Osteoarthritis Knee PainPhase 3NCT03434197
Safety and Efficacy of SFPP in Knee Osteoarthritis
A Phase 3 study testing Esflurbiprofen and Diclofenac diethylamine in people with Osteoarthritis Knee Pain, run by Taisho Pharmaceutical Co., Ltd. at 11 sites in Indonesia.
Trial summary
The objectives of this study are to demonstrate the non-inferiority of esflurbiprofen plaster (SFPP) 40 mg applied for 2 weeks to diclofenac gel, the comparator, in terms of efficacy in patients with knee osteoarthritis (OA) and to examine the safety of SFPP. Read more about this study
- Who is it for?
- Ages 40 years and older
- Conditions the study is for
- Osteoarthritis Knee Pain
- What is being tested?
- Esflurbiprofen and Diclofenac diethylamine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 313 participants
- Where
- 11 sitesIndonesia
- Study dates
- 5 Feb 2018to 11 Jan 2021
- Phase
- Phase 3
- Are there results?
- None posted in the registry
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 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Patients who had unilateral knee pain and were classified as Grade II or III according to Kellgren-Lawrence (KL) grading and whose non-assessed knee is not graded higher than the assessed knee based on x-ray in standing, weight-bearing extension position within 90 days before screening visit (1st visit)
- Patients whose knee pain on rising from the chair assessed by visual analogue scale (rVAS) of the assessed knee meets all the following criteria for the level of pain; < 80 mm at washout visit (2nd visit), ≥ 40 mm at baseline visit (3rd visit), Worsening of ≥ 15 mm at baseline visit (3rd visit) compared with rVAS at washout visit (2nd visit) as a result of discontinuation of use of NSAIDs
Who cannot join
- Patients with complication of rheumatoid arthritis, history of knee surgery, malignant tumor, neuropsychiatric disease, or serious disease
Trial locations and contacts
11 sites in 1 country.
11 sites in 1 country
Indonesia11 sites
Klinik Perisai Husada
Bandung
Rumah Sakit Hasan Sadikin
Bandung
Rumah Sakit Umum Daerah Al Ihsan Bale Endah
Bandung
Rumah Sakit Anna Medika Bekasi
Jakarta
Rumah Sakit Cipto Mangunkusumo
Jakarta
Rumah Sakit Islam Pd. Kopi
Jakarta
Rumah Sakit Siloam Karawaci
Jakarta
Rheumatology and Allergy Clinic
Malang
Rumah Sakit UD Dr. Saiful Anwar
Malang
Rumah Sakit TNI AU Soemitro
Surabaya
Rumah Sakit UD Dr. Soetomo
Surabaya
About this study
Official title: Randomized Controlled Study to Evaluate the Safety and Efficacy of SFPP in Knee Osteoarthritis Using Diclofenac Gel as the Comparator
The objectives of this study are to demonstrate the non-inferiority of esflurbiprofen plaster (SFPP) 40 mg applied for 2 weeks to diclofenac gel, the comparator, in terms of efficacy in patients with knee osteoarthritis (OA) and to examine the safety of SFPP.
- Conditions
- Osteoarthritis Knee Pain
- Being tested
- Esflurbiprofen, Diclofenac diethylamine
- Keywords
- Osteoarthritis Knee Pain
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
EsflurbiprofenDrug
A plaster containing 40 mg of Esflurbiprofen and 36.2 mg of Japanese Pharmacopoeia mentha oil per patch (10 × 14 cm)
Diclofenac diethylamineDrug
A gel containing 11.6 mg of Diclofenac diethylamine (equivalent to 10 mg of diclofenac sodium) per 1 g (1 tube contains 20 g)
| Study group | Role | What they receive |
|---|---|---|
| SFPP (Esflurbiprofen plaster) | Experimental | A plaster containing 40 mg of Esflurbiprofen and 36.2 mg of Japanese Pharmacopoeia mentha oil per patch (10 × 14 cm) Receives: Drug: Esflurbiprofen |
| Diclofenac gel | Active comparator | A gel containing 11.6 mg of Diclofenac diethylamine (equivalent to 10 mg of diclofenac sodium) per 1 g (1 tube contains 20 g) Receives: Drug: Diclofenac diethylamine |
What is being measured
The primary outcome is the main question the study is designed to answer.
Improvement of Knee pain on rising from the chair
0-100 mm Visual Analogue Scale (VAS) (0mm, no pain; 100mm, worst pain ever)
Measured: 5 weeks (3 weeks of observation period and follow up with 2 weeks treatment period)
Secondary outcomes (6)
Improvement of Changes in total clinical symptom
Assessment from investigator ( 0=Absent, 1=Mild, 2=Moderate, 3=Severe; total= 0 - 45 )
Measured: 5 weeks (3 weeks of observation period and follow up with 2 weeks treatment period)
Improvement of Investigator's global assessment
Investigator's global assessment Questionnaire ( 1=Marked, 2=Moderate, 3=Mild, 4=No change, 5=Worse)
Measured: Last visit
Improvement of Patient's global assessment
Patient's global assessment Questionnaire ( 1=Marked, 2=Moderate, 3=Mild, 4=No change, 5=Worse )
Measured: Last visit
Improvement of Knee pain on walking
0-100 mm Visual Analogue Scale (VAS) (0mm, no pain; 100mm, worst pain ever)
Measured: 5 weeks (3 weeks of observation period and follow up with 2 weeks treatment period)
Number of Rescue drug use during treatment period
Report from investigator
Measured: 3 weeks (1 weeks of observation period and follow up with 2 weeks treatment period)
Number of Adverse events and adverse drug reactions
Report from investigator
Measured: 5 weeks (3 weeks of observation period and follow up with 2 weeks treatment period)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted15 Feb 2018
- Study start5 Feb 2018
- Primary completion11 Jan 2021
- Study completion11 Jan 2021
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Osteoarthritis Knee PainStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 313 participants (actual)
Sponsor and investigators
- Lead sponsor
- Taisho Pharmaceutical Co., Ltd.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Bambang Setyohadi, Dr. Sp.PD-KR, Study chair, Rumah Sakit Cipto MangunkusumoSumariyono, Dr. Sp.PD-KR, Principal investigator, Rumah Sakit Cipto MangunkusumoTanggo Meriza, Dr. Sp.PD-KR, Principal investigator, Rumah Sakit Islam Pd. KopiSandra Sinthya Langow, Dr. Sp.PD-KR, Principal investigator, Rumah Sakit Siloam KarawaciIka Wulan Yuliani, Dr. Sp.PD-KR, Principal investigator, Rumah Sakit Anna Medika BekasiSumartini Dewi, Dr. Sp.PD-KR, Principal investigator, Rumah Sakit Hasan SadikinAndri Reza, Dr. Sp.PD-KR, Principal investigator, Rumah Sakit Umum Daerah Al Ihsan Bale EndahLaniyati Hamijoyo, Dr. Sp.PD-KR, Principal investigator, Klinik Perisai Husada
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03434197
- Sponsor's protocol ID
- TPJ.01.2017
- Status last verified
- Aug 2021
- First submitted
- 2 Feb 2018
- Last updated
- 20 Aug 2021
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 20 Aug 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Randomized Controlled Study to Evaluate the Safety and Efficacy of SFPP in Knee Osteoarthritis Using Diclofenac Gel as the Comparator
- ClinicalTrials.gov ID
- NCT03434197
- Acronym / sponsor ID
- TPJ.01.2017
- Conditions
- Osteoarthritis Knee Pain
- Keywords
- Osteoarthritis Knee Pain
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 313 participants (actual)
- Lead sponsor
- Taisho Pharmaceutical Co., Ltd.Industry (pharma, biotech, devices)
- Study start
- 5 Feb 2018 (actual)
- Primary completion
- 11 Jan 2021 (actual)
- Study completion
- 11 Jan 2021 (actual)
- First posted
- 15 Feb 2018 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The objectives of this study are to demonstrate the non-inferiority of esflurbiprofen plaster (SFPP) 40 mg applied for 2 weeks to diclofenac gel, the comparator, in terms of efficacy in patients with knee osteoarthritis (OA) and to examine the safety of SFPP.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| SFPP (Esflurbiprofen plaster) | Experimental | Drug: EsflurbiprofenA plaster containing 40 mg of Esflurbiprofen and 36.2 mg of Japanese Pharmacopoeia mentha oil per patch (10 × 14 cm) |
| Diclofenac gel | Active comparator | Drug: Diclofenac diethylamineA gel containing 11.6 mg of Diclofenac diethylamine (equivalent to 10 mg of diclofenac sodium) per 1 g (1 tube contains 20 g) |
Who may qualify
- Ages
- 40 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (2 listed)
- Patients who had unilateral knee pain and were classified as Grade II or III according to Kellgren-Lawrence (KL) grading and whose non-assessed knee is not graded higher than the assessed knee based on x-ray in standing, weight-bearing extension position within 90 days before screening visit (1st visit)
- Patients whose knee pain on rising from the chair assessed by visual analogue scale (rVAS) of the assessed knee meets all the following criteria for the level of pain; < 80 mm at washout visit (2nd visit), ≥ 40 mm at baseline visit (3rd visit), Worsening of ≥ 15 mm at baseline visit (3rd visit) compared with rVAS at washout visit (2nd visit) as a result of discontinuation of use of NSAIDs
Key exclusion criteria (1 listed)
- Patients with complication of rheumatoid arthritis, history of knee surgery, malignant tumor, neuropsychiatric disease, or serious disease
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| EsflurbiprofenA plaster containing 40 mg of Esflurbiprofen and 36.2 mg of Japanese Pharmacopoeia mentha oil per patch (10 × 14 cm) | Drug | SFPP (Esflurbiprofen plaster) |
| Diclofenac diethylamineA gel containing 11.6 mg of Diclofenac diethylamine (equivalent to 10 mg of diclofenac sodium) per 1 g (1 tube contains 20 g) | Drug | Diclofenac gel |
Primary outcome
Improvement of Knee pain on rising from the chair
Time frame: 5 weeks (3 weeks of observation period and follow up with 2 weeks treatment period)
0-100 mm Visual Analogue Scale (VAS) (0mm, no pain; 100mm, worst pain ever)
6 secondary outcomes
Improvement of Changes in total clinical symptom
Time frame: 5 weeks (3 weeks of observation period and follow up with 2 weeks treatment period)
Improvement of Investigator's global assessment
Time frame: Last visit
Improvement of Patient's global assessment
Time frame: Last visit
Improvement of Knee pain on walking
Time frame: 5 weeks (3 weeks of observation period and follow up with 2 weeks treatment period)
Number of Rescue drug use during treatment period
Time frame: 3 weeks (1 weeks of observation period and follow up with 2 weeks treatment period)
Number of Adverse events and adverse drug reactions
Time frame: 5 weeks (3 weeks of observation period and follow up with 2 weeks treatment period)
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 20 Aug 2021.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Bambang Setyohadi, Dr. Sp.PD-KR study chair
Rumah Sakit Cipto Mangunkusumo
Sumariyono, Dr. Sp.PD-KR principal investigator
Rumah Sakit Cipto Mangunkusumo
Tanggo Meriza, Dr. Sp.PD-KR principal investigator
Rumah Sakit Islam Pd. Kopi
11 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Esflurbiprofen and Diclofenac diethylamine in people with Osteoarthritis Knee Pain, run by Taisho Pharmaceutical Co., Ltd. at 11 sites in Indonesia.
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 2 inclusion and 1 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 20 Aug 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 11 sites in Indonesia. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
Improvement of Knee pain on rising from the chair (time frame: 5 weeks (3 weeks of observation period and follow up with 2 weeks treatment period)). 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 20 Aug 2021.