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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT02357459
Registration number
NCT02357459
Ethics application status
Date submitted
3/02/2015
Date registered
6/02/2015
Date last updated
24/01/2024
Titles & IDs
Public title
Study of FX006 for the Treatment of Pain in Patients With Osteoarthritis of the Knee
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Scientific title
A Double-Blind, Randomized, Single-Dose Study to Assess the Safety and Efficacy of FX006 for the Treatment of Pain in Patients With Osteoarthritis of the Knee
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Secondary ID [1]
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FX006-2014-008
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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
Treatment: Drugs - Placebo
Treatment: Drugs - TCA IR 40
Experimental: FX006 32mg - Single 5 mL intra-articular (IA) injection Extended-release Formulation
Placebo comparator: Normal Saline - Single 5 mL intra-articular (IA) injection
Active comparator: TCA IR 40 mg - Single 1 mL intra-articular (IA) injection TCA IR 40 mg: Immediate-release formulation
Treatment: Drugs: FX006
Single 5 mL IA injection
Treatment: Drugs: Placebo
Single 5 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 to Week 12 in the Weekly Mean of the Average Daily (24-hr) Pain (ADP) Intensity Scores for 32 mg FX006 Versus Placebo
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Assessment method [1]
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The pain intensity score is measured using an 11-point numeric rating scale (NRS), where ) indicates "no pain" and 10 indicates "pain as bad as you can imagine."
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Timepoint [1]
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Baseline and 12 Weeks
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Secondary outcome [1]
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Area Under the Effect Curve (AUE) of Change From Baseline in the Weekly Mean of the ADP Scores From Baseline to Week 12 for FX006 Relative to Placebo
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Assessment method [1]
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The pain intensity score is measured using an 11-point numeric rating scale (NRS), where ) indicates "no pain" and 10 indicates "pain as bad as you can imagine."
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Timepoint [1]
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Baseline to 12 Weeks
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Secondary outcome [2]
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AUE of Change From Baseline in Weekly Mean of the ADP Scores From Baseline to Week 12 for FX006 Relative to TCA IR
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Assessment method [2]
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The pain intensity score is measured using an 11-point numeric rating scale (NRS), where ) indicates "no pain" and 10 indicates "pain as bad as you can imagine."
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Timepoint [2]
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Baseline to 12 Weeks
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Secondary outcome [3]
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Change From Baseline to Week 12 in the Weekly Mean of the ADP Scores From Baseline to Week 12 for FX006 Relative to TCA IR
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Assessment method [3]
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The pain intensity score is measured using an 11-point numeric rating scale (NRS), where ) indicates "no pain" and 10 indicates "pain as bad as you can imagine."
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Timepoint [3]
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Baseline through 12 Weeks
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Secondary outcome [4]
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AUE of Change From Baseline in Weekly Mean of the ADP Scores From Baseline to Week 24 for FX006 Relative to Placebo
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Assessment method [4]
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The pain intensity score is measured using an 11-point numeric rating scale (NRS), where ) indicates "no pain" and 10 indicates "pain as bad as you can imagine."
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Timepoint [4]
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Baseline to 24 Weeks
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Eligibility
Key inclusion criteria
* Willingness and ability to comply with the study procedures and visit schedules and ability to follow verbal and written instructions
* Male or female >=40 years of age
* Has symptoms associated with OA of the index knee for at least 6 months prior to Screening
* Currently meets American College of Rheumatology (ACR) Criteria (clinical and radiological) for OA
* Kellgren-Lawrence (K-L) Grade 2 or 3 in the index knee per Screening X-ray
* Index knee pain for > 15 days over the last month
* Qualifying mean score on the 24-h average pain score (0-10 numeric rating scale)
* Body mass index (BMI) = 40 kg/m2
* Willingness to abstain from use of restricted medications
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Minimum age
40
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
* Any condition that could possibly confound the patient's assessment of index knee pain in judgement of the investigator (i.e., iIpsilateral hip OA, gout, radicular low back pain and hip pain that is referred to the knee that could cause misclassification, pain in any other area of the lower extremities or back that is equal or greater than the index knee pain)
* Fibromyalgia, Reiter's syndrome, rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, arthritis associated with inflammatory bowel disease
* History of infection in the index knee
* Clinical signs and symptoms of active knee infection or crystal disease of the index knee within 1 month of Screening
* Unstable joint within 12 months of screening
* 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
* Intramuscular (IM) or oral corticosteroids (investigational or marketed) within 1 month of Screening
* Any other IA investigational drug/biologic within 6 months of Screening
* Prior use of FX006
* 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 3
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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
1/01/2015
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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
1/01/2016
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Sample size
Target
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Accrual to date
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Final
486
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Recruitment in Australia
Recruitment state(s)
NSW,QLD,VIC
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Recruitment hospital [1]
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- Broadmeadow
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Recruitment hospital [2]
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- Geelong
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- Merewether
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- St. Leonards
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Recruitment hospital [5]
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- Sherwood
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Recruitment hospital [6]
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- Malvern
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Recruitment postcode(s) [1]
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02292 - Broadmeadow
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Recruitment postcode(s) [2]
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03220 - Geelong
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Recruitment postcode(s) [3]
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02291 - Merewether
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Recruitment postcode(s) [4]
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02065 - St. Leonards
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Recruitment postcode(s) [5]
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04075 - Sherwood
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Recruitment postcode(s) [6]
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03145 - Malvern
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Recruitment outside Australia
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United States of America
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Arizona
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California
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Colorado
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Florida
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Kansas
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New Mexico
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North Carolina
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Pennsylvania
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Tennessee
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Texas
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Virginia
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Canada
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Ontario
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Denmark
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Aalborg
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Denmark
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Ballerup
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Denmark
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Vejle
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Estonia
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Tallinn
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Hong Kong
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Hong Kong
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Lithuania
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Vilnius
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Romania
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State/province [19]
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Bucharest
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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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Ethics approval
Ethics application status
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Summary
Brief summary
The purpose of this study was to assess the safety and efficacy of FX006 for the treatment of pain in patients with osteoarthritis of the knee.
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Trial website
https://clinicaltrials.gov/study/NCT02357459
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Trial related presentations / publications
Ross E, Katz NP, Conaghan PG, Kivitz A, Turk DC, Spitzer AI, Jones DG, Lanier RK, Cinar A, Lufkin J, Kelley SD. Improved Treatment Effect of Triamcinolone Acetonide Extended-Release in Patients with Concordant Baseline Pain Scores on the Average Daily Pain and Western Ontario and McMaster Universities Osteoarthritis Index Pain Scales. Pain Ther. 2022 Mar;11(1):289-302. doi: 10.1007/s40122-021-00335-z. Epub 2021 Nov 17. Langworthy MJ, Conaghan PG, Ruane JJ, Kivitz AJ, Lufkin J, Cinar A, Kelley SD. Efficacy of Triamcinolone Acetonide Extended-Release in Participants with Unilateral Knee Osteoarthritis: A Post Hoc Analysis. Adv Ther. 2019 Jun;36(6):1398-1411. doi: 10.1007/s12325-019-00944-3. Epub 2019 Apr 9.
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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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Contact person for public queries
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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/NCT02357459
Download to PDF