The objectives of this study are to assess the safety, effectiveness, and immunogenicity of AA4500 in the treatment of adhesive capsulitis.
Study is a Phase 2b, double-blind, placebo-controlled study of the safety and efficacy of AA4500 for the treatment of adhesive capsulitis of the shoulder. To be eligible for treatment, a subject must have unilateral idiopathic adhesive capsulitis of the shoulder with restricted range of motion in the affected shoulder for at least 3 months but not more than 12 months. Subjects will be screened for study eligibility within 28 days before injection of study drug. Approximately 300 adult women and men are to be enrolled in this study. Following screening and determination of study eligibility, subjects will be randomized 3:1 to receive 0.58 mg of AA4500 or placebo. Subjects will receive up to 3 injections of study drug. Each injection will be separated by a minimum of 21 days. Subjects will also be instructed in home shoulder exercises after the first injection.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
322
Treatment of Adhesive Capsulitis
Placebo injection
Change From Baseline to Day 95 in Active Forward Flexion
Active range of motion (AROM) measurement using a goniometer to assess forward flexion in the affected shoulder
Time frame: Baseline, day 95
Change From Baseline to Day 95 in Adapted American Shoulder and Elbow Surgeons (ASES) Function Subscale
Function subscale score ranging from 0-50, with 0 being most dysfunctional, derived from participant assessment of ability to do 10 activities with affected shoulder/arm where 0=unable to do to, 1=very difficult to do, 2=somewhat difficult, and 3=not difficult, and calculated as (cumulative total score for the 10 activity items) × (5/3); adapted from ASES Standardized Shoulder Assessment Form, Patient Self-Evaluation (United States adapted version).
Time frame: Baseline, day 95
Change From Baseline to Day 95 in Pain With Movement Using 11-point Numeric Rating Scale (NRS)
Participant assessment of pain in response to "How bad is the pain upon movement of your affected shoulder at its worst in the last 24 hours?" using an 11-point NRS where 0=no pain at all and 10=pain as bad as it can be.
Time frame: Baseline, day 95
Change From Baseline to Day 95 in Active Abduction
AROM measurement using a goniometer to assess abduction in the affected shoulder
Time frame: Baseline, day 95
Change From Baseline to Day 95 in Passive Forward Flexion
Passive range of motion (PROM) measurement using a goniometer to assess forward flexion in the affected shoulder
Time frame: Baseline, day 95
Change From Baseline to Day 95 in Passive Abduction
PROM measurement using a goniometer to assess abduction in the affected shoulder
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Alabama Orthopaedic Center-Research
Birmingham, Alabama, United States
Coastal Clinical Research
Mobile, Alabama, United States
Arizona Research Center, Inc.
Phoenix, Arizona, United States
Advance Med Clinical Research
Carlsbad, California, United States
Triwest Research Associates
El Cajon, California, United States
Core Orthopedic Medical Center
Encinitas, California, United States
Temecula Rheumatology & Internal Medicine
Murrieta, California, United States
Clearview Medical Research
Santa Clarita, California, United States
Colorado Orthopedic Consultants, PC
Englewood, Colorado, United States
Florida Research Associates
DeLand, Florida, United States
...and 36 more locations
Time frame: Baseline, day 95
Change From Baseline to Day 95 in Active Internal Rotation
AROM measurement using a goniometer to assess internal rotation in the affected shoulder
Time frame: Baseline, day 95
Change From Baseline to Day 95 in Active External Rotation
AROM measurement using a goniometer to assess external rotation in the affected shoulder
Time frame: Baseline, day 95
Change From Baseline to Day 95 in Passive Internal Rotation
PROM measurement using a goniometer to assess internal rotation in the affected shoulder
Time frame: Baseline, day 95
Change From Baseline to Day 95 in Passive External Rotation
PROM measurement using a goniometer to assess external rotation in the affected shoulder
Time frame: Baseline, day 95
Change From Baseline to Day 95 in Adapted ASES Pain Subscale
Pain subscale score ranging from 0-50, with 0 being greatest pain, derived from participant overall assessment of pain in response to "How bad is the pain in your affected shoulder today?" using an 11-point NRS where 0=no pain at all and 10=pain as bad as it can be and calculated as (10 - NRS score) x 5; adapted from ASES Standardized Shoulder Assessment Form, Patient Self-Evaluation
Time frame: Baseline, day 95
Subject Satisfaction With Treatment at Day 95
Participant assessment of satisfaction with treatment rated as very satisfied, quite satisfied, neither satisfied nor dissatisfied, quite dissatisfied, or very dissatisfied.
Time frame: Day 95
Investigator Assessment of Improvement With Treatment at Day 95
Investigator assessment of degree of improvement in severity of the participant's treated shoulder compared with screening rated as very much improved, much improved, minimally improved, no change, minimally worse, much worse, or very much worse.
Time frame: Day 95