A double-blind, randomized, placebo-controlled, parallel-group, multi-site, clinical trial to confirm the efficacy and safety of single injection of RTX-GRT7039 versus placebo in patients who have pain associated with osteoarthritis of the knee despite standard of care.
This trial comprises a total observation period of up to 52 weeks.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
450
RTX-GRT7039 intra-articular injection.
Placebo matching RTX-GRT7039 intra-articular injection.
Change from Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Pain Subscale Score
The WOMAC pain subscale will be assessed using an 11-point numeric rating scale (NRS), where 0= no pain and 10=worst pain imaginable.
Time frame: From Baseline up to Week 12
Change from Baseline in WOMAC Pain Subscale Score
The WOMAC pain subscale will be assessed using an 11-point NRS, where 0= no pain and 10=worst pain imaginable.
Time frame: From Baseline up to Week 52
Change from Baseline in WOMAC Physical Function Subscale Score
The WOMAC physical function subscale will be assessed using 11-point NRS, where 0= no difficulty and 10=extreme difficulty.
Time frame: From Baseline up to Week 52
Number of Participants With Treatment Emergent Adverse Events (TEAEs)
Time frame: From Baseline up to Week 52
Change from Baseline in WOMAC Stiffness Subscale Score
The WOMAC stiffness subscale will be assessed using an 11-point NRS, where 0= no stiffness and 10= extreme stiffness.
Time frame: From Baseline up to Week 52
Change from Baseline in WOMAC Total Score
The WOMAC total score will be calculated as the sum of pain subscale score, stiffness subscale score and physical function subscale score. It will be calculated by averaging all of the scores available for the questions and assessed using an 11-point NRS, where 0=better outcome and 10=worst outcome.
Time frame: From Baseline up to Week 52
Change from Baseline in WOMAC A1 (Walking Pain) Subscale Score
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Achieve Clinical Research, LLC
Birmingham, Alabama, United States
Arizona Arthritis and Rheumatology Associates (AARA) P.C
Glendale, Arizona, United States
Elite Clinical Studies, LLC
Phoenix, Arizona, United States
Noble Clinical Research
Tucson, Arizona, United States
Tucson Orthopaedic Research Center
Tucson, Arizona, United States
Orange County Research Institute
Anaheim, California, United States
Core Health Care Group
Cerritos, California, United States
Acclaim Clinical Research, Inc.
San Diego, California, United States
Dr. Hans Richard Barthel, MD Office Of
Santa Barbara, California, United States
Medvin Clinical Research
Thousand Oaks, California, United States
...and 71 more locations
The WOMAC A1 subscale will be assessed using an 11-point NRS, where 0= no pain and 10=worst pain imaginable.
Time frame: From Baseline up to Week 52
Percentage of Participants With at Least 30%, 50% and 70% Reduction From Baseline in WOMAC Pain Subscale Score
The WOMAC pain subscale will be assessed using an 11-point NRS, where 0= no pain and 10=worst pain imaginable.
Time frame: From Baseline up to Week 52
Percentage of Participants With at Least 30%, 50% and 70% Reduction From Baseline in WOMAC A1 (Walking Pain) Subscale Score
The WOMAC A1 subscale will be assessed using an 11-point NRS, where 0= no pain and 10=worst pain imaginable.
Time frame: From Baseline up to Week 52
Percentage of Participants With Outcome Measures in Rheumatology - Osteoarthritis Research Society International (OMERACT-OARSI) Response
OMERACT-OARSI response: A high improvement of \>=50% (percentage change) and \>=2 (absolute change) in either the WOMAC pain subscale score or WOMAC physical function subscale score, OR an improvement in at least 2 of the following 3: * Improvement of \>=20% (percentage change) and \>=1 (absolute change) in the WOMAC pain subscale score. * Improvement of \>=20% (percentage change) and \>=1 (absolute change) in the WOMAC physical function subscale score. * Improvement of \>=20% (percentage change) and \>=10 (absolute change) in Patient Global Assessment (PGA) of osteoarthritis. Absolute values will be normalized to the 0 (no pain) to 100 scale (higher pain/difficulty).
Time frame: From Baseline up to Week 52
Percentage of Participants Categorized by Each Patient Global Impression of Change (PGIC) Score
The 7-point PGIC is a complementary assessment of analgesic efficacy on a 7-point scale where 1 = "Very much improved" and 7 = "Very much worse".
Time frame: From Baseline up to Week 52
Change From Baseline in EuroQol-5 Dimension Health Questionnaire 5 Levels (EQ-5D-5L) Score
EQ-5D consists of EQ-5D descriptive system (Index score) and EQ visual analogue scale (VAS). EQ-5D-5L Index Score ranges from 0 to 1, with 0 representing death and 1.0 representing perfect health. EQ-5D-5L-VAS records participant's self-rated health on a vertical VAS that range from 0 (worst imaginable) to 100 (best imaginable).
Time frame: From Baseline up to Week 52
Change From Baseline in 36-Item Short-Form (SF-36) Domain Scores
The SF-36 domain scores range from 0 (worst value) to 100 (best value), with higher scores reflecting better health status.
Time frame: From Baseline up to Week 52
Number of Participants Reporting Durability of Effect
Durability of effect is defined as time from an improvement in WOMAC pain subscale to pain recurrence. Pain recurrence is defined as no reduction of \>=30% from baseline in the WOMAC Pain subscale score (assessed using an 11-point NRS, where 0= no pain and 10=worst pain imaginable).
Time frame: From Baseline up to Week 52