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Osteo Arthritis KneePhase 2NCT03028870

A Study to Evaluate the Analgesic Efficacy and Safety of V120083 in Subjects With Osteoarthritis (OA) of the Knee

A Phase 2 study testing V120083 and Naproxen in people with Osteo Arthritis Knee, run by Purdue Pharma LP at 30 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study is to evaluate the analgesic efficacy of V120083 twice daily compared to placebo in subjects with moderate to severe chronic pain due to OA of the knee. Read more about this study

Who is it for?
Ages 40 to 80 years
Conditions the study is for
Osteo Arthritis Knee
What is being tested?
V120083 and Naproxen
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
291 participants
Where
30 sitesUnited States
Study dates
14 Mar 2017to 21 Nov 2017
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 40 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Males and females ≥ 40 and ≤ 80 years of age with moderate to severe chronic OA pain of the knee (lasting several hours daily) as their predominant pain condition for at least 6 months prior to screening
  • Diagnostic criteria for primary pain condition (American College of Rheumatology [ACR] clinical and radiographic criteria):
  • At least 1 of the following in addition to knee pain: age > 50, morning stiffness < 30 minutes, crepitus on active motion, and
  • Kellgren-Lawrence (K-L) grade 2 or 3 radiographic evidence at the screening visit as determined by a local radiologist or rheumatologist. If a radiograph is not available, one must be taken and the diagnostic criteria must be confirmed before randomization.
  • Subjects whose OA pain of the index knee is not adequately treated prior to the screening visit:
  • Subjects must have a self-reported average pain intensity rating of moderate or severe on a verbal rating scale (ie, none, mild, moderate, and severe) over the 7 days prior to the screening visit
  • The subjects must have "average pain over the last 24 hours" scores ≥ 4 and ≤ 9 on an 11-point numerical rating scale (NRS) for the index knee on ≥ 3 consecutive days during the pain assessment period and come in for randomization within 96 hours after the latest qualifying pain score entry
  • Subjects who are willing and able to stop taking any/all analgesic medications, including over-the-counter pain medications, opioids, marijuana, and topical analgesics for OA pain for the duration of the study, with the exception of study-specific rescue medication.

Who cannot join

  • Subjects with radiographic evidence of OA with K-L grade 0,1 or 4
  • Subjects with chronic pain conditions other than OA of the knee as their predominant pain condition, including gout, pseudogout, psoriatic arthritis, active Lyme disease, rheumatoid arthritis or any other inflammatory arthritis, fibromyalgia, neuropathic pain conditions, bursitis, or acute injury or signs of active infection in the target pain area
  • Subjects scheduled for surgical interventions of the disease site or any other major surgery during the study conduct period
  • Subjects with a history of a prior joint replacement of the index knee
  • Subjects who have had arthroscopy on either knee or hip within 6 months of entering the study, or open surgery on either knee or hip within 12 months of entering the study
  • Subjects with a history of significant trauma to a knee, hip or shoulder within the previous year
  • Subjects who have significant pain, other than or more than knee pain, including significant hip, back pain, that may confound the analgesic efficacy assessments of this study.

Trial locations and contacts

30 sites in 1 country.

30 sites in 1 country

United States30 sites
  • FutureSearch Trials of Neurology

    Austin, Texas, 78731

  • Hassman Research Institute

    Berlin, New Jersey, 08009

  • Alabama Clinical Therapeutics, LLC

    Birmingham, Alabama, 35235

  • New Horizons Clinical Research

    Cincinnati, Ohio, 45242

  • Providence Health Partners - Center for Clinical Research

    Dayton, Ohio, 45439

  • Medication Management, LLC

    Greensboro, North Carolina, 27408

  • Mountain View Clinical Research, Inc.

    Greer, South Carolina, 29651

  • Drug Trials America

    Hartsdale, New York, 10530

  • Future Care Solution, LLC

    Miami, Florida, 33165

  • New Horizon Research Center

    Miami, Florida, 33175

  • Research Institute of the Carolinas of Piedmont Healthcare, PA

    Mooresville, North Carolina, 28117

  • Burke Primary Care

    Morganton, North Carolina, 28655

  • Providence Clinical Research

    North Hollywood, California, 91606

  • Sensible Healthcare, LLC

    Ocoee, Florida, 34761

  • Omega Research Consultants, LLC

    Orlando, Florida, 32810

  • Wake Research Associates, LLC

    Raleigh, North Carolina, 27612

  • Diagnostics Research Group

    San Antonio, Texas, 78229

  • Artemis Institute for Clinical Research

    San Diego, California, 92103

  • Artemis Institute for Clinical Research

    San Marcos, California, 92078

  • St. Louis Center for Clinical Research

    St Louis, Missouri, 63128

  • St. Louis Clinical Trials, LC

    St Louis, Missouri, 63141

  • Sundance Clinical Research, LLC

    St Louis, Missouri, 63141

  • Clinical Research of West Florida, Inc.

    Tampa, Florida, 33603

  • Montefiore Medical Center

    The Bronx, New York, 10467

  • Terence T. Hart, MD

    Tuscumbia, Alabama, 35674

  • Buynak Clinical Research, P.C.

    Valparaiso, Indiana, 46383

  • Omega Medical Research

    Warwick, Rhode Island, 02886

  • Palm Beach Research Center

    West Palm Beach, Florida, 33409

  • Heartland Research Associates, LLC

    Wichita, Kansas, 67207

  • Clinical Pharmacology Study Group

    Worcester, Massachusetts, 01605

Other trials in United States

About this study

Official title: A Phase 2a, Multicenter, Randomized, Double-blind, Placebo-controlled and Active-controlled, Parallel-group Study Evaluating the Analgesic Efficacy and Safety of V120083 in Subjects With Moderate to Severe Chronic Pain Due to Osteoarthritis of the Knee

The purpose of this study is to evaluate the analgesic efficacy of V120083 twice daily compared to placebo in subjects with moderate to severe chronic pain due to OA of the knee.

Being tested
V120083, Naproxen, Placebo
Keywords
Osteoarthritis, Pain, Osteoarthritis Knee
Medical subject headings
Osteoarthritis, Pain, Osteoarthritis, Knee

What participants receive

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

  • V120083Drug

    Capsules

  • NaproxenDrug

    Capsules

  • PlaceboDrug

    Capsules to match V120083 and/or naproxen

Study groups in NCT03028870
Study groupRoleWhat they receive
V120083 30 mgExperimentalV120083 30-mg capsules taken orally twice daily
Receives: Drug: V120083; Drug: Placebo
V120083 60 mgExperimentalV120083 60-mg (2 x 30 mg) capsules taken orally twice daily
Receives: Drug: V120083; Drug: Placebo
NaproxenActive comparatorNaproxen 500-mg capsules taken orally twice daily
Receives: Drug: Naproxen; Drug: Placebo
PlaceboPlacebo comparatorCapsules to match V120083 and/or naproxen taken orally twice daily
Receives: Drug: Placebo

What is being measured

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

  1. Daily "Average Pain Over the Last 24 Hours" Score at Week 4

    At week 4, subjects were asked to rate their pain on an 11-point numerical scale where 0 = no pain, 10 = pain as bad as you can imagine.

    Measured: Week 4

Secondary outcomes (17)
  1. Weekly Change From Baseline Score of "Average Pain Over the Last 24 Hours" From the mBPI-SF Pain Severity Subscale

    Subjects were asked to rate their pain on an 11-point numerical scale where 0 = no pain, 10 = pain as bad as you can imagine.

    Measured: Weeks 1, 2 and 4

  2. Average Daily "Pain Right Now" Score Collected by e-Diary

    Subjects were asked to rate their pain on an 11-point numerical scale where 0 = no pain, 10 = pain as bad as you can imagine.

    Measured: 4 Weeks

  3. Western Ontario and McMaster Osteoarthritis Index (WOMAC) - Pain Subscale

    The pain subscale consisted of 5 items: walking; stair climbing; nocturnal; at rest; weight bearing. The score for each item ranged from 0 (none) to 4 (extreme). The pain subscale score was obtained by adding the responses to the 5 items which could range from 0 to 20.

    Measured: 4 Weeks

  4. Western Ontario and McMaster Osteoarthritis Index (WOMAC) - Stiffness Subscale

    The stiffness subscale consisted of 2 items; morning stiffness and stiffness occurring later in the day. The score for each item ranged from 0 (none) to 4 (extreme) and the stiffness subscale score was obtained by adding the responses to the 2 items which could range from 0 - 8.

    Measured: 4 Weeks

  5. Western Ontario and McMaster Osteoarthritis Index (WOMAC) - Physical Function Subscale

    The physical function subscale consisted of 17 items: descending stairs; ascending stairs; rising from sitting; standing; bending to floor; walking on flat surface; getting into or out of car; going shopping; putting on socks; rising from bed; taking off socks; lying in bed; sitting; getting into or out of the bathtub; getting on or off the toilet; heavy domestic duties; light domestic duties. The score for each item ranged from 0 (none) to 4 (extreme) and the physical function subscale score was obtained by adding the responses to the 17 items which could range from 0 to 68.

    Measured: 4 Weeks

  6. Western Ontario and McMaster Osteoarthritis Index (WOMAC) - Total Score

    The total score of the WOMAC consisted of 24 items (5 items from the pain subscale, 2 items from the stiffness subscale, and 17 items from the physical function subscale). The total score was obtained by adding the scores from these 3 subscales and could range from 0 to 96.

    Measured: 4 Weeks

  7. Modified Brief Pain Inventory-Short Form (mBPI-SF) - Total Score (All Parts of 6 Questions)

    The mBPI-SF consists of 6 questions and is a self-administered questionnaire used to assess the severity of pain, and the interference of pain on daily functions. Subjects rated their severity of pain / interference of pain on a 0 (no pain / does not interfere) to 10 (as bad as you can imagine / completely interferes) numerical rating scale (NRS) The total score is the sum of all parts of the 6 questions and the total score range is 0 - 110.

    Measured: 4 Weeks

  8. Modified Brief Pain Inventory-Short Form (mBPI-SF) Pain Severity Subscale Score

    The mBPI-SF is a self-administered questionnaire. The pain severity subscale of the mBPI-SF consists of 4 questions which ask the subjects to rate their severity of pain on a 0 to 10 NRS for worst pain, least pain, average pain, and current pain. The severity of pain was computed as the mean of questions 1-4. The mean severity of pain scores could range from 0 to 10.

    Measured: 4 Weeks

  9. Modified Brief Pain Inventory-Short Form (mBPI-SF) Pain Interference Subscale Score

    The mBPI-SF is a self-administered questionnaire. The pain interference subscale of the mBPI-SF consists of Question 6 which has 7 parts, all of which ask the subjects to rate the impact/interference of their pain on various functions, ie, general activity, mood, walking, normal work, relations with others, sleep, and enjoyment of life on a 0 to 10 NRS where 0 = does not interfere and 10 = completely interferes. The mean interference of pain scores could range from 0 to 10.

    Measured: 4 Weeks

  10. Responder to Treatment (Calculated as the Percentage Reduction of "Average Pain Over the Last 24 Hours") at Week 4

    A subject's response to treatment was defined as the percentage reduction from the baseline "average pain over the last 24 hours" score to the week 4 pain score from the mBPI-SF pain severity subscale. Responders were defined as having > 0 % reduction; non-responders were defined as having ≤ 0% reduction.

    Measured: Week 4

  11. Medical Outcomes Study Short Form-36 (SF-36) - Physical Component Summary

    The SF-36 is a generic health survey with 36 items that measure functional health and well-being from the subject's perspective. The survey is summarized into 8 dimensions/scales: physical functioning (PF), role-physical (RP), bodily pain (BP), general health (GH), vitality (VT), social functioning (SF), role-emotional (RE), and mental health (MH).

    The Physical Component Summary is derived from 4 of the 8 health dimensions (aggregate of PF, RP, BP, and GH scales). The minimum score is 0 and the maximum score is 100. A higher score indicates a better health state.

    Measured: 4 Weeks

  12. Medical Outcomes Study Short Form-36 (SF-36) - Mental Component Summary

    The SF-36 is a generic health survey with 36 items that measure functional health and well-being from the subject's perspective. The survey is summarized into 8 dimensions/scales: physical functioning (PF), role-physical (RP), bodily pain (BP), general health (GH), vitality (VT), social functioning (SF), role-emotional (RE), and mental health (MH).

    The Mental Component Summary is derived from 4 of the 8 health dimensions,(aggregate of VT, SF, RE, and MH scales). The minimum score is 0 and the maximum score is 100. A higher score indicates a better health state.

    Measured: 4 Weeks

  13. European Quality of Life Scale - 5 Dimensions (EQ-5D-5L) to Measure Health Status

    EQ-5D-5L is a standardized generic measure of health status for clinical and economic appraisal based on a descriptive system that defines health in terms of 5 dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. It includes a visual analogue scale (VAS) with scores ranging from 0 ("worst imaginable health state") to 100 ("best imaginable health state").

    Measured: 4 Weeks

  14. Patient Global Impression of Change (PGIC)

    The PGIC is an ordinal scale which assesses the change in overall status relative to the start of the study. The scale has only 1 item, which measures global change of overall status by the subject on a 7-point scale (very much improved, much improved, minimally improved, no change, minimally worse, much worse, very much worse), where 1 = very much improved and 7 = very much worse. The number of subjects responding "very much improved" and "much improved" was summarized by treatment group.

    Measured: 4 Weeks

  15. Supplemental Analgesic Medication Use

    The average daily number of tablets of supplemental pain medication used during the double-blind period was summarized by treatment group.

    Measured: Up to 28 days

  16. Number of Participants With Treatment-emergent Suicidal Ideation and Behaviors Assessed by Columbia-Suicide Severity Rating Score (C-SSRS)

    Suicidality was monitored throughout the study using the C-SSRS. The C-SSRS involves a series of probing questions to inquire about possible suicidal thinking and behavior. The composite endpoints (Suicidal Ideation, Suicidal Behavior, Suicidal Ideation or Behavior) included subjects who experienced any one of the events at least once during treatment.

    Measured: Baseline up to 4 Weeks

  17. Change From Baseline to Week 4 in Hospital Anxiety and Depression Scale (HADS) Score

    Safety assessment to evaluate the impact of V120083 on mood (anxiety [HADS-A] and depression [HADS-D]). The score for each subscale ranges from 0 (no anxiety or depression) to 21, with a score of 11 or higher indicating the probable presence of the mood disorder.

    Measured: Week 4

Timeline

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

  1. First posted23 Jan 2017 (estimated)
  2. Study start14 Mar 2017
  3. Primary completion10 Nov 2017
  4. Study completion21 Nov 2017

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
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
291 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03028870
Sponsor's protocol ID
VAN2001
Status last verified
Jan 2019
First submitted
19 Jan 2017
Last updated
12 Feb 2019
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing V120083 and Naproxen in people with Osteo Arthritis Knee, run by Purdue Pharma LP at 30 sites in United States.

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 8 inclusion and 7 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: finished, as of the sponsor's last update on 12 Feb 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 30 sites in United States. 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. Some participants in this study may receive a placebo. 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 15 Nov 2018). 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?

Daily "Average Pain Over the Last 24 Hours" Score at Week 4 (time frame: Week 4). 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 12 Feb 2019.

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