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Clinical Trial Details — Status: Terminated

Administrative data

NCT number NCT01089725
Other study ID # A4091027
Secondary ID SC/IV OA STUDY
Status Terminated
Phase Phase 3
First received
Last updated
Start date March 30, 2010
Est. completion date February 18, 2011

Study information

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

Clinical Trial Summary

This is an efficacy and safety study of 3 doses (2.5 mg, 5 mg and 10mg) of tanezumab administered subcutaneously versus placebo. This study will also compare a subcutaneous (SC) administration of 10 mg of tanezumab) with an intravenous (IV) administration of 10 mg of tanezumab. Each person will receive an IV infusion and a SC infusion. The study will last 16 weeks for those who wish to enter a 64-week extension study or 24 weeks for those who do not.


Description:

This study was terminated on 08 Nov 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 385
Est. completion date February 18, 2011
Est. primary completion date November 8, 2010
Accepts healthy volunteers No
Gender All
Age group 18 Years to 99 Years
Eligibility Inclusion Criteria: - Diagnosis of osteoarthritis (OA) of the knee according to American College of Rheumatology (ACR) criteria with a Kellgren- Lawrence score of greater than or equal to 2 - 18 years of age or greater - Two methods of birth control one of which must be barrier if of childbearing potential - Willing to discontinue pain medication except as permitted per protocol Exclusion Criteria: - Pregnancy or wishing to be pregnant during the course of the study, lactating women - Body Mass Index (BMI) greater than 39 - Clinically significant cardiac, neurological, psychiatric conditions and other conditions that are excluded by the protocol. - Previous exposure to a Nerve Growth Factor (NGF) antibody

Study Design


Related Conditions & MeSH terms


Intervention

Biological:
Placebo IV
1 ml of placebo administered SC and IV once every 8 weeks.
Placebo SC
1 ml of placebo administered SC and IV once every 8 weeks.
Tanezumab SC
1 ml tanezumab injection SC administered every 8 weeks
Placebo IV
1 ml placebo administered IV every 8 weeks
Tanezumab SC
1 ml tanezumab injection SC administered every 8 weeks
Placebo IV
1ml placebo administered IV every 8 weeks
Tanezumab SC
1 ml tanezumab injection SC administered every 8 weeks
Placebo IV
1ml placebo administered IV every 8 weeks
Tanezumab IV
1 ml tanezumab injection IV administered every 8 weeks
Placebo SC
1ml placebo administered SC every 8 weeks

Locations

Country Name City State
United States Advanced Clinical Research Institute Anaheim California
United States West Coast Radiology Center Anaheim California
United States Ann Arbor Clinical Reserch Ann Arbor Michigan
United States FutureSearch Trials of Neurology Austin Texas
United States Tekton Research, Inc Austin Texas
United States Tekton Research, Inc. Austin Texas
United States Billings Clinic Infusion Center Billings Montana
United States Billings Clinic Research Center Billings Montana
United States Sonoma Clinical Research, LLC. Boise Idaho
United States Sonora Clinical Research Boise Idaho
United States Beacon Clinical Research, LLC Brockton Massachusetts
United States Providence Clinical Research Burbank California
United States PMG Research of Charlotte Charlotte North Carolina
United States Charlottesville Medical Research Charlottesville Virginia
United States Apex Medical Research, AMR, Inc. Chicago Illinois
United States Community Research Cincinnati Ohio
United States Sterling Research Group, Ltd. Cincinnati Ohio
United States Mountain State Clinical Research Clarksburg West Virginia
United States Innovative Research of West Florida, Inc. Clearwater Florida
United States Nature Coast Clinical Research Crystal River Florida
United States Altoona Center for Clinical Research Duncansville Pennsylvania
United States Colorado Hematology Englewood Colorado
United States Colorado Orthopedic Consultants, P.C. Englewood Colorado
United States Fleming Island Center for Clinical Research Fleming Island Florida
United States Arthritis Treatment Center Frederick Maryland
United States Valley Research Fresno California
United States Greensboro Imaging Greensboro North Carolina
United States Pharmquest Greensboro North Carolina
United States Arthritis Associates, PLLC Hattiesburg Mississippi
United States East-West Medical Research Institute Honolulu Hawaii
United States Accurate Clinical Research Houston Texas
United States Asif Cochinwala, MD, P.A. Houston Texas
United States Clinical Trial Network Houston Texas
United States Houston Institute for Clinical Research Houston Texas
United States Little York Medical Center Houston Texas
United States Mercury Clinical Research Houston Texas
United States Pioneer Research Solutions, Inc Houston Texas
United States Westbury Medical Clinic Houston Texas
United States Jacksonville Center for Clinical Research Jacksonville Florida
United States Westside Center for Clinical Research Jacksonville Florida
United States SoFHA Clinical Research Johnson City Tennessee
United States Internist Associates of Texas Kingwood Texas
United States Allergy and Rheumatology Medical Clinic, Inc. La Jolla California
United States Triwest Research Associates La Mesa California
United States BayCare Outpatient Imaging at Bardmoor Largo Florida
United States G. Timothy Kelly, MD Las Vegas Nevada
United States Lebanon Internal Medicine Associates Lebanon Pennsylvania
United States Bluegrass Community Research, Inc. Lexington Kentucky
United States Physician Research Collaboration, LLC Lincoln Nebraska
United States Novara Clinical Research Mesa Arizona
United States BenchMark Research Metairie Louisiana
United States Vaughn H. Mancha, Jr., MD, PC Montgomery Alabama
United States Coastal Carolina Research Center Mount Pleasant South Carolina
United States Accurate Clinical Research Inc Nassau Bay Texas
United States Synergy Clinical Research Center National City California
United States LION Research Norman Oklahoma
United States McBride Clinic Norman Oklahoma
United States Health Research Institute Oklahoma City Oklahoma
United States Midwest Minor Medical Omaha Nebraska
United States Midwest Minor Medical Omaha Nebraska
United States Midwest Minor Medical Omaha Nebraska
United States Quality Clinical Research, Inc. Omaha Nebraska
United States Sunshine Research Center Opa-locka Florida
United States Founders Research Corporation Philadelphia Pennsylvania
United States Redpoint Research Phoenix Arizona
United States DMI Research, Inc. Pinellas Park Florida
United States Clinical Investigations of Texas, LLC Plano Texas
United States Wake Internal Medicine Consultants, Inc. Raleigh North Carolina
United States Wake Research Associates, LLC Raleigh North Carolina
United States Health Concepts Rapid City South Dakota
United States Hypothe Test, LLC Roanoke Virginia
United States Andrew Porges, MD, PC Roslyn New York
United States Benchmark Research Sacramento California
United States St. Petersburg Arthritis Center Saint Petersburg Florida
United States Benchmark Research San Angelo Texas
United States Probe Clinical Research Corp. Santa Ana California
United States Trinity Clinical Trials Santa Ana California
United States Stamford Therapeutics Consortium Stamford Connecticut
United States Pioneer Research Solutions, Inc Sugar Land Texas
United States Troy Internal Medicine, PC Troy Michigan
United States FMC Clinical Trials Upland California
United States Office of Cynthia Morgan, MD Washington District of Columbia
United States Advanced Clinical Research West Jordan Utah
United States The Center for Rheumatology and Bone Research Wheaton Maryland
United States Professional Research Network of Kansas, LLC Wichita Kansas
United States Wichita Clinic PA Wichita Kansas
United States Grayline Clinical Drug Trials Wichita Falls Texas
United States North Georgia Clinical Research Woodstock Georgia
United States North Georgia Internal Medicine Woodstock Georgia
United States Clinical Pharmacology Study Group Worcester Massachusetts
United States Clinical Research Center of Reading, LLP Wyomissing 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 Treatment-Emergent Adverse Events (AEs) and 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. An 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 treatment
Other Number of Participants With Abnormal Laboratory Findings Laboratory examination included blood chemistry, hematology and urinalysis. Reported results include abnormal laboratory findings without regard to baseline abnormality. Day 1 up to Week 24
Other Number of Participants With Abnormal Electrocardiogram (ECG) Findings Following parameters were analyzed for ECG abnormality: PR interval, QRS interval, QT interval, QT interval corrected using the Fridericia's formula (QTcF), QT interval corrected using the Bazett's formula (QTcB), RR interval and heart rate (HR). Number of participants with clinically significant abnormal ECG findings reported as adverse events were presented. Baseline up to Week 24
Other Change From Baseline in Neuropathy Impairment Score (NIS) at Weeks 2, 4, 8, 12, 16, and 24 The NIS constitutes the sum of 37 standard items of neuromuscular examination used to assess the muscle strength, reflexes and sensation. Each item is scored separately for left and right sides. Components of muscle weakness (24 items) are scored on a scale from 0 (normal) to 4 (paralysis), with higher score = more weakness; components of reflexes and sensation (13 items) scored on a scale with 0 = normal, 1 = decreased or 2 = absent. Total NIS score range 0-244 with higher score = more impairment. Baseline, Weeks 2, 4, 8, 12, 16, and 24
Other Number of Participants With Anti-drug Antibodies (ADA) 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). Same participant may have positive ADA result at more than 1 time point. Baseline, Weeks 8, 16, 24 or Early Termination
Other Number of Participants With Abnormal Physical Examination Findings Physical examination included examination of following sites in addition to general examination: abdomen, ears, extremities, eyes, head, heart, musculoskeletal, neck, nose, skin, throat, lungs and thyroid. Baseline up to Week 24
Other Number of Participants With Clinically Significant Abnormality in Vital Signs Following parameters were analyzed for examination of vital signs: body temperature, blood pressure, pulse rate and respiratory rate. Number of participants with clinically significant abnormality in vital signs reported as adverse events were presented. Baseline to Week 24
Other Number of Participants With Injection and Infusion Site Reactions The injection and infusion site reactions were assessed based on presence of erythema (redness), induration (swelling), ecchymosis (bruising), pruritus (itching) and pain that occurred after administration of subcutaneous injection or intravenous infusion. Baseline, Weeks 1, 2, 4, 8, 12, 16, and 24
Other Plasma Tanezumab Concentration Baseline (pre-dose), Weeks 1, 2, 4, 8 (pre-dose), 12, 16, 24 or End of treatment
Other Total and Free Nerve Growth Factor (NGF) Concentration Serum samples were analyzed for determining total and free (unbound) NGF concentration. Total NGF was analyzed using a validated, sensitive and specific immunoaffinity enrichment liquid chromatography tandem mass spectrometric (IA/LC/MS/MS) method and free (unbound) NGF was analyzed using a validated, sensitive, and specific electrochemiluminescence (ECL) ligand binding assay. Baseline (pre-dose), Weeks 1, 2, 4, 8 (pre-dose), 12, 16, and 24 or End of treatment
Other Number of Participants With Intravenous or Subcutaneous Doses of Study Medication Number of participants were reported based on the maximum number of intravenous or subcutaneous doses of either tanezumab or placebo received. Baseline up to Week 8
Primary Change From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Pain Subscale Score at Week 16 The WOMAC pain subscale is a 5-item questionnaire used to assess the amount of pain experienced due to osteoarthritis in the index knee in the past 48 hours. It is calculated as the mean of the scores from the 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. Baseline, Week 16
Primary Change From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Physical Function Subscale Score at Week 16 The WOMAC physical function subscale is a 17-item questionnaire used to assess the degree of difficulty experienced due to osteoarthritis in the index joint in the past 48 hours. It is calculated as the mean of the scores from the 17 individual questions scored on a NRS of 0 to 10, where higher scores indicate worse function. Total score range for WOMAC physical function subscale score is 0 to 10, where higher scores indicate worse function. Baseline, Week 16
Primary Change From Baseline in Patient's Global Assessment (PGA) of Osteoarthritis Score at Week 16 Participants answered the question: "Considering all the ways your osteoarthritis in your knee affects you, how are you doing today?" Participants responded by using a 5-point scale where 1 = very good (asymptomatic and no limitation of normal activities), 2 = good (mild symptoms and no limitation of normal activities), 3 = fair (moderate symptoms and limitation of some normal activities), 4 = poor (severe symptoms and inability to carry out most normal activities) and 5 = very poor (very severe symptoms which are intolerable and inability to carry out all normal activities). Higher score indicated severe condition. Baseline, Week 16
Secondary Change From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Pain Subscale at Weeks 1, 2, 4, 8, and 12 The WOMAC pain subscale is a 5-item questionnaire used to assess the amount of pain experienced due to osteoarthritis in the index knee in the past 48 hours. It is calculated as the mean of the scores from the 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. Baseline, Weeks 1, 2, 4, 8, and 12
Secondary Change From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Physical Function Subscale at Weeks 1, 2, 4, 8, and 12 The WOMAC physical function subscale is a 17-item questionnaire used to assess the degree of difficulty experienced due to osteoarthritis in the index joint in the past 48 hours. It is calculated as the mean of the scores from the 17 individual questions scored on a NRS of 0 to 10, where higher scores indicate worse function. Total score range for WOMAC physical function subscale score is 0 to 10, where higher scores indicate worse function. Baseline, Weeks 1, 2, 4, 8, and 12
Secondary Change From Baseline in Patient Global Assessment (PGA) of Osteoarthritis at Weeks 1, 2, 4, 8, and 12 Participants answered the question: "Considering all the ways your osteoarthritis in your knee affects you, how are you doing today?" Participants responded by using a 5-point scale where 1 = very good (asymptomatic and no limitation of normal activities), 2 = good (mild symptoms and no limitation of normal activities), 3 = fair (moderate symptoms and limitation of some normal activities), 4 = poor (severe symptoms and inability to carry out most normal activities) and 5 = very poor (very severe symptoms which are intolerable and inability to carry out all normal activities). Higher score indicated severe condition. Baseline, Weeks 1, 2, 4, 8, and 12
Secondary Percentage of Participants With Outcome Measures in Rheumatology - Osteoarthritis Research Society International (OMERACT-OARSI) Response The OMERACT-OARSI responder index is based on 3 parameters. OMERACT-OARSI response: greater than or equal to (>=) 50 percent (%) improvement from baseline and absolute change from baseline of >=2 units at week of interest 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 at week of interest in 1) WOMAC pain subscale, 2) WOMAC physical function subscale, 3) PGA of osteoarthritis (score range: 1-5, higher score=more affected). WOMAC pain, physical function subscales assess amount of pain/difficulty experienced (score range: 0-10, higher score=higher pain/difficulty). Weeks 1, 2, 4, 8, 12, and 16
Secondary Percentage of Participants With at Least 30%, 50%, 70% and 90% Reduction From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Pain Subscale Score The WOMAC pain subscale is a 5-item questionnaire used to assess the amount of pain experienced due to osteoarthritis in the index knee in the past 48 hours. It is calculated as the mean of the scores from the 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. Weeks 1, 2, 4, 8, 12, and 16
Secondary Number of Participants With Cumulative Reduction From Baseline in Western Ontario and McMaster Universities Osteoarthritis (WOMAC) Pain Subscale Score at Weeks 1, 2, 4, 8, 12, and 16 The WOMAC pain subscale is a 5-item questionnaire used to assess the amount of pain experienced due to osteoarthritis in the index knee in the past 48 hours. It is calculated as the mean of the scores from the 5 individual questions scored on a 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. Weeks 1, 2, 4, 8, 12, 16
Secondary Number of Participants With Improvement of at Least 2 Points in Patient's Global Assessment (PGA) of Osteoarthritis Participants answered the question: "Considering all the ways your osteoarthritis in your knee affects you, how are you doing today?" Participants responded by using a 5-point scale where 1 = very good (asymptomatic and no limitation of normal activities), 2 = good (mild symptoms and no limitation of normal activities), 3 = fair (moderate symptoms and limitation of some normal activities), 4 = poor (severe symptoms and inability to carry out most normal activities) and 5 = very poor (very severe symptoms which are intolerable and inability to carry out all normal activities). Higher score indicated severe condition. Improvement signifies a decrease of at least 2 points on the 5-point scale relative to baseline value. Weeks 1, 2, 4, 8, 12, and 16
Secondary Change From Baseline in Average Pain Score in the Index Knee at Weeks 1, 2, 4, 8, 12 and 16 Participants assessed average osteoarthritis pain in their knee in the past 24 hours on an 11-point NRS ranging from 0 (no pain) to 10 (worst pain). Higher score indicated greater pain. Baseline score was calculated as the mean of the scores over the 3 days in the initial pain assessment period and a weekly mean was calculated using the daily pain scores within each study week. Baseline, Weeks 1, 2, 4, 8, 12, and 16
Secondary Change From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Stiffness Subscale Score at Weeks 1, 2, 4, 8, 12, and 16 The WOMAC stiffness subscale is a 2-item questionnaire used to assess the amount of stiffness experienced in the index joint in the past 48 hours. It is calculated as the mean of the scores from the 2 individual questions scored on NRS of 0 to 10, with higher scores indicating more stiffness. Total score range for WOMAC stiffness subscale score is 0 to 10, where higher scores indicate more stiffness. Stiffness is defined as a sensation of decreased ease in movement of the knee. Baseline, Weeks 1, 2, 4, 8, 12, and 16
Secondary Change From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Average Score at Weeks 1, 2, 4, 8, 12, and 16 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. WOMAC average score is the mean of WOMAC pain, physical function and stiffness subscale scores. WOMAC pain, physical function and stiffness subscale and average score ranges from 0 to 10, where higher score indicates worse response. Baseline, Weeks 1, 2, 4, 8, 12, and 16
Secondary Change From Baseline For Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Pain Subscale Item: Pain When Walking on a Flat Surface at Weeks 1, 2, 4, 8, 12, and 16 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. Higher score indicated greater pain. Baseline, Weeks 1, 2, 4, 8, 12, and 16
Secondary Change From Baseline For Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Pain Subscale Item: Pain When Going Up or Down Stairs at Weeks 1, 2, 4, 8, 12, and 16 Participants answered: "How much pain have you had when going up or down stairs?" Participants responded by using a NRS of 0 to 10, where 0 = no pain and 10 = extreme pain. Higher score indicated greater pain. Baseline, Weeks 1, 2, 4, 8, 12, and 16
Secondary Change From Baseline in 36-Item Short-Form Health Survey Version 2 (SF-36v2) Domain Scores at Week 16 SF-36v2 is a standardized self-administered survey evaluating 8 aspects/domains of functional health and well-being: physical and social functioning, physical and emotional role limitations, bodily pain, general health, vitality, mental health. The total score for each domain is scaled 0-100 (100 = highest level of functioning). Baseline, Week 16
Secondary Change From Baseline in 36-Item Short-Form Health Survey Version 2 (SF-36v2) Physical and Mental Component Scores at Week 16 SF-36v2: standardized self-administered survey evaluating 8 aspects of functional health and wellbeing (physical and social functioning, physical and emotional role limitations, bodily pain, general health, vitality, mental health). Total score for each aspect were scaled 0-100 (100=highest level of functioning). For obtaining physical and mental component scores, z-score for each scale=(observed score - mean score for general 1990 United States [US] population)/corresponding standard deviation. The 2 component scores were obtained by multiplying each aspect z-score by physical or mental factor score coefficient (1990 general US population) and summing the eight products. Component scores indicated how many standard deviations higher (in case of positive z-score [better functioning])/lower (in case of negative z-score [worse functioning]) participant's value was relative to the mean of the reference population. Baseline, Week 16
Secondary Time to Discontinuation Due to Lack of Efficacy Median time to discontinuation due to lack of efficacy for participants who discontinued due to lack of efficacy was reported. Baseline up to Week 24
Secondary Percentage of Participants Who Used Rescue Medication In case of inadequate pain relief for osteoarthritis, acetaminophen up to 3000 mg per day up to 3 days per week could be taken as rescue medication. Incidence of rescue medication use is calculated as any use of rescue medication during the study week in question. Weeks 1, 2, 4, 8, 12, and 16
Secondary Duration of Rescue Medication Use In case of inadequate pain relief for osteoarthritis, acetaminophen up to 3000 mg per day up to 3 days per week could be taken as rescue medication. Duration of rescue medication use is calculated as the number of study days per week when any rescue medication was taken. Weeks 1, 2, 4, 8, 12, and 16
Secondary Amount of Rescue Medication Taken In case of inadequate pain relief for osteoarthritis, acetaminophen up to 3000 mg per day up to 3 days per week could be taken as rescue medication. The amount of rescue medication taken is the total dose (in mg) of acetaminophen rescue medication over the study week in question. Weeks 1, 2, 4, 8, 12, and 16
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