Moderate Pain in Knee Osteoarthritis, Severe Pain in Knee Osteoarthritis
Conditions
Brief summary
Primary Objective: To explore the effectiveness of different doses of HRS-2129 in the treatment of patients with moderate to severe pain in knee osteoarthritis. Secondary Objectives: To evaluate the safety of different doses of HRS-2129 for the treatment of patients with moderate to severe pain in knee osteoarthritis; To evaluate the population pharmacokinetic profile of HRS-2129 in patients with knee osteoarthritis.
Interventions
HRS-2129 tablet.
Celecoxib capsule.
Celecoxib capsule placebo.
HRS-2129 tablet placebo.
Sponsors
Study design
Intervention model description
Comparison between HRS-2129 high dose group, HRS-2129 low dose group, Celecoxib positive control group, and Placebo control group.
Eligibility
Inclusion criteria
1. Voluntarily sign the informed consent form before starting the activities related to the trial; 2. The Numerical Evaluation Scale (NRS) pain score of the index knee joint at screening is ≥ 4; 3. Subjects must be willing to discontinue all medical and non-medical treatments for osteoarthritis pain except rescue medication (acetaminophen) and not use prohibited analgesics throughout the study ; 4. Male and female subjects of childbearing potential must agree to use highly effective contraceptive measures with their partners from the signing of the informed consent form until 1 month after the last dose of investigational product.
Exclusion criteria
1. History of other diseases that may involve the target joint; 2. History of major trauma or surgery of knee joint and hip joint in the past year; 3. Plan to undergo surgical procedure during the study; 4. Most or complete loss of mobility; 5. There are other diseases that may confuse the assessment of osteoarthritis pain; 6. There is a neuropsychiatric disease, and the investigator's assessment may affect the evaluation of osteoarthritis (OA) or self-score; 7. There are serious or poorly controlled concomitant diseases; 8. Those who have a clear history of peptic ulcer, bleeding, perforation or obstruction within 1 year before screening, and have been clinically diagnosed; 9. Those who require drug treatment or surgical intervention; 10. History of malignant tumors within 5 years before screening; 11. Have a history of drug abuse, drug abuse and/or alcoholism within 2 years before screening.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change from baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) pain subscale scores. | At week 4. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) pain subscale scores. | From baseline to Week 1, 2 and 3. | — |
| Change from baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) joint function subscale scores. | From baseline to Week 1, 2, 3 and 4. | — |
| Change from baseline in the weekly mean (Week 1, 2, 3 and 4) of the index Knee Numerical Rating Scale (NRS) pain score (resting). | From baseline to Week 1, 2, 3 and 4. | — |
| Change from baseline in the weekly mean (Week 1, 2, 3 and 4) of the index Knee Numerical Rating Scale (NRS) pain score (flat walking). | From baseline to Week 1, 2, 3 and 4. | — |
| Change from baseline in the overall patient global assessment (PGA) of osteoarthritis condition using the 5-point Likert scale. | From baseline to Week 1, 2, 3 and 4. | — |
| Change from baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) stiffness subscale scores. | From baseline to Week 1, 2, 3 and 4. | — |
| Change from baseline in total Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score. | From baseline to Week 1, 2, 3 and 4. | — |
| Treatment response: WOMAC pain subscale scores decreased by ≥ 30%, ≥ 50%, ≥ 70% from baseline. | At Week 1, 2, 3 and 4. | — |
| Adverse events (AEs) occurred during the study. | During the study, approximately 8 months. | To evaluate the safety and tolerability of HRS-2129 tablets. |
| Serious adverse events (SAEs) occurred during the study. | During the study, approximately 8 months. | To evaluate the safety and tolerability of HRS-2129 tablets. |
Countries
China