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Knee OsteoarthritisPhase 3NCT03661996

An Open-label, 8-week Safety, Efficacy, and Assessment of Cooling Methods for Administration of CNTX-4975-05 for Knee OA

A Phase 3 study testing CNTX-4975-05, Lidocaine without epinephrine and ElastoGel in people with Knee Osteoarthritis, run by Centrexion Therapeutics at 28 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

An Open-label, 8-Week Study to Compare the Comfort and Ease of Use of Five Different Treatment Regimens for CNTX 4975-05 Intra-articular Injection in Subjects with Chronic, Moderate-to-Severe Osteoarthritis Knee Pain. Read more about this study

Who is it for?
Ages 40 to 95 years
Conditions the study is for
Knee Osteoarthritis
What is being tested?
CNTX-4975-05, Lidocaine without epinephrine and ElastoGel
Could I receive a placebo?
No, everyone receives an active treatment
How many people
854 participants
Where
28 sitesUnited States
Study dates
18 Sep 2018to 22 Oct 2019
Phase
Phase 3
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 95 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male or female subjects between 40 and 95 years of age (inclusive)
  • Confirmation of osteoarthritis (OA) of the knee: radiography of both knees using standard standing films (scored by the investigator) or using the fixed flexion method, taken during the Screening Visit of CNTX-4975i-OA-301 or CNTX-4975i-OA-304.
  • Confirmation of OA of the index knee: American College of Rheumatology (ACR) diagnostic criteria
  • For subjects for monoarticular knee injection, the index knee must have moderate to severe pain at screening associated with OA, which must be stable for a minimum of 6 months prior to Screening, as assessed by the investigator.
  • These subjects may have:
  • unilateral or bilateral OA, with the index knee having moderate to severe pain, and the contralateral knee having none to mild pain, OR
Show all 10Show fewer
  • unilateral or bilateral OA, with the index knee having moderate to severe pain and the other knee having had a PJR or TJR within 5 years of the Screening Visit. The knee with the PJR/TJR is not to be injected with CNTX-4975-05.
  • For subjects for bilateral knee injection, the index knee must have moderate to severe pain at screening associated with OA, and greater pain in the index knee than in the contralateral knee. Their pain must be stable for a minimum of 6 months prior to Screening, as assessed by the investigator. The index knee in these subjects is the one with the worst pain with walking. Where both knees have equal pain with walking, then the knee on the subject's dominant side will be designated the index knee.
  • For qualifying knee pain with walking, subjects will use an NPRS (0-10; 0=no pain, 10=worst possible pain) to rate their knee pain with walking (both knees, except knees with PJR/TJR). The PJR/TJR pain should be rated using the NPRS scale, but will not be a qualifying pain score.
  • Body mass index ≤45 kg/m^2.

Who cannot join

  • Joint replacement surgery of the index knee at any time, or open surgery of the index knee in the past 24 months. Joint replacement of the contralateral knee is permitted for subjects who will not receive an injection in the contralateral (natural) knee.
  • Prior arthroscopic surgery of the index knee within 6 months of Screening.
  • Any painful conditions of the index knee due to joint disease other than OA. Radicular or referred pain involving the index knee or from joint disease other than OA involving the index knee, such as, but not restricted to chondromalacia patellae, inflammatory disease, metabolic diseases, gout/pseudogout, hemochromatosis, acromegaly, etc.
  • Periarticular pain from any cause, including referred pain, bursitis, tendonitis, soft tissue tenderness, or subacute/acute pain from injury.
  • Other chronic pain anywhere in the body that requires the use of chronic analgesic medications, including, but not limited to, local painful areas, myofascial pain syndromes, fibromyalgia, genetic, metabolic abnormalities, hematologic, or neuropathic pain.

Trial locations and contacts

28 sites in 1 country.

28 sites in 1 country

United States28 sites
  • First Surgical Hospital

    Bellaire, Texas, 77401

  • Hassman Research Institute

    Berlin, New Jersey, 08009

  • Alabama Orthopaedic Center-Research

    Birmingham, Alabama, 35209

  • Med Center Medical Clinic

    Carmichael, California, 95608

  • Core Healthcare Group

    Cerritos, California, 90703

  • Metroplex Clinical Research Center

    Dallas, Texas, 75231

  • MediSphere Medical Research Center, LLC

    Evansville, Indiana, 47714

  • Healthcare Research Network II, LLC

    Flossmoor, Illinois, 60422

  • Healthcare Research Network

    Hazelwood, Missouri, 63042

  • Hermann Drive Surgical Hospital

    Houston, Texas, 77004

  • Center for Pharmaceutical Research, LLC

    Kansas City, Missouri, 64114

  • Office of Robert P. Kaplan, DO

    Las Vegas, Nevada, 89119

  • Conquest Clinical Research

    Maitland, Florida, 32751

  • Georgia Institute for Clinical Research, LLC

    Marietta, Georgia, 30060

  • Tandem Clinical Research

    Marrero, Louisiana, 70072

  • F&T Medical Research, Inc.

    Miami, Florida, 33184

  • M&M Medical Center, Inc.

    Miami, Florida, 33185

  • Charter Research

    Mt. Dora, Florida, 32757

  • DelRicht Research

    New Orleans, Louisiana, 70115

  • Affinity Health

    Oak Brook, Illinois, 60523

  • Premier MED Family & Sports Medicine

    Ocoee, Florida, 34761

  • Holland Center for Family Health

    Peoria, Arizona, 85381

  • Ascension Research

    Pinellas Park, Florida, 33781

  • Encompass Clinical Research

    Spring Valley, California, 91978

  • Atlanta Orthopaedic Institute, LLC

    Stockbridge, Georgia, 30281

  • M&M Clinical Trials Sunrise

    Sunrise, Florida, 33351

  • Noble Clinical Research

    Tucson, Arizona, 85704

  • Chase Medical Research, LLC

    Waterbury, Connecticut, 06708

Other trials in United States

About this study

Official title: An Open-label, 8-Week Study to Compare the Comfort and Ease of Use of Five Different Treatment Regimens for CNTX-4975-05 Intra-articular Injection in Subjects With Chronic, Moderate-to-Severe Osteoarthritis Knee Pain

An Open-label, 8-Week Study to Compare the Comfort and Ease of Use of Five Different Treatment Regimens for CNTX 4975-05 Intra-articular Injection in Subjects with Chronic, Moderate-to-Severe Osteoarthritis Knee Pain.

Read the detailed description

This is an open-label, single injection (per knee), 8-week study to evaluate the comfort and ease of use of 5 different treatment regimens, and to evaluate the efficacy and safety of a single intra-articular (IA) injection, in one or both knees, of CNTX-4975-05 in subjects with chronic, moderate-to-severe knee OA pain. Procedural pain associated with IA injection of the investigational product, CNTX-4975-05, will be controlled primarily through adjunct controlled joint cooling and secondarily by pre-medication with IA lidocaine.

Being tested
CNTX-4975-05, Lidocaine without epinephrine, ElastoGel, Breg Ice Water Pump
Keywords
osteoarthritis, knee pain, non opioid, analgesic, capsaicin, pain, intra-articular
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.

  • CNTX-4975-05Drug

    Also called capsaicin

    Osteoarthritis (OA) intra-articular injection of CNTX-4975-05

  • Lidocaine without epinephrineDrug

    Also called Lidocaine

    15 mL lidocaine intra-articular injection

  • ElastoGelDevice

    Cooling Device

  • Breg Ice Water PumpDevice

    Cooling Device

Study groups in NCT03661996
Study groupRoleWhat they receive
Breg Cooling Control GroupExperimentalSubject receives 2% lidocaine and CNTX-4975-05 with cooling device Breg ice water pump.
Receives: Drug: CNTX-4975-05; Drug: Lidocaine without epinephrine; Device: Breg Ice Water Pump
Gel Pack Cooling GroupExperimentalSubject receives 2% lidocaine and CNTX-4975-05 with cooling device Elasto-Gel.
Receives: Drug: CNTX-4975-05; Drug: Lidocaine without epinephrine; Device: ElastoGel
Shortened Gel Pack Cooling GroupExperimentalSubject receives 2% lidocaine and CNTX-4975-05 with cooling device Elasto-Gel.
Receives: Drug: CNTX-4975-05; Drug: Lidocaine without epinephrine; Device: ElastoGel
Single Needle Injection Gel Pack Cooling Group - 2% LidocaineExperimentalSubject receives 2% lidocaine and CNTX-4975-05 with cooling device Elasto-Gel.
Receives: Drug: CNTX-4975-05; Drug: Lidocaine without epinephrine; Device: ElastoGel
Single Needle Injection Gel Pack Cooling Group - 1% LidocaineExperimentalSubject receives 1% lidocaine and CNTX-4975-05 with cooling device Elasto-Gel.
Receives: Drug: CNTX-4975-05; Drug: Lidocaine without epinephrine; Device: ElastoGel

What is being measured

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

  1. Determination of Optimal Procedure for Administering CNTX-4975-05 With Regards to Pain, Participant Satisfaction, and Investigator's Satisfaction

    A composite score was calculated for each of the 5 treatment regimens by summing the scores of three assessments: (1) procedure pain 30 minutes after injection of CNTX-4975-05 on a 0-4 scale, 0 was best indicating no procedure pain, 4 was worst indicating severe procedure pain; (2) assessment of subjects' satisfaction with the regimen on a scale of 1 (completely dissatisfied) to 7 (completely satisfied), 1 was worst and 7 was best; and (3) assessment of investigators' satisfaction with the regimen on a scale of 1 (completely dissatisfied) to 7 (completely satisfied), 1 was worst and 7 was best.

    The procedure pain at 30 minutes was reversed to a 1-7 scale so 7 was best indicating no procedure pain and 1 was worst indicating severe procedure pain. The three assessments were summed for a total score from 3-21, 3 being the worst outcome and 21 being the best outcome. The geometric mean of the scores was derived for each group.

    All assessments were administered on Day 1 (Baseline).

    Measured: Day 1 assessments

Secondary outcomes (7)
  1. Mean Change From Baseline in KOOS "Symptoms" Subscale Score by Subject Type

    The KOOS (KOOS = Knee Injury and Osteoarthritis Outcome Score) was developed as an extension of the WOMAC (Western Ontario and McMaster Universities Arthritis Index) to evaluate the dimensions of knee osteoarthritis associated pain and injury. It includes 5 separately scored subscales: Pain, Symptoms (including stiffness), Function (Daily Living), Function (Sports and Recreational Activities), and knee-related Quality of Life. Each subscale score is rated on a 5-point scale (i.e., 0 to 4). The previous week is the time period evaluated when answering the questions. A normalized score (100 indicating no symptoms and 0 indicating extreme symptoms) is calculated for each subscale.

    The KOOS was administered on Day 1 (Baseline) and Week 8.

    Higher scores (or positive change from baseline) indicate improvement.

    Measured: Baseline, Week 8

  2. Mean Change From Baseline in KOOS "Pain" Subscale Score by Subject Type

    The KOOS (KOOS = Knee Injury and Osteoarthritis Outcome Score) was developed as an extension of the WOMAC (Western Ontario and McMaster Universities Arthritis Index) to evaluate the dimensions of knee osteoarthritis associated pain and injury. It includes 5 separately scored subscales: Pain, Symptoms (including stiffness), Function (Daily Living), Function (Sports and Recreational Activities), and knee-related Quality of Life. Each subscale score is rated on a 5-point scale (i.e., 0 to 4). The previous week is the time period evaluated when answering the questions. A normalized score (100 indicating no symptoms and 0 indicating extreme symptoms) is calculated for each subscale.

    The KOOS was administered on Day 1 (Baseline) and Week 8.

    Higher scores (or positive change from baseline) indicate improvement.

    Measured: Baseline, Week 8

  3. Mean Change From Baseline in KOOS "Pain With Walking" Single Question Score by Subject Type

    The KOOS (KOOS = Knee Injury and Osteoarthritis Outcome Score) was developed as an extension of the WOMAC (Western Ontario and McMaster Universities Arthritis Index) to evaluate the dimensions of knee osteoarthritis associated pain and injury. It includes 5 separately scored subscales: Pain, Symptoms (including stiffness), Function (Daily Living), Function (Sports and Recreational Activities), and knee-related Quality of Life. Each subscale score is rated on a 5-point scale (i.e., 0 to 4). The previous week is the time period evaluated when answering the questions. A normalized score (100 indicating no symptoms and 0 indicating extreme symptoms) is calculated for each subscale. The KOOS Pain with Walking is a single question from the KOOS Pain subscale.

    The KOOS was administered on Day 1 (Baseline) and Week 8.

    Higher scores (or positive change from baseline) indicate improvement.

    Measured: Baseline, Week 8

  4. Mean Change From Baseline in KOOS "Function (Daily Living)" Subscale Score by Subject Type

    The KOOS (KOOS = Knee Injury and Osteoarthritis Outcome Score) was developed as an extension of the WOMAC (Western Ontario and McMaster Universities Arthritis Index) to evaluate the dimensions of knee osteoarthritis associated pain and injury. It includes 5 separately scored subscales: Pain, Symptoms (including stiffness), Function (Daily Living), Function (Sports and Recreational Activities), and knee-related QOL. Each subscale score is rated on a 5-point scale (i.e., 0 to 4). The previous week is the time period evaluated when answering the questions. A normalized score (100 indicating no symptoms and 0 indicating extreme symptoms) is calculated for each subscale.

    The KOOS was administered on Day 1 (Baseline) and Week 8.

    Higher scores (or positive change from baseline) indicate improvement.

    Measured: Baseline, Week 8

  5. Mean Change From Baseline in KOOS "Function (Sport and Recreational Activities)" Subscale Score by Subject Type

    The KOOS (KOOS = Knee Injury and Osteoarthritis Outcome Score) was developed as an extension of the WOMAC (Western Ontario and McMaster Universities Arthritis Index) to evaluate the dimensions of knee osteoarthritis associated pain and injury. It includes 5 separately scored subscales: Pain, Symptoms (including stiffness), Function (Daily Living), Function (Sports and Recreational Activities), and knee-related QOL. Each subscale score is rated on a 5-point scale (i.e., 0 to 4). The previous week is the time period evaluated when answering the questions. A normalized score (100 indicating no symptoms and 0 indicating extreme symptoms) is calculated for each subscale.

    The KOOS was administered on Day 1 (Baseline) and Week 8.

    Higher scores (or positive change from baseline) indicate improvement.

    Measured: Baseline, Week 8

  6. Mean Change From Baseline in KOOS "Knee-Related Quality of Life" Subscale Score by Subject Type

    The KOOS (KOOS = Knee Injury and Osteoarthritis Outcome Score) was developed as an extension of the WOMAC (Western Ontario and McMaster Universities Arthritis Index) to evaluate the dimensions of knee osteoarthritis associated pain and injury. It includes 5 separately scored subscales: Pain, Symptoms (including stiffness), Function (Daily Living), Function (Sports and Recreational Activities), and knee-related QOL. Each subscale score is rated on a 5-point scale (i.e., 0 to 4). The previous week is the time period evaluated when answering the questions. A normalized score (100 indicating no symptoms and 0 indicating extreme symptoms) is calculated for each subscale.

    The KOOS was administered on Day 1 (Baseline) and Week 8.

    Higher scores (or positive change from baseline) indicate improvement.

    Measured: Baseline, Week 8

  7. Mean Change From Baseline in Average Daily Pain With Walking NPRS (0-10) Score by Subject Type

    The pain with walking Numerical Pain Rating Scale (NPRS) (0-10, 0 being no pain, 10 being greatest pain) collected subjects' average pain with walking over the past 24 hours. Subjects recorded the pain in their target knee, either the index knee or additionally the non-index knee in the case of bilateral subjects. The NPRS was collected at Day 1 (Baseline) and Week 8.

    Lower scores (or negative change from baseline) indicate improvement

    Measured: Baseline, Week 8

Timeline

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

  1. First posted7 Sep 2018
  2. Study start18 Sep 2018
  3. Primary completion22 Oct 2019
  4. Study completion22 Oct 2019

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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
854 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03661996
Sponsor's protocol ID
CNTX-4975i-OA-303
Status last verified
Jan 2022
First submitted
28 Aug 2018
Last updated
9 Mar 2022
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing CNTX-4975-05, Lidocaine without epinephrine and ElastoGel in people with Knee Osteoarthritis, run by Centrexion Therapeutics at 28 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 10 inclusion and 5 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 9 Mar 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 28 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. 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?

Yes. Results are posted in the registry (first posted 9 Mar 2022). 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?

Determination of Optimal Procedure for Administering CNTX-4975-05 With Regards to Pain, Participant Satisfaction, and Investigator's Satisfaction (time frame: Day 1 assessments). 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 9 Mar 2022.

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