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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT03161093
Other study ID # R475-OA-1611
Secondary ID 2016-005020-29
Status Completed
Phase Phase 3
First received
Last updated
Start date August 17, 2017
Est. completion date August 27, 2021

Study information

Verified date October 2022
Source Regeneron Pharmaceuticals
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The primary objective of the study is to evaluate the efficacy of fasinumab compared with placebo, when administered for up to 16 weeks in patients with pain due to osteoarthritis (OA) of the knee or hip. The secondary objectives of the study are: 1. To evaluate the efficacy of fasinumab compared with naproxen, when administered for up to 16 weeks in patients with pain due to OA of the knee or hip 2. To evaluate the efficacy of fasinumab compared with placebo, when administered for up to 44 weeks in patients with pain due to OA of the knee or hip 3. To assess the safety and tolerability of fasinumab compared with naproxen, when administered for up to 16 weeks in patients with pain due to OA of the knee or hip 4. To assess the safety and tolerability of fasinumab compared with naproxen, when administered for up to 52 weeks in patients with pain due to OA of the knee or hip 5. To assess the safety and tolerability of fasinumab compared with naproxen, when administered for up to 104 weeks in patients with pain due to OA of the knee or hip 6. To evaluate the pharmacokinetic (PK) profile of fasinumab administered to patients with pain due to OA of the knee or hip for up to 52 weeks 7. To evaluate the PK profile of fasimumab administered to patients with pain due to OA of the knee or hip for up to 104 weeks 8. To evaluate the immunogenicity of fasinumab administered to patients with pain due to OA of the knee or hip for up to 52 weeks 9. To evaluate the immunogenicity of fasinumab administered to patients with pain due to OA of the knee or hip for up to 104 weeks 10. To evaluate the efficacy of fasinumab compared with naproxen, when administered for up to 44 weeks in patients with pain due to OA of the knee or hip


Recruitment information / eligibility

Status Completed
Enrollment 3307
Est. completion date August 27, 2021
Est. primary completion date September 9, 2019
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria include, but are not limited to, the following: Year 1: 1. Male and female patients, at least 18 years of age, at screening 2. A clinical diagnosis of OA of the knee or hip based on the American College of Rheumatology criteria with radiologic evidence of OA (K-L score =2 for the index joint) at the screening visit 3. Moderate to severe pain in the index joint defined at both the screening and randomization visits 4. Willing to discontinue current pain medications and to adhere to study requirements for rescue treatments (acetaminophen/paracetamol) to be taken as needed with a maximum daily dose of 2500 mg (countries where 500 mg strength tablets/capsules are available) or 2600 mg (countries where 325 mg strength tablets/capsules are available) 5. A history of at least 12 weeks of analgesics use for pain due to OA of the knee or hip, as defined by: 1. Inadequate pain relief from acetaminophen/paracetamol AND 2. Intolerance to or inadequate pain relief from opioid or tramadol therapy, unwillingness to take opioid or tramadol therapy for a medically acceptable reason, or lack of access to an opioid or to tramadol 6. Currently using a stable dose of NSAID. 7. Willing to discontinue glucosamine sulfate and chondroitin sulfate treatments during the initial 16 weeks of treatment 8. Stable treatment with glucosamine sulfate and chondroitin sulfate treatments must be stopped during the pre-randomization period 9. Consent to allow all radiographs and medical/surgical/hospitalization records of care received elsewhere prior to and during the study period to be shared with the investigator 10. Willing to maintain current activity and exercise levels throughout the study 11. Willing and able to comply with clinic visits and study-related procedures and willing to provide follow-up information related to any JR surgery that occurs within the period of time covered by their intended participation in the study 12. Able to understand and complete study-related questionnaires Year 2: Note: Any Year 1 patient attending their week 52 visit on or after 26 March 2020 will no longer have the option to enroll into Year 2. 1. Completed the treatment period of Year 1 2. Did not permanently discontinue study drug during Year 1 3. Received no less than 10 of the 13 planned doses of SC study drug during the treatment period of Year 1 4. Provide informed consent for Year 2 5. Willing to continue to maintain current activity and exercise levels throughout Year 2 Exclusion Criteria include, but are not limited to, the following: 1. Non-compliance with the Numeric Rating Scale (NRS) recording during the pre-randomization period 2. History or presence at the screening visit of non-OA inflammatory joint disease, Paget's disease of the spine, pelvis or femur, neuropathic disorders, multiple sclerosis, fibromyalgia, tumors or infections of the spinal cord, or renal osteodystrophy 3. History or presence on imaging of arthropathy, neuropathic joint arthropathy, hip or knee dislocation, extensive subchondral cysts, significant bone collapse or bone loss, or pathologic fractures 4. Trauma to the index joint within 3 months prior to the screening visit 5. Signs or symptoms of carpal tunnel syndrome within 6 months of screening 6. Patient is not a candidate for MRI 7. Is scheduled for a JR surgery to be performed during the study period or who would be unwilling or unable to undergo JR surgery if needed 8. History or presence at the screening visit of autonomic or diabetic neuropathy, or other peripheral neuropathy, including reflex sympathetic dystrophy 9. History or diagnosis of chronic autonomic failure syndrome including pure autonomic failure, multiple system atrophy 10. History of naproxen intolerance, or existence of a medical condition that is high risk for naproxen-associated complications 11. Resting heart rate of <50 beats per minute (bpm) or >100 bpm at the screening or randomization visits 12. History or presence of 2nd or 3rd degree heart block, 1st degree heart block with abnormal Complex of Q, R, and S waves on an electrocardiogram (QRS) complex, or bifascicular block by ECG assessment at the screening visit 13. History or presence of orthostatic hypotension at the screening, prerandomization, or randomization visits 14. History of poorly controlled hypertension 15. Use of systemic corticosteroid within 30 days prior to the screening visit. Intra-articular corticosteroids in the index joint within 12 weeks prior to the screening visit, or to any other joint within 30 days prior to the screening visit 16. Exposure to an anti-Nerve growth factor (NGF) antibody prior to the screening visit or known sensitivity or intolerance to anti-NGF antibodies

Study Design


Related Conditions & MeSH terms


Intervention

Drug:
Fasinumab
Solution for injection in pre-filled syringe
Naproxen
Pharmaceutical form: Capsule
Fasinumab-matching placebo
Solution for injection in pre-filled syringe
Naproxen-matching placebo
Capsule

Locations

Country Name City State
Denmark CCBR Vejle Vejle
Germany Synexus Clinical Research GmbH Berlin
Germany Synexus Clinical Research GmbH Bochum
Germany Synexus Clinical Research GmbH Frankfurt
Germany Synexus Clinical Research GmbH Leipzig Sachsen
Hungary Qualiclinic Kft. Budapest
Hungary Synexus Magyarorszag Kft Budapest
Hungary Synexus Magyarorszag Kft. Debrecen
Hungary Synexus Magyarorszag Kft. Gyula
Hungary BKS Research Kft. Hatvan
Hungary Hevizgyogyfurdo es Szent Andraes ReumaKorhaz Hévíz
Hungary Szabolcs-Szatmar-Bereg Megyei Korhazak es Egyetemi Oktato Korhazak Josa Andras Oktatokorhaza Klinikai Kutatasi Osztaly Nyíregyháza
Hungary Synexus Magyarorszag Egeszsegugyi Kft. Zalaegerszeg
Lithuania Hospital of Lithuanian University of Health Sciences Kaunas Clinics Kaunas
Lithuania Saules Seimos Medicinos Centras, Jsc Kaunas
Lithuania Republican Panevezys Hospital Panevežys
Lithuania Center Outpation Clinic, Public Institution Vilnius
Poland ClinicMed Daniluk, Nowak Sp.j. Bialystok
Poland Synexus Polska Sp. z o.o. Oddzial w Gdansku Gdynia Pomorskie
Poland Synexus Polska Sp. z o.o. Oddzial w Gdyni Gdynia Pomorskie
Poland MCBK Sc lwona Czajkowska Monika Barney Grodzisk Mazowiecki Mazowieckie
Poland Synexus Polska Sp. z o.o. Oddzial w Katowicach Katowice
Poland Krakowskie Centrum Medyczne Sp. z o.o. Kraków Malopolskie
Poland Malopolskie Centrum Kliniczne Kraków
Poland Specjalistyczny Osrodek Medycyny Wieku Dojrzalego Sp. z o.o. Jednostka 02 - SOMED - Lodzkie Centrum Osteoporozy Lódz Lodzkie
Poland Synexus Polska Sp. z o.o Oddzial w Poznaniu Poznan Wielkopolskie
Poland CLINMEDICA RESEARCH OMC, Spolka z Ograniczona Odpowiedzialnoscia Spolka Komandytowa Skierniewice
Poland Specjalistyczny Osrodek Medycyny Wieku Dojrzalego Sp. z o.o. Warszawa Mazowieckie
Poland Synexus Polska Sp. z o.o. Oddzial w Warszawie Warszawa Mazowieckie
Poland Synexus Polska Sp. z o.o. Oddzial we Wroclawiu Wroclaw Dolnoslaskie
Poland Etg Zgierz Zgierz
Romania Clinica Medicala Synexus Ltd. Bucharest
Romania SC Policlinica CCBR SRL Bucharest
Russian Federation "SBEIHPE ""Kazan State Medical University"" of MHSD of Russia" Kazan Tatarstan Republic
Russian Federation "CDCR ""Healthy Joints"" L.L.C." Novosibirsk
Russian Federation City Out-Patient Clinic #109 Saint Petersburg
Russian Federation Samara Regional Clinical Hospital n.a.V.D.Seredavin Samara
Russian Federation "State Autonomous Healthcare Institution of Yaroslavl Oblast ""Clinical Hospital #3""" Yaroslavl
South Africa Mzansi Ethical Research Centre Cape Town Cape Town
South Africa TASK Applied Science Cape Town
South Africa Enhancing Care Durban KwaZulu-Natal
South Africa Synapta Clinical Research Center Durban Kwa-Zulu Natal
South Africa Newtown Clinical Research Johannesburg
South Africa Wits Clinical Research Johannesburg Gauteng
South Africa Langeberg Medicross Medical Centre Kraaifontein Western Cape
South Africa Mzansi Ethical Research Centre Middleburg Middelburg Mpumalanga
South Africa Paarl Research Centre Paarl Western Cape
South Africa Tread Research-Tygerberg Hospital Parow Cape Town
South Africa Global Clinical Trials Pretoria Gauteng
South Africa Synexus SA Stanza Clinical Research Centre Pretoria Gauteng
South Africa Synexus Watermeyer Clinical Research Centre Pretoria Gauteng
South Africa University of Pretoria Pretoria Gauteng
South Africa Roodepoort Medicross Clinical Research Centre Roodepoort Gauteng
South Africa Synexus Helderberg Clinical Trial Centre Somerset West Western Cape
South Africa Soweto Clinical Trials Centre (CTC) Soweto Johannesburg
South Africa Aliwal Shoal Medical Centre Umkomaas Kwa-Zulu Natal
South Africa Welkom Clinical trial Centre Welkom Free State
Spain Complejo Hospitalario Universitario A Coruna A Coruña
Spain CETA Leganes Leganés Madrid
Spain MeDiNova Investigacion y Desarrollo Madrid
Spain Centro De Investigacion Clinica En Enfermedades Cronicas - Cicec Santiago De Compostela
Spain Clínica Nuevas Tecnologias en Diabetes y Endocrinologia (NTDE) Sevilla
Spain Hospital Quiron Salud Infanta Luisa Sevilla
Ukraine "Municipal Establishment ""Cherkasy Regional Hospital of Cherkasy Oblast Council""" Cherkasy
Ukraine Kharkiv City Multispecialty Hospital #18 Kharkiv
Ukraine "Kyiv Railway Clinical Hospital No.2 of branch ""Health Center "" of the PJSC ""Ukrainian Railway""" Kyiv
Ukraine "Subsidiary Company ""Medical Research and Practice Center Medbud of the Public Joint Stock ""Holding Company ""Kyivmiskbud""" Kyiv
Ukraine Medical center of Private High Educational Institute Institute of General Practice-Family Medicine Kyiv
Ukraine Lviv Regional Hospital for veterans of the war and former political prisoners Lviv
United Kingdom Synexus Midlands Clinical Research Centre Birmingham West Midlands
United Kingdom Synexus Wales Clinical Research Centre Cardiff
United Kingdom Synexus Lancashire Clinical Research Centre Chorley Lancashire
United Kingdom Synexus Scotland Clinical Research Centre Glasgow Lanarkshire
United Kingdom Synexus North East Clinical Research Centre - Hexham General Hospital Hexham Northumberland
United Kingdom Synexus Merseyside Clinical Research Centre Liverpool
United Kingdom Synexus Manchester Clinical Research Centre-Manchester Science Park Manchester
United Kingdom MediNova North London Dedicated Research Centre, Mount Vernon Hospital Northwood Middlesex
United Kingdom Synexus Thames Valley Clinical Research Centre Reading Berkshire
United Kingdom Medinova Research East London Clinical Studies Centre Romford
United Kingdom MeDiNova Research Yorkshire Clinical Studies Centre Shipley
United Kingdom MediNova South London Dedicated Research Centre Sidcup
United States Lovelace Scientific Resources, Inc. Albuquerque New Mexico
United States Lynn Institute of Denver Aurora Colorado
United States Arthritis and Rheumatic Disease Specialties Aventura Florida
United States Rheumatology & Pulmonary Clinic Beckley West Virginia
United States United Medical Associates Binghamton New York
United States PMG Research of Raleigh, LLC d/b/a PMG Research of Cary Cary North Carolina
United States Low Country Rheumatology, PA Charleston South Carolina
United States DJL Clinical Research, PLLC Charlotte North Carolina
United States Center for Arthritis and Rheumatic Diseases Chesapeake Virginia
United States Medex Healthcare Research, Inc. Chicago Illinois
United States Northwestern University Chicago Illinois
United States Sterling Research Group, Ltd. Cincinnati Ohio
United States Lynn Institute of the Rockies Colorado Springs Colorado
United States Medvin Clinical Research Covina California
United States Klein & Associates, MD PA Cumberland Maryland
United States Pioneer Research Solutions, Inc. Cypress Texas
United States Altoona Center for Clinical Research Duncansville Pennsylvania
United States TriWest Research Associates, LLC El Cajon California
United States Regional Clinical Research, Inc. Endwell New York
United States Healthcare Research Network II, LLC Flossmoor Illinois
United States Clinical Research Solutions Franklin Tennessee
United States Panorama Orthopedics & Spine Center Golden Colorado
United States Klein & Associates, MD, PA Hagerstown Maryland
United States Hickory Family Practice Associates Hickory North Carolina
United States Peters Medical Research LLC High Point North Carolina
United States Clinical Neuroscience Solutions, Inc. Jacksonville Florida
United States Jacksonville Center for Clinical Research Jacksonville Florida
United States The Center for Pharmaceutical Research Kansas City Missouri
United States PMG Research of Knoxville Knoxville Tennessee
United States BioSolutions Clinical Research La Mesa California
United States Physician Research Collaboration, LLC Lincoln Nebraska
United States Baptist Health Center for Clinical Research Little Rock Arkansas
United States Pacific Arthritis Care Center Los Angeles California
United States Clinical Neuroscience Solutions, Inc. Memphis Tennessee
United States Advanced Clinical Research Meridian Idaho
United States Arizona Arthritis & Rheumatology Research, PLLC Mesa Arizona
United States Southwest Rheumatology Research, LLC Mesquite Texas
United States PMG Research of Charleston, LLC Mount Pleasant South Carolina
United States Medex Healthcare Research New York New York
United States Sensible Healthcare Ocoee Florida
United States Hillcrest Clinical Research Oklahoma City Oklahoma
United States Buffalo Rheumatology and Medicine, PLLC Orchard Park New York
United States Orchard Park Family Practice Orchard Park New York
United States Clinical Neuroscience Solutions, Inc. Orlando Florida
United States Jewett Orthopaedic Clinic Orlando Florida
United States Arizona Research Center Phoenix Arizona
United States Medex Healthcare Research, Inc. Saint Louis Missouri
United States Sundance Clinical Research, LLC Saint Louis Missouri
United States PMG Research of Salisbury, LLC Salisbury North Carolina
United States Artemis Institute for Clinical Research San Diego California
United States Artemis Clinical Research San Marcos California
United States Meridian Clinical Research Savannah Georgia
United States Tucson Orthopaedic Research Center Tucson Arizona
United States Lovelace Scientific Resources Venice Florida
United States Integrated Clinical Trial Services, Inc. West Des Moines Iowa
United States The Center for Rheumatology and Bone Research Wheaton Maryland
United States PMG Research of Winston-Salem, LLC Winston-Salem North Carolina
United States Clinical Pharmacology Study Group Worcester Massachusetts

Sponsors (2)

Lead Sponsor Collaborator
Regeneron Pharmaceuticals Teva Pharmaceutical Industries, Ltd.

Countries where clinical trial is conducted

United States,  Denmark,  Germany,  Hungary,  Lithuania,  Poland,  Romania,  Russian Federation,  South Africa,  Spain,  Ukraine,  United Kingdom, 

Outcome

Type Measure Description Time frame Safety issue
Primary Change in the WOMAC Pain Subscale Scores From Baseline to Week 16 in Participants Treated With Fasinumab 1mg SC Q4W Compared With That of Participants Treated With Placebo The WOMAC index is comprised of 24 parameters grouped in 3 subscales (pain-5 questions, physical function -17 questions and stiffness - 2 questions), with 0-10 grading of each question. The scores for each subscale are summed up, divided by number of questions, and each subscale is reported using Numerical Rating Scale score of 0-10. In addition to subscales, a total score is provided as the sum of normalized subscale scores divided by three, and reported using a Numerical Rating Scale score of 0-10. Higher scores indicate worse pain, stiffness and functional limitations. Baseline to Week 16
Primary Change in the WOMAC Physical Function Subscale Scores From Baseline to Week 16 in Participants Treated With Fasinumab 1mg Q4W Compared With That of Participants Treated With Placebo The WOMAC index is comprised of 24 parameters grouped in 3 subscales (pain-5 questions, physical function -17 questions and stiffness - 2 questions), with 0-10 grading of each question. The scores for each subscale are summed up, divided by number of questions, and each subscale is reported using Numerical Rating Scale score of 0-10. In addition to subscales, a total score is provided as the sum of normalized subscale scores divided by three, and reported using a Numerical Rating Scale score of 0-10. Higher scores indicate worse pain, stiffness and functional limitations. Baseline to Week 16
Primary Change in the WOMAC Pain Subscale Scores From Baseline to Week 16 in Participants Treated With Fasinumab 1mg SC Q8W Compared With That of Participants Treated With Placebo The WOMAC index is comprised of 24 parameters grouped in 3 subscales (pain-5 questions, physical function -17 questions and stiffness - 2 questions), with 0-10 grading of each question. The scores for each subscale are summed up, divided by number of questions, and each subscale is reported using Numerical Rating Scale score of 0-10. In addition to subscales, a total score is provided as the sum of normalized subscale scores divided by three, and reported using a Numerical Rating Scale score of 0-10. Higher scores indicate worse pain, stiffness and functional limitations. Baseline to Week 16
Primary Change in the WOMAC Physical Function Subscale Scores From Baseline to Week 16 in Participants Treated With Fasinumab 1mg Q8W Compared With That of Participants Treated With Placebo The WOMAC index is comprised of 24 parameters grouped in 3 subscales (pain-5 questions, physical function -17 questions and stiffness - 2 questions), with 0-10 grading of each question. The scores for each subscale are summed up, divided by number of questions, and each subscale is reported using Numerical Rating Scale score of 0-10. In addition to subscales, a total score is provided as the sum of normalized subscale scores divided by three, and reported using a Numerical Rating Scale score of 0-10. Higher scores indicate worse pain, stiffness and functional limitations. Baseline to Week 16
Secondary Change in the Patient Global Assessment (PGA) Scores From Baseline to Week 16 in Participants Treated With Fasinumab 1mg Q4W Compared With That of Participants Treated With Placebo The Patient Global Assessment of OA (PGA) is a patient-rated assessment of current disease state on a 5-point Likert scale (1 = very good; 2 = good; 3 = fair; 4 = poor; and 5 = very poor). Baseline to Week 16
Secondary Change in the PGA Scores From Baseline to Week 16 in Participants Treated With Fasinumab 1mg Q4W Compared With That of Participants Treated With Naproxen The Patient Global Assessment of OA (PGA) is a patient-rated assessment of current disease state on a 5-point Likert scale (1 = very good; 2 = good; 3 = fair; 4 = poor; and 5 = very poor). Baseline to Week 16
Secondary Change In The PGA Scores From Baseline To Week 44 In Participants Treated With Fasinumab 1mg Q4W Compared With That Of Participants Treated With Placebo The Patient Global Assessment of OA (PGA) is a patient-rated assessment of current disease state on a 5-point Likert scale (1 = very good; 2 = good; 3 = fair; 4 = poor; and 5 = very poor). Baseline to Week 44
Secondary Percentage Of Participants Treated With Fasinumab 1mg Q4W, Compared With That of Participants Treated With Placebo, Who Had A Response At Week 16, With Response Defined As An Improvement By =30% In The WOMAC Pain Subscale Scores The WOMAC index is comprised of 24 parameters grouped in 3 subscales (pain-5 questions, physical function -17 questions and stiffness - 2 questions), with 0-10 grading of each question. The scores for each subscale are summed up, divided by number of questions, and each subscale is reported using Numerical Rating Scale score of 0-10. In addition to subscales, a total score is provided as the sum of normalized subscale scores divided by three, and reported using a Numerical Rating Scale score of 0-10. Higher scores indicate worse pain, stiffness and functional limitations. Baseline to Week 16
Secondary Percentage of Participants Treated With Fasinumab 1mg Q4W, Compared With That of Participants Treated With Naproxen, Who Had A Response At Week 16, With Response Defined As An Improvement By =30% In The WOMAC Pain Subscale Scores The WOMAC index is comprised of 24 parameters grouped in 3 subscales (pain-5 questions, physical function -17 questions and stiffness - 2 questions), with 0-10 grading of each question. The scores for each subscale are summed up, divided by number of questions, and each subscale is reported using Numerical Rating Scale score of 0-10. In addition to subscales, a total score is provided as the sum of normalized subscale scores divided by three, and reported using a Numerical Rating Scale score of 0-10. Higher scores indicate worse pain, stiffness and functional limitations. Week 16
Secondary Change in WOMAC Pain Subscale Scores From Baseline to Week 16 In Participants Treated With Fasinumab 1mg Q4W, Compared With That of Participants Treated With Naproxen The WOMAC index is comprised of 24 parameters grouped in 3 subscales (pain-5 questions, physical function -17 questions and stiffness - 2 questions), with 0-10 grading of each question. The scores for each subscale are summed up, divided by number of questions, and each subscale is reported using Numerical Rating Scale score of 0-10. In addition to subscales, a total score is provided as the sum of normalized subscale scores divided by three, and reported using a Numerical Rating Scale score of 0-10. Higher scores indicate worse pain, stiffness and functional limitations. Baseline to Week 16
Secondary Change in WOMAC Pain Subscale Scores From Baseline to Week 44 in Participants Treated With Fasinumab 1mg Q4W, Compared With That of Participants Treated With Placebo The WOMAC index is comprised of 24 parameters grouped in 3 subscales (pain-5 questions, physical function -17 questions and stiffness - 2 questions), with 0-10 grading of each question. The scores for each subscale are summed up, divided by number of questions, and each subscale is reported using Numerical Rating Scale score of 0-10. In addition to subscales, a total score is provided as the sum of normalized subscale scores divided by three, and reported using a Numerical Rating Scale score of 0-10. Higher scores indicate worse pain, stiffness and functional limitations. Baseline to Week 44
Secondary Change in WOMAC Pain Subscale Scores From Baseline to Week 44 in Participants Treated With Fasinumab 1 mg Q4W, Compared With That of Participants Treated With Naproxen The WOMAC index is comprised of 24 parameters grouped in 3 subscales (pain-5 questions, physical function -17 questions and stiffness - 2 questions), with 0-10 grading of each question. The scores for each subscale are summed up, divided by number of questions, and each subscale is reported using Numerical Rating Scale score of 0-10. In addition to subscales, a total score is provided as the sum of normalized subscale scores divided by three, and reported using a Numerical Rating Scale score of 0-10. Higher scores indicate worse pain, stiffness and functional limitations. Baseline to Week 44
Secondary Change in WOMAC Physical Function Subscale Scores From Baseline to the Average Score Across Weeks 4, 8, 12 and 16, in Participants Treated With Fasinumab 1 mg Q4W Compared With That of Participants Treated With Placebo The WOMAC index is comprised of 24 parameters grouped in 3 subscales (pain-5 questions, physical function -17 questions and stiffness - 2 questions), with 0-10 grading of each question. The scores for each subscale are summed up, divided by number of questions, and each subscale is reported using Numerical Rating Scale score of 0-10. In addition to subscales, a total score is provided as the sum of normalized subscale scores divided by three, and reported using a Numerical Rating Scale score of 0-10. Higher scores indicate worse pain, stiffness and functional limitations. Baseline to average score across weeks 4, 8, 12 and 16
Secondary Change in WOMAC Physical Function Subscale Scores From Baseline to the Average Score Across Weeks 36, 40 and 44 in Participants Treated With Fasinumab 1mg Q4W Compared With That of Participants Treated With Placebo The WOMAC index is comprised of 24 parameters grouped in 3 subscales (pain-5 questions, physical function -17 questions and stiffness - 2 questions), with 0-10 grading of each question. The scores for each subscale are summed up, divided by number of questions, and each subscale is reported using Numerical Rating Scale score of 0-10. In addition to subscales, a total score is provided as the sum of normalized subscale scores divided by three, and reported using a Numerical Rating Scale score of 0-10. Higher scores indicate worse pain, stiffness and functional limitations. Baseline to average score across weeks 36, 40 and 44
Secondary Change in WOMAC Physical Function Subscale Scores From Baseline to Week 16 in Participants Treated With Fasinumab 1mg Q4W, Compared With That of Participants Treated With Naproxen The WOMAC index is comprised of 24 parameters grouped in 3 subscales (pain-5 questions, physical function -17 questions and stiffness - 2 questions), with 0-10 grading of each question. The scores for each subscale are summed up, divided by number of questions, and each subscale is reported using Numerical Rating Scale score of 0-10. In addition to subscales, a total score is provided as the sum of normalized subscale scores divided by three, and reported using a Numerical Rating Scale score of 0-10. Higher scores indicate worse pain, stiffness and functional limitations. Baseline to Week 16
Secondary Change in WOMAC Physical Function Subscale Scores From Baseline to Week 44 in Participants Treated With Fasinumab 1mg Q4W, Compared With That of Participants Treated With Placebo The WOMAC index is comprised of 24 parameters grouped in 3 subscales (pain-5 questions, physical function -17 questions and stiffness - 2 questions), with 0-10 grading of each question. The scores for each subscale are summed up, divided by number of questions, and each subscale is reported using Numerical Rating Scale score of 0-10. In addition to subscales, a total score is provided as the sum of normalized subscale scores divided by three, and reported using a Numerical Rating Scale score of 0-10. Higher scores indicate worse pain, stiffness and functional limitations. Baseline to Week 44
Secondary Change in WOMAC Physical Function Subscale Scores From Baseline to Week 44 in Participants Treated With Fasinumab 1mg Q4W, Compared With That of Participants Treated With Naproxen The WOMAC index is comprised of 24 parameters grouped in 3 subscales (pain-5 questions, physical function -17 questions and stiffness - 2 questions), with 0-10 grading of each question. The scores for each subscale are summed up, divided by number of questions, and each subscale is reported using Numerical Rating Scale score of 0-10. In addition to subscales, a total score is provided as the sum of normalized subscale scores divided by three, and reported using a Numerical Rating Scale score of 0-10. Higher scores indicate worse pain, stiffness and functional limitations. Baseline to Week 44
Secondary Change In WOMAC Pain Subscale Scores From Baseline To The Average Score Across Weeks 4, 8, 12 And 16, in Participants Treated With Fasinumab 1mg Q4W Compared With That of Participants Treated With Placebo The WOMAC index is comprised of 24 parameters grouped in 3 subscales (pain-5 questions, physical function -17 questions and stiffness - 2 questions), with 0-10 grading of each question. The scores for each subscale are summed up, divided by number of questions, and each subscale is reported using Numerical Rating Scale score of 0-10. In addition to subscales, a total score is provided as the sum of normalized subscale scores divided by three, and reported using a Numerical Rating Scale score of 0-10. Higher scores indicate worse pain, stiffness and functional limitations. Baseline to average score across weeks 4, 8, 12 and 16
Secondary Change in WOMAC Pain Subscale Scores From Baseline To The Average Score Across Weeks 36, 40 And 44 In Participants Treated With Fasinumab 1mg Q4W Compared With That of Participants Treated With Placebo The WOMAC index is comprised of 24 parameters grouped in 3 subscales (pain-5 questions, physical function -17 questions and stiffness - 2 questions), with 0-10 grading of each question. The scores for each subscale are summed up, divided by number of questions, and each subscale is reported using Numerical Rating Scale score of 0-10. In addition to subscales, a total score is provided as the sum of normalized subscale scores divided by three, and reported using a Numerical Rating Scale score of 0-10. Higher scores indicate worse pain, stiffness and functional limitations. Baseline to average score across weeks 36, 40 and 44
Secondary Change in the Patient Global Assessment (PGA) Scores From Baseline to Week 16 in Participants Treated With Fasinumab 1mg Q8W Compared With That of Participants Treated With Placebo The Patient Global Assessment of OA (PGA) is a patient-rated assessment of current disease state on a 5-point Likert scale (1 = very good; 2 = good; 3 = fair; 4 = poor; and 5 = very poor). Baseline to Week 16
Secondary Change in the PGA Scores From Baseline to Week 16 in Participants Treated With Fasinumab 1 mg Q8W Compared With That of Participants Treated With Naproxen The Patient Global Assessment of OA (PGA) is a patient-rated assessment of current disease state on a 5-point Likert scale (1 = very good; 2 = good; 3 = fair; 4 = poor; and 5 = very poor). Baseline to Week 16
Secondary Change In The PGA Scores From Baseline To Week 44 In Participants Treated With Fasinumab 1mg Q8W Compared With That Of Participants Treated With Placebo The Patient Global Assessment of OA (PGA) is a patient-rated assessment of current disease state on a 5-point Likert scale (1 = very good; 2 = good; 3 = fair; 4 = poor; and 5 = very poor). Baseline to Week 44
Secondary Change in WOMAC Pain Subscale Scores From Baseline to Week 16 In Participants Treated With Fasinumab 1mg Q8W, Compared With That of Participants Treated With Naproxen The WOMAC index is comprised of 24 parameters grouped in 3 subscales (pain-5 questions, physical function -17 questions and stiffness - 2 questions), with 0-10 grading of each question. The scores for each subscale are summed up, divided by number of questions, and each subscale is reported using Numerical Rating Scale score of 0-10. In addition to subscales, a total score is provided as the sum of normalized subscale scores divided by three, and reported using a Numerical Rating Scale score of 0-10. Higher scores indicate worse pain, stiffness and functional limitations. Baseline to Week 16
Secondary Change in WOMAC Pain Subscale Scores From Baseline to Week 44 in Participants Treated With Fasinumab 1mg Q8W, Compared With That of Participants Treated With Placebo The WOMAC index is comprised of 24 parameters grouped in 3 subscales (pain-5 questions, physical function -17 questions and stiffness - 2 questions), with 0-10 grading of each question. The scores for each subscale are summed up, divided by number of questions, and each subscale is reported using Numerical Rating Scale score of 0-10. In addition to subscales, a total score is provided as the sum of normalized subscale scores divided by three, and reported using a Numerical Rating Scale score of 0-10. Higher scores indicate worse pain, stiffness and functional limitations. Baseline to Week 44
Secondary Change in WOMAC Physical Function Subscale Scores From Baseline to the Average Score Across Weeks 4, 8, 12 and 16, in Participants Treated With Fasinumab 1 mg Q8W Compared With That of Participants Treated With Placebo The WOMAC index is comprised of 24 parameters grouped in 3 subscales (pain-5 questions, physical function -17 questions and stiffness - 2 questions), with 0-10 grading of each question. The scores for each subscale are summed up, divided by number of questions, and each subscale is reported using Numerical Rating Scale score of 0-10. In addition to subscales, a total score is provided as the sum of normalized subscale scores divided by three, and reported using a Numerical Rating Scale score of 0-10. Higher scores indicate worse pain, stiffness and functional limitations. Baseline to average score across weeks 4, 8, 12 and 16
Secondary Change in WOMAC Physical Function Subscale Scores From Baseline to the Average Score Across Weeks 36, 40 and 44 in Participants Treated With Fasinumab 1mg Q8W Compared With That of Participants Treated With Placebo The WOMAC index is comprised of 24 parameters grouped in 3 subscales (pain-5 questions, physical function -17 questions and stiffness - 2 questions), with 0-10 grading of each question. The scores for each subscale are summed up, divided by number of questions, and each subscale is reported using Numerical Rating Scale score of 0-10. In addition to subscales, a total score is provided as the sum of normalized subscale scores divided by three, and reported using a Numerical Rating Scale score of 0-10. Higher scores indicate worse pain, stiffness and functional limitations. Baseline to average score across weeks 36, 40 and 44
Secondary Change in WOMAC Physical Function Subscale Scores From Baseline to Week 16 in Participants Treated With Fasinumab 1mg Q8W, Compared With That of Participants Treated With Naproxen The WOMAC index is comprised of 24 parameters grouped in 3 subscales (pain-5 questions, physical function -17 questions and stiffness - 2 questions), with 0-10 grading of each question. The scores for each subscale are summed up, divided by number of questions, and each subscale is reported using Numerical Rating Scale score of 0-10. In addition to subscales, a total score is provided as the sum of normalized subscale scores divided by three, and reported using a Numerical Rating Scale score of 0-10. Higher scores indicate worse pain, stiffness and functional limitations. Baseline to Week 16
Secondary Change in WOMAC Physical Function Subscale Scores From Baseline to Week 44 in Participants Treated With Fasinumab 1mg Q8W, Compared With That of Participants Treated With Placebo The WOMAC index is comprised of 24 parameters grouped in 3 subscales (pain-5 questions, physical function -17 questions and stiffness - 2 questions), with 0-10 grading of each question. The scores for each subscale are summed up, divided by number of questions, and each subscale is reported using Numerical Rating Scale score of 0-10. In addition to subscales, a total score is provided as the sum of normalized subscale scores divided by three, and reported using a Numerical Rating Scale score of 0-10. Higher scores indicate worse pain, stiffness and functional limitations. Baseline to Week 44
Secondary Change In WOMAC Pain Subscale Scores From Baseline To The Average Score Across Weeks 4, 8, 12 And 16, in Participants Treated With Fasinumab 1mg Q8W Compared With That of Participants Treated With Placebo The WOMAC index is comprised of 24 parameters grouped in 3 subscales (pain-5 questions, physical function -17 questions and stiffness - 2 questions), with 0-10 grading of each question. The scores for each subscale are summed up, divided by number of questions, and each subscale is reported using Numerical Rating Scale score of 0-10. In addition to subscales, a total score is provided as the sum of normalized subscale scores divided by three, and reported using a Numerical Rating Scale score of 0-10. Higher scores indicate worse pain, stiffness and functional limitations. Baseline to average score across weeks 4, 8, 12 and 16
Secondary Percentage Of Participants Treated With Fasinumab 1mg Q8W, Compared With That of Participants Treated With Placebo, Who Had A Response At Week 16, With Response Defined As An Improvement By =30% In The WOMAC Pain Subscale Scores The WOMAC index is comprised of 24 parameters grouped in 3 subscales (pain-5 questions, physical function -17 questions and stiffness - 2 questions), with 0-10 grading of each question. The scores for each subscale are summed up, divided by number of questions, and each subscale is reported using Numerical Rating Scale score of 0-10. In addition to subscales, a total score is provided as the sum of normalized subscale scores divided by three, and reported using a Numerical Rating Scale score of 0-10. Higher scores indicate worse pain, stiffness and functional limitations. Baseline to Week 16
Secondary Change in WOMAC Pain Subscale Scores From Baseline To The Average Score Across Weeks 36, 40 And 44 In Participants Treated With Fasinumab 1mg Q8W Compared With That of Participants Treated With Placebo The WOMAC index is comprised of 24 parameters grouped in 3 subscales (pain-5 questions, physical function -17 questions and stiffness - 2 questions), with 0-10 grading of each question. The scores for each subscale are summed up, divided by number of questions, and each subscale is reported using Numerical Rating Scale score of 0-10. In addition to subscales, a total score is provided as the sum of normalized subscale scores divided by three, and reported using a Numerical Rating Scale score of 0-10. Higher scores indicate worse pain, stiffness and functional limitations. Baseline to average score across weeks 36, 40 and 44
Secondary Number of Participants With Adjudicated Arthropathy (AA) (as Confirmed by Adjudication) - Year 1 Baseline to Week 52
Secondary Number of Participants With AA (as Confirmed by Adjudication) - Year 2 First dose of study drug in Year 2 through week 104E
Secondary Number of Participants With AA (as Confirmed by Adjudication) - Year 1 and Year 2 Day 1 through week 104E (Extension)
Secondary Number of Participants With Destructive Arthropathy (DA) (as Confirmed by Adjudication) - Year 1 Baseline to Week 52
Secondary Number of Participants With DA (as Confirmed by Adjudication) - Year 2 First dose of study drug in Year 2 through week 104E
Secondary Number of Participants With DA (as Confirmed by Adjudication) - Year 1 and Year 2 Day 1 through week 104E
Secondary Number of Treatment Emergent Adverse Events (TEAEs) - Year 1 Baseline to Week 52
Secondary Number of TEAEs - Year 2 First dose of study drug in Year 2 through week 104E
Secondary Number of TEAEs - Year 1 and Year 2 Day 1 through week 104E
Secondary Number of Participants With at Least 1 Sympathetic Nervous System (SNS) Dysfunction Adverse Event of Special Interest (AESI) - Year 1 Baseline to Week 52
Secondary Number of Participants With at Least 1 Sympathetic Nervous System (SNS) Dysfunction Adverse Event of Special Interest (AESI) - Year 2 First dose of study drug in Year 2 through week 104E
Secondary Number of Participants With at Least 1 Sympathetic Nervous System (SNS) Dysfunction Adverse Event of Special Interest (AESI) - Year 1 and Year 2 Day 1 through week 104E
Secondary Number of Participants With at Least 1 Peripheral Sensory Neuropathy AESI That Require a Neurology or Other Specialty Consultation - Year 1 Baseline to Week 52
Secondary Number of Participants With at Least 1 Peripheral Sensory Neuropathy AESI That Require a Neurology or Other Specialty Consultation - Year 2 First dose of study drug in Year 2 through week 104E
Secondary Number of Participants With at Least 1 Peripheral Sensory Neuropathy AESI That Require a Neurology or Other Specialty Consultation - Year 1 and Year 2 Day 1 through week 104E
Secondary Number of Participants With Any Type of All-Cause Joint Replacement (JR) in Year 1 Baseline to Week 52
Secondary Number of Participants With Any Type of All-Cause JR in Year 2 First dose of study drug in Year 2 through week 104E
Secondary Number of Participants With Any Type of All-Cause Joint Replacement (JR) - Year 1 and Year 2 Day 1 through week 104E
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