Osteoarthritis of the Hip or Knee MedDRA version: 18.1 Level: LLT Classification code 10023476 Term: Knee osteoarthritis System Organ Class: 100000004859 MedDRA version: 18.1 Level: LLT Classification code 10020108 Term: Hips osteoarthritis System Organ Class: 100000004859
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Clinical diagnosis of osteoarthritis (OA) of hip or knee based on criteria defined by the American College of Rheumatology and radiographic evidence of OA (Kellgren-Lawrence class =2) of the study joint; - Scheduled joint replacement or planning to undergo a joint replacement surgery for the study joint; - Must have an unsatisfactory response (inadequate efficacy or poor tolerability) that includes all 3 classes of analgesic medications (acetaminophen/paracetamol, NSAID, and an opioid; - Moderate to severe pain and functional impairment based on the NRS, WOMAC pain and physical function subscales, and PGA; - During treatment and within 24 weeks after the last injection of study drug: if female of childbearing potential, is not pregnant, breast-feeding, or planning to become pregnant, or if male, will not father a child. Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 400 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 50
Exclusion criteria
Exclusion criteria: -Increased risk of osteonecrosis (ON) or rapidly progressive osteoarthritis (RPOA) -Unstable or progressive neurologic disorders
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: The primary objective is to demonstrate the efficacy using 2 co-primary endpoints (as measured by the changes from baseline to the end of Week 16 in the Western Ontario and McMaster University Osteoarthritis Index [WOMAC] pain and physical function subscales, and Patient Global Assessment [PGA] scores), safety, and tolerability of fulranumab subcutaneous (SC) injections as monotherapy compared with placebo in subjects with signs and symptoms of osteoarthritis of the hip or knee. ;Secondary Objective: To evaluate the effect of fulranumab on: - Patient Global Assessment (PGA) - Joint pain using Numerical Rating Scale (NRS) - Stiffness, sleep, functional status and well-being as perceived by the subject - Supplemental analgesic pharmacologic therapy use - Pharmacokinetics and immunogenicity of fulranumab;Primary end point(s): - Change from baseline to the end of Week 16 in Western Ontario and McMaster University Arthritis Index (WOMAC) pain subscale score - Change from baseline to the end of Week 16 in Western Ontario and McMaster University Arthritis Index (WOMAC) physical function subscale score;Timepoint(s) of evaluation of this end point: Baseline, Week 16 | — |
Secondary
| Measure | Time frame |
|---|---|
| Timepoint(s) of evaluation of this end point: Timepoints listed above in endpoints.;Secondary end point(s): Change from baseline to the end of the 16-week double-blind phase in scores in: - WOMAC Stiffness subscale - Daily NRS scores - MOS Sleep subscales - SF-36 subscales - EQ-5D-5L - Patient Global Assessment (PGA) score | — |
Countries
Austria, Belgium, Canada, Czech Republic, France, Netherlands, Poland, Romania, Slovakia, Spain, United Kingdom, United States
Contacts
Janssen-Cilag International NV