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Clinical Trial Details — Status: Terminated

Administrative data

NCT number NCT00994890
Other study ID # A4091043
Secondary ID SC OA SAFETY STU
Status Terminated
Phase Phase 2
First received
Last updated
Start date November 17, 2009
Est. completion date March 1, 2011

Study information

Verified date April 2021
Source Pfizer
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

This study will investigate the safety of three fixed dose levels of tanezumab (2.5 mg, 5 mg, and 10 mg) administered at an 8-week interval by subcutaneous injection multiple (7) times during the study treatment period.


Description:

Safety study of tanezumab in relief of osteoarthritis pain This study was terminated on 6 December 2010 following a US FDA clinical hold for tanezumab osteoarthritis clinical studies which halted dosing and enrollment of patients on 23 June 2010 for potential safety issues.


Recruitment information / eligibility

Status Terminated
Enrollment 679
Est. completion date March 1, 2011
Est. primary completion date December 7, 2010
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria: - Osteoarthritis of the knee or hip based on American College of Rheumatology criteria with a radiographic (X ray) confirmation (a Kellgren Lawrence x-ray grade of =2); Exclusion Criteria: - Body mass index (BMI) of >39 kg/m2; - Pregnancy or intent to become pregnant - Planned surgical procedure during the duration of the study - History of clinically significant cardiovascular, central nervous system or psychiatric disease - Previous exposure to exogenous NGF or to an anti NGF antibody; - Use of biologics other than study medication, Live or live-attenuated intranasal vaccines (eg, Flumist), are allowable exceptions

Study Design


Related Conditions & MeSH terms


Intervention

Drug:
Tanezumab 2.5 mg
Tanezumab 2.5 mg administered by subcutaneous injection every 8 weeks for a total of 7 injections administered over approximately 1 year
Tanezumab 5 mg
Tanezumab 5 mg administered by subcutaneous injection every 8 weeks for a total of 7 injections administered over approximately 1 year
Tanezumab 10 mg
Tanezumab 10 mg administered by subcutaneous injection every 8 weeks for a total of 7 injections administered over approximately 1 year

Locations

Country Name City State
United States Anderson Radiology Anderson South Carolina
United States Primary Care Associates Anderson South Carolina
United States Radiant Research, Inc. Anderson South Carolina
United States Rheumatology and Pulmonary Clinic Beckley West Virginia
United States RASF Clinical Research Center Boca Raton Florida
United States Boston Clinical Trails, Inc. Boston Massachusetts
United States Graves Gilbert Clinic Bowling Green Kentucky
United States Arthritis and Rheumatic Disease Associates, PC Burke Virginia
United States Office of John M. Joseph, M.D. Carrollton Texas
United States Arthritis and Osteoporosis Consultants of the Carolinas Charlotte North Carolina
United States Radiant Research, Inc Chicago Illinois
United States University Physicians Columbia Missouri
United States Woodrail Clinic Columbia Missouri
United States Radiant Research, Inc Columbus Ohio
United States Medvin Clinical Research Covina California
United States Arthritis Care and Diagnostic Center Dallas Texas
United States Lone Peak Family Medicine Draper Utah
United States Physicians' Research Options, LLC Draper Utah
United States Robert A. Harrell, MD Durham North Carolina
United States Integrated Medical Group PC/Fleetwood Clinical Research Fleetwood Pennsylvania
United States Ft. Smith Rheumatology, PC Fort Smith Arkansas
United States Arthritis Center of North Georgia Gainesville Georgia
United States Sarah Cannon Research Institute, LLC Germantown Tennessee
United States Wolf River Medical Group. LLC Germantown Tennessee
United States Internal Medical Associates of Grand Island, PC Grand Island Nebraska
United States Houston Medical Research Associates Houston Texas
United States Nothwest Diagonstic Clinic, PA Houston Texas
United States The Jackson Clinic, PA Jackson Tennessee
United States Richard Neiman, MD Inc. Kirkland Washington
United States Research Across America @ Oyster Point Family Health Center Lancaster Pennsylvania
United States Radiant Research, Inc Las Vegas Nevada
United States Sunrise Medical Research Lauderdale Lake Florida
United States Kansas City Internal Medicine Lee's Summit Missouri
United States Kentucky Medical Research Center Lexington Kentucky
United States Larry Watkins, MD Little Rock Arkansas
United States Lynn Institute of the Ozarks Little Rock Arkansas
United States OrthoArkansas, PA Little Rock Arkansas
United States Radiology Consultants Little Rock Arkansas
United States Pacific Arthritis Care Center Los Angeles California
United States Melbourne Internal Medicine Associates Melbourne Florida
United States MIMA Century Research Associate Melbourne Florida
United States Osler Medical, Inc. Melbourne Florida
United States Aurora Advanced Healthcare Milwaukee Wisconsin
United States Montana Medical Research, Inc Missoula Montana
United States Mobile Diagnostic Center Mobile Alabama
United States Seton Medical Management, Inc. Mobile Alabama
United States Central Kentucky Research Associates Mount Sterling Kentucky
United States Mt. Sterling Clinic Mount Sterling Kentucky
United States Carolina Health Specialists Myrtle Beach South Carolina
United States Staywell Research Northridge California
United States University Imaging Centers Northridge California
United States American Family Medical Ocala Florida
United States Paddock Park Clinical Research Ocala Florida
United States Renstar Medical Research Ocala Florida
United States Renstar Medical Research Ocala Florida
United States Lynn Health Science Institute Oklahoma City Oklahoma
United States McBride Clinic Oklahoma City Oklahoma
United States South Puget Sound Clinical Research Center Olympia Washington
United States Medical Research Group of Central Florida Orange City Florida
United States Buffalo Rheumatology Orchard Park New York
United States Radiant Research, Inc Overland Park Kansas
United States Pensacola Research Consultants, Inc. Pensacola Florida
United States Methodist Medical Group Rheumatology Peoria Illinois
United States Methodist Research Administration Office Peoria Illinois
United States Clinical Research Source, Inc. Perrysburg Ohio
United States Arthritis Group Philadelphia Pennsylvania
United States Phoenix Rheumatology Specialists, Ltd. Phoenix Arizona
United States Radiant Research, Inc Pinellas Park Florida
United States Jarred Frydman, DO Plantation Florida
United States Orthopaedic Center of South Flordia Plantation Florida
United States Advanced Medical Research Port Orange Florida
United States Arthritis Clinic Racine Wisconsin
United States Rainier Clinical Research Center, Inc. Renton Washington
United States Alan E. Schulman, MD Richmond Virginia
United States Steven Maestrello, M.D. Richmond Virginia
United States Rockford Health Physicians Rockford Illinois
United States Advance Clinical Research Inc Saint Louis Missouri
United States Barbara A. Caciolo Saint Louis Missouri
United States Clayton Medical Research Saint Louis Missouri
United States St. Louis Center for Clinical Research Saint Louis Missouri
United States Arthritis & Osteoporosis Center of South Texas San Antonio Texas
United States C Michael Neuwelt, MD San Leandro California
United States Pacific Arthritis Center Medical Group Santa Maria California
United States Advanced Arthritis Care and Research Scottsdale Arizona
United States Radiant Research, Inc Scottsdale Arizona
United States Center for Arthritis and Rheumatic Diseases South Miami Florida
United States Texas Research Center, LP Sugar Land Texas
United States Tampa Medical Group, P.A. Tampa Florida
United States Bone Joint & Spine Surgeons, Inc. Toledo Ohio
United States Catalina Pointe Clinical Research, Inc Tucson Arizona
United States Healthcare Research Consultants Tulsa Oklahoma
United States Trinity Clinic, Office of Research Administration Tyler Texas
United States Trinity Clinic, Rheumatology Tyler Texas
United States Granger Medical Clinic West Valley City Utah
United States Allegheny North Arthritis Center Wexford Pennsylvania
United States Medvin Clinical Research Whittier California
United States Upstate Clinical Research Associates Williamsville New York
United States Piedmont Imaging Winston-Salem North Carolina
United States The Center for Clinical Research Winston-Salem North Carolina
United States Jeffry A. Lindenbaum D.O., P.C. Yardley Pennsylvania

Sponsors (1)

Lead Sponsor Collaborator
Pfizer

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Other Number of Participants With Subcutaneous Doses of Study Medication Number of participants are reported based on the maximum number of subcutaneous doses of study medication received. Day 1 up to Week 24
Primary Number of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs) An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent are events between first dose of study drug and up to 112 days after last dose that were absent before treatment or that worsened relative to pretreatment state. Baseline up to 112 days after last dose of study medication (up to 345 days)
Primary Number of Participants With Laboratory Abnormalities Laboratory analysis included blood chemistry, hematology, urinalysis and pregnancy test. Baseline to Week 50
Primary Number of Participants With Abnormal Electrocardiogram (ECG) Findings All standard intervals (PR, QRS, QT, QT interval corrected for heart rate using Fridericia's formula [QTcF], QT interval corrected for heart rate using Bazett's formula [QTcB], RR intervals and heart rate) were analyzed. Participants with abnormal ECG findings reported as adverse events were presented. Baseline up to Week 50
Primary Change From Baseline in Neuropathy Impairment Score (NIS) at Week 2 NIS: 74-item, assess cranial nerves, muscle weakness, reflexes, sensation; scored separately for left, right limbs (37 items for each). Cranial nerves included 5 items (3rd nerve, 6th nerve, facial weakness, palate weakness, tongue weakness), muscle weakness included 19 items (respiratory,neck flexion, shoulder abduction, elbow flexion, brachioradialis,elbow extension, wrist flexion,wrist extension,finger flexion,finger spread,thumb abduction,hip flexion,hip extension,knee flexion,knee extension,ankle dorsiflexors,ankle plantar flexors,toe extensors,toe flexors), each item scored on scale 0=normal to 4=paralysis, higher score=greater weakness. Reflexes included 5 items (quadriceps femoris, triceps surae, biceps brachii, triceps brachii, brachioradialis), sensation included 4 items each for great toe and index finger (touch pressure, pin prick, vibration, joint position), each item scored as 0=normal, 1=decreased, 2=absent. Total NIS score range 0-244, higher score=greater impairment. Baseline, Week 2
Primary Change From Baseline in Neuropathy Impairment Score (NIS) at Week 4 NIS: 74-item, assess cranial nerves, muscle weakness, reflexes, sensation; scored separately for left, right limbs (37 items for each). Cranial nerves included 5 items (3rd nerve, 6th nerve, facial weakness, palate weakness, tongue weakness), muscle weakness included 19 items (respiratory,neck flexion, shoulder abduction, elbow flexion, brachioradialis,elbow extension, wrist flexion,wrist extension,finger flexion,finger spread,thumb abduction,hip flexion,hip extension,knee flexion,knee extension,ankle dorsiflexors,ankle plantar flexors,toe extensors,toe flexors), each item scored on scale 0=normal to 4=paralysis, higher score=greater weakness. Reflexes included 5 items (quadriceps femoris, triceps surae, biceps brachii, triceps brachii, brachioradialis), sensation included 4 items each for great toe and index finger (touch pressure, pin prick, vibration, joint position), each item scored as 0=normal, 1=decreased, 2=absent. Total NIS score range 0-244, higher score=greater impairment. Baseline, Week 4
Primary Change From Baseline in Neuropathy Impairment Score (NIS) at Week 8 NIS: 74-item, assess cranial nerves, muscle weakness, reflexes, sensation; scored separately for left, right limbs (37 items for each). Cranial nerves included 5 items (3rd nerve, 6th nerve, facial weakness, palate weakness, tongue weakness), muscle weakness included 19 items (respiratory,neck flexion, shoulder abduction, elbow flexion, brachioradialis,elbow extension, wrist flexion,wrist extension,finger flexion,finger spread,thumb abduction,hip flexion,hip extension,knee flexion,knee extension,ankle dorsiflexors,ankle plantar flexors,toe extensors,toe flexors), each item scored on scale 0=normal to 4=paralysis, higher score=greater weakness. Reflexes included 5 items (quadriceps femoris, triceps surae, biceps brachii, triceps brachii, brachioradialis), sensation included 4 items each for great toe and index finger (touch pressure, pin prick, vibration, joint position), each item scored as 0=normal, 1=decreased, 2=absent. Total NIS score range 0-244, higher score=greater impairment. Baseline, Week 8
Primary Change From Baseline in Neuropathy Impairment Score (NIS) at Week 16 NIS: 74-item, assess cranial nerves, muscle weakness, reflexes, sensation; scored separately for left, right limbs (37 items for each). Cranial nerves included 5 items (3rd nerve, 6th nerve, facial weakness, palate weakness, tongue weakness), muscle weakness included 19 items (respiratory,neck flexion, shoulder abduction, elbow flexion, brachioradialis,elbow extension, wrist flexion,wrist extension,finger flexion,finger spread,thumb abduction,hip flexion,hip extension,knee flexion,knee extension,ankle dorsiflexors,ankle plantar flexors,toe extensors,toe flexors), each item scored on scale 0=normal to 4=paralysis, higher score=greater weakness. Reflexes included 5 items (quadriceps femoris, triceps surae, biceps brachii, triceps brachii, brachioradialis), sensation included 4 items each for great toe and index finger (touch pressure, pin prick, vibration, joint position), each item scored as 0=normal, 1=decreased, 2=absent. Total NIS score range 0-244, higher score=greater impairment. Baseline, Week 16
Primary Change From Baseline in Neuropathy Impairment Score (NIS) at Week 24 NIS: 74-item, assess cranial nerves, muscle weakness, reflexes, sensation; scored separately for left, right limbs (37 items for each). Cranial nerves included 5 items (3rd nerve, 6th nerve, facial weakness, palate weakness, tongue weakness), muscle weakness included 19 items (respiratory,neck flexion, shoulder abduction, elbow flexion, brachioradialis,elbow extension, wrist flexion,wrist extension,finger flexion,finger spread,thumb abduction,hip flexion,hip extension,knee flexion,knee extension,ankle dorsiflexors,ankle plantar flexors,toe extensors,toe flexors), each item scored on scale 0=normal to 4=paralysis, higher score=greater weakness. Reflexes included 5 items (quadriceps femoris, triceps surae, biceps brachii, triceps brachii, brachioradialis), sensation included 4 items each for great toe and index finger (touch pressure, pin prick, vibration, joint position), each item scored as 0=normal, 1=decreased, 2=absent. Total NIS score range 0-244, higher score=greater impairment. Baseline, Week 24
Primary Change From Baseline in Neuropathy Impairment Score (NIS) at Week 32 NIS: 74-item, assess cranial nerves, muscle weakness, reflexes, sensation; scored separately for left, right limbs (37 items for each). Cranial nerves included 5 items (3rd nerve, 6th nerve, facial weakness, palate weakness, tongue weakness), muscle weakness included 19 items (respiratory,neck flexion, shoulder abduction, elbow flexion, brachioradialis,elbow extension, wrist flexion,wrist extension,finger flexion,finger spread,thumb abduction,hip flexion,hip extension,knee flexion,knee extension,ankle dorsiflexors,ankle plantar flexors,toe extensors,toe flexors), each item scored on scale 0=normal to 4=paralysis, higher score=greater weakness. Reflexes included 5 items (quadriceps femoris, triceps surae, biceps brachii, triceps brachii, brachioradialis), sensation included 4 items each for great toe and index finger (touch pressure, pin prick, vibration, joint position), each item scored as 0=normal, 1=decreased, 2=absent. Total NIS score range 0-244, higher score=greater impairment. Baseline, Week 32
Primary Change From Baseline in Neuropathy Impairment Score (NIS) at Week 40 NIS: 74-item, assess cranial nerves, muscle weakness, reflexes, sensation; scored separately for left, right limbs (37 items for each). Cranial nerves included 5 items (3rd nerve, 6th nerve, facial weakness, palate weakness, tongue weakness), muscle weakness included 19 items (respiratory,neck flexion, shoulder abduction, elbow flexion, brachioradialis,elbow extension, wrist flexion,wrist extension,finger flexion,finger spread,thumb abduction,hip flexion,hip extension,knee flexion,knee extension,ankle dorsiflexors,ankle plantar flexors,toe extensors,toe flexors), each item scored on scale 0=normal to 4=paralysis, higher score=greater weakness. Reflexes included 5 items (quadriceps femoris, triceps surae, biceps brachii, triceps brachii, brachioradialis), sensation included 4 items each for great toe and index finger (touch pressure, pin prick, vibration, joint position), each item scored as 0=normal, 1=decreased, 2=absent. Total NIS score range 0-244, higher score=greater impairment. Baseline, Week 40
Primary Change From Baseline in Neuropathy Impairment Score (NIS) at Week 48 NIS: 74-item, assess cranial nerves, muscle weakness, reflexes, sensation; scored separately for left, right limbs (37 items for each). Cranial nerves included 5 items (3rd nerve, 6th nerve, facial weakness, palate weakness, tongue weakness), muscle weakness included 19 items (respiratory,neck flexion, shoulder abduction, elbow flexion, brachioradialis,elbow extension, wrist flexion,wrist extension,finger flexion,finger spread,thumb abduction,hip flexion,hip extension,knee flexion,knee extension,ankle dorsiflexors,ankle plantar flexors,toe extensors,toe flexors), each item scored on scale 0=normal to 4=paralysis, higher score=greater weakness. Reflexes included 5 items (quadriceps femoris, triceps surae, biceps brachii, triceps brachii, brachioradialis), sensation included 4 items each for great toe and index finger (touch pressure, pin prick, vibration, joint position), each item scored as 0=normal, 1=decreased, 2=absent. Total NIS score range 0-244, higher score=greater impairment. Baseline, Week 48
Primary Number of Participants With Clinically Significant Change From Baseline in Physical Findings Physical examination included examination of abdomen, ears, extremities, eyes, head, heart, lungs, lymph nodes, neck, nose, skin, throat, thyroid, muscoskeletal, neurological and peripheral vascular system. Baseline to Week 50
Primary Number of Participants With Anti-Drug Antibody (ADA) at Day 1 Human serum ADA samples were analyzed for the presence or absence of anti-tanezumab antibodies by using the semi-quantitative enzyme-linked immunosorbent assay (ELISA). Day 1
Primary Number of Participants With Anti-Drug Antibody (ADA) at Week 8 Human serum ADA samples were analyzed for the presence or absence of anti-tanezumab antibodies by using the semi-quantitative ELISA. Week 8
Primary Number of Participants With Anti-Drug Antibody (ADA) at Week 24 Human serum ADA samples were analyzed for the presence or absence of anti-tanezumab antibodies by using the semi-quantitative ELISA. Week 24
Primary Number of Participants With Anti-Drug Antibody (ADA) at Week 50 Human serum ADA samples were analyzed for the presence or absence of anti-tanezumab antibodies by using the semi-quantitative ELISA. Week 50
Primary Number of Participants With Vital Sign Abnormalities Examination of vital signs included body temperature, systolic blood pressure, diastolic blood pressure, pulse rate and respiratory rate. Participants with abnormal vital sign findings reported as adverse events were presented. Baseline up to Week 50
Primary Number of Participants With Injection-Site Reactions at Day 1 Assessment of the injection-site reactions were based on presence of erythema (redness), induration (swelling), ecchymosis (bruising), pruritus (itching) and pain that occurred after the injection had been administered (not related to pain of needle insertion). Day 1
Primary Number of Participants With Injection-Site Reactions at Week 2 Assessment of the injection-site reactions were based on presence of erythema (redness), induration (swelling), ecchymosis (bruising), pruritus (itching) and pain that occurred after the injection had been administered (not related to pain of needle insertion). Week 2
Primary Number of Participants With Injection-Site Reactions at Week 4 Assessment of the injection-site reactions were based on presence of erythema (redness), induration (swelling), ecchymosis (bruising), pruritus (itching) and pain that occurred after the injection had been administered (not related to pain of needle insertion). Week 4
Primary Number of Participants With Injection-Site Reactions at Week 8 Assessment of the injection-site reactions were based on presence of erythema (redness), induration (swelling), ecchymosis (bruising), pruritus (itching) and pain that occurred after the injection had been administered (not related to pain of needle insertion). Week 8
Primary Number of Participants With Injection-Site Reactions at Week 16 Assessment of the injection-site reactions were based on presence of erythema (redness), induration (swelling), ecchymosis (bruising), pruritus (itching) and pain that occurred after the injection had been administered (not related to pain of needle insertion). Week 16
Primary Number of Participants With Injection-Site Reactions at Week 24 Assessment of the injection-site reactions were based on presence of erythema (redness), induration (swelling), ecchymosis (bruising), pruritus (itching) and pain that occurred after the injection had been administered (not related to pain of needle insertion). Week 24
Primary Number of Participants With Injection-Site Reactions at Week 32 Assessment of the injection-site reactions were based on presence of erythema (redness), induration (swelling), ecchymosis (bruising), pruritus (itching) and pain that occurred after the injection had been administered (not related to pain of needle insertion). Week 32
Primary Number of Participants With Injection-Site Reactions at Week 40 Assessment of the injection-site reactions were based on presence of erythema (redness), induration (swelling), ecchymosis (bruising), pruritus (itching) and pain that occurred after the injection had been administered (not related to pain of needle insertion). Week 40
Secondary Change From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Pain Subscale Score at Week 2, 4, 8, 16, 24, 32, 40, 48 and 56 WOMAC pain subscale is a 5-item questionnaire used to assess the amount of pain experienced due to osteoarthritis in index knee or index hip during past 48 hours. It was calculated as mean of the scores from the 5 individual questions scored on a numerical rating scale (NRS) of 0 to 10, where higher scores indicated higher pain. Total score range for WOMAC pain subscale score was 0 to 10, where higher scores indicated higher pain. Baseline, Week 2, 4, 8, 16, 24, 32, 40, 48, 56
Secondary Change From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Physical Function Subscale Score at Week 2, 4, 8, 16, 24, 32, 40, 48 and 56 WOMAC physical function subscale is a 17-item questionnaire used to assess the degree of difficulty experienced due to osteoarthritis in index joint and index hip during past 48 hours. It was calculated as mean of the scores from 17 individual questions scored on NRS of 0 to 10, with higher scores indicated worse function. Total score range for WOMAC physical function subscale score was 0 to 10, where higher scores indicated worse function. Baseline, Week 2, 4, 8, 16, 24, 32, 40, 48, 56
Secondary Change From Baseline in Patient Global Assessment (PGA) of Osteoarthritis at Week 2, 4, 8,16, 24, 32, 40, 48 and 56 Participants answered: "Considering all the ways your osteoarthritis in your knee (or hip) affects you, how are you doing today?" Participants responded by using a 5-point scale where 1 = very good (no symptom and limitation of normal activities) and 5 = very poor (very severe symptoms and inability to carry out normal activities). Baseline, Week 2, 4, 8, 16, 24, 32, 40, 48, 56
Secondary Percentage of Participants With Outcome Measures in Rheumatology - Osteoarthritis Research Society International (OMERACT-OARSI) Response OMERACT-OARSI response: greater than or equal to (>=) 50 percent (%) improvement from baseline and absolute change from baseline of >=2 units in WOMAC pain or physical function subscale, or at least 2 of the following 3 being true: >=20% improvement from baseline and absolute change from baseline of >=1 unit in 1) WOMAC pain subscale, 2) WOMAC physical function subscale, 3) PGA of osteoarthritis (score: 1-5, higher score=more affected). WOMAC pain, physical function subscales assess amount of pain/difficulty experienced (score: 0-10, higher score=higher pain/difficulty). Week 2, 4, 8, 16, 24, 32, 40, 48, 56
Secondary Percentage of Participants With At Least 30 Percent (%), 50%, 70% and 90% Reduction in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Pain Subscale Score Percentage of participants with at least 30%, 50%, 70% and 90% reduction from baseline in WOMAC pain subscale score are reported. WOMAC pain subscale is a 5-item questionnaire used to assess the amount of pain experienced due to osteoarthritis in index knee or index hip during past 48 hours. It was calculated as mean of the scores from the 5 individual questions scored on a 0 to 10 NRS, where higher scores indicated higher pain. Total score range for WOMAC pain subscale score is 0 to 10, where higher scores indicated higher pain. Week 2, 4, 8, 16, 24, 32, 40, 48, 56
Secondary Percentage of Participants With Cumulative Reduction From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Pain Subscale Score WOMAC pain subscale is a 5-item questionnaire used to assess the amount of pain experienced due to osteoarthritis in index knee or index hip during past 48 hours. It is calculated as mean of the scores from 5 individual questions scored on a numerical rating scale (NRS) of 0 to 10, where higher scores indicate higher pain. Total score range for WOMAC pain subscale score is 0 to 10, where higher scores indicate higher pain. Participants with specified reduction (as percent) from baseline at Week 16 are reported. Week 2, 4, 8, 16, 24, 32, 40, 48, 56
Secondary Percentage of Participants With Improvement of At Least 2 Points in Patient Global Assessment (PGA) of Osteoarthritis Participants answered: "Considering all the ways your osteoarthritis in your knee (or hip) affects you, how are you doing today?" Participants responded by using a 5-point scale where 1 = very good and 5 = very poor. Improvement signifies a decrease of at least 2 points on the 5-point scale relative to baseline value. Week 2, 4, 8, 16, 24, 32, 40, 48, 56
Secondary Change From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Stiffness Subscale Score at Week 2, 4, 8, 16, 24, 32, 40, 48 and 56 WOMAC stiffness subscale is a 2-item questionnaire used to assess the amount of stiffness experienced due to osteoarthritis in index knee or index hip during past 48 hours. It is calculated as mean of the scores from 2 individual questions scored on NRS of 0 to 10, with higher scores indicate higher stiffness. Total score range for WOMAC stiffness subscale score is 0 to 10, where higher scores indicate higher stiffness. Stiffness is defined as a sensation of decreased ease in movement of knee or hip. Baseline, Week 2, 4, 8, 16, 24, 32, 40, 48, 56
Secondary Change From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Average Score at Week 2, 4, 8, 16, 24, 32, 40, 48 and 56 WOMAC: self-administered, disease-specific 24-item questionnaire which assesses clinically important, participant-relevant symptoms for pain (5 items), stiffness (2 items) and physical function (17 items) in participants with osteoarthritis of knee or hip. Each item was scored on a 0 to 10 NRS scale, where higher scores indicated higher pain/stiffness or worse function. WOMAC average score was the mean of WOMAC pain, physical function and stiffness subscale scores and ranged from 0 to 10, where higher score indicated worse response. Baseline, Week 2, 4, 8, 16, 24, 32, 40, 48, 56
Secondary Change From Baseline in WOMAC Pain Subscale Item: Pain When Walking on a Flat Surface at Week 2, 4, 8, 16, 24, 32, 40, 48 and 56 Participants answered: "How much pain have you had when walking on a flat surface?" Participants responded by using a NRS of 0 to 10, where 0 = no pain and 10 = extreme pain. Baseline, Weeks 2, 4, 8, 16, 24, 32, 40, 48, 56
Secondary Change From Baseline in WOMAC Pain Subscale Item: Pain When Going Up or Down Stairs at Week 2, 4, 8, 16, 24, 32, 40, 48 and 56 Participants answered: "How much pain have you had when going up or down the stairs?" Participants responded by using a NRS of 0 to 10, where 0 = no pain and 10 = extreme pain. Baseline, Weeks 2, 4, 8, 16, 24, 32, 40, 48, 56
Secondary Time to Discontinuation Due to Lack of Efficacy Median time to discontinuation due to lack of efficacy was estimated using Kaplan-Meier method. Baseline up to Week 50
Secondary Number of Participants Who Discontinued Due to Lack of Efficacy Baseline up to Week 50
Secondary Percentage of Participants Who Used Concomitant Analgesic Medication United States Food and Drug Administration (FDA) approved analgesics were permitted as concomitant medications to relieve the pain of osteoarthritis. These medications included opioids, topical analgesics, non-steroidal anti-inflammatory drugs (NSAIDs), capsaicin products and viscosupplementation (example, hyaluronan) and were prescribed at the discretion of the Investigator. Week 2, 4, 8, 16, 24, 32, 40, 48, 56, 64
Secondary Days Per Week of Concomitant Analgesic Medication Usage United States FDA-approved analgesics were permitted as concomitant medications to relieve the pain of OA. These medications included opioids, topical analgesics, NSAIDs, capsaicin products and viscosupplementation (example, hyaluronan) and were prescribed at the discretion of the Investigator. Week 2, 4, 8, 16, 24, 32, 40, 48, 56, 64
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