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Osteoarthritis, KneePhase 2NCT02192190

A Study of LY2951742 in Participants With Mild to Moderate Osteoarthritis Knee Pain

A Phase 2 study testing LY2951742 and Celecoxib in people with Osteoarthritis, Knee, run by Eli Lilly and Company at 38 sites in United States.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

The main purpose of this study is to test if LY2951742 relieves mild to moderate knee pain. The study drugs will be given as an injection under the skin and as an oral capsule. The study will last about 28 weeks for each participant. Read more about this study

Who is it for?
Ages 40 to 75 years
Conditions the study is for
Osteoarthritis, Knee
What is being tested?
LY2951742 and Celecoxib
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
268 participants
Where
38 sitesUnited States
Study dates
Jul 2014to Jun 2015
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 40 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Have osteoarthritis (OA) of the knee joint based on American College of Rheumatology (ACR) criteria and confirmed with X-rays and ACR functional class of I to III
  • Have been on stable dose of prescription Nonsteroidal Anti-Inflammatory Drugs (NSAIDS), celecoxib, tramadol, or acetaminophen of at least 2000 mg per day for at least 20 days in the past month
  • Willing to stop all analgesics for OA pain during the study
  • Experienced pain while walking in the target knee of 50-90 mm inclusive on 0-100 Visual Analog Scale (VAS) with an increase in pain while walking of at least 10 mm following washout of current Osteoarthritis pain medications at screening

Who cannot join

  • Allergic to LY2951742, celecoxib, other NSAIDS, including aspirin, and similar drugs
  • Arthritis of the knee from other causes
  • Uncontrolled hypertension
  • Have OA pain that requires treatment with potent opioids, systemic corticosteroids, intra-articular injections, duloxetine, or venlafaxine
  • Moderate to severe renal impairment
  • Pregnant or lactating

Trial locations and contacts

38 sites in 1 country.

38 sites in 1 country

United States38 sites
  • New Mexico Clinical Research & Osteoporosis Center

    Albuquerque, New Mexico, 87106

  • Dream Team Clinical Research

    Anaheim, California, 92801

  • The Center for Clinical Trials, Inc.

    Biloxi, Mississippi, 39531

  • Achieve Clinical Research, LLC

    Birmingham, Alabama, 35216

  • Beacon Clinical Research, LLC

    Brockton, Massachusetts, 02301

  • Clinical Trials of South Carolina

    Charleston, South Carolina, 29406

  • Medex Healthcare Research, Inc.

    Chicago, Illinois, 60602

  • Avail Clinical Research LLC

    DeLand, Florida, 32720

  • Horizons Clinical Research Center

    Denver, Colorado, 80220

  • Altoona Center for Clinical Research

    Duncansville, Pennsylvania, 16635

  • United Osteoporosis Center

    Gainesville, Georgia, 30501

  • PharmQuest

    Greensboro, North Carolina, 27408

  • PCPMG Clinical Research Unit

    Greenville, South Carolina, 29601

  • Drug Trials of America

    Hartsdale, New York, 10530

  • AGA Clinical Trials

    Hialeah, Florida, 33012

  • Palm Springs Research Institute

    Hialeah, Florida, 33012

  • Drug Studies America

    Marietta, Georgia, 30060

  • ActivMed Practices & Research, Inc

    Methuen, Massachusetts, 01844

  • Community Research Foundation Inc

    Miami, Florida, 33155

  • Research Institute of South Florida, Inc.

    Miami, Florida, 33173

  • M&M Medical Center

    Miami, Florida, 33185

  • Accurate Clinical Research

    Nassau Bay, Texas, 77058

  • Medex Healthcare Research, Inc.

    New York, New York, 10016

  • Health Research of Hampton Roads Inc

    Newport News, Virginia, 23606

  • National Clinical Research - Norfolk Inc

    Norfolk, Virginia, 23502

  • Clinical Research Associates of Tidewater

    Norfolk, Virginia, 23507

  • Renstar Medical Research

    Ocala, Florida, 34471

  • Compass Research

    Orlando, Florida, 32806

  • Quality Research, Inc.

    San Antonio, Texas, 78209

  • Artemis Institute for Clinical Research

    San Diego, California, 92103

  • Empire Clinical Research

    Upland, California, 91786

  • Buynak Clinical Research, P.C.

    Valparaiso, Indiana, 46383

  • Arthritis, Rheumatic & Back Disease Associates

    Voorhees Township, New Jersey, 08043

  • Diablo Clinical Research

    Walnut Creek, California, 94598

  • Greater Providence Clinical Research, LLC

    Warwick, Rhode Island, 02888

  • iM Research

    West Covina, California, 91760

  • Upstate Clinical Research Associates

    Williamsville, New York, 14221

  • Family Practice Center of Wooster

    Wooster, Ohio, 44691

Other trials in United States

About this study

Official title: A Phase 2, Randomized, Double-Blind, Placebo and Active-Controlled Trial of LY2951742 in Patients With Mild to Moderate Osteoarthritis Pain of the Knee

The main purpose of this study is to test if LY2951742 relieves mild to moderate knee pain. The study drugs will be given as an injection under the skin and as an oral capsule. The study will last about 28 weeks for each participant.

Being tested
LY2951742, Placebo- oral, Placebo - SC, Celecoxib
Medical subject headings
Osteoarthritis, Knee

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • LY2951742Drug

    Administered subcutaneously (SC)

  • Placebo- oralOther

    Administered orally

  • Placebo - SCOther

    Administered SC

  • CelecoxibDrug

    Administered orally

Study groups in NCT02192190
Study groupRoleWhat they receive
PlaceboPlacebo comparatorPlacebo capsule orally, once daily for approximately 16 weeks. Placebo subcutaneous (SC) once every 4 weeks for 16 weeks (Treatment period = 16 weeks).
Receives: Other: Placebo- oral; Other: Placebo - SC
Celecoxib + PlaceboActive comparatorCelecoxib 200 milligram (mg) capsule orally once daily for approximately 16 weeks. Placebo SC once every 4 weeks for 16 weeks (Treatment period = 16 weeks).
Receives: Other: Placebo - SC; Drug: Celecoxib
LY2951742 5 mg + PlaceboExperimentalPlacebo capsule orally, once daily for approximately 16 weeks. SC injections of 5 mg LY2951742 once every 4 weeks for 8 weeks followed by placebo SC once every 4 weeks for 8 weeks (Treatment period = 16 weeks).
Receives: Drug: LY2951742; Other: Placebo- oral; Other: Placebo - SC
LY2951742 50 mg + PlaceboExperimentalPlacebo capsule orally, once daily for approximately 16 weeks. SC injections of 50 mg LY2951742 once every 4 weeks for 8 weeks followed by placebo SC once every 4 weeks for 8 weeks (Treatment period = 16 weeks).
Receives: Drug: LY2951742; Other: Placebo- oral; Other: Placebo - SC
LY2951742 120 mg + PlaceboExperimentalPlacebo capsule orally, once daily for approximately 16 weeks. SC injections of 120 mg LY2951742 once every 4 weeks for 8 weeks followed by placebo SC once every 4 weeks for 8 weeks (Treatment period = 16 weeks).
Receives: Drug: LY2951742; Other: Placebo- oral; Other: Placebo - SC
LY2951742 300 mg + PlaceboExperimentalPlacebo capsule orally, once daily for 16 weeks. SC injections of 300 mg LY2951742 once every 4 weeks for 8 weeks followed by placebo SC once every 4 weeks for 8 weeks (Treatment period = 16 weeks).
Receives: Drug: LY2951742; Other: Placebo- oral; Other: Placebo - SC

What is being measured

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

  1. Change From Baseline to 8 Weeks in the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Pain Subscale

    The 24-question WOMAC Osteoarthritis Index assesses osteoarthritis (OA) symptoms using pain (5 questions), stiffness (2 questions) and physical function (17 questions) subscales. The WOMAC pain subscale was calculated for each participant at each time point for analysis as the mean score (range 0-100 millimeter [mm] VAS; 0=very good and 100=very poor) of all 5 questions related to pain. Bayesian posterior adjusted mean was calculated using a Bayesian Normal Dynamic Linear Model (NDLM) dose response model with baseline and pooled investigator site included as baseline covariates.

    Measured: Baseline, 8 Weeks

Secondary outcomes (5)
  1. Change From Baseline to 8 Weeks in the WOMAC Physical Function Subscale

    The 24-question WOMAC Osteoarthritis Index assesses osteoarthritis symptoms using pain (5 questions), stiffness (2 questions) and physical function (17 questions) subscales. The WOMAC Osteoarthritis Index version 3.1 was administered according to the study schedule. The WOMAC physical function subscale was calculated for each participant at each time point for analysis as the mean score (range 0-100 mm VAS; 0=very good and 100=very poor) of all 17 questions related to physical function. Least Square Mean (LSM) was calculated using a mixed-effects model repeated measures (MMRM) approach with treatment, visit and the interaction of treatment and visit were fitted as fixed effects in the model and baseline and pooled investigator site as baseline covariates.

    Measured: Baseline, 8 Weeks

  2. Change in Baseline to 8 Weeks in Patient's Global Assessment of Osteoarthritis

    The PGA is a patient-rated instrument that measures their assessment of overall OA symptoms. It is based on the participant's response to the question "Considering all the ways your osteoarthritis affects you, how are you doing today?" using a 100 mm VAS (0=very good and 100=very poor). LSM mean was calculated using a mixed-effects model repeated measures (MMRM) approach with treatment, visit and the interaction of treatment and visit were fitted as fixed effects in the model and baseline and pooled investigator site as baseline covariates.

    Measured: Baseline, 8 Weeks

  3. Number of Participants With a Response Rate Measured by the Outcome Measures for Rheumatology Committee and Osteoarthritis Research Society International Standing Committee for Clinical Trials Response Criteria Initiative (OMERACT-OARSI)

    The responders according to OMERACT-OARSI criteria: participants with at least 50 % improvement in pain or in function scores, along with absolute improvement of 20 mm, were considered responders. Alternatively, participants were considered responders if they showed at least 20% improvement and absolute improvement of 10 mm in at least two of the following scores: pain, function and Patients Global Assessment (PGA) scores.

    Measured: 8 Weeks

  4. Change From Baseline to 8 Weeks in the WOMAC Stiffness Subscale

    The 24-question WOMAC Osteoarthritis Index assesses osteoarthritis symptoms using pain (5 questions), stiffness (2 questions) and physical function (17 questions) subscales. The WOMAC stiffness subscale will be calculated for each participant at each time point for analysis as the mean score (range 0-100 mm VAS; 0=very good and 100=very poor) of 2 questions related to stiffness. LSM mean was calculated using a mixed-effects model repeated measures (MMRM) approach with treatment, visit and the interaction of treatment and visit were fitted as fixed effects in the model and baseline and pooled investigator site as baseline covariates. LSM mean was calculated using a mixed-effects model repeated measures (MMRM) approach with treatment, visit and the interaction of treatment and visit were fitted as fixed effects in the model and baseline and pooled investigator site as baseline covariates.

    Measured: Baseline, 8 Weeks

  5. Change From Baseline to 8 Weeks in the WOMAC Total Score

    The 24-question WOMAC Osteoarthritis Index assesses osteoarthritis symptoms using pain (5 questions), stiffness (2 questions) and physical function (17 questions) subscales.The WOMAC total score was calculated for each participant at each time point for analysis as the mean score (range 0-100 mm VAS; 0=very good and 100=very poor) of 24 questions. LSM mean was calculated using a mixed-effects model repeated measures (MMRM) approach with treatment, visit and the interaction of treatment and visit were fitted as fixed effects in the model and baseline and pooled investigator site as baseline covariates. LSM mean was calculated using a mixed-effects model repeated measures (MMRM) approach with treatment, visit and the interaction of treatment and visit were fitted as fixed effects in the model and baseline and pooled investigator site as baseline covariates.

    Measured: Baseline, 8 Weeks

Timeline

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

  1. First posted16 Jul 2014 (estimated)
  2. Study startJul 2014
  3. Primary completionApr 2015
  4. Study completionJun 2015

Why it stopped: Interim assessment: Lack of efficacy

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
268 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02192190
Sponsor's protocol ID
15515
Other IDs
I5Q-MC-CGAF
Status last verified
Aug 2019
First submitted
14 Jul 2014
Last updated
10 Sep 2019
Data monitoring committee
Yes
Individual data sharing
Yes: Anonymized individual patient level data will be provided in a secure access environment upon approval of a research proposal and a signed data sharing agreement.

Publications

  • Jin Y, Smith C, Monteith D, Brown R, Camporeale A, McNearney TA, Deeg MA, Raddad E, Xiao N, de la Pena A, Kivitz AJ, Schnitzer TJ. CGRP blockade by galcanezumab was not associated with reductions in signs and symptoms of knee osteoarthritis in a randomized clinical trial. Osteoarthritis Cartilage. 2018 Dec;26(12):1609-1618. doi: 10.1016/j.joca.2018.08.019. Epub 2018 Sep 18.

    PubMed 30240937

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing LY2951742 and Celecoxib in people with Osteoarthritis, Knee, run by Eli Lilly and Company at 38 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 10 Sep 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 38 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 8 Nov 2018). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change From Baseline to 8 Weeks in the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Pain Subscale (time frame: Baseline, 8 Weeks). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02192190, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 10 Sep 2019.

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