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Osteoarthritis, KneePhase 2NCT04992962

Cannabinoid Tablets for the Treatment of Pain From Osteoarthritis of the Knee

A Phase 2 study testing CBD/CBN and CBD/THC in people with Osteoarthritis, Knee, run by Pure Green at 1 site in United States.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

The purpose of the study is to evaluate the efficacy of PG-OA-10CN and PG-OA-5TH tablets as a better pain reliever in patients with moderate to severe chronic pain due to osteoarthritis of the knee than a placebo. Read more about this study

Who is it for?
Ages 21 years and older
Conditions the study is for
Osteoarthritis, Knee
What is being tested?
CBD/CBN and CBD/THC
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
66 participants
Where
1 siteUnited States
Study dates
29 Jul 2021to 14 Nov 2021
Phase
Phase 2
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 21 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Subject is at least 21 years of age;
  • Subject has a diagnosis of osteoarthritis of the knee as determined by the subject's primary care physician or related health care provider.
  • Subject reports an average NPRS score of ≥ 5 in the 7 days prior to enrollment.
  • If female, the subject is postmenopausal (> 1 year), surgically sterile (> 3 months), had a hysterectomy, or is currently using 2 effective forms of birth control.
  • Subject has not taken marijuana (cannabis) in any form, chemicals or extracts or foods or beverages or topical creams, lotions, gels, patches containing marijuana (cannabinoids, or and cannabis derivatives) including synthetic marijuana and/or CBD for at least 14 days prior to this study, and agrees to not take marijuana (cannabis) in any form, chemicals or extracts or foods or beverages or topical creams, lotions, gels, patches containing marijuana (cannabinoids, or and cannabis derivatives) including synthetic marijuana and/or CBD while participating in this study.
  • If subject is currently taking a prohibited medication, subject must be willing to and complete a washout of these medications during the screening period and prior to starting study treatment.
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  • Subject has not taken any NSAIDs and/or acetaminophen for at least 2 days prior to starting study treatment.
  • Subject is willing to provide his/her written informed consent to participate in the study as stated in the informed consent document.
  • Subject is willing to use an electronic diary to enter trial information for 29 days.

Who cannot join

  • Subject is pregnant or lactating;
  • Subject has an allergy to cannabis, the Cannabaceae plant family (e.g., hemp, hops), palmitoylethanolamide, or terpenes;
  • Subject has a known allergy to active or inert ingredients of the investigational product;
  • Subject is taking a concomitant medication or treatment that would complicate use or interpretation of the study drug's effects (examples include: Cannabis or any cannabinoid products; Any drug or herbal product that influences the endocannabinoid system (ECS));
  • Subject is taking marijuana (cannabis) in any form, chemicals or extracts or foods or beverages or topical creams, lotions, gels, patches containing marijuana (cannabinoids, or and cannabis derivatives) including synthetic marijuana and/or CBD for at least 14 days prior to this study, and does not promise that they will not take marijuana (cannabis) in any form, chemicals or extracts or foods or beverages or topical creams, lotions, gels, patches containing marijuana (cannabinoids, or and cannabis derivatives) including synthetic marijuana and/or CBD while participating in this study;
  • Subject is currently being treated with antibiotics for sinus, throat, or lung infections;
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  • Subject has shortness of breath associated with allergies;
  • Subject has uncontrolled asthma;
  • Subject has a fever and/or productive cough;
  • Subject has unstable angina, uncontrolled hypertension;
  • Subject currently or has a history of congestive heart failure;
  • Subject has any other unstable medical condition;
  • Subject has a personal or family history of schizophrenia;
  • Subject has a personal history or currently has suicidal ideation or attempted suicide;
  • Subject has a major neurological disorder, such as dementia, Parkinson's disease, cognitive impairment, epilepsy, history of traumatic brain injury/head injury, and seizures.
  • Subject has taken pharmaceutical pain medicine, including OTC pain medicine of any kind, or has taken a NSAID and/or acetaminophen within 2 days of starting study treatment.
  • Subject has taken a prohibited medication during the screening period and prior to starting study treatment or is unwilling to stop these medications.
  • Subject has an allergy to, or has an intolerance to, NSAIDs or acetaminophen.
  • Subject has taken any form of steroids, including a local steroid injection in the knee, within 1 month of starting study treatment.
  • Subject has received any invasive interventions or surgery of the knee.
  • Subject has a history of substance or alcohol abuse.
  • Subject has clinically significant illness, including cardiovascular disorders.
  • Subject has any condition in which the investigator believes will confound the data of the study or could put the subject at risk of harm.
  • Subject does not have access to a smart phone or does not know how to use a smart phone application.

Trial locations and contacts

1 site in 1 country.

Matthew Caloura contact

(248) 802-4380

mcaloura@pgpharma.co

Debra Kimless, M.D. contact

(248) 920-8761

dkimlessmd@pgpharma.co

United States1 site, 1 recruiting
  • Pure Green Pharmaceuticals

    West Bloomfield, Michigan, 48323

    Matthew Caloura, 248-802-4380, mcaloura@pgpharma.co

    Debra Kimless, M.D., (248) 920-8761, dkimlessmd@pgpharma.co

    Recruiting

Other trials in United States

About this study

Official title: A Double-Blind, Randomized, Placebo-Controlled, Three-Arm Trial Examining Sublingual Cannabinoid Tablets for the Treatment of Pain From Osteoarthritis of the Knee.

The purpose of the study is to evaluate the efficacy of PG-OA-10CN and PG-OA-5TH tablets as a better pain reliever in patients with moderate to severe chronic pain due to osteoarthritis of the knee than a placebo.

Read the detailed description

Subjects will be enrolled in the study for a maximum of 36 days, including a 7-day screening period, 28 days of active product administration, and followed by a post-treatment follow-up within 1 day.

The primary objective of this study is:

  • To evaluate the efficacy of PG-OA-10CN and PG-OA-5TH for the treatment of pain associated with osteoarthritis of the knee, compared to a placebo control.

The secondary objectives of this study are:

  • To evaluate differences of efficacy between PG-OA-10CN and PG-OA-5TH
  • To evaluate the impact of PG-OA-10CN and PG-OA-5TH for stiffness, function in daily living, function in sport and recreation, and knee related quality of life as assessed by the KOOS.
  • To evaluate the safety of PG-OA-10CN and PG-OA-5TH for the treatment of pain associated with osteoarthritis of the knee.
Being tested
CBD/CBN, CBD/THC, Placebo
Keywords
CBD, Cannabidiol, CBN, Cannabinol, THC, Osteoarthritis, Pain, Placebo
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.

  • CBD/CBNDrug

    A water-soluble sublingual tablet containing 10 mg of CBD and 10 mg of CBN.

  • CBD/THCDrug

    A water-soluble sublingual tablet containing 10 mg of CBD and 5 mg of THC.

  • PlaceboDrug

    An inactive compound.

Study groups in NCT04992962
Study groupRoleWhat they receive
CBD/CBNExperimentalParticipants will receive a 28-day supply of CBD/CBN sublingual tablets to be taken 3 times a day for 28 days.
Receives: Drug: CBD/CBN
CBD/THCExperimentalParticipants will receive a 28-day supply of CBD/THC sublingual tablets to be taken 3 times a day for 28 days.
Receives: Drug: CBD/THC
PlaceboPlacebo comparatorA placebo sublingual tablet to be taken three times a day for 28 days
Receives: Drug: Placebo

What is being measured

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

  1. Pain as assessed by Numerical Pain Rating Scale (NPRS)

    To evaluate the impact of PG-OA-10CN and PG-OA-10TC on the subject's osteoarthritis of the knee pain as assessed by utilizing a Numeric Pain Rating Scale (NPRS). NPRS is from 0-10, where higher scores indicate worse pain and lower scores indicate less pain reported by the subject.

    Measured: 28 Days

  2. Pain as assessed by the Knee Injury and Osteoarthritis Outcome Score (KOOS)

    To evaluate the impact of PG-OA-10CN and PG-OA-10TC on the subject's osteoarthritis of the knee pain as assessed by the Knee Injury and Osteoarthritis Outcome Score (KOOS). KOOS is scored from 0-100, where 0 represents extreme problems and 100 represents no problems, as reported by the subject.

    Measured: 28 Days

Secondary outcomes (1)
  1. Incidence of treatment-related adverse events as assessed by CTCAE v4.0.

    To evaluate the safety of PG-OA-10CN and PG-OA-10TC for the treatment of pain associated with osteoarthritis of the knee compared to a placebo control assessed by Common Terminology Criteria For Adverse Events (CTCAE) v4.0.

    Measured: 28 Days

Timeline

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

  1. First posted6 Aug 2021
  2. Study start29 Jul 2021
  3. Primary completion30 Oct 2021 (estimated)
  4. Study completion14 Nov 2021 (estimated)

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
66 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04992962
Sponsor's protocol ID
PG-OA-2021
Status last verified
Jul 2021
First submitted
29 Jul 2021
Last updated
6 Aug 2021
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Papaleontiou M, Henderson CR Jr, Turner BJ, Moore AA, Olkhovskaya Y, Amanfo L, Reid MC. Outcomes associated with opioid use in the treatment of chronic noncancer pain in older adults: a systematic review and meta-analysis. J Am Geriatr Soc. 2010 Jul;58(7):1353-69. doi: 10.1111/j.1532-5415.2010.02920.x. Epub 2010 Jun 1.

    PubMed 20533971
  • Eli Lilly & Company. (2019). Cymbalta: Highlights of prescribing information. Indianapolis, IN.

  • Zhang Y, Jordan JM. Epidemiology of osteoarthritis. Clin Geriatr Med. 2010 Aug;26(3):355-69. doi: 10.1016/j.cger.2010.03.001.

    PubMed 20699159
  • Ahrnsbrak, R., Bose, J., Hedden, S. L., Lipari, R. N., & Park-Lee, E. (2017). Key substance use and mental health indicators in the United States: Results from the 2016 National Survey on Drug Use and Health. Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, 1572.

  • Rudd RA, Seth P, David F, Scholl L. Increases in Drug and Opioid-Involved Overdose Deaths - United States, 2010-2015. MMWR Morb Mortal Wkly Rep. 2016 Dec 30;65(50-51):1445-1452. doi: 10.15585/mmwr.mm655051e1.

    PubMed 28033313
  • Frakes EP, Risser RC, Ball TD, Hochberg MC, Wohlreich MM. Duloxetine added to oral nonsteroidal anti-inflammatory drugs for treatment of knee pain due to osteoarthritis: results of a randomized, double-blind, placebo-controlled trial. Curr Med Res Opin. 2011 Dec;27(12):2361-72. doi: 10.1185/03007995.2011.633502. Epub 2011 Nov 9.

    PubMed 22017192
  • Blake DR, Robson P, Ho M, Jubb RW, McCabe CS. Preliminary assessment of the efficacy, tolerability and safety of a cannabis-based medicine (Sativex) in the treatment of pain caused by rheumatoid arthritis. Rheumatology (Oxford). 2006 Jan;45(1):50-2. doi: 10.1093/rheumatology/kei183. Epub 2005 Nov 9.

    PubMed 16282192
  • Wang T, Collet JP, Shapiro S, Ware MA. Adverse effects of medical cannabinoids: a systematic review. CMAJ. 2008 Jun 17;178(13):1669-78. doi: 10.1503/cmaj.071178.

    PubMed 18559804
  • Farrar JT, Young JP Jr, LaMoreaux L, Werth JL, Poole MR. Clinical importance of changes in chronic pain intensity measured on an 11-point numerical pain rating scale. Pain. 2001 Nov;94(2):149-158. doi: 10.1016/S0304-3959(01)00349-9.

    PubMed 11690728
  • Michener LA, Snyder AR, Leggin BG. Responsiveness of the numeric pain rating scale in patients with shoulder pain and the effect of surgical status. J Sport Rehabil. 2011 Feb;20(1):115-28. doi: 10.1123/jsr.20.1.115.

    PubMed 21411827
  • Childs JD, Piva SR, Fritz JM. Responsiveness of the numeric pain rating scale in patients with low back pain. Spine (Phila Pa 1976). 2005 Jun 1;30(11):1331-4. doi: 10.1097/01.brs.0000164099.92112.29.

    PubMed 15928561
  • Ogura T, Ackermann J, Mestriner AB, Merkely G, Gomoll AH. The Minimal Clinically Important Difference and Substantial Clinical Benefit in the Patient-Reported Outcome Measures of Patients Undergoing Osteochondral Allograft Transplantation in the Knee. Cartilage. 2021 Jan;12(1):42-50. doi: 10.1177/1947603518812552. Epub 2018 Nov 22.

    PubMed 30463426
  • Jacquet C, Pioger C, Khakha R, Steltzlen C, Kley K, Pujol N, Ollivier M. Evaluation of the "Minimal Clinically Important Difference" (MCID) of the KOOS, KSS and SF-12 scores after open-wedge high tibial osteotomy. Knee Surg Sports Traumatol Arthrosc. 2021 Mar;29(3):820-826. doi: 10.1007/s00167-020-06026-0. Epub 2020 Apr 27.

    PubMed 32342141

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing CBD/CBN and CBD/THC in people with Osteoarthritis, Knee, run by Pure Green at 1 site 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 9 inclusion and 24 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: status not confirmed, as of the sponsor's last update on 6 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 1 site 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?

Results are not available in the source record.

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

Contact Matthew Caloura ((248) 802-4380, mcaloura@pgpharma.co), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Pain as assessed by Numerical Pain Rating Scale (NPRS) (time frame: 28 Days). 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?

On the ClinicalTrials.gov record for NCT04992962, which also lists 13 linked publications.

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 Aug 2021.

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