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A Study to Evaluate the Efficacy and Safety of K-285 Compared With Menthol Gel for the Treatment of Delayed Onset Muscle Soreness (DOMS) in the Lower Extremity

A Phase II, Randomized, Double-blind, Active Comparator, Parallel Group Study to Evaluate the Efficacy and Safety of K-285 Compared With Menthol Gel for the Treatment of Delayed Onset Muscle Soreness (DOMS) in the Lower Extremity

Status
Terminated
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04484428
Enrollment
126
Registered
2020-07-23
Start date
2020-08-15
Completion date
2021-03-19
Last updated
2024-12-27

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Acute Pain

Brief summary

The purpose of this study to evaluate the efficacy and safety of K-285 compared with menthol gel for the treatment of delayed onset muscle soreness (DOMS) in the lower extremity.

Interventions

DRUGK-285

88 subjects are to be assigned to 1 week dosing, four times a day (QID) (Period 1), and 32 are to be assigned to 3 weeks dosing (Period 1 and Period 2) with 16 subjects each in the two times a day (BID) and QID dosing regimens.

88 subjects are to be assigned to 1 week dosing, four times a day (QID) (Period 1), and 32 are to be assigned to 3 weeks dosing (Period 1 and Period 2) with 16 subjects each in the two times a day (BID) and QID dosing regimens.

Sponsors

Kowa Research Institute, Inc.
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Caregiver, Investigator)

Eligibility

Sex/Gender
ALL
Age
18 Years to 35 Years
Healthy volunteers
Yes

Inclusion criteria

* Subject must provide informed consent before any study-specific evaluation is performed. * Subject is male and female aged 18 to 35 years, inclusive. * Subject has a body mass index of 18 to 32 kg/m2, inclusive. * Subject meets all inclusion criteria outlined in the Clinical Study Protocol.

Exclusion criteria

* Subject has a job (e.g., movers, construction workers) that requires regular lifting or involvement of the lower extremities. * Subject has restless leg syndrome, a chronic pain condition, a history of intermittent claudication, or has taken any medication (e.g., analgesic medication, sleep medication, muscle relaxant, anticonvulsant, or antidepressant) in the last 6 months to treat a chronic pain condition, or has another painful physical condition in a lower extremity that, in the opinion of the investigator, may confound study assessments. * Subject has received oral or topical analgesic medications within 14 days before the Screening Visit. * Subject meet any other

Design outcomes

Primary

MeasureTime frameDescription
Sum of Pain Intensity Difference Between 0 to 24 Hours (SPID0-24) for Study Leg While StandingBaseline to 24 Hours* Pain Intensity (PI) was assessed for study leg while standing using a patient rated 0-100 point scale where 0 = 'no Pain' and 100 = 'worst possible pain. Pain Intensity Differences (PID) was the difference between PI at time (i) minus PI at time (t+1). The Sum of Pain Intensity Difference (SPID) was calculated as a time-weighted Sum of PID scores over a number of hours. * Sum of pain intensity differences over 24 hours after initiating treatment (SPID24). SPID24 derived from pain scores assessed over 24 hours on a 0 -100 point scale. SPID24 was computed using the trapezoidal rule, i.e. Σ \[T(i+1) - T(i)\] x \[((PID)(i+1) + PID(i))/2\] in an obvious notation, where T(i) is nominal time and PID(i), the pain intensity difference at Time (i). * Negative differences correspond to an improvement of pain, while positive differences correspond to recrudescence of pain. A higher negative value of SPID indicates greater pain relief.

Secondary

MeasureTime frameDescription
SPID0-12 While Standing for Study LegBaseline to 12 Hours* Pain Intensity (PI) was assessed while standing for study leg using a patient rated 0-100 point scale where 0 = 'no Pain' and 100 = 'worst possible pain. Pain Intensity Differences (PID) was the difference between PI at time (i) minus PI at time (t+1). The Sum of Pain Intensity Difference (SPID) was calculated as a time-weighted Sum of PID scores over a number of hours. * Sum of pain intensity differences over 12 hours after initiating treatment (SPID12). SPID12 derived from pain scores assessed over 12 hours on a 0 -100 point scale. SPID12 was computed using the trapezoidal rule, i.e. Σ \[T(i+1) - T(i)\] x \[((PID)(i+1) + PID(i))/2\] in an obvious notation, where T(i) is nominal time and PID(i), the pain intensity difference at Time (i). * Negative differences correspond to an improvement of pain, while positive differences correspond to recrudescence of pain. A higher negative value of SPID indicates greater pain relief.
SPID0-12 at Rest for Study LegBaseline to 12 Hours* Pain Intensity (PI) was assessed at rest for study leg using a patient rated 0-100 point scale where 0 = 'no Pain' and 100 = 'worst possible pain. Pain Intensity Differences (PID) was the difference between PI at time (i) minus PI at time (t+1). The Sum of Pain Intensity Difference (SPID) was calculated as a time-weighted Sum of PID scores over a number of hours. * Sum of pain intensity differences over 12 hours after initiating treatment (SPID12). SPID12 derived from pain scores assessed over 12 hours on a 0 -100 point scale. SPID12 was computed using the trapezoidal rule, i.e. Σ \[T(i+1) - T(i)\] x \[((PID)(i+1) + PID(i))/2\] in an obvious notation, where T(i) is nominal time and PID(i), the pain intensity difference at Time (i). * Negative differences correspond to an improvement of pain, while positive differences correspond to recrudescence of pain. A higher negative value of SPID indicates greater pain relief.
SPID0-48 While Standing for Study LegBaseline to 48 Hours* Pain Intensity (PI) was assessed while standing for study leg using a patient rated 0-100 point scale where 0 = 'no Pain' and 100 = 'worst possible pain. Pain Intensity Differences (PID) was the difference between PI at time (i) minus PI at time (t+1). The Sum of Pain Intensity Difference (SPID) was calculated as a time-weighted Sum of PID scores over a number of hours. * Sum of pain intensity differences over 48 hours after initiating treatment (SPID48). SPID48 derived from pain scores assessed over 48 hours on a 0 -100 point scale. SPID48 was computed using the trapezoidal rule, i.e. Σ \[T(i+1) - T(i)\] x \[((PID)(i+1) + PID(i))/2\] in an obvious notation, where T(i) is nominal time and PID(i), the pain intensity difference at Time (i). * Negative differences correspond to an improvement of pain, while positive differences correspond to recrudescence of pain. A higher negative value of SPID indicates greater pain relief.
SPID0-24 at Rest for Study LegBaseline to 24 Hours* Pain Intensity (PI) was assessed at rest for study leg using a patient rated 0-100 point scale where 0 = 'no Pain' and 100 = 'worst possible pain. Pain Intensity Differences (PID) was the difference between PI at time (i) minus PI at time (t+1). The Sum of Pain Intensity Difference (SPID) was calculated as a time-weighted Sum of PID scores over a number of hours. * Sum of pain intensity differences over 24 hours after initiating treatment (SPID24). SPID24 derived from pain scores assessed over 24 hours on a 0 -100 point scale. SPID24 was computed using the trapezoidal rule, i.e. Σ \[T(i+1) - T(i)\] x \[((PID)(i+1) + PID(i))/2\] in an obvious notation, where T(i) is nominal time and PID(i), the pain intensity difference at Time (i). * Negative differences correspond to an improvement of pain, while positive differences correspond to recrudescence of pain. A higher negative value of SPID indicates greater pain relief.
SPID0-72 While Standing for Study LegBaseline to 72 Hours* Pain Intensity (PI) was assessed while standing for study leg using a patient rated 0-100 point scale where 0 = 'no Pain' and 100 = 'worst possible pain. Pain Intensity Differences (PID) was the difference between PI at time (i) minus PI at time (t+1). The Sum of Pain Intensity Difference (SPID) was calculated as a time-weighted Sum of PID scores over a number of hours. * Sum of pain intensity differences over 72 hours after initiating treatment (SPID72). SPID72 derived from pain scores assessed over 72 hours on a 0 -100 point scale. SPID72 was computed using the trapezoidal rule, i.e. Σ \[T(i+1) - T(i)\] x \[((PID)(i+1) + PID(i))/2\] in an obvious notation, where T(i) is nominal time and PID(i), the pain intensity difference at Time (i). * Negative differences correspond to an improvement of pain, while positive differences correspond to recrudescence of pain. A higher negative value of SPID indicates greater pain relief.
SPID0-72 at Rest for Study LegBaseline to 72 Hours* Pain Intensity (PI) was assessed at rest for study leg using a patient rated 0-100 point scale where 0 = 'no Pain' and 100 = 'worst possible pain. Pain Intensity Differences (PID) was the difference between PI at time (i) minus PI at time (t+1). The Sum of Pain Intensity Difference (SPID) was calculated as a time-weighted Sum of PID scores over a number of hours. * Sum of pain intensity differences over 72 hours after initiating treatment (SPID72). SPID72 derived from pain scores assessed over 72 hours on a 0 -100 point scale. SPID72 was computed using the trapezoidal rule, i.e. Σ \[T(i+1) - T(i)\] x \[((PID)(i+1) + PID(i))/2\] in an obvious notation, where T(i) is nominal time and PID(i), the pain intensity difference at Time (i). * Negative differences correspond to an improvement of pain, while positive differences correspond to recrudescence of pain. A higher negative value of SPID indicates greater pain relief.
SPID0-48 at Rest for Study LegBaseline to 48 Hours* Pain Intensity (PI) was assessed at rest for study leg using a patient rated 0-100 point scale where 0 = 'no Pain' and 100 = 'worst possible pain. Pain Intensity Differences (PID) was the difference between PI at time (i) minus PI at time (t+1). The Sum of Pain Intensity Difference (SPID) was calculated as a time-weighted Sum of PID scores over a number of hours. * Sum of pain intensity differences over 48 hours after initiating treatment (SPID48). SPID48 derived from pain scores assessed over 48 hours on a 0 -100 point scale. SPID48 was computed using the trapezoidal rule, i.e. Σ \[T(i+1) - T(i)\] x \[((PID)(i+1) + PID(i))/2\] in an obvious notation, where T(i) is nominal time and PID(i), the pain intensity difference at Time (i). * Negative differences correspond to an improvement of pain, while positive differences correspond to recrudescence of pain. A higher negative value of SPID indicates greater pain relief.

Countries

United States

Participant flow

Pre-assignment details

Participants underwent pre- and post-exercise evaluations, as well as other screening assessments, to determine eligibility for randomization. Those qualifying were randomly assigned in a 1:1 ratio to Treatment Arm A (K-285 gel) or Treatment Arm B (Menthol gel). All baseline, endpoint, and safety analyses were conducted based on the treatment arm participants were randomized to. Participants not qualifying for randomization were given appropriate standard of care.

Participants by arm

ArmCount
K-285
K-285 gel for up to 3 weeks based on pre-specified treatment assignments.
63
K-285
K-285 gel for up to 3 weeks based on pre-specified treatment assignments.
126
Menthol
Menthol gel for up to 3 weeks based on pre-specified treatment assignments.
63
Menthol
Menthol gel for up to 3 weeks based on pre-specified treatment assignments.
126
Total378

Baseline characteristics

CharacteristicK-285MentholTotal
Age, Continuous28.4 years
STANDARD_DEVIATION 4.89
27.2 years
STANDARD_DEVIATION 4.39
27.8 years
STANDARD_DEVIATION 4.67
Ethnicity (NIH/OMB)
Hispanic or Latino
22 Participants23 Participants45 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
41 Participants40 Participants81 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Qualifying (Baseline) eVAS Score for Non-Study Leg at Rest59.1 Points
STANDARD_DEVIATION 18.77
54.7 Points
STANDARD_DEVIATION 19.44
56.9 Points
STANDARD_DEVIATION 19.16
Qualifying (Baseline) eVAS Score for Non-Study Leg while Standing69.8 Points
STANDARD_DEVIATION 16.77
68.2 Points
STANDARD_DEVIATION 16.38
69 Points
STANDARD_DEVIATION 16.53
Qualifying (Baseline) eVAS Score for Study Leg at Rest62 Points
STANDARD_DEVIATION 15.14
57.5 Points
STANDARD_DEVIATION 15.51
59.8 Points
STANDARD_DEVIATION 15.43
Qualifying (Baseline) eVAS Score for Study Leg while Standing71.4 Points
STANDARD_DEVIATION 13.94
69.1 Points
STANDARD_DEVIATION 13.58
70.2 Points
STANDARD_DEVIATION 13.76
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants1 Participants1 Participants
Race (NIH/OMB)
Asian
14 Participants11 Participants25 Participants
Race (NIH/OMB)
Black or African American
10 Participants18 Participants28 Participants
Race (NIH/OMB)
More than one race
0 Participants3 Participants3 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
39 Participants30 Participants69 Participants
Sex: Female, Male
Female
30 Participants31 Participants61 Participants
Sex: Female, Male
Male
33 Participants32 Participants65 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 630 / 63
other
Total, other adverse events
6 / 631 / 63
serious
Total, serious adverse events
0 / 630 / 63

Outcome results

Primary

Sum of Pain Intensity Difference Between 0 to 24 Hours (SPID0-24) for Study Leg While Standing

* Pain Intensity (PI) was assessed for study leg while standing using a patient rated 0-100 point scale where 0 = 'no Pain' and 100 = 'worst possible pain. Pain Intensity Differences (PID) was the difference between PI at time (i) minus PI at time (t+1). The Sum of Pain Intensity Difference (SPID) was calculated as a time-weighted Sum of PID scores over a number of hours. * Sum of pain intensity differences over 24 hours after initiating treatment (SPID24). SPID24 derived from pain scores assessed over 24 hours on a 0 -100 point scale. SPID24 was computed using the trapezoidal rule, i.e. Σ \[T(i+1) - T(i)\] x \[((PID)(i+1) + PID(i))/2\] in an obvious notation, where T(i) is nominal time and PID(i), the pain intensity difference at Time (i). * Negative differences correspond to an improvement of pain, while positive differences correspond to recrudescence of pain. A higher negative value of SPID indicates greater pain relief.

Time frame: Baseline to 24 Hours

Population: * Subjects in each treatment Arm/Group (K-285 and Menthol Gel) received intervention based on pre-specified treatment assignments~* Baseline and Endpoint analysis were performed and presented by treatment Arms/Groups.~* Demographics and baseline characteristics are presented in a by-subject listing and summarized overall and by treatment Arm using the FAS.~* All 126 participants (100.0%) were included in the FAS, the PPS, and Safety populations.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
K-285Sum of Pain Intensity Difference Between 0 to 24 Hours (SPID0-24) for Study Leg While Standing-488.0 score on a scaleStandard Error 58.54
Menthol GelSum of Pain Intensity Difference Between 0 to 24 Hours (SPID0-24) for Study Leg While Standing-512.0 score on a scaleStandard Error 58.53
p-value: 0.773ANCOVA
Secondary

SPID0-12 at Rest for Study Leg

* Pain Intensity (PI) was assessed at rest for study leg using a patient rated 0-100 point scale where 0 = 'no Pain' and 100 = 'worst possible pain. Pain Intensity Differences (PID) was the difference between PI at time (i) minus PI at time (t+1). The Sum of Pain Intensity Difference (SPID) was calculated as a time-weighted Sum of PID scores over a number of hours. * Sum of pain intensity differences over 12 hours after initiating treatment (SPID12). SPID12 derived from pain scores assessed over 12 hours on a 0 -100 point scale. SPID12 was computed using the trapezoidal rule, i.e. Σ \[T(i+1) - T(i)\] x \[((PID)(i+1) + PID(i))/2\] in an obvious notation, where T(i) is nominal time and PID(i), the pain intensity difference at Time (i). * Negative differences correspond to an improvement of pain, while positive differences correspond to recrudescence of pain. A higher negative value of SPID indicates greater pain relief.

Time frame: Baseline to 12 Hours

Population: * Subjects in each treatment Arm/Group (K-285 and Menthol Gel) received intervention based on pre-specified treatment assignments~* Baseline and Endpoint analysis were performed and presented by treatment Arms/Groups.~* Demographics and baseline characteristics are presented in a by-subject listing and summarized overall and by treatment Arm using the FAS.~* All 126 participants (100.0%) were included in the FAS, the PPS, and Safety populations.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
K-285SPID0-12 at Rest for Study Leg-131.5 score on a scaleStandard Error 25.28
Menthol GelSPID0-12 at Rest for Study Leg-140.8 score on a scaleStandard Error 25.29
p-value: 0.796ANCOVA
Secondary

SPID0-12 While Standing for Study Leg

* Pain Intensity (PI) was assessed while standing for study leg using a patient rated 0-100 point scale where 0 = 'no Pain' and 100 = 'worst possible pain. Pain Intensity Differences (PID) was the difference between PI at time (i) minus PI at time (t+1). The Sum of Pain Intensity Difference (SPID) was calculated as a time-weighted Sum of PID scores over a number of hours. * Sum of pain intensity differences over 12 hours after initiating treatment (SPID12). SPID12 derived from pain scores assessed over 12 hours on a 0 -100 point scale. SPID12 was computed using the trapezoidal rule, i.e. Σ \[T(i+1) - T(i)\] x \[((PID)(i+1) + PID(i))/2\] in an obvious notation, where T(i) is nominal time and PID(i), the pain intensity difference at Time (i). * Negative differences correspond to an improvement of pain, while positive differences correspond to recrudescence of pain. A higher negative value of SPID indicates greater pain relief.

Time frame: Baseline to 12 Hours

Population: * Subjects in each treatment Arm/Group (K-285 and Menthol Gel) received intervention based on pre-specified treatment assignments~* Baseline and Endpoint analysis were performed and presented by treatment Arms/Groups.~* Demographics and baseline characteristics are presented in a by-subject listing and summarized overall and by treatment Arm using the FAS.~* All 126 participants (100.0%) were included in the FAS, the PPS, and Safety populations.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
K-285SPID0-12 While Standing for Study Leg-190.2 score on a scaleStandard Error 26.83
Menthol GelSPID0-12 While Standing for Study Leg-209.2 score on a scaleStandard Error 26.83
p-value: 0.617ANCOVA
Secondary

SPID0-24 at Rest for Study Leg

* Pain Intensity (PI) was assessed at rest for study leg using a patient rated 0-100 point scale where 0 = 'no Pain' and 100 = 'worst possible pain. Pain Intensity Differences (PID) was the difference between PI at time (i) minus PI at time (t+1). The Sum of Pain Intensity Difference (SPID) was calculated as a time-weighted Sum of PID scores over a number of hours. * Sum of pain intensity differences over 24 hours after initiating treatment (SPID24). SPID24 derived from pain scores assessed over 24 hours on a 0 -100 point scale. SPID24 was computed using the trapezoidal rule, i.e. Σ \[T(i+1) - T(i)\] x \[((PID)(i+1) + PID(i))/2\] in an obvious notation, where T(i) is nominal time and PID(i), the pain intensity difference at Time (i). * Negative differences correspond to an improvement of pain, while positive differences correspond to recrudescence of pain. A higher negative value of SPID indicates greater pain relief.

Time frame: Baseline to 24 Hours

Population: * Subjects in each treatment Arm/Group (K-285 and Menthol Gel) received intervention based on pre-specified treatment assignments~* Baseline and Endpoint analysis were performed and presented by treatment Arms/Groups.~* Demographics and baseline characteristics are presented in a by-subject listing and summarized overall and by treatment Arm using the FAS.~* All 126 participants (100.0%) were included in the FAS, the PPS, and Safety populations.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
K-285SPID0-24 at Rest for Study Leg-358.3 score on a scaleStandard Error 54.42
Menthol GelSPID0-24 at Rest for Study Leg-355.6 score on a scaleStandard Error 54.45
p-value: 0.972ANCOVA
Secondary

SPID0-48 at Rest for Study Leg

* Pain Intensity (PI) was assessed at rest for study leg using a patient rated 0-100 point scale where 0 = 'no Pain' and 100 = 'worst possible pain. Pain Intensity Differences (PID) was the difference between PI at time (i) minus PI at time (t+1). The Sum of Pain Intensity Difference (SPID) was calculated as a time-weighted Sum of PID scores over a number of hours. * Sum of pain intensity differences over 48 hours after initiating treatment (SPID48). SPID48 derived from pain scores assessed over 48 hours on a 0 -100 point scale. SPID48 was computed using the trapezoidal rule, i.e. Σ \[T(i+1) - T(i)\] x \[((PID)(i+1) + PID(i))/2\] in an obvious notation, where T(i) is nominal time and PID(i), the pain intensity difference at Time (i). * Negative differences correspond to an improvement of pain, while positive differences correspond to recrudescence of pain. A higher negative value of SPID indicates greater pain relief.

Time frame: Baseline to 48 Hours

Population: * Subjects in each treatment Arm/Group (K-285 and Menthol Gel) received intervention based on pre-specified treatment assignments~* Baseline and Endpoint analysis were performed and presented by treatment Arms/Groups.~* Demographics and baseline characteristics are presented in a by-subject listing and summarized overall and by treatment Arm using the FAS.~* All 126 participants (100.0%) were included in the FAS, the PPS, and Safety populations.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
K-285SPID0-48 at Rest for Study Leg-959.4 score on a scaleStandard Error 114.8
Menthol GelSPID0-48 at Rest for Study Leg-909.5 score on a scaleStandard Error 114.85
p-value: 0.761ANCOVA
Secondary

SPID0-48 While Standing for Study Leg

* Pain Intensity (PI) was assessed while standing for study leg using a patient rated 0-100 point scale where 0 = 'no Pain' and 100 = 'worst possible pain. Pain Intensity Differences (PID) was the difference between PI at time (i) minus PI at time (t+1). The Sum of Pain Intensity Difference (SPID) was calculated as a time-weighted Sum of PID scores over a number of hours. * Sum of pain intensity differences over 48 hours after initiating treatment (SPID48). SPID48 derived from pain scores assessed over 48 hours on a 0 -100 point scale. SPID48 was computed using the trapezoidal rule, i.e. Σ \[T(i+1) - T(i)\] x \[((PID)(i+1) + PID(i))/2\] in an obvious notation, where T(i) is nominal time and PID(i), the pain intensity difference at Time (i). * Negative differences correspond to an improvement of pain, while positive differences correspond to recrudescence of pain. A higher negative value of SPID indicates greater pain relief.

Time frame: Baseline to 48 Hours

Population: * Subjects in each treatment Arm/Group (K-285 and Menthol Gel) received intervention based on pre-specified treatment assignments~* Baseline and Endpoint analysis were performed and presented by treatment Arms/Groups.~* Demographics and baseline characteristics are presented in a by-subject listing and summarized overall and by treatment Arm using the FAS.~* All 126 participants (100.0%) were included in the FAS, the PPS, and Safety populations.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
K-285SPID0-48 While Standing for Study Leg-1229.9 score on a scaleStandard Error 123.15
Menthol GelSPID0-48 While Standing for Study Leg-1221.1 score on a scaleStandard Error 123.14
p-value: 0.96ANCOVA
Secondary

SPID0-72 at Rest for Study Leg

* Pain Intensity (PI) was assessed at rest for study leg using a patient rated 0-100 point scale where 0 = 'no Pain' and 100 = 'worst possible pain. Pain Intensity Differences (PID) was the difference between PI at time (i) minus PI at time (t+1). The Sum of Pain Intensity Difference (SPID) was calculated as a time-weighted Sum of PID scores over a number of hours. * Sum of pain intensity differences over 72 hours after initiating treatment (SPID72). SPID72 derived from pain scores assessed over 72 hours on a 0 -100 point scale. SPID72 was computed using the trapezoidal rule, i.e. Σ \[T(i+1) - T(i)\] x \[((PID)(i+1) + PID(i))/2\] in an obvious notation, where T(i) is nominal time and PID(i), the pain intensity difference at Time (i). * Negative differences correspond to an improvement of pain, while positive differences correspond to recrudescence of pain. A higher negative value of SPID indicates greater pain relief.

Time frame: Baseline to 72 Hours

Population: * Subjects in each treatment Arm/Group (K-285 and Menthol Gel) received intervention based on pre-specified treatment assignments~* Baseline and Endpoint analysis were performed and presented by treatment Arms/Groups.~* Demographics and baseline characteristics are presented in a by-subject listing and summarized overall and by treatment Arm using the FAS.~* All 126 participants (100.0%) were included in the FAS, the PPS, and Safety populations.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
K-285SPID0-72 at Rest for Study Leg-1730.1 score on a scaleStandard Error 169.61
Menthol GelSPID0-72 at Rest for Study Leg-1678.3 score on a scaleStandard Error 169.68
p-value: 0.803ANCOVA
Secondary

SPID0-72 While Standing for Study Leg

* Pain Intensity (PI) was assessed while standing for study leg using a patient rated 0-100 point scale where 0 = 'no Pain' and 100 = 'worst possible pain. Pain Intensity Differences (PID) was the difference between PI at time (i) minus PI at time (t+1). The Sum of Pain Intensity Difference (SPID) was calculated as a time-weighted Sum of PID scores over a number of hours. * Sum of pain intensity differences over 72 hours after initiating treatment (SPID72). SPID72 derived from pain scores assessed over 72 hours on a 0 -100 point scale. SPID72 was computed using the trapezoidal rule, i.e. Σ \[T(i+1) - T(i)\] x \[((PID)(i+1) + PID(i))/2\] in an obvious notation, where T(i) is nominal time and PID(i), the pain intensity difference at Time (i). * Negative differences correspond to an improvement of pain, while positive differences correspond to recrudescence of pain. A higher negative value of SPID indicates greater pain relief.

Time frame: Baseline to 72 Hours

Population: * Subjects in each treatment Arm/Group (K-285 and Menthol Gel) received intervention based on pre-specified treatment assignments~* Baseline and Endpoint analysis were performed and presented by treatment Arms/Groups.~* Demographics and baseline characteristics are presented in a by-subject listing and summarized overall and by treatment Arm using the FAS.~* All 126 participants (100.0%) were included in the FAS, the PPS, and Safety populations.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
K-285SPID0-72 While Standing for Study Leg-2154.1 score on a scaleStandard Error 184.65
Menthol GelSPID0-72 While Standing for Study Leg-2160.8 score on a scaleStandard Error 184.64
p-value: 0.979ANCOVA

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026