Osteoarthritis Pain of the KneePhase 2NCT02847702
A Study to Evaluate the Analgesic Efficacy and Safety of VM902A in Subjects With Osteoarthritis (OA) of the Knee
A Phase 2 study testing VM902A 200-mg Capsules, VM902A 400-mg Capsules and Naproxen 500-mg Capsules in people with Osteoarthritis Pain of the Knee, run by Purdue Pharma LP at 31 sites in United States.
Trial summary
The purpose of this study is to evaluate the analgesic efficacy, safety, and tolerability of VM902A twice daily compared to placebo in subjects with moderate to severe chronic pain due to OA of the knee. Read more about this study
- Who is it for?
- Ages 40 to 75 years
- Conditions the study is for
- Osteoarthritis Pain of the Knee
- What is being tested?
- VM902A 200-mg Capsules, VM902A 400-mg Capsules and Naproxen 500-mg Capsules
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 75 participants
- Where
- 31 sitesUnited States
- Study dates
- Aug 2016to 22 Nov 2016
- Phase
- Phase 2
- Are there results?
- None posted in the registry
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
- Males and females ≥ 40 and ≤ 75 years of age with moderate to severe chronic OA pain of the knee (lasting several hours daily) as their predominant pain condition for at least 6 months prior to screening
- Diagnostic criteria for primary pain condition (American College of Rheumatology [ACR] clinical and radiographic criteria):
- At least 1 of the following in addition to knee pain: age > 50, stiffness < 30 min, crepitus on active motion, and
- Kellgren-Lawrence (K-L) grade 2 or 3 radiographic evidence at the screening visit as determined by a local radiologist or rheumatologist. Note that K-L grades 2 to 3 require the presence of osteophytes, which is required to meet ACR clinical and radiographic criteria for knee OA
- Subjects whose OA pain of the index knee is not adequately treated prior to the screening visit:
- Subjects must have a self-reported average pain intensity rating of moderate or severe on a verbal rating scale (ie, none, mild, moderate, and severe) over the 7 days prior to the screening visit
- The subjects must have "average pain over the last 24 hours" scores ≥ 5 and ≤ 9 on an 11-point numerical rating scale (NRS) for the index knee on ≥ 3 consecutive days during the screening period and come in for randomization within 72 hours after qualification is met
- Subjects who are willing and able to stop taking any/all analgesic medications, including over-the-counter pain medications, opioids, marijuana, and topical analgesics for OA pain for the duration of the treatment period, with the exception of study-specific rescue medication.
Who cannot join
- Subjects with radiographic evidence of OA with K-L grade 0, 1, or 4
- Subjects at risk for destructive arthropathy, subjects with a history of osteonecrosis, osteoporotic fracture, rapidly progressive osteoarthritis (RPOA 1 and 2), subchondral insufficiency fracture, and hip/knee dislocations
- Subjects considered high risk for surgery based upon American Society of Anesthesiologists physical classification system for surgery grading, or subjects who would not be willing to undergo joint replacement surgery if required
- Subjects with chronic pain conditions other than OA of the knee as their predominant pain condition, including gout (except for subjects with gout that is controlled with diet and/or with stable suppressive treatment with uric acid reducing medication(s) and/or colchicine, and who have not had any attack within the past 2 years), pseudogout, psoriatic arthritis, active Lyme disease, rheumatoid arthritis or any other inflammatory arthritis, fibromyalgia, neuropathic pain conditions, bursitis, or acute injury or signs of active infection in the target pain area
- Subjects scheduled for surgical interventions of the disease site or any other major surgery during the study conduct period
- Subjects with a history of a prior joint replacement of the index knee
- Subjects who have had arthroscopy on either knee or hip within 6 months of entering the study, or open surgery on either knee or hip within 12 months of entering the study.
- Other protocol-specific inclusion/exclusion criteria may apply.
Trial locations and contacts
31 sites in 1 country.
31 sites in 1 country
United States31 sites
Investigational Site
Avon, Indiana, 46123
Investigational Site
Bay City, Michigan, 48706
Investigational Site
Birmingham, Alabama, 35216
Investigational Site
Cincinnati, Ohio, 45219
Investigational Site
Columbus, Georgia, 31904
Investigational Site
Dayton, Ohio, 45417
Investigational Site
DeLand, Florida, 32720
Investigational Site
Dublin, Ohio, 43016
Investigational Site
Duncansville, Pennsylvania, 16635
Investigational Site
Hartsdale, New York, 10530
Investigational Site
Hialeah, Florida, 33012
Investigational Site
Homestead, Florida, 33030
Investigational Site
Huntsville, Alabama, 35801
Investigational Site
Jupiter, Florida, 33458
Investigational Site
Kansas City, Missouri, 64114
Investigational Site
Muncie, Indiana, 47304
Investigational Site
New Bedford, Massachusetts, 02740
Investigational Site
Newton, Kansas, 67114
Investigational Site
Ogden, Utah, 84405
Investigational Site
Orlando, Florida, 32806
Investigational Site
Port Orange, Florida, 32129
Investigational Site
Port Saint Lucie, Florida, 34952
Investigational Site
Prairie Village, Kansas, 66206
Investigational Site
Rosedale, New York, 11422
Investigational Site
Salt Lake City, Utah, 84121
Investigational Site
South Jordan, Utah, 84095
Investigational Site
St Louis, Missouri, 63141
Investigational Site
The Bronx, New York, 10467
Investigational Site
The Villages, Florida, 32162
Investigational Site
Troy, Michigan, 48098
Investigational Site
West Palm Beach, Florida, 33409
About this study
Official title: A Phase 2a, Multicenter, Randomized, Double-blind, Placebo Controlled and Active-controlled, Parallel-group Study Evaluating the Analgesic Efficacy and Safety of VM902A in Subjects With Moderate to Severe Chronic Pain Due to Osteoarthritis of the Knee
The purpose of this study is to evaluate the analgesic efficacy, safety, and tolerability of VM902A twice daily compared to placebo in subjects with moderate to severe chronic pain due to OA of the knee.
- Conditions
- Osteoarthritis Pain of the Knee
- Being tested
- VM902A 200-mg Capsules, VM902A 400-mg Capsules, Naproxen 500-mg Capsules, Placebo
- Keywords
- Osteoarthritis, Pain, Osteoarthritis, knee
- Medical subject headings
- Osteoarthritis, Pain, Osteoarthritis, Knee
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
VM902A 200-mg CapsulesDrug
Taken orally with food twice daily
VM902A 400-mg CapsulesDrug
Taken orally with food twice daily
Naproxen 500-mg CapsulesDrug
Taken orally with food twice daily
PlaceboDrug
Capsules to match VM902A and/or naproxen taken orally with food twice daily
| Study group | Role | What they receive |
|---|---|---|
| VM902A 200 mg | Experimental | VM902A 200-mg Capsules Receives: Drug: VM902A 200-mg Capsules; Drug: Placebo |
| VM902A 400 mg | Experimental | VM902A 400-mg Capsules (2 x 200-mg capsules) Receives: Drug: VM902A 400-mg Capsules; Drug: Placebo |
| Naproxen | Active comparator | Naproxen 500-mg Capsules Receives: Drug: Naproxen 500-mg Capsules; Drug: Placebo |
| Placebo | Placebo comparator | Placebo Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Daily "Average Pain Over the Last 24 Hours" Score at Week 4
Measured: Week 4
Secondary outcomes (18)
Weekly "Average Pain Over the Last 24 Hours" at Week 4
Measured: Week 4
Average Daily "Pain Right Now" Score at Week 4
Measured: Week 4
Western Ontario and McMaster OA Index (WOMAC) - Total Scores
Measured: Week 4
Western Ontario and McMaster OA Index (WOMAC) Pain Severity Subscale Score
Measured: Week 4
Western Ontario and McMaster OA Index (WOMAC) Physical Function Subscale Score
Measured: Week 4
Western Ontario and McMaster OA Index (WOMAC) Stiffness Subscale Score
Measured: Week 4
Modified Brief Pain Inventory-Short Form (mBPI-SF) - Total Scores
Measured: Week 4
Modified Brief Pain Inventory-Short Form (mBPI-SF) Pain Severity Subscale Score
Measured: Week 4
Modified Brief Pain Inventory-Short Form (mBPI-SF) Pain Interference Subscale Score
Measured: Week 4
Medical Outcomes Study 36-item Short-Form Health Survey (SF-36)
Measured: Week 4
EuroQol-5D (EQ-5D) to Measure Health Status
Measured: Week 4
Patient Global Impression of Change (PGIC) at the End of the Double-blind Period
Measured: Week 4
Supplemental Analgesic Medication Use
The average daily number of tablets of supplemental pain medication taken during the study.
Measured: Days 1 - 28
Responder to Treatment
The percentage reduction from the baseline mean "average pain over the last 24 hours" score to the week 4 mean pain score from the mBPI-SF pain severity subscale.
Measured: Week 4
Hospital Anxiety and Depression Scale (HADS) Score
Safety assessment to evaluate the impact of VM902A on mood (anxiety and depression)
Measured: Baseline to Week 4
Columbia-Suicide Severity Rating Score (C-SSRS)
Safety assessment to evaluate the occurrence of treatment-emergent suicidal ideation
Measured: Baseline to Week 4
Survey of Autonomic Symptoms (SAS) Score
Safety assessment to evaluate symptoms of autonomic dysfunction
Measured: Baseline to Week 4
Kellgren-Lawrence Classification (K-L) Score
Safety assessment to classify the severity of knee OA
Measured: Baseline to Week 4
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted28 Jul 2016 (estimated)
- Study startAug 2016
- Primary completion22 Nov 2016
- Study completion22 Nov 2016
Why it stopped: Company decision
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Osteoarthritis Pain of the KneeStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- 75 participants (actual)
Sponsor and investigators
- Lead sponsor
- Purdue Pharma LP
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02847702
- Sponsor's protocol ID
- TKA2001
- Status last verified
- Nov 2017
- First submitted
- 25 Jul 2016
- Last updated
- 22 Nov 2017
- Results posted
- No
- Data monitoring committee
- Yes
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 22 Nov 2017. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 2a, Multicenter, Randomized, Double-blind, Placebo Controlled and Active-controlled, Parallel-group Study Evaluating the Analgesic Efficacy and Safety of VM902A in Subjects With Moderate to Severe Chronic Pain Due to Osteoarthritis of the Knee
- ClinicalTrials.gov ID
- NCT02847702
- Acronym / sponsor ID
- TKA2001
- Conditions
- Osteoarthritis Pain of the Knee
- Keywords
- Osteoarthritis, Pain, Osteoarthritis, knee
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: Company decision
- Enrolment
- 75 participants (actual)
- Lead sponsor
- Purdue Pharma LPIndustry (pharma, biotech, devices)
- Study start
- Aug 2016 (actual)
- Primary completion
- 22 Nov 2016 (actual)
- Study completion
- 22 Nov 2016 (actual)
- First posted
- 28 Jul 2016 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to evaluate the analgesic efficacy, safety, and tolerability of VM902A twice daily compared to placebo in subjects with moderate to severe chronic pain due to OA of the knee.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| VM902A 200 mg | Experimental | Drug: VM902A 200-mg Capsules, Drug: PlaceboVM902A 200-mg Capsules |
| VM902A 400 mg | Experimental | Drug: VM902A 400-mg Capsules, Drug: PlaceboVM902A 400-mg Capsules (2 x 200-mg capsules) |
| Naproxen | Active comparator | Drug: Naproxen 500-mg Capsules, Drug: PlaceboNaproxen 500-mg Capsules |
| Placebo | Placebo comparator | Drug: PlaceboPlacebo |
Who may qualify
- Ages
- 40 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (8 listed)
- Males and females ≥ 40 and ≤ 75 years of age with moderate to severe chronic OA pain of the knee (lasting several hours daily) as their predominant pain condition for at least 6 months prior to screening
- Diagnostic criteria for primary pain condition (American College of Rheumatology [ACR] clinical and radiographic criteria):
- Subjects whose OA pain of the index knee is not adequately treated prior to the screening visit:
- The subjects must have "average pain over the last 24 hours" scores ≥ 5 and ≤ 9 on an 11-point numerical rating scale (NRS) for the index knee on ≥ 3 consecutive days during the screening period and come in for randomization within 72 hours after qualification is met
- Subjects who are willing and able to stop taking any/all analgesic medications, including over-the-counter pain medications, opioids, marijuana, and topical analgesics for OA pain for the duration of the treatment period, with the exception of study-specific rescue medication.
Key exclusion criteria (8 listed)
- Subjects with radiographic evidence of OA with K-L grade 0, 1, or 4
- Subjects at risk for destructive arthropathy, subjects with a history of osteonecrosis, osteoporotic fracture, rapidly progressive osteoarthritis (RPOA 1 and 2), subchondral insufficiency fracture, and hip/knee dislocations
- Subjects considered high risk for surgery based upon American Society of Anesthesiologists physical classification system for surgery grading, or subjects who would not be willing to undergo joint replacement surgery if required
- Subjects with chronic pain conditions other than OA of the knee as their predominant pain condition, including gout (except for subjects with gout that is controlled with diet and/or with stable suppressive treatment with uric acid reducing medication(s) and/or colchicine, and who have not had any attack within the past 2 years), pseudogout, psoriatic arthritis, active Lyme disease, rheumatoid arthritis or any other inflammatory arthritis, fibromyalgia, neuropathic pain conditions, bursitis, or acute injury or signs of active infection in the target pain area
- Subjects scheduled for surgical interventions of the disease site or any other major surgery during the study conduct period
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| VM902A 200-mg CapsulesTaken orally with food twice daily | Drug | VM902A 200 mg |
| VM902A 400-mg CapsulesTaken orally with food twice daily | Drug | VM902A 400 mg |
| Naproxen 500-mg CapsulesTaken orally with food twice daily | Drug | Naproxen |
| PlaceboCapsules to match VM902A and/or naproxen taken orally with food twice daily | Drug | Naproxen, Placebo, VM902A 200 mg, VM902A 400 mg |
Primary outcome
Daily "Average Pain Over the Last 24 Hours" Score at Week 4
Time frame: Week 4
18 secondary outcomes
Weekly "Average Pain Over the Last 24 Hours" at Week 4
Time frame: Week 4
Average Daily "Pain Right Now" Score at Week 4
Time frame: Week 4
Western Ontario and McMaster OA Index (WOMAC) - Total Scores
Time frame: Week 4
Western Ontario and McMaster OA Index (WOMAC) Pain Severity Subscale Score
Time frame: Week 4
Western Ontario and McMaster OA Index (WOMAC) Physical Function Subscale Score
Time frame: Week 4
Western Ontario and McMaster OA Index (WOMAC) Stiffness Subscale Score
Time frame: Week 4
Modified Brief Pain Inventory-Short Form (mBPI-SF) - Total Scores
Time frame: Week 4
Modified Brief Pain Inventory-Short Form (mBPI-SF) Pain Severity Subscale Score
Time frame: Week 4
Modified Brief Pain Inventory-Short Form (mBPI-SF) Pain Interference Subscale Score
Time frame: Week 4
Medical Outcomes Study 36-item Short-Form Health Survey (SF-36)
Time frame: Week 4
EuroQol-5D (EQ-5D) to Measure Health Status
Time frame: Week 4
Patient Global Impression of Change (PGIC) at the End of the Double-blind Period
Time frame: Week 4
Supplemental Analgesic Medication Use
Time frame: Days 1 - 28
Responder to Treatment
Time frame: Week 4
Hospital Anxiety and Depression Scale (HADS) Score
Time frame: Baseline to Week 4
Columbia-Suicide Severity Rating Score (C-SSRS)
Time frame: Baseline to Week 4
Survey of Autonomic Symptoms (SAS) Score
Time frame: Baseline to Week 4
Kellgren-Lawrence Classification (K-L) Score
Time frame: Baseline to Week 4
Results and safety
The study was stopped early (reason given: Company decision). Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 22 Nov 2017.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
31 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing VM902A 200-mg Capsules, VM902A 400-mg Capsules and Naproxen 500-mg Capsules in people with Osteoarthritis Pain of the Knee, run by Purdue Pharma LP at 31 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 8 inclusion and 8 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 22 Nov 2017. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 31 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?
The study was stopped early (reason given: Company decision). Results are not available in the source record.
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?
Daily "Average Pain Over the Last 24 Hours" Score at Week 4 (time frame: Week 4). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 22 Nov 2017.