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Clinical Trial Details — Status: Terminated

Administrative data

NCT number NCT00863772
Other study ID # A4091026
Secondary ID NERVE SAFETY STU
Status Terminated
Phase Phase 3
First received
Last updated
Start date May 18, 2009
Est. completion date November 16, 2010

Study information

Verified date December 2020
Source Pfizer
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

Tanezumab reduces pain of osteoarthritis without affecting how nerve impulses are transmitted in sensory nerves.


Description:

This study was terminated on 16 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 220
Est. completion date November 16, 2010
Est. primary completion date November 16, 2010
Accepts healthy volunteers No
Gender All
Age group 18 Years to 99 Years
Eligibility Inclusion Criteria: - BMI less or equal to 39 kg/m2 - Osteoarthritis (arthritis) of the knee or hip with pain score that qualifies - Willing to comply with study visit schedule and study requirements, including, for women of child-bearing potential or male patients with female partners of child-bearing potential, the use of 2 forms of birth control, one of which is a barrier method. - Patients must consent in writing to participate in the study. Exclusion Criteria: - Untreated, uncontrolled diseases, - Unwilling or unable to discontinue the use of prohibited medications, including other pain medications, during the screening period and during the study, - Significant cardiac disease within the past 6 months - Significant neurological disease (e.g. peripheral neuropathy, multiple sclerosis, stroke) or signs of neuropathy at screening - Known bleeding disorder or anticoagulation therapy - Planned surgery during the study period - History of alcoholism or drug abuse in the past 2 years - Unable to use acetaminophen - Use of a biologic (including live vaccines, with the exception of Flumist) within the past 3 months - Allergic reaction to a biologic or an antibody in the past - Disqualifying laboratory values, including Hepatitis B or C, HIV or drug test - Cancer in the past 5 years. Basal cell or squamous cell carcinoma are okay. - Medical condition that may interfere with study endpoints or safety of the subject as determined by the investigator.

Study Design


Related Conditions & MeSH terms


Intervention

Biological:
tanezumab
5 mg dose Intravenously every 8 weeks for duration of study
tanezumab
10 mg dose Intravenously every 8 weeks for duration of study
Other:
Placebo
Placebo, Intravenously, every 8 weeks for duration of study

Locations

Country Name City State
United States Altoona Hospital Campus Altoona Pennsylvania
United States Blair Medical Associates Altoona Pennsylvania
United States Blair Neurologic Associates Altoona Pennsylvania
United States Blair Orthopedic Associates, Inc. Altoona Pennsylvania
United States Bon Secour Campus Altoona Pennsylvania
United States AAMR Research Clinic, PA Amarillo Texas
United States Amarillo Diagnostic Clinic Amarillo Texas
United States IntegraTrials, L.L.C Arlington Virginia
United States TLC Neurology, P.L.L.C Arlington Virginia
United States Virginia Hospital Center Arlington Virginia
United States Asheville Imaging Asheville North Carolina
United States Asheville Neurology Asheville North Carolina
United States Biltmore Medical Associates Asheville North Carolina
United States Clinical Study Center of Asheville, LLC Asheville North Carolina
United States Atlanta Center for Medical Research Atlanta Georgia
United States Atlanta Neurology Atlanta Georgia
United States Diagnostic Imaging of Atlanta Atlanta Georgia
United States NeuroTrials Research, Incorporated Atlanta Georgia
United States JEM Research, LLC Atlantis Florida
United States Medical Specialists of the Palm Beaches Atlantis Florida
United States JDP Medical Research, LLC Aurora Colorado
United States Northwest Neurology, P.C. Austell Georgia
United States Northwestern Lake Forest Hospital Diagnostic Imaging Centers Bannockburn Illinois
United States Northwest Clinical Research Center Bellevue Washington
United States Bend Memorial Clinic Bend Oregon
United States North Star Neurology Bend Oregon
United States Bradenton Research Center, Inc Bradenton Florida
United States Manatee Internal Medicine Bradenton Florida
United States Alpine Neurology Centennial Colorado
United States Peak Anesthesia Centennial Colorado
United States Rush University Medical Center Chicago Illinois
United States Dr. Michael Vengrow Dallas Texas
United States Radiant Research, Inc. Dallas Texas
United States Atlanta Knee and Sports Medicine Decatur Georgia
United States Jefrey D. Lieberman, MD Decatur Georgia
United States Joseph D. Weissman, MD Decatur Georgia
United States Neurology Specialists of Decatur Decatur Georgia
United States Southeastern Center for Clinical Trials Decatur Georgia
United States Altoona Center for Clinical Research Duncansville Pennsylvania
United States Elkhart Clinic, LLC Elkhart Indiana
United States Evergreen Neurology and Neurodiagnostics, PLLC Everett Washington
United States Clinical Physiology Associates Fort Myers Florida
United States Harris Bonnette, MD Fort Myers Florida
United States Coastal Carolina Research Center in Goose Creek Goose Creek South Carolina
United States Tidewater Neurology Goose Creek South Carolina
United States Neurology Associates, PA Hickory North Carolina
United States Unifour Medical Research Associates, LLC Hickory North Carolina
United States Unifour Medical Research Associates, LLC Hickory North Carolina
United States Sunrise Clinical Research, Inc Hollywood Florida
United States Sunrise Clinical Research, Inc. Hollywood Florida
United States Foundation for Southwest Orthopedic Research Houston Texas
United States The Neurology Center Houston Texas
United States Indiana University School of Medicine Indianapolis Indiana
United States University Hospital Indianapolis Indiana
United States NEA Baptist Clinic Jonesboro Arkansas
United States Neurological Associates of Long Island, P.C. Lake Success New York
United States Clinical Neurology Specialists Las Vegas Nevada
United States G. Timothy Kelly, MD Las Vegas Nevada
United States Caldwell Memorial Hospital Lenoir North Carolina
United States Northstate Clinical Research Lenoir North Carolina
United States International Research Associates, LLC Miami Florida
United States Pharmax Research Clinic, Inc Miami Florida
United States Consultants in Neurology, Ltd. Northbrook Illinois
United States The Arthritis Center Palm Harbor Florida
United States Pembroke Clinical Trials Pembroke Pines Florida
United States Pines Neurological Associates Pembroke Pines Florida
United States Pines Neurological Associates Pembroke Pines Florida
United States Advent Clinical Research Center Pinellas Park Florida
United States Advent Clinical Research Centers, Inc Pinellas Park Florida
United States Berma Research Group Plantation Florida
United States Hypothe Test, LLC Roanoke Virginia
United States Mayo Clinic Rochester Rochester Minnesota
United States Andrew J. Porges, M.D. PC Roslyn New York
United States Carol L. Pappas MD, PhD Saint Petersburg Florida
United States Carol L. Pappas, M.D. PhD Saint Petersburg Florida
United States Dale G. Bramlet, MD, P.L. Saint Petersburg Florida
United States Baptist M&S Imaging San Antonio Texas
United States Christine L. Truitt, MD San Antonio Texas
United States Diagnostics Research Group San Antonio Texas
United States Neurodiagnostic Laboratories of San Antonio, Inc San Antonio Texas
United States Neurodiagnostic Laboratories of San Antonio, Inc. San Antonio Texas
United States Paragon Research Center, LLC San Antonio Texas
United States Radiant Research Inc. San Antonio Texas
United States Sun Research Institute San Antonio Texas
United States Kennedy-White Orthopaedic Center Sarasota Florida
United States Ronal Aung-Din, MD Sarasota Florida
United States Ronald Aung-Din, MD Sarasota Florida
United States Sarasota Center for Clinical Research Sarasota Florida
United States Arthritis & Rheumatic Care Center South Miami Florida
United States Miami Research Associates South Miami Florida
United States Neuroscience Consultants, LLC South Miami Florida
United States Tampa Medical Group, P.A. Tampa Florida
United States Tampa Neurology Associates Tampa Florida
United States Ohio Research Center Toledo Ohio
United States Lovelace Scientific Resources, Inc Venice Florida
United States Radiology Associates of Venice & Englewood Venice Florida
United States Venice Arthritis Center Venice Florida

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 Intravenous Doses of Study Medication Number of participants are reported based on the maximum number of intravenous (IV) doses of either tanezumab or placebo received. Day 1 up to Week 24
Primary Change From Baseline in 5 Nerve Conduction Tests-Normal Deviate and Heart Rate Deep Breathing-Normal Deviate (5NC [nd] + HRdb [nd]) Composite Score at Week 24: Intent to Treat (ITT) Analysis Set 5NC(nd)+HRdb(nd)composite score included 5 Nerve Conduction Studies(NCS)attributes(peroneal motor nerve distal latency [MNDL],peroneal nerve compound muscle action potential[CMAP],peroneal motor nerve conduction velocity[MNCV],tibial MNDL,sural sensory nerve action potential amplitude [SNAP])and HRdb value. Values of attributes scored as percentile(calculated from distribution of normal values corresponding to participant's baseline demographic characteristics),then expressed as normal deviate(nd)score based on standard normal distribution.Score >0=worse response,less than(<)0=better response compared to normal matched population.Score change>0=worsening,<0=improvement compared to baseline.2 neurological visits(NVs) were conducted both at baseline and Week 24. NCS measurements were collected once at each NV.HRdb measurements were collected twice and highest nd score was selected at each NV. Mean of selected measurements at each NV was calculated to obtain Baseline and Week 24 values. Baseline, Week 24
Primary Change From Baseline in 5 Nerve Conduction Tests-Normal Deviate and Heart Rate Deep Breathing-Normal Deviate (5NC [nd] + HRdb [nd]) Composite Score at Week 24: Per Protocol Analysis Set (PPAS) 5NC(nd)+HRdb(nd)composite score included 5 Nerve Conduction Studies(NCS)attributes(peroneal motor nerve distal latency [MNDL],peroneal nerve compound muscle action potential[CMAP],peroneal motor nerve conduction velocity[MNCV],tibial MNDL,sural sensory nerve action potential amplitude [SNAP])and HRdb value. Values of attributes scored as percentile(calculated from distribution of normal values corresponding to participant's baseline demographic characteristics),then expressed as normal deviate(nd)score based on standard normal distribution.Score >0=worse response,less than(<)0=better response compared to normal matched population.Score change>0=worsening,<0=improvement compared to baseline.2 neurological visits(NVs) were conducted both at baseline and Week 24. NCS measurements were collected once at each NV.HRdb measurements were collected twice and highest nd score was selected at each NV. Mean of selected measurements at each NV was calculated to obtain Baseline and Week 24 values. Baseline, Week 24
Secondary Change From Baseline in Neuropathy Impairment Score - Lower Limbs [NIS (LL)] at Week 24 NIS-LL: assess muscle weakness, reflexes, sensation; scored separately for left and right limbs. Components of muscle weakness (hip and knee flexion, hip and knee extension, ankle dorsiflexors, ankle plantar flexors, toe extensors, toe flexors) scored on scale 0 (normal) to 4 (paralysis), higher score=greater weakness. Components of reflexes (quadriceps femoris, triceps surae); sensation (touch pressure, pin-prick, vibration, joint position) scored 0 = normal, 1 = decreased, or 2 = absent. NIS-LL score: sum of scores of NIS items 17-24, 28-29 and 34-37. Total possible NIS-LL score range 0-88, high score = more impairment. Baseline, Week 24
Secondary Change From Baseline in Neuropathy Impairment Score (NIS) at Week 24 NIS: 74 items, assess muscle weakness, reflexes and sensation; scored separately for left, right limbs (37 items for each side). Components of muscle weakness are 24 items and scored on scale 0 (normal) to 4 (paralysis), higher score=greater weakness. Components of reflexes and sensation are 13 items and scored 0 = normal, 1= decreased, or 2 = absent. Total possible NIS score range 0 to 244, higher score = greater impairment. Baseline, Week 24
Secondary Change From Baseline in Neuropathy Symptoms and Change (NSC) Score at Week 24 NSC score is the number of the 38 symptom questions where the participants indicated experiencing the symptom to any severity. Total score range: 0 to 38 where higher score indicated more symptoms. A change from Baseline > 0 indicated some symptoms of peripheral neuropathy. Baseline, Week 24
Secondary Change From Baseline in Peroneal Compound Muscle Action Potential Amplitude (CMAP) Score at Week 24: ITT Analysis Set Peroneal motor nerve compound muscle action potential amplitude (in millivolts) was measured using electromyography of the left lower limb. Values were scored as percentiles (calculated from distribution of normal values corresponding to participant's baseline demographic characteristics), then expressed as normal deviate (nd) score based on standard normal distribution. Score <0 indicated worse response and >0 indicated better response than the normal matched population. Score change <0 indicated worsening and >0 indicated improvement as compared to baseline. 2 neurological visits (NVs) were conducted both at baseline and Week 24. Mean of the two NV measurements was calculated to obtain Baseline and Week 24 values. Baseline, Week 24
Secondary Change From Baseline in Peroneal Compound Muscle Action Potential Amplitude (CMAP) Score at Week 24: PPAS Peroneal motor nerve compound muscle action potential amplitude (in millivolts) was measured using electromyography of the left lower limb. Values were scored as percentiles (calculated from distribution of normal values corresponding to participant's baseline demographic characteristics), then expressed as normal deviate (nd) score based on standard normal distribution. Score <0 indicated worse response and >0 indicated better response than the normal matched population. Score change <0 indicated worsening and >0 indicated improvement as compared to baseline. 2 neurological visits (NVs) were conducted both at baseline and Week 24. Mean of the 2 NV measurements was calculated to obtain Baseline and Week 24 values. Baseline, Week 24
Secondary Change From Baseline in Peroneal Motor Nerve Conduction Velocity (MNCV) Score at Week 24: ITT Analysis Set Peroneal motor nerve conduction velocity (in meters/second) was measured using electromyography of the left lower limb. Values were scored as percentiles (calculated from distribution of normal values corresponding to participant's baseline demographic characteristics), then expressed as normal deviate (nd) score based on standard normal distribution. Score <0 indicated worse response and >0 indicated better response than the normal matched population. Score change <0 indicated worsening and >0 indicated improvement as compared to baseline. 2 neurological visits (NVs) were conducted both at baseline and Week 24. Mean of the 2 NV measurements was calculated to obtain Baseline and Week 24 values. Baseline, Week 24
Secondary Change From Baseline in Peroneal Motor Nerve Conduction Velocity (MNCV) Score at Week 24: PPAS Peroneal motor nerve conduction velocity (in meters/second) was measured using electromyography of the left lower limb. Values were scored as percentiles (calculated from distribution of normal values corresponding to participant's baseline demographic characteristics), then expressed as normal deviate (nd) score based on standard normal distribution. Score <0 indicated worse response and >0 indicated better response than the normal matched population. Score change <0 indicated worsening and >0 indicated improvement as compared to baseline. 2 neurological visits (NVs) were conducted both at baseline and Week 24. Mean of the 2 NV measurements was calculated to obtain Baseline and Week 24 values. Baseline, Week 24
Secondary Change From Baseline in Peroneal Motor Nerve Distal Latency (MNDL) Score at Week 24: ITT Analysis Set Peroneal motor nerve distal latency (in milliseconds) was measured using electromyography of the left lower limb. Values were scored as percentiles (calculated from distribution of normal values corresponding to participant's baseline demographic characteristics), then expressed as normal deviate (nd) score based on standard normal distribution. Score >0 indicated worse response and <0 indicated better response as compared to normal matched population. Score change >0 indicated worsening and <0 indicated improvement as compared to baseline. 2 neurological visits (NVs) were conducted both at baseline and Week 24. Mean of the 2 NV measurements was calculated to obtain Baseline and Week 24 values. Baseline, Week 24
Secondary Change From Baseline in Peroneal Motor Nerve Distal Latency (MNDL) Score at Week 24: PPAS Peroneal motor nerve distal latency (in milliseconds) was measured using electromyography of the left lower limb. Values were scored as percentiles (calculated from distribution of normal values corresponding to participant's baseline demographic characteristics), then expressed as normal deviate (nd) score based on standard normal distribution. Score >0 indicated worse response and <0 indicated better response as compared to normal matched population. Score change >0 indicated worsening and <0 indicated improvement as compared to baseline. 2 neurological visits (NVs) were conducted both at baseline and Week 24. Mean of the 2 NV measurements was calculated to obtain Baseline and Week 24 values. Baseline, Week 24
Secondary Change From Baseline in Tibial Motor Nerve Distal Latency (MNDL) Score at Week 24: ITT Analysis Set Tibial motor nerve distal latency (in milliseconds) was measured using electromyography of the left lower limb. Values were scored as percentiles (calculated from distribution of normal values corresponding to participant's baseline demographic characteristics), then expressed as normal deviate (nd) score based on standard normal distribution. Score >0 indicated worse response and <0 indicated better response as compared to normal matched population. Score change >0 indicated worsening and <0 indicated improvement as compared to baseline. 2 neurological visits (NVs) were conducted both at baseline and Week 24. Mean of the 2 NV measurements was calculated to obtain Baseline and Week 24 values. Baseline, Week 24
Secondary Change From Baseline in Tibial Motor Nerve Distal Latency (MNDL) Score at Week 24: PPAS Tibial motor nerve distal latency (in milliseconds) was measured using electromyography of the left lower limb. Values were scored as percentiles (calculated from distribution of normal values corresponding to participant's baseline demographic characteristics), then expressed as normal deviate (nd) score based on standard normal distribution. Score >0 indicated worse response and <0 indicated better response as compared to normal matched population. Score change >0 indicated worsening and <0 indicated improvement as compared to baseline. 2 neurological visits (NVs) were conducted both at baseline and Week 24. Mean of the 2 NV measurements was calculated to obtain Baseline and Week 24 values. Baseline, Week 24
Secondary Change From Baseline in Sural Sensory Nerve Action Potential Amplitude (SNAP) Score at Week 24: ITT Analysis Set Sural sensory nerve action potential amplitude (in microvolts) was measured using electromyography of the left lower limb. Values were scored as percentiles (calculated from distribution of normal values corresponding to participant's baseline demographic characteristics), then expressed as normal deviate (nd) score based on standard normal distribution. A score <0 indicated worse response and >0 indicated better response than the normal matched population. A change <0 indicated worsening and >0 indicated improvement compared to baseline. 2 neurological visits (NVs) were conducted both at baseline and Week 24. Mean of the 2 NV measurements was calculated to obtain Baseline and Week 24 values. Baseline, Week 24
Secondary Change From Baseline in Sural Sensory Nerve Action Potential Amplitude (SNAP) Score at Week 24: PPAS Sural sensory nerve action potential amplitude (in microvolts) was measured using electromyography of the left lower limb. Values were scored as percentiles (calculated from distribution of normal values corresponding to participant's baseline demographic characteristics), then expressed as normal deviate (nd) score based on standard normal distribution. A score <0 indicated worse response and >0 indicated better response than the normal matched population. A change <0 indicated worsening and >0 indicated improvement compared to baseline. 2 neurological visits (NVs) were conducted both at baseline and Week 24. Mean of the 2 NV measurements was calculated to obtain Baseline and Week 24 values. Baseline, Week 24
Secondary Change From Baseline in Heart Rate Deep Breathing [HRdb] at Week 24: ITT Analysis Set HRdb test was used to evaluate the effect of treatment on autonomic function. Participants took a series of 8 deep breaths and average heart rate difference was measured and compared to normative data. R-R (time between two consecutive R waves in the electrocardiogram) response to deep breathing was reported as a normal deviates. Score <0 indicated worse response and >0 indicated better response as compared to normal matched population. Score change <0 indicated worsening and >0 indicated improvement as compared to baseline. 2 neurological visits (NVs) were conducted both at baseline and Week 24. Measurements of HRdb were collected twice and highest nd score was selected at each NV. Mean of the 2 selected NV measurements was calculated to obtain Baseline and Week 24 values. Baseline, Week 24
Secondary Change From Baseline in Heart Rate Deep Breathing [HRdb] at Week 24: PPAS HRdb test was used to evaluate the effect of treatment on autonomic function. Participants took a series of 8 deep breaths and average heart rate difference was measured and compared to normative data. R-R (time between two consecutive R waves in the electrocardiogram) response to deep breathing was reported as a normal deviates. Score <0 indicated worse response and >0 indicated better response as compared to normal matched population. Score change <0 indicated worsening and >0 indicated improvement as compared to baseline. 2 neurological visits (NVs) were conducted both at baseline and Week 24. Measurements of HRdb were collected twice and highest nd score was selected at each NV. Mean of the 2 selected NV measurements was calculated to obtain Baseline and Week 24 values. Baseline, Week 24
Secondary Change From Baseline in 5 Nerve Conduction Test - Normal Deviate [5NC (nd)] at Week 24: ITT Analysis Set 5NC (nd) score included 5 NCS attributes: peroneal MNDL, CMAP, MNCV, tibial MNDL and sural SNAP. Values of attributes scored as percentiles (calculated from distribution of normal values corresponding to participant's baseline demographic characteristics), then expressed as normal deviate (nd) score based on standard normal distribution. Total score calculated as sum of each NCS attribute. Total score >0 indicated worse and <0 indicated better response as compared to normal matched population. Total score change >0 indicated worsening and <0 indicated improvement as compared to baseline. 2 neurological visits (NVs) were conducted both at baseline and Week 24. Mean of the 2 NV measurements was calculated to obtain Baseline and Week 24 values. Baseline, Week 24
Secondary Change From Baseline in 5 Nerve Conduction Test - Normal Deviate (5NC [nd]) at Week 24: PPAS 5NC (nd) score included 5 NCS attributes: peroneal MNDL, CMAP, MNCV, tibial MNDL and sural SNAP. Values of attributes scored as percentiles (calculated from distribution of normal values corresponding to participant's baseline demographic characteristics), then expressed as normal deviate (nd) score based on standard normal distribution. Total score calculated as sum of each NCS attribute. Total score >0 indicated worse and <0 indicated better response as compared to normal matched population. Total score change >0 indicated worsening and <0 indicated improvement as compared to baseline.2 neurological visits (NVs) were conducted both at baseline and Week 24. Mean of the 2 NV measurements was calculated to obtain Baseline and Week 24 values. Baseline, Week 24
Secondary Change From Baseline in Protein Gene Product (PGP) 9.5-Positive Intraepidermal Epidermal Nerve Fiber (IENF) Density at Week 24 IENF density was quantified in 3 millimeter (mm) immunostained (PGP 9.5-immunohistochemical staining) skin punch biopsies taken from the distal end of the leg, 10 centimeter (cm) above the lateral malleolus, within the territory of the sural nerve, containing epidermis and superficial dermis to evaluate amount of small diameter nerve fibers. Skin biopsies were taken from normal appearing skin and skin having local scar, signs of trauma, ulceration, or active dermatologic process were avoided. Baseline, Week 24
Secondary Change From Baseline in the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Pain Subscale Score at Weeks 8, 16, and 24 WOMAC pain subscale is a 5-item questionnaire used to assess the amount of pain experienced due to osteoarthritis in the index joint (knee or hip) 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 8, 16, and 24
Secondary Change From Baseline in the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Physical Function Subscale Score at Weeks 8, 16, and 24 WOMAC physical function subscale is a 17-item questionnaire used to assess the degree of difficulty experienced due to osteoarthritis in the index joint (knee or hip) 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 8, 16, and 24
Secondary Change From Baseline in the Patient's Global Assessment (PGA) of Osteoarthritis at Weeks 8, 16, and 24 Participants answered: Considering all the ways your osteoarthritis in your knee or hip affects you, how are you doing today? Participants rated their condition 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 8, 16, and 24
Secondary Percentage of Participants With Outcome Measures in Rheumatology - Osteoarthritis Research Society International (OMERACT-OARSI) Response OMERACT-OARSI response: >=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). Weeks 8, 16, and 24
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 joint ( knee or hip) in the past 48 hours. It is calculated as the 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. Weeks 8, 16, and 24
Secondary Percentage of Participants With Improvement of At Least 2 Points From Baseline in Patient's 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 rated their condition 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. Weeks 8, 16, and 24
Secondary Number of Participants With Cumulative 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 joint (knee or hip) 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. Participants with specified reduction (as percent) from baseline at Week 16 are reported. Week 16
Secondary Change From Baseline in Average Pain Score in the Index Knee/Hip Joint at Weeks 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15 16, 17, 18, 19, 20, 21, 22, 23, and 24 Participants assessed daily average index joint pain during the past 24 hours on an 11-point NRS ranging from 0 (no pain) to 10 (worst pain). Higher score indicated greater pain. Baseline, Weeks 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15 16, 17, 18, 19, 20, 21, 22, 23, and 24
Secondary Change From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Stiffness Subscale Score at Weeks 8, 16, and 24 The WOMAC stiffness subscale is a 2-item questionnaire used to assess the amount of stiffness experienced due to osteoarthritis in the index joint (knee or hip) 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 was defined as a sensation of decreased ease of movement in the index joint (knee or hip). Baseline, Weeks 8, 16, and 24
Secondary Change From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Average Score at Weeks 8, 16, and 24 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. WOMAC average score is the mean of WOMAC Pain, Physical Function and Stiffness subscale scores and ranges from 0 to 10, where higher score indicates worse response. Change from baseline <0 indicates an improvement. Baseline, Weeks 8, 16, and 24
Secondary Change From Baseline in WOMAC Pain Subscale Item: Pain When Walking on a Flat Surface at Weeks 8, 16, and 24 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. Change from baseline <0 indicated an improvement. Baseline, Weeks 8, 16, and 24
Secondary Change From Baseline in WOMAC Pain Subscale Item: Pain When Going Up or Down Stairs at Weeks 8, 16, and 24 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. Change from baseline <0 indicates an improvement. Baseline, Weeks 8, 16, and 24
Secondary Change From Baseline in 36-Item Short-Form Health Survey Version 2 (SF-36v2) Domain Scores at Week 24 SF-36v2 is a self-administered questionnaire evaluating 8 aspects/domains of functional health and wellbeing: physical function, role physical, bodily pain, vitality, general health, social function, role emotional and mental health. The total score for each domain is scaled 0-100 (100 = highest level of functioning). Change from baseline >0 indicates an improvement. Baseline, Week 24
Secondary Change From Baseline in 36-Item Short-Form Health Survey Version 2 (SF-36v2) Physical and Mental Component Scores at Week 24 SF-36v2 is a self-administered questionnaire evaluating 8 aspects/domains of functional health and wellbeing: physical function, role physical, bodily pain, vitality, general health, social function, role emotional and 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. Change from baseline >0 indicates an improvement. Baseline, Week 24
Secondary Number of Participants With Rescue Medication Usage In case of inadequate pain relief for osteoarthritis during the treatment period, acetaminophen up to 3000 mg per day up to 3 days per week could be taken as rescue medication. Week 8, 16, 24
Secondary Number of Days With Rescue Medication Usage In case of inadequate pain relief for osteoarthritis during the treatment period, acetaminophen up to 3000 mg per day up to 3 days per week could be taken as rescue medication. Result reported is number of days of rescue medication use in each week, and ranges from 0 to 7. Weeks 8, 16, and 24
Secondary Amount of Rescue Medication Used In case of inadequate pain relief for osteoarthritis during the treatment period, acetaminophen up to 3000 mg per day up to 3 days per week could be taken as rescue medication. Results reported is total dose of acetaminophen (in mg) for each week. Weeks 8, 16, and 24
Secondary Number of Participants With Anti-Drug Antibody (ADA) Human serum samples were analyzed for the presence or absence of anti-tanezumab antibodies by using the semiquantitative enzyme-linked immunosorbent assay (ELISA). Same participant may have positive ADA result at more than 1 time point. pre-dose on Day 1 (Baseline), Week 8, 16, 24, 32
Secondary Plasma Trough Concentration of Tanezumab Plasma trough concentration of tanezumab was measured using a validated, sensitive and specific enzyme-linked immunosorbent assay (ELISA). pre-dose on Day 1 (Baseline), Weeks 8, 16, 24, and 32
Secondary Number of Participants With 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. 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. AEs included both serious AEs and non-serious AEs. Baseline through 112 days after last Intravenous dose of Investigational product to last participant treated with study medication on study (up to Week 32 after last IV dose of investigational product to last participant treated)
See also
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