LT-NS001 is a prodrug of Naproxen, which is inactive as a cox inhibitor while intact and is rapidly metabolized to Naproxen once absorbed. This trial will compare the rate of gastric ulcer by endoscopy over three months in patients with knee osteoarthritis, with patients receiving either LT-NS001 at a dose which provides comparable dose levels of Naproxen, or Naprosyn® 500mg (an approved treatment for OA).
This is a double-blind, double-dummy, active-comparator study of LT-NS001 versus Naprosyn® for 12 weeks in patients aged 45-80 with osteoarthritis of the knee who are candidates for ongoing NSAID therapy. The percentage of patients with a gastric ulcer by endoscopy (EGD) at week 12 will be compared. EGD is performed at screening and months 1, 2, and 3. Secondary objectives include assessment of pain in the affected knee by WOMAC questionnaire to demonstrate non-inferior pain control using LT-NS001 as compared to Naprosyn®. Information about gastrointestinal pain and tolerability will be collected. The length of the study is up to 19 weeks with a 2-3 week screening period, a 12 week treatment period and a 4 week post treatment monitoring period.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
534
Gastric Ulcer by Endoscopy
Time frame: Baseline, Day 29, Day 57 and Day 85
Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score
Time frame: Screening, Baseline, Days 15, 29, 57 and 85
Population pharmacokinetic analysis will assess the influence of covariates on the absorption/metabolism of LT-NS001 to naproxen
Time frame: Two separate days after Day 14, at least two weeks apart
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Greystone Medical Research, LLC
Birmingham, Alabama, United States
Clinical Research Associates
Huntsville, Alabama, United States
Radiant Research
Chandler, Arizona, United States
Dedicated Clinical Research Inc.
Surprise, Arizona, United States
Radiant Research Inc.
Tucson, Arizona, United States
Adobe Gastroenterology Research, LLC
Tucson, Arizona, United States
Genova Clinical Research Inc.
Tucson, Arizona, United States
Lynn Institute of the Ozarks
Little Rock, Arkansas, United States
Orange County Clinical Trials
Anaheim, California, United States
Theresa Sligh, MD
Burbank, California, United States
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