Osteoarthritis of the Knee
Conditions
Keywords
Osteoarthritis, knee, Analgesia, Pain, Painful
Brief summary
The purpose of the trial is to determine whether GRT6005 is effective in patients with pain due to osteoarthritis of the knee.
Detailed description
The purpose of this study is to evaluate the safety, tolerability and efficacy of 3 doses of GRT6005 taken once daily for 4 weeks in outpatients with moderate-to-severe painful osteoarthritis of the knee.
Interventions
2 capsules of matching placebo once a day, in the morning, for a total of 28 days
2 capsules containing a total of 75 µg GRT6005 once a day, in the morning, for a total of 28 days
Sponsors
Study design
Eligibility
Inclusion criteria
* painful Osteoarthritis of the knee based on American College of Rheumatology Criteria * signed informed consent * on stable analgesic medications for painful osteoarthritis with regular analgesic intake for at least 3 months * pain intensity score of 4 or greater on the 11-point numeric rating scale (where 0 indicates no pain and 10 indicates pain as bad as you can imagine).
Exclusion criteria
* Substance Abuse * Significant cardiac disease * Presence of risk factors for Torsades de Pointes and chronic severe cardiac disease * History of seizure disorder * Chronic gastrointestinal disease * Conditions that contribute and confound to the assessment of pain * Surgery or painful procedure during or within 3 months of enrollment * Cancer * Subjects with impaired renal function * Subjects with impaired hepatic function * Female subjects who are breastfeeding * History of chronic hepatitis B or C or human immunodeficiency virus infection, or presence of acute hepatitis A, B, or C within the past 3 months. * Clinically relevant history of hypersensitivity or allergy to paracetamol, opioids or the excipients.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change from baseline in the pain intensity scores during the last week of the 4-week treatment period | 4 weeks |
Secondary
| Measure | Time frame |
|---|---|
| Change from baseline in quality of health as measured by Short Form-12 Health Survey | 4 weeks |
| Response measured in percentage change of pain intensity since baseline | 4 weeks |
| Leeds Sleep Evaluation Questionnaire to quantify subjective impressions of sleep and waking | 4 weeks |
| Patient's Global Impression of Change (PGIC) | 4 weeks |
| Clinician's Global Impression of Change (CGIC) | 4 weeks |
| Weekly current pain intensity changes from baseline | 4 weeks |
| Change from baseline in the Western Ontario McMaster Questionnaire (WOMAC) Global Score Assessing Pain, Disability and Joint Stiffness of the Knee Over the 4 week treatment period | 4 weeks |
| Quality of Life EuroQoL-5 Dimension score, change from baseline | 4 weeks |
| Clinical Opioid Withdrawal Scale | 4 weeks |
| Plasma concentration | 4 weeks |
| Discontinuation from study due to treatment related adverse events | 4 weeks |
| Time to withdrawal from study | 4 weeks |
| Rescue medication use | 4 weeks |
Countries
Austria, Poland, Spain