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Chronic Pain Master Protocol (CPMP): A Study of LY3526318 in Participants With Osteoarthritis

Randomized, Placebo-Controlled, Phase 2 Clinical Trial to Evaluate LY3526318 for the Treatment of Osteoarthritis Pain

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT05080660
Enrollment
160
Registered
2021-10-18
Start date
2021-10-12
Completion date
2022-06-06
Last updated
2024-07-17

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

Conditions

Osteoarthritis, Osteo Arthritis Knee

Brief summary

The purpose of this study is to test safety and efficacy of study drug LY3526318 in for the treatment of knee pain due to with osteoarthritis (OA). This trial is part of the chronic pain master protocol H0P-MC-CPMP (NCT05986292) which is a protocol to accelerate the development of new treatments for chronic pain.

Interventions

Administered orally.

DRUGPlacebo

Administered orally.

Sponsors

Eli Lilly and Company
Lead SponsorINDUSTRY

Study design

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

Eligibility

Sex/Gender
ALL
Age
40 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Have a visual analog scale (VAS) pain value ≥40 and \<95 during screening. * Have a history of daily pain for at least 12 weeks based on participant report or medical history. * Have a body mass index \<40 kilograms per meter squared (kg/m²) (inclusive). * Are willing to maintain a consistent regimen of any ongoing nonpharmacologic pain-relieving therapies (for example, physical therapy) and will not start any new nonpharmacologic pain-relieving therapies during study participation. * Are willing to discontinue all medications taken for chronic pain conditions for the duration of the study. * Have presence of index knee pain for \>12 weeks at screening. * Have an x-ray supporting diagnosis of osteoarthritis according to the American College of Rheumatology with a Kellgren-Lawrence grade 2 to 4 radiographic classification of index knee. * Are men, or women able to abide by reproductive and contraceptive requirements.

Exclusion criteria

* Have had a procedure within the past 6 months intended to produce permanent sensory loss in the target area of interest (for example, ablation techniques). * Have surgery planned during the study for any reason, related or not to the disease state under evaluation. * Have, in the judgment of the investigator, an acute, serious, or unstable medical condition or a history or presence of any other medical illness that would preclude study participation. * Have had cancer within 2 years of baseline, except for cutaneous basal cell or squamous cell carcinoma resolved by excision. * Have fibromyalgia * Have a substance use disorder as defined by the Diagnostic and Statistical Manual of Mental Disorders (5th edition; DSM-5; American Psychiatric Association). * Have a positive human immunodeficiency virus (HIV) test result at screening. * Are in the judgment of the investigator, actively suicidal and therefore deemed to be at significant risk for suicide. * Have an intolerance to acetaminophen or paracetamol or any of its excipients. * Have a history of alcohol, illicit drug, analgesic or narcotic use disorder within 2 years prior to screening. * Are largely or wholly incapacitated and unable to participate fully in all protocol procedures, for example, bedridden or confined to a wheelchair, permitting little or no selfcare. * Have presence of surgical hardware or other foreign body in the index knee. * Have an unstable index joint (such as a torn anterior cruciate ligament). * Have had a surgical procedure or therapeutic injection in the affected knee within 3 months prior to starting the washout period. * Have chronic pain syndrome, or other concurrent medical or arthritic conditions that could interfere with the evaluation of the index knee. * Have a history of Reiter's syndrome, rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, arthritis associated with inflammatory bowel disease, sarcoidosis, or amyloidosis. * Have clinical signs and symptoms of active knee infection or crystal disease of the index knee. * Have a history of infection in the index joint. * Have a history of arthritis due to crystals (e.g., gout, pseudo gout). * Have pain or functional impairment due to ipsilateral hip osteoarthritis. * Are pregnant or breastfeeding.

Design outcomes

Primary

MeasureTime frameDescription
Change From Baseline in Average Pain Intensity as Measured by the Numeric Rating Scale (NRS)Baseline, Week 4The NRS was used during the preliminary data entry period and daily throughout the study to describe pain severity. Participants were asked to describe their average pain over the past 24 hours, on a scale of 0 to 10: 0=no pain, and 10=pain as bad as you can imagine. Posterior mean change from baseline, 95 percent (%) credible interval was derived using Bayesian mixed model repeated measures. Data presented are posterior mean with 95% credible interval.

Secondary

MeasureTime frameDescription
Change From Baseline on the Western Ontario and McMaster University Arthritis Index (WOMAC®) Pain SubscaleBaseline, Week 4The WOMAC® is a validated instrument that is extensively used to evaluate the response to medications for the treatment of Osteoarthritis pain. There are 5 questions on the pain subscale, and participants used a 0 to 4 Likert scale to answer each question for the current day: 0 = no pain, and 4 = extreme pain. The scores for the pain subscale were calculated by summing the scores of the questions for each participant at each time point. The range of possible scores is 0 to 20 for the pain subscale. Posterior mean change from baseline, 95% credible interval was derived using Bayesian mixed model repeated measures. Data presented are posterior mean with 95% credible interval.
Change From Baseline on the WOMAC® Stiffness SubscaleBaseline, Week 4The WOMAC® is a validated instrument that is extensively used to evaluate the response to medications for the treatment of Osteoarthritis pain. There are 2 questions in the stiffness subscale and participants used a 0 to 4 Likert scale to answer each question for the current day: 0=no stiffness, and 4=extreme stiffness. The scores for each subscale were calculated by summing the scores of the questions in each respective subscale for each participant at each time point. The range of possible scores is 0 to 8 for the stiffness subscale. Posterior mean change from baseline, 95% credible interval was derived using Bayesian mixed model repeated measures. Data presented are posterior mean with 95% credible interval.
Change From Baseline on the WOMAC® Physical Function SubscaleBaseline, Week 4The WOMAC® is a validated instrument that is extensively used to evaluate the response to medications for the treatment of Osteoarthritis pain. There are 17 questions in the physical function subscale, and participants used a 0 to 4 Likert scale to answer each question for the current day: 0=no difficulty, and 4=extreme difficulty. The scores for each subscale were calculated by summing the scores of the questions in each respective subscale for each participant at each time point. The range of possible scores is 0 to 68 for the physical function subscale. Posterior mean change from baseline, 95% credible interval was derived using Bayesian mixed model repeated measures. Data presented are posterior mean with 95% credible interval.
Change From Baseline in Overall Improvement as Measured by Patient's Global Impression of ChangeBaseline, Week 4Patients Global Impression of change captured the participant's perspective of treatment apart from sub-aspects of the general improvement. This is a numeric scale from 1 to 7: 1=very much better, and 7=very much worse. Posterior mean change from baseline, 95% credible interval was derived using Bayesian mixed model repeated measures. Data presented are posterior mean with 95% credible interval.
Change From Baseline in Average Pain Intensity as Measured by the Numeric Rating Scale (NRS)Baseline, Week 8The NRS was used during the preliminary data entry period and daily throughout the study to describe pain severity. Participants were asked to describe their average pain over the past 24 hours, on a scale of 0 to 10: 0=no pain, and 10=pain as bad as you can imagine. Posterior mean change from baseline, 95% credible interval was derived using Bayesian mixed model repeated measures. Data presented are posterior mean with 95% credible interval.
Change From Baseline on the Visual Analog Scale (VAS) for PainBaseline, Week 4VAS was a graphic, single-item scale where participants were asked to describe their pain intensity over the past week, on a scale of 0 to 100: 0=no pain, and 100=worst imaginable pain. Participants completed the VAS by placing a line perpendicular to the VAS line at a point that described their pain intensity. Posterior mean change from baseline, 95% credible interval was derived using Bayesian mixed model repeated measures. Data presented are posterior mean with 95% credible interval.
Change From Baseline on the Sleep Scale From the Medical Outcomes Study (MOS Sleep Scale) - Average Hours of SleepBaseline, Week 4The MOS Sleep Scale consists of 12 questions addressing the past week. Question 1 asks time to fall asleep and it is reported in 5-point timeframe categories. Question 2 asks average hours of sleep. In the remaining 10 questions participants report how often a sleep symptom or problem was present on a scale ranging from '0=all of the time' to '5=none of the time.' MOS Sleep scale dimension scores range from 0 to 100 with lower score indicating improvement, except for the dimension of sleep adequacy, where higher scores indicate improvement. Here, the average hours of sleep (i.e., Question 2) is reported as the average number of hours slept each night during the past week (range 0 to 24 hours). Higher number of hours slept indicates improvement. Posterior mean change from baseline, 95% credible interval was derived using Bayesian mixed model repeated measures. Data presented are posterior mean with 95% credible interval.
Total Amount of Rescue Medication Use as Measured by Average Daily DosageWeek 4Total amount of rescue medication use as measured by average daily dosage. Posterior mean change from baseline, 95% credible interval was derived using Bayesian mixed model repeated measures. Data presented are posterior mean with 95% credible interval.
Change From Baseline on the EuroQuality of Life Five Dimensions (5D) Five Level (5L) Questionnaire (EQ-5D-5L) (United States)Baseline, Week 4The EQ-5D-5L assessed quality of life based on 5 dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. The participant was asked to 'check the ONE box that best describes your health TODAY,' choosing from 5 options (no problems, slight problems, moderate problems, severe problems, extreme problems) provided under each dimension. The scores in the 5 dimensions were summarized into a health state index score. The health state index value is a single value on a scale from less than 0 to 1 (negative values are valued as worse than dead) with higher scores indicating better health: 0=a health state equivalent to death, and 1=perfect health. Posterior mean change from baseline, 95% credible intervals was derived using Bayesian mixed model repeated measures. Data presented are posterior mean with 95% credible interval.
Change From Baseline for Worst Pain Intensity as Measured by NRSBaseline, Week 4The NRS was used during the preliminary data entry period and daily throughout the study to describe pain severity. Participants were asked to describe their worst pain over the past 24 hours, on a scale of 0 to 10: 0=no pain, and 10=pain as bad as you can imagine. Posterior mean change from baseline, 95% credible interval was derived using Bayesian mixed model repeated measures. Data presented are posterior mean with 95% credible interval.

Countries

Puerto Rico, United States

Participant flow

Participants by arm

ArmCount
250 mg LY3526318
Participants received 250 mg of LY3526318 orally, once daily for the first 4 weeks and were switched to placebo once daily for the next 4 weeks of the treatment period.
107
Placebo
Participants received placebo orally, once daily, for 8-weeks treatment period.
53
Total160

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event40
Overall StudyNon-compliance With Study Drug and Procedures10
Overall StudyPhysician Decision10
Overall StudyProtocol Deviation20
Overall StudyWithdrawal by Subject52

Baseline characteristics

Characteristic250 mg LY3526318PlaceboTotal
Age, Categorical
<=18 years
0 Participants0 Participants0 Participants
Age, Categorical
>=65 years
53 Participants22 Participants75 Participants
Age, Categorical
Between 18 and 65 years
54 Participants31 Participants85 Participants
Age, Continuous63.9 years
STANDARD_DEVIATION 8.3
62.7 years
STANDARD_DEVIATION 9.3
63.5 years
STANDARD_DEVIATION 8.6
Average Pain Intensity as Measured by the Numeric Rating Scale (NRS)5.52 score on a scale
STANDARD_DEVIATION 1.6
5.91 score on a scale
STANDARD_DEVIATION 1.25
5.65 score on a scale
STANDARD_DEVIATION 1.5
Ethnicity (NIH/OMB)
Hispanic or Latino
30 Participants12 Participants42 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
77 Participants40 Participants117 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants1 Participants1 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants1 Participants1 Participants
Race (NIH/OMB)
Asian
0 Participants2 Participants2 Participants
Race (NIH/OMB)
Black or African American
13 Participants11 Participants24 Participants
Race (NIH/OMB)
More than one race
2 Participants0 Participants2 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
4 Participants1 Participants5 Participants
Race (NIH/OMB)
White
88 Participants38 Participants126 Participants
Region of Enrollment
United States
107 Participants53 Participants160 Participants
Sex: Female, Male
Female
68 Participants33 Participants101 Participants
Sex: Female, Male
Male
39 Participants20 Participants59 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
deaths
Total, all-cause mortality
0 / 1070 / 990 / 530 / 51
other
Total, other adverse events
31 / 10713 / 9921 / 538 / 51
serious
Total, serious adverse events
1 / 1070 / 991 / 530 / 51

Outcome results

Primary

Change From Baseline in Average Pain Intensity as Measured by the Numeric Rating Scale (NRS)

The NRS was used during the preliminary data entry period and daily throughout the study to describe pain severity. Participants were asked to describe their average pain over the past 24 hours, on a scale of 0 to 10: 0=no pain, and 10=pain as bad as you can imagine. Posterior mean change from baseline, 95 percent (%) credible interval was derived using Bayesian mixed model repeated measures. Data presented are posterior mean with 95% credible interval.

Time frame: Baseline, Week 4

Population: All enrolled participants who received at least one dose of study drug. Here, the overall number of participants analyzed includes number of participants with non-missing values at Week 4.

ArmMeasureValue (MEAN)
250 mg LY3526318Change From Baseline in Average Pain Intensity as Measured by the Numeric Rating Scale (NRS)-0.95 score on a scale
PlaceboChange From Baseline in Average Pain Intensity as Measured by the Numeric Rating Scale (NRS)-1.18 score on a scale
95% CI: [-0.26, 0.73]
Secondary

Change From Baseline for Worst Pain Intensity as Measured by NRS

The NRS was used during the preliminary data entry period and daily throughout the study to describe pain severity. Participants were asked to describe their worst pain over the past 24 hours, on a scale of 0 to 10: 0=no pain, and 10=pain as bad as you can imagine. Posterior mean change from baseline, 95% credible interval was derived using Bayesian mixed model repeated measures. Data presented are posterior mean with 95% credible interval.

Time frame: Baseline, Week 4

Population: All enrolled participants who received at least one dose of study drug. Here, the overall number of participants analyzed includes the number of participants with non-missing value at Week 4.

ArmMeasureValue (MEAN)
250 mg LY3526318Change From Baseline for Worst Pain Intensity as Measured by NRS-1.08 score on a scale
PlaceboChange From Baseline for Worst Pain Intensity as Measured by NRS-1.38 score on a scale
95% CI: [-0.21, 0.81]
Secondary

Change From Baseline for Worst Pain Intensity as Measured by NRS

The NRS was used during the preliminary data entry period and daily throughout the study to describe pain severity. Participants were asked to describe their worst pain over the past 24 hours, on a scale of 0 to 10: 0=no pain, and 10=pain as bad as you can imagine. Posterior mean change from baseline, 95% credible interval was derived using Bayesian mixed model repeated measures. Data presented are posterior mean with 95% credible interval.

Time frame: Baseline, Week 8

Population: All enrolled participants who received at least one dose of study drug. Here, the overall number of participants analyzed includes the number of participants with non-missing value at Week 8.

ArmMeasureValue (MEAN)
250 mg LY3526318Change From Baseline for Worst Pain Intensity as Measured by NRS-1.41 score on a scale
PlaceboChange From Baseline for Worst Pain Intensity as Measured by NRS-1.70 score on a scale
95% CI: [-0.31, 0.9]
Secondary

Change From Baseline in Average Pain Intensity as Measured by the Numeric Rating Scale (NRS)

The NRS was used during the preliminary data entry period and daily throughout the study to describe pain severity. Participants were asked to describe their average pain over the past 24 hours, on a scale of 0 to 10: 0=no pain, and 10=pain as bad as you can imagine. Posterior mean change from baseline, 95% credible interval was derived using Bayesian mixed model repeated measures. Data presented are posterior mean with 95% credible interval.

Time frame: Baseline, Week 8

Population: All enrolled participants who received at least one dose of study drug. Here, the overall number of participants analyzed includes number of participants with non-missing values at Week 8.

ArmMeasureValue (MEAN)
250 mg LY3526318Change From Baseline in Average Pain Intensity as Measured by the Numeric Rating Scale (NRS)-1.26 score on a scale
PlaceboChange From Baseline in Average Pain Intensity as Measured by the Numeric Rating Scale (NRS)-1.45 score on a scale
95% CI: [-0.39, 0.76]
Secondary

Change From Baseline in Overall Improvement as Measured by Patient's Global Impression of Change

Patients Global Impression of change captured the participant's perspective of treatment apart from sub-aspects of the general improvement. This is a numeric scale from 1 to 7: 1=very much better, and 7=very much worse. Posterior mean change from baseline, 95% credible interval was derived using Bayesian mixed model repeated measures. Data presented are posterior mean with 95% credible interval.

Time frame: Baseline, Week 8

Population: All enrolled participants who received at least one dose of study drug. Here, the overall number of participants analyzed includes the number of participants with non-missing value at Week 8.

ArmMeasureValue (MEAN)
250 mg LY3526318Change From Baseline in Overall Improvement as Measured by Patient's Global Impression of Change2.96 score on a scale
PlaceboChange From Baseline in Overall Improvement as Measured by Patient's Global Impression of Change2.97 score on a scale
95% CI: [-0.39, 0.37]
Secondary

Change From Baseline in Overall Improvement as Measured by Patient's Global Impression of Change

Patients Global Impression of change captured the participant's perspective of treatment apart from sub-aspects of the general improvement. This is a numeric scale from 1 to 7: 1=very much better, and 7=very much worse. Posterior mean change from baseline, 95% credible interval was derived using Bayesian mixed model repeated measures. Data presented are posterior mean with 95% credible interval.

Time frame: Baseline, Week 4

Population: All enrolled participants who received at least one dose of study drug. Here, the overall number of participants analyzed includes the number of participants with non-missing value at Week 4.

ArmMeasureValue (MEAN)
250 mg LY3526318Change From Baseline in Overall Improvement as Measured by Patient's Global Impression of Change3.18 score on a scale
PlaceboChange From Baseline in Overall Improvement as Measured by Patient's Global Impression of Change3.05 score on a scale
95% CI: [-0.23, 0.5]
Secondary

Change From Baseline on the EuroQuality of Life Five Dimensions (5D) Five Level (5L) Questionnaire (EQ-5D-5L) (United States)

The EQ-5D-5L assessed quality of life based on 5 dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. The participant was asked to 'check the ONE box that best describes your health TODAY,' choosing from 5 options (no problems, slight problems, moderate problems, severe problems, extreme problems) provided under each dimension. The scores in the 5 dimensions were summarized into a health state index score. The health state index value is a single value on a scale from less than 0 to 1 (negative values are valued as worse than dead) with higher scores indicating better health: 0=a health state equivalent to death, and 1=perfect health. Posterior mean change from baseline, 95% credible intervals was derived using Bayesian mixed model repeated measures. Data presented are posterior mean with 95% credible interval.

Time frame: Baseline, Week 8

Population: All enrolled participants who received at least one dose of study drug. Here, the overall number of participants analyzed includes the number of participants with non-missing value at Week 8.

ArmMeasureValue (MEAN)
250 mg LY3526318Change From Baseline on the EuroQuality of Life Five Dimensions (5D) Five Level (5L) Questionnaire (EQ-5D-5L) (United States)0.05 score on a scale
PlaceboChange From Baseline on the EuroQuality of Life Five Dimensions (5D) Five Level (5L) Questionnaire (EQ-5D-5L) (United States)0.05 score on a scale
95% CI: [-0.07, 0.07]
Secondary

Change From Baseline on the EuroQuality of Life Five Dimensions (5D) Five Level (5L) Questionnaire (EQ-5D-5L) (United States)

The EQ-5D-5L assessed quality of life based on 5 dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. The participant was asked to 'check the ONE box that best describes your health TODAY,' choosing from 5 options (no problems, slight problems, moderate problems, severe problems, extreme problems) provided under each dimension. The scores in the 5 dimensions were summarized into a health state index score. The health state index value is a single value on a scale from less than 0 to 1 (negative values are valued as worse than dead) with higher scores indicating better health: 0=a health state equivalent to death, and 1=perfect health. Posterior mean change from baseline, 95% credible intervals was derived using Bayesian mixed model repeated measures. Data presented are posterior mean with 95% credible interval.

Time frame: Baseline, Week 4

Population: All enrolled participants who received at least one dose of study drug. Here, the overall number of participants analyzed includes the number of participants with non-missing value at Week 4.

ArmMeasureValue (MEAN)
250 mg LY3526318Change From Baseline on the EuroQuality of Life Five Dimensions (5D) Five Level (5L) Questionnaire (EQ-5D-5L) (United States)0.04 score on a scale
PlaceboChange From Baseline on the EuroQuality of Life Five Dimensions (5D) Five Level (5L) Questionnaire (EQ-5D-5L) (United States)0.05 score on a scale
95% CI: [-0.06, 0.05]
Secondary

Change From Baseline on the Sleep Scale From the Medical Outcomes Study (MOS Sleep Scale) - Average Hours of Sleep

The MOS Sleep Scale consists of 12 questions addressing the past week. Question 1 asks time to fall asleep and it is reported in 5-point timeframe categories. Question 2 asks average hours of sleep. In the remaining 10 questions participants report how often a sleep symptom or problem was present on a scale ranging from '0=all of the time' to '5=none of the time.' MOS Sleep scale dimension scores range from 0 to 100 with lower score indicating improvement, except for the dimension of sleep adequacy, where higher scores indicate improvement. Here, the average hours of sleep (i.e., Question 2) is reported as the average number of hours slept each night during the past week (range 0 to 24 hours). Higher number of hours slept indicates improvement. Posterior mean change from baseline, 95% credible interval was derived using Bayesian mixed model repeated measures. Data presented are posterior mean with 95% credible interval.

Time frame: Baseline, Week 8

Population: All enrolled participants who received at least one dose of study drug. Here, the overall number of participants analyzed includes the number of participants with non-missing value at Week 8.

ArmMeasureValue (MEAN)
250 mg LY3526318Change From Baseline on the Sleep Scale From the Medical Outcomes Study (MOS Sleep Scale) - Average Hours of Sleep-0.01 Hours per night
PlaceboChange From Baseline on the Sleep Scale From the Medical Outcomes Study (MOS Sleep Scale) - Average Hours of Sleep0.19 Hours per night
95% CI: [-0.52, 0.13]
Secondary

Change From Baseline on the Sleep Scale From the Medical Outcomes Study (MOS Sleep Scale) - Average Hours of Sleep

The MOS Sleep Scale consists of 12 questions addressing the past week. Question 1 asks time to fall asleep and it is reported in 5-point timeframe categories. Question 2 asks average hours of sleep. In the remaining 10 questions participants report how often a sleep symptom or problem was present on a scale ranging from '0=all of the time' to '5=none of the time.' MOS Sleep scale dimension scores range from 0 to 100 with lower score indicating improvement, except for the dimension of sleep adequacy, where higher scores indicate improvement. Here, the average hours of sleep (i.e., Question 2) is reported as the average number of hours slept each night during the past week (range 0 to 24 hours). Higher number of hours slept indicates improvement. Posterior mean change from baseline, 95% credible interval was derived using Bayesian mixed model repeated measures. Data presented are posterior mean with 95% credible interval.

Time frame: Baseline, Week 4

Population: All enrolled participants who received at least one dose of study drug. Here, the overall number of participants analyzed includes the number of participants with non-missing value at Week 4.

ArmMeasureValue (MEAN)
250 mg LY3526318Change From Baseline on the Sleep Scale From the Medical Outcomes Study (MOS Sleep Scale) - Average Hours of Sleep0.04 Hours per night
PlaceboChange From Baseline on the Sleep Scale From the Medical Outcomes Study (MOS Sleep Scale) - Average Hours of Sleep0.06 Hours per night
95% CI: [-0.32, 0.27]
Secondary

Change From Baseline on the Visual Analog Scale (VAS) for Pain

VAS was a graphic, single-item scale where participants were asked to describe their pain intensity over the past week, on a scale of 0 to 100: 0=no pain, and 100=worst imaginable pain. Participants completed the VAS by placing a line perpendicular to the VAS line at a point that described their pain intensity. Posterior mean change from baseline, 95% credible interval was derived using Bayesian mixed model repeated measures. Data presented are posterior mean with 95% credible interval.

Time frame: Baseline, Week 4

Population: All enrolled participants who received at least one dose of study drug. Here, the overall number of participants analyzed includes the number of participants with non-missing value at Week 4.

ArmMeasureValue (MEAN)
250 mg LY3526318Change From Baseline on the Visual Analog Scale (VAS) for Pain-11.69 score on a scale
PlaceboChange From Baseline on the Visual Analog Scale (VAS) for Pain-17.82 score on a scale
95% CI: [-0.24, 12.52]
Secondary

Change From Baseline on the Visual Analog Scale (VAS) for Pain

VAS was a graphic, single-item scale where participants were asked to describe their pain intensity over the past week, on a scale of 0 to 100: 0=no pain, and 100=worst imaginable pain. Participants completed the VAS by placing a line perpendicular to the VAS line at a point that described their pain intensity. Posterior mean change from baseline, 95% credible interval was derived using Bayesian mixed model repeated measures. Data presented are posterior mean with 95% credible interval.

Time frame: Baseline, Week 8

Population: All enrolled participants who received at least one dose of study drug. Here, the overall number of participants analyzed includes the number of participants with non-missing value at Week 8.

ArmMeasureValue (MEAN)
250 mg LY3526318Change From Baseline on the Visual Analog Scale (VAS) for Pain-16.41 score on a scale
PlaceboChange From Baseline on the Visual Analog Scale (VAS) for Pain-21.55 score on a scale
95% CI: [-1.9, 12.18]
Secondary

Change From Baseline on the Western Ontario and McMaster University Arthritis Index (WOMAC®) Pain Subscale

The WOMAC® is a validated instrument that is extensively used to evaluate the response to medications for the treatment of Osteoarthritis pain. There are 5 questions on the pain subscale, and participants used a 0 to 4 Likert scale to answer each question for the current day: 0=no pain, and 4=extreme pain. The scores for the pain subscale were calculated by summing the scores of the questions for each participant at each time point. The range of possible scores is 0 to 20 for the pain subscale. Posterior mean change from baseline, 95% credible interval was derived using Bayesian mixed model repeated measures. Data presented are posterior mean with 95% credible interval.

Time frame: Baseline, Week 8

Population: All enrolled participants who received at least one dose of study drug. Here, the overall number of participants analyzed includes the number of participants with non-missing value at Week 8.

ArmMeasureValue (MEAN)
250 mg LY3526318Change From Baseline on the Western Ontario and McMaster University Arthritis Index (WOMAC®) Pain Subscale-2.51 score on a scale
PlaceboChange From Baseline on the Western Ontario and McMaster University Arthritis Index (WOMAC®) Pain Subscale-2.85 score on a scale
95% CI: [-0.67, 1.34]
Secondary

Change From Baseline on the Western Ontario and McMaster University Arthritis Index (WOMAC®) Pain Subscale

The WOMAC® is a validated instrument that is extensively used to evaluate the response to medications for the treatment of Osteoarthritis pain. There are 5 questions on the pain subscale, and participants used a 0 to 4 Likert scale to answer each question for the current day: 0 = no pain, and 4 = extreme pain. The scores for the pain subscale were calculated by summing the scores of the questions for each participant at each time point. The range of possible scores is 0 to 20 for the pain subscale. Posterior mean change from baseline, 95% credible interval was derived using Bayesian mixed model repeated measures. Data presented are posterior mean with 95% credible interval.

Time frame: Baseline, Week 4

Population: All enrolled participants who received at least one dose of study drug. Here, the overall number of participants analyzed includes the number of participants with non-missing value at Week 4.

ArmMeasureValue (MEAN)
250 mg LY3526318Change From Baseline on the Western Ontario and McMaster University Arthritis Index (WOMAC®) Pain Subscale-1.87 score on a scale
PlaceboChange From Baseline on the Western Ontario and McMaster University Arthritis Index (WOMAC®) Pain Subscale-2.50 score on a scale
95% CI: [-0.23, 1.47]
Secondary

Change From Baseline on the WOMAC® Physical Function Subscale

The WOMAC® is a validated instrument that is extensively used to evaluate the response to medications for the treatment of Osteoarthritis pain. There are 17 questions in the physical function subscale, and participants used a 0 to 4 Likert scale to answer each question for the current day: 0=no difficulty, and 4=extreme difficulty. The scores for each subscale were calculated by summing the scores of the questions in each respective subscale for each participant at each time point. The range of possible scores is 0 to 68 for the physical function subscale. Posterior mean change from baseline, 95% credible interval was derived using Bayesian mixed model repeated measures. Data presented are posterior mean with 95% credible interval.

Time frame: Baseline, Week 4

Population: All enrolled participants who received at least one dose of study drug. Here, the overall number of participants analyzed includes the number of participants with non-missing value at Week 4.

ArmMeasureValue (MEAN)
250 mg LY3526318Change From Baseline on the WOMAC® Physical Function Subscale-6.48 score on a scale
PlaceboChange From Baseline on the WOMAC® Physical Function Subscale-8.46 score on a scale
95% CI: [-0.88, 4.88]
Secondary

Change From Baseline on the WOMAC® Physical Function Subscale

The WOMAC® is a validated instrument that is extensively used to evaluate the response to medications for the treatment of Osteoarthritis pain. There are 17 questions in the physical function subscale, and participants used a 0 to 4 Likert scale to answer each question for the current day: 0=no difficulty, and 4=extreme difficulty. The scores for each subscale were calculated by summing the scores of the questions in each respective subscale for each participant at each time point. The range of possible scores is 0 to 68 for the physical function subscale. Posterior mean change from baseline, 95% credible interval was derived using Bayesian mixed model repeated measures. Data presented are posterior mean with 95% credible interval.

Time frame: Baseline, Week 8

Population: All enrolled participants who received at least one dose of study drug. Here, the overall number of participants analyzed includes the number of participants with non-missing value at Week 8.

ArmMeasureValue (MEAN)
250 mg LY3526318Change From Baseline on the WOMAC® Physical Function Subscale-8.04 score on a scale
PlaceboChange From Baseline on the WOMAC® Physical Function Subscale-11.09 score on a scale
95% CI: [-0.29, 6.38]
Secondary

Change From Baseline on the WOMAC® Stiffness Subscale

The WOMAC® is a validated instrument that is extensively used to evaluate the response to medications for the treatment of Osteoarthritis pain. There are 2 questions in the stiffness subscale and participants used a 0 to 4 Likert scale to answer each question for the current day: 0=no stiffness, and 4=extreme stiffness. The scores for each subscale were calculated by summing the scores of the questions in each respective subscale for each participant at each time point. The range of possible scores is 0 to 8 for the stiffness subscale. Posterior mean change from baseline, 95% credible interval was derived using Bayesian mixed model repeated measures. Data presented are posterior mean with 95% credible interval.

Time frame: Baseline, Week 4

Population: All enrolled participants who received at least one dose of study drug. Here, the overall number of participants analyzed includes the number of participants with non-missing value at Week 4.

ArmMeasureValue (MEAN)
250 mg LY3526318Change From Baseline on the WOMAC® Stiffness Subscale-1.04 score on a scale
PlaceboChange From Baseline on the WOMAC® Stiffness Subscale-1.11 score on a scale
95% CI: [-0.35, 0.5]
Secondary

Change From Baseline on the WOMAC® Stiffness Subscale

The WOMAC® is a validated instrument that is extensively used to evaluate the response to medications for the treatment of Osteoarthritis pain. There are 2 questions in the stiffness subscale and participants used a 0 to 4 Likert scale to answer each question for the current day: 0 = no stiffness, and 4 = extreme stiffness. The scores for each subscale were calculated by summing the scores of the questions in each respective subscale for each participant at each time point. The range of possible scores is 0 to 8 for the stiffness subscale. Posterior mean change from baseline, 95% credible interval was derived using Bayesian mixed model repeated measures. Data presented are posterior mean with 95% credible interval.

Time frame: Baseline, Week 8

Population: All enrolled participants who received at least one dose of study drug. Here, the overall number of participants analyzed includes the number of participants with non-missing value at Week 8.

ArmMeasureValue (MEAN)
250 mg LY3526318Change From Baseline on the WOMAC® Stiffness Subscale-1.16 score on a scale
PlaceboChange From Baseline on the WOMAC® Stiffness Subscale-1.26 score on a scale
95% CI: [-0.35, 0.55]
Secondary

Total Amount of Rescue Medication Use as Measured by Average Daily Dosage

Total amount of rescue medication use as measured by average daily dosage. Posterior mean change from baseline, 95% credible interval was derived using Bayesian mixed model repeated measures. Data presented are posterior mean with 95% credible interval.

Time frame: Week 4

Population: All enrolled participants who received at least one dose of study drug. Here, the overall number of participants analyzed includes the number of participants with non-missing value at Week 4.

ArmMeasureValue (MEAN)
250 mg LY3526318Total Amount of Rescue Medication Use as Measured by Average Daily Dosage271.27 mg per day (mg/day)
PlaceboTotal Amount of Rescue Medication Use as Measured by Average Daily Dosage172.92 mg per day (mg/day)
95% CI: [-51.95, 250.88]
Secondary

Total Amount of Rescue Medication Use as Measured by Average Daily Dosage

Total amount of rescue medication use as measured by average daily dosage. Posterior mean change from baseline, 95% credible interval was derived using Bayesian mixed model repeated measures. Data presented are posterior mean with 95% credible interval.

Time frame: Week 8

Population: All enrolled participants who received at least one dose of study drug. Here, the overall number of participants analyzed includes the number of participants with non-missing value at Week 8.

ArmMeasureValue (MEAN)
250 mg LY3526318Total Amount of Rescue Medication Use as Measured by Average Daily Dosage284.83 mg/day
PlaceboTotal Amount of Rescue Medication Use as Measured by Average Daily Dosage161.47 mg/day
95% CI: [-46.51, 293.69]

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