This study is designed as a double-blind, randomised, placebo-controlled, four parallel arm, dose-finding study, to be conducted in approximately 26 sites, to evaluate the efficacy, safety, tolerability, and pharmacokinetics of single intra-articular (IA) injections of fasitibant in patients with symptomatic osteoarthritis (OA) of the knee. Approximately 400 male and female patients 40-80 years old, with BMI \< 30 kg/m² and with a clinical diagnosis of symptomatic primary osteoarthritis of the knee will be randomised to a total of 4 treatment arms. Each arm includes a single intra-articular injection of one of three dosages of fasitibant (low, intermediate and high dose) OR placebo. The randomisation ratio will be 1:1:1:1. The primary efficacy variable will be the change of the Western Ontario and McMaster Universities Visual Analogue Scale 3.1 A (WOMAC VA 3.1 A) (total pain) subscore from baseline up to 2 weeks after randomisation. Safety will be assessed by monitoring adverse events and clinical laboratory tests; local tolerability at the injection site will also be assessed. In addition, the population pharmacokinetics and the exposure-response relationship will be evaluated. The individual experimental clinical phase will last up to maximal 15 weeks encompassing 7 planned visits at site, including screening, randomisation, 4 follow-up visits and the End of study visit.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
436
Single intra-articular injection of low dose of fasitibant
Single intra-articular injection of intermediate dose of fasitibant
Single intra-articular injection of high dose of fasitibant
Single intra-articular injection of placebo
Tucson Orthopaedic Institute
Tucson, Arizona, United States
Colorado Orthopaedic Consultants
Englewood, Colorado, United States
Avail Clinical Research, LLC
DeLand, Florida, United States
Radiant Research
Columbus, Ohio, United States
Columbus Clinical Research
Columbus, Ohio, United States
Blair Orthopaedic Associates
Altoona, Pennsylvania, United States
Tekton Research
Austin, Texas, United States
Physicians Research Options, LLC
Draper, Utah, United States
Spokan Joint Replacement Center
Spokane, Washington, United States
Revmatologie s.r.o.
Brno, Czechia
...and 15 more locations
Change in WOMAC A
The validated Western Ontario and McMaster University questionnaire (WOMAC) was used to measure total knee pain choosing its visual analogue scale version (VAS). The WOMAC VA 3.1 A subscore (WOMAC A) ranges from 0 to 500 mm (summing up five VAS 0-100 mm) with higher scores indicating more pain.
Time frame: from baseline up to 2 weeks after randomisation
Change in WOMAC INDEX
The WOMAC VA 3.1 Index score (WOMAC INDEX) is the sum of WOMAC A (total pain), WOMAC B (stiffness) and WOMAC C (functional impairment) subscores. The WOMAC INDEX score ranges from 0 to 2400 mm, with higher scores indicating higher disease burden.
Time frame: from baseline up to 6 weeks after randomisation
Responder Rate According to OMERACT-OARSI Criteria
Percentage of responders according to Outcome Measures in Rheumatology-Osteoarthritis Research Society International criteria (OMERACT-OARSI criteria). Patients with at least 50 % improvement in pain or in function scores are considered responders. Alternatively, patients are considered responders if they show at least 20% improvement in at least two of the following scores: pain, function and Patients's Global Assessment (PGA) scores.
Time frame: from baseline up to 6 weeks after randomisation
Euro Quality of Life Questionnaire (EQ-5D-5L) Responder Rate
Response based on change ≥ 20 % from baseline for EQ-5D-5L index value
Time frame: from baseline up to 6 weeks after randomisation
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