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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT01487200
Registration number
NCT01487200
Ethics application status
Date submitted
5/12/2011
Date registered
7/12/2011
Date last updated
24/01/2024
Titles & IDs
Public title
Pharmacokinetic and Pharmacodynamic Study of FX006 in Patients With Osteoarthritis of the Knee
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Scientific title
A Double-Blind, Randomized, Parallel Group, Active Comparator Study to Evaluate the Safety, Pharmacokinetics, and Pharmacodynamic Effects (HPA Axis) of FX006 in Patients With Osteoarthritis of the Knee
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Secondary ID [1]
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FX006-2011-002
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Osteoarthritis of the Knee
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Condition category
Condition code
Musculoskeletal
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Osteoarthritis
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - FX006 10 mg
Treatment: Drugs - FX006 40 mg
Treatment: Drugs - FX006 60 mg
Treatment: Drugs - TCA IR 40
Experimental: FX006 10mg - Single 3 mL intra-articular (IA) injection Extended-release formulation
Experimental: FX006 40mg - Single 3 mL intra-articular (IA) injection Extended-release formulation
Experimental: FX006 60 mg - Single 3 mL intra-articular (IA) injection Extended-release formulation
Active comparator: TCA IR (40 mg) - Single 1 mL intra-articular (IA) injection Immediate-release formulation
Treatment: Drugs: FX006 10 mg
single 3 mL IA injection
Treatment: Drugs: FX006 40 mg
single 3 mL IA injection
Treatment: Drugs: FX006 60 mg
single 3 mL IA injection
Treatment: Drugs: TCA IR 40
single 1 mL IA injection
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Change From Baseline in 24-hour Weighted Mean Serum Cortisol
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Assessment method [1]
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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
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Timepoint [1]
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Days 1-2, Days 14-15 (Week 2) and Days 42-43 (Week 6)
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Primary outcome [2]
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Characterize the Pharmacokinetic Profile of FX006 and TCA IR
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Assessment method [2]
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Concentrations below the limit of quantification of 50 pg/mL were treated as 0.
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Timepoint [2]
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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
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Secondary outcome [1]
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Change From Baseline in 24-hour Urinary Free Cortisol Excretion
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Assessment method [1]
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Timepoint [1]
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Baseline to Days 1-2, Baseline to Days 14-15 (Week 2) and Baseline to Days 42-43 (Week 6)
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Secondary outcome [2]
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Total 24-hour Urinary Free Cortisol Excretion
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Assessment method [2]
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Timepoint [2]
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Days 1-2, Days 14-15 (Week 2) and Days 42-43 (Week 6)
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Secondary outcome [3]
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Change From Baseline to Each Measured Time Point Post-dose in Morning Serum Cortisol
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Assessment method [3]
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Least square mean difference against TCA IR 40 mg
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Timepoint [3]
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Baseline to Days 2, 3, 4, 5, 8, 14, 15, 22, 29, 36, 42 and 43
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Eligibility
Key inclusion criteria
Main
* Willingness and ability to comply with the study procedures and visit schedules and ability to follow verbal and written instructions
* Male or female >=35 years of age
* Diagnosis of unilateral or bilateral OA of the knee for at least 6 months prior to Screening with confirmation of OA according to American College of Rheumatology Criteria for Classification of Idiopathic OA of the Knee (clinical and radiological) based on an X-ray performed within 6 months prior to Screening or during the Screening period
* Body mass index (BMI) = 40 kg/m2
* Willingness to abstain from use of the protocol-specified restricted medications
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Minimum age
35
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* History of Reiter's syndrome, rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, arthritis associated with inflammatory bowel disease, sarcoidosis or amyloidosis
* History of arthritides due to crystals (e.g., gout, pseudogout)
* History of infection in the index joint
* Clinical signs and symptoms of active knee infection or crystal disease of the index knee
* Presence of surgical hardware or other foreign body in the index knee
* Unstable joint (such as a torn anterior cruciate ligament)
* IA corticosteroid (investigational or marketed) in any joint within 3 months of Screening
* IA hyaluronic acid (investigational or marketed) in the index knee within 6 months of Screening
* Oral, inhaled or intranasal corticosteroids (investigational or marketed) within 1 month of Screening
* Prior arthroscopic or open surgery of the index knee within 12 months of Screening
* Planned/anticipated surgery of the index knee during the study period
* History of or active malignancy, with the exception of resected basal cell carcinoma, squamous cell carcinoma of the skin, or resected cervical atypia or carcinoma in situ within 5 years
* Insulin-dependent diabetes
* History of or active Cushing's syndrome
* Any other clinically significant acute or chronic medical conditions (e.g., uncontrolled diabetes)
* Skin breakdown at the knee where the injection would take place
* Women of child-bearing potential not using effective contraception or who are pregnant or nursing
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 2
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/07/2012
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
1/11/2012
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Sample size
Target
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Accrual to date
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Final
24
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Recruitment in Australia
Recruitment state(s)
SA,WA
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Recruitment hospital [1]
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- Adelaide
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Recruitment hospital [2]
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- Perth
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Recruitment postcode(s) [1]
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5000 - Adelaide
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Recruitment postcode(s) [2]
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- Perth
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Pacira Pharmaceuticals, Inc
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
The purpose of this study was to evaluate the safety, pharmacokinetics and pharmacodynamics of FX006 in patients with osteoarthritis of the knee.
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Trial website
https://clinicaltrials.gov/study/NCT01487200
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Neil Bodick, MD
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Address
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Flexion Therapeutics
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results are available at
https://clinicaltrials.gov/study/NCT01487200
Download to PDF