the 5 individual questions. The WOMAC Pain subscale scores for each question range from 0 to 4 giving a possible overall score range of 0-20, with higher scores indicating higher pain.

    Measured: Baseline (Day 28 of Visit 7) and end of treatment Period 2 (Day 43+1 of Visit 9)

Secondary outcomes (9)
  1. WOMAC Stiffness Domain Score

    The WOMAC Stiffness subscale, comprised of 2 questions regarding the amount of stiffness experienced in the index joint, was calculated as the mean of the scores from the 2 individual questions. The WOMAC Stiffness subscale scores for each question range from 0 to 4 giving a possible overall score range of 0-8, with higher scores indicating more stiffness.

    Measured: Baseline (Day 1 of Visit 3 for Period 1 and Day 28 of Visit 7 for Period 2), Day 15+1 of Visit 5 for Period 1, and Day 43+1 of Visit 9 for Period 2

  2. WOMAC Physical Function Domain Score

    The WOMAC Physical Function subscale refers to the participant's ability to move around and perform usual activities of daily living. The WOMAC Physical Function subscale, comprised of 17 questions regarding the degree of difficulty experienced in the index joint, was calculated as the mean of the scores from the 17 individual questions. The WOMAC Physical Function subscale scores for each question range from 0 to 4 giving a possible overall score range of 0-68, with higher scores indicating worse function.

    Measured: Baseline (Day 1 of Visit 3 for Period 1 and Day 28 of Visit 7 for Period 2), Day 15+1 of Visit 5 for Period 1, and Day 43+1 of Visit 9 for Period 2

  3. WOMAC Total Score

    The WOMAC total score was calculated as the sum of Pain subscale score (5 questions), Stiffness subscale score (2 questions) and Physical Function subscale score (17 questions), with a total of 24 questions(score range:0=none, 4=extreme) giving a possible total score range from 0 to 96 . lower subscale scores represent less pain, less stiffness, or better physical performance.

    Measured: Baseline (Day 1 of Visit 3 for Period 1 and Day 28 of Visit 7 for Period 2), Day 15+1 of Visit 5 for Period 1, and Day 43+1 of Visit 9 for Period 2

  4. Importance Weighted Total WOMAC Score

    Importance weighted total WOMAC score was calculated using all subscales including Pain, Stiffness and Physical Function subscales (24 questions in total,score range: 0=none to 4= extreme,giving a possible overall score range of 0-96).Lower subscale scores represent less pain, less stiffness, or better physical performance.

    Measured: Baseline (Day 1 of Visit 3 for Period 1 and Day 28 of Visit 7 for Period 2), Day 15+1 of Visit 5 for Period 1, and Day 43+1 of Visit 9 for Period 2

  5. Daily Diary Pain Score During Week 1 of Each Treatment Period

    The daily diary pain was assessed using an 11-point numerical rating scale (NRS) ranging from 0 to 10 (0 = no pain; 10 = the worst pain possible).

    Measured: 4 days prior to baseline visits (Visits 3 for Period 1 and Vist 8 for Period 2) up to 7 days after baseline visits

  6. Daily Diary Pain Score During Week 2 of Each Treatment Period

    The daily diary pain was assessed using an 11-point numerical rating scale (NRS) ranging from 0 to 10 (0 = no pain; 10 = the worst pain possible).

    Measured: Over the last 4 days before baseline visits (Visits 3 for Period 1 and Visit 8 for Period 2) and over the last 6 days before Visit 5 for Period 1 and Visit 9 for Period 2

  7. Rescue Medication Use

    Rescue medication use was collected daily in a daily diary, in which participants noted the amount of rescue medication (number of pills) taken each day. Participants were provided with rescue medication paracetamol/acetaminophen throughout the study including the Washout Period and the Initial Pain Assessment Period. Paracetamol/acetaminophen was taken as needed to a maximum of 2000 mg per day, but must be discontinued 48 hours prior to the Baseline visit (Visit 3). From Visit 3 onwards, participants might take up to 2000 mg of paracetamol/acetaminophen per day up to 3 days per week.

    Measured: Day -7 (Visit 2) up to 28-day follow-up (Visit 10)

  8. Plasma Concentration of PF-04191834

    Measured: Pre-dose and post-dose (1 to 3 hours) on Days 1, 8, 15, 29, 36, and 43

  9. Urinary Leukotriene E4 (LTE4) Levels

    LTE4 is a terminal metabolic product of arachidonic acid by 5-LO. Its synthesis is dependent upon the activity of 5-LO and it is eliminated through urinary clearance. Hence, the level of urinary LTE4 (uLTE4) excretion may be an indicator of endogenous 5-LO activity.

    Measured: Day -7 (Visit 2) up to Day 43 (Visit 9 or End of Treatment Period 2)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted22 Jun 2010 (estimated)
  2. Study startJul 2010
  3. Primary completionFeb 2011
  4. Study completionFeb 2011

Why it stopped: See termination reason in detailed description.

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Crossover
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
190 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01147458
Sponsor's protocol ID
B0041007
Status last verified
May 2013
First submitted
16 Jun 2010
Last updated
6 Jun 2013
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing PF-04191834 and Naproxen in people with Osteoarthritis, Knee, run by Pfizer at 31 sites in 3 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 6 Jun 2013. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 31 sites in United States, Canada, Sweden. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 21 May 2013). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change From Baseline in Western Ontario & McMaster (WOMAC) Osteoarthritis Index Pain Score at the End of Treatment Period 1 (time frame: Baseline (Day 1 of Visit 3) and end of treatment Period 1 (Day 15+1 of Visit 5)). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 Jun 2013.

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