The purpose of this study was to evaluate the safety, pharmacokinetics and pharmacodynamics of FX006 in patients with osteoarthritis of the knee.
This study was a double-blind, randomized, parallel-group, active comparator design. The study was conducted in male and female patients ≥35 years of age with symptomatic OA of the knee. Twenty-four (24) patients with knee OA were randomized (1:1:1:1) and treated with a single IA injection of either 10, 40, or 60 mg of FX006 or 40 mg of TCA IR. Each patient was evaluated for a total of 6 weeks following a single IA injection. Following screening, safety, PK and pharmacodynamics (PD) were evaluated during one (1) 48-hour in-patient period (Day -1 to Day 2), two (2) 24-hour in-patient periods (Day 14-15 and Day 42-43) and seven (7) out-patient visits (Days 3, 4, 5, 8, 22, 29 and 36).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
24
single 3 mL IA injection
single 3 mL IA injection
single 3 mL IA injection
Unnamed facility
Adelaide, South Australia, Australia
Unnamed facility
Perth, Western Australia, Australia
Change From Baseline in 24-hour Weighted Mean Serum Cortisol
The primary pharmacodynamic endpoint was change from baseline (pre-dose) to Day 1-2, Day 14-15 (Week 2) and Day 42-43 (Week 6) in 24-hour weighted mean serum cortisol. This is defined as AUC over the 0-24 hour measurement period divided by 24
Time frame: Days 1-2, Days 14-15 (Week 2) and Days 42-43 (Week 6)
Characterize the Pharmacokinetic Profile of FX006 and TCA IR
Concentrations below the limit of quantification of 50 pg/mL were treated as 0.
Time frame: Day 1 (1, 2, 4, 6, 8, 12 and 24 hours post dose) and Days 3, 4, 5, 8, 15, 22, 29, 36 and 43
Change From Baseline in 24-hour Urinary Free Cortisol Excretion
Time frame: Baseline to Days 1-2, Baseline to Days 14-15 (Week 2) and Baseline to Days 42-43 (Week 6)
Total 24-hour Urinary Free Cortisol Excretion
Time frame: Days 1-2, Days 14-15 (Week 2) and Days 42-43 (Week 6)
Change From Baseline to Each Measured Time Point Post-dose in Morning Serum Cortisol
Least square mean difference against TCA IR 40 mg
Time frame: Baseline to Days 2, 3, 4, 5, 8, 14, 15, 22, 29, 36, 42 and 43
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single 1 mL IA injection