Analgesic Efficacy And Safety of Tanezumab Added On To Diclofenac SR In Patients With Osteoarthritis Of The Knee Or Hip

NCT ID: NCT00864097

Last Updated: 2021-02-26

Study Results

Results available

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE3

Total Enrollment

607 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-08-11

Study Completion Date

2010-11-24

Brief Summary

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The purpose of this study is to investigate the analgesic efficacy and safety of tanezumab added on to diclofenac SR in patients with osteoarthritis of the knee or hip currently experiencing partial benefit from, and are tolerating, diclofenac 150 mg/day therapy.

Detailed Description

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This study was terminated on 16 Nov 2010 following a US FDA clinical hold for tanezumab osteoarthritis clinical studies which halted dosing and enrollment of patients on 23 June 2010 for potential safety issues.

Conditions

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Osteoarthritis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Tanezumab 10 mg + diclofenac

IV tanezumab 10 mg every 8 weeks (through Week 16) and oral diclofenac SR 75 mg BID (through Week 32)

Group Type EXPERIMENTAL

tanezumab

Intervention Type BIOLOGICAL

IV tanezumab 10 mg every 8 weeks (through Week 16)

diclofenac

Intervention Type DRUG

Oral diclofenac SR 75 mg BID for 32 weeks

Tanezumab 5 mg + diclofenac

IV tanezumab 5 mg every 8 weeks (through Week 16) and oral diclofenac SR 75 mg BID (through Week 32)

Group Type EXPERIMENTAL

tanezumab

Intervention Type BIOLOGICAL

IV tanezumab 5 mg every 8 weeks (through Week 16)

diclofenac

Intervention Type DRUG

Oral diclofenac SR 75 mg BID for 32 weeks

Tanezumab 2.5 mg + diclofenac

IV tanezumab 2.5 mg every 8 weeks (through Week 16) and oral diclofenac SR 75 mg BID (through Week 32)

Group Type EXPERIMENTAL

tanezumab

Intervention Type BIOLOGICAL

IV tanezumab 2.5 mg every 8 weeks (through Week 16)

diclofenac

Intervention Type DRUG

Oral diclofenac SR 75 mg BID for 32 weeks

IV placebo + diclofenac

IV placebo to match tanezumab every 8 weeks (through Week 16) and oral diclofenac SR 75 mg BID (through Week 32)

Group Type PLACEBO_COMPARATOR

diclofenac

Intervention Type DRUG

Oral diclofenac SR 75 mg BID for 32 weeks

IV placebo

Intervention Type OTHER

IV placebo to match tanezumab every 8 weeks (through Week 16)

Interventions

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tanezumab

IV tanezumab 10 mg every 8 weeks (through Week 16)

Intervention Type BIOLOGICAL

diclofenac

Oral diclofenac SR 75 mg BID for 32 weeks

Intervention Type DRUG

tanezumab

IV tanezumab 5 mg every 8 weeks (through Week 16)

Intervention Type BIOLOGICAL

diclofenac

Oral diclofenac SR 75 mg BID for 32 weeks

Intervention Type DRUG

tanezumab

IV tanezumab 2.5 mg every 8 weeks (through Week 16)

Intervention Type BIOLOGICAL

diclofenac

Oral diclofenac SR 75 mg BID for 32 weeks

Intervention Type DRUG

diclofenac

Oral diclofenac SR 75 mg BID for 32 weeks

Intervention Type DRUG

IV placebo

IV placebo to match tanezumab every 8 weeks (through Week 16)

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Osteoarthritis of the knee or hip according to ACR criteria with Kellgren-Lawrence X-ray grade equal to, or greater than, 2.
* Patients must be experiencing some benefit from their current stable dose regimen of oral diclofenac 150 mg/day and be tolerating their diclofenac regimen.
* Pain and function levels as required by the protocol at Screening and Baseline.
* Willing to discontinue all non-study pain medications throughout the study except as permitted per protocol.
* Willing and able to comply with lifestyle guidelines, scheduled visits, treatment plan, laboratory tests and other study procedures.

Exclusion Criteria

* Pregnant women.
* BMI greater than 39.
* History of other disease that may involve index knee or hip including inflammatory joint diseases, chrystalline disease (gout or pseudogout), endocrinopathies, metabolic joint diseases, lupus erythematosus, rheumatoid arthritis (RA), joint infections, neuropathic disorders, avascular necrosis, Paget's disease or tumors.
* Fibromyalgia, regional pain caused by lumbar or cervical compression with radiculopathy or other moderate to severe pain that may confound assessments or self-evaluation of the pain associated with OA.
* Signs and symptoms of clinically significant cardiac disease within 6 months prior to screening.
* Diagnosis or TIA within 6 months prior to screening or diagnosis of stroke with residual deficits that would preclude completion of required study activities.
* History, diagnosis , signs or symptoms of clinically significant neurological and/or psychiatric disease/disorder.
* At Screening: uncontrolled hypertension, hemoglobin A1c greater than or equal to 10%, ALT or AST greater than or equal to 3X upper limit of normal, creatinine exceeding 150 micro-mol/L in men or 133 micro-mol/L in women.
* Patients on warfarin or other coumadin anticoagulant therapy and/or lithium therapy within 30 days prior to Screening.
* Known hypersensitivity to NSAIDs (eg, diclofenac), cyclooxygenase inhibitors or paracetamol (acetaminophen).
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Pfizer

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Pfizer CT.gov Call Center

Role: STUDY_DIRECTOR

Pfizer

Locations

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LKH-Medizinische Universitatsklinik Graz

Graz, , Austria

Site Status

Nuhr Zentrum

Senftenberg, , Austria

Site Status

ClinPharm International GmbH

Vienna, , Austria

Site Status

Medizinische Universitaet Wien/AKH

Vienna, , Austria

Site Status

Rheuma Zentrum Favoriten

Vienna, , Austria

Site Status

CHU de Nantes

Nantes, , France

Site Status

Hopital Lariboisiere

Paris, , France

Site Status

Charité-Universitaetsmedizin Berlin

Berlin, , Germany

Site Status

Klinische Forschung Berlin-Buch GmbH

Berlin, , Germany

Site Status

Apotheke

Berlin, , Germany

Site Status

Herz Apotheke

Bochum, , Germany

Site Status

Synexus ClinPharm GmbH

Bochum, , Germany

Site Status

Viereck-Apotheke

Buch, , Germany

Site Status

Synexus ClinParm GmbH

Dresden, , Germany

Site Status

Apotheke im Arztehaus Mickten

Dresden, , Germany

Site Status

Schiller Apotheke & Stadt Apotheke

Göppingen, , Germany

Site Status

Schmerz- und Palliativzentrum Goeppingen

Göppingen, , Germany

Site Status

Falken Apotheke Hoheluft

Hamburg, , Germany

Site Status

Klinische Forschung Hamburg GmbH

Hamburg, , Germany

Site Status

Klinische Forschung Hannover - Mitte GmbH

Hanover, , Germany

Site Status

Loewen-Apotheke

Hanover, , Germany

Site Status

Synexus ClinPharm GmbH

Leipzig, , Germany

Site Status

Arkana Apotheke OHG

Leipzig, , Germany

Site Status

Synexus ClinPharm GmbH

Magdeburg, , Germany

Site Status

Apotheke im MSZ

Magdeburg, , Germany

Site Status

Apotheke des Ernst von Bergmann Klinikums

Potsdam, , Germany

Site Status

Synexus ClinParm GmbH

Potsdam, , Germany

Site Status

Kirchsteig Apotheke

Potsdam, , Germany

Site Status

"Centrum Medyczne MEDENS S.C. Niepubliczny Zaklad

Chełm Śląski, , Poland

Site Status

Malopolskie Centrum Medyczne s.c.

Krakow, , Poland

Site Status

Centrum Medyczne OSTEOMED Sp. z o. o.

Warsaw, , Poland

Site Status

Synexus SCM Sp. z o.o.

Wroclaw, , Poland

Site Status

Niepubliczny Zaklad Opieki Zdrowotnej "POLIMEDICA"

Zgierz, , Poland

Site Status

Municipal Hospital No. 1 "Schuller"

Ploieşti, Prahova, Romania

Site Status

Clinical Emergency Military Hospital "Dr. Carol Davila"

Bucharest, , Romania

Site Status

Duo Medical srl

Bucharest, , Romania

Site Status

Medical Center "SANA"

Bucharest, , Romania

Site Status

Clinical Hospital "Sf. Maria"

Bucharest, , Romania

Site Status

Center of Rheumatology "Dr Ion Stoia"

Bucharest, , Romania

Site Status

Clinical Emergency County Hospital Constanta

Constanța, , Romania

Site Status

County Emergency Clinic Hospital "Sf. Apostol Andrei"

Galati, , Romania

Site Status

Center polyclinic of Federal State Institution

Arkhangelsk, , Russia

Site Status

State Healthcare Institution of Moscow city "City Clinical Hospital #15 n.a. O. M. Filatov"

Moscow, , Russia

Site Status

Chair of Hospital Therapy of Ryazan State Medical University

Ryazan, , Russia

Site Status

St. Petersburg State Healthcare Institution "City Hospital #25 City Rheumatology Center"

Saint Petersburg, , Russia

Site Status

State Educational Institution of Additional Professional Education

Saint Petersburg, , Russia

Site Status

Institution of Russian Academy of Sciences "St. Petersburg Clinical Hospital of RAS"

Saint Petersburg, , Russia

Site Status

St. Petersburg State Healthcare Institution "City Outpatient Clinical #51"

Saint Petersburg, , Russia

Site Status

St. Petersburg State Healthcare Institution "City Pokrovskaya Hospital"

Saint Petersburg, , Russia

Site Status

Hospital Nuestra Señora de la Esperanza

Santiago de Compostela, A Coruna, Spain

Site Status

Centro Salud Petrer 1

Petrel, Alicante, Spain

Site Status

Hospital de Basurto

Bilbao, Vizcaya, Spain

Site Status

Hospital Comarcal de Elda

Elda Alicante, , Spain

Site Status

Hospital Universitario Getafe

Getafe-Madrid, , Spain

Site Status

Hospital G. U. Gregorio Maranon

Madrid, , Spain

Site Status

Hospital Clinico Universitario Santiago

Santiago de Compostela, , Spain

Site Status

Me3plus AB

Gothenburg, , Sweden

Site Status

Me3plus AB

Gothenburg, , Sweden

Site Status

Center for Lakemedelsstudier

Malmo, , Sweden

Site Status

Medicinskt Centrum

Norrköping, , Sweden

Site Status

Chernivtsi Regional Clinical Hospital,Department of Rheumatology

Chernivtsi, , Ukraine

Site Status

Road Clinical Hospital at Dnipropetrovsk station, Department of Rheumatology

Dnipropetrovsk, , Ukraine

Site Status

Institute of Urgent and Recovery Surgery named after V.K. Gusaka AMS Ukraine

Donetsk, , Ukraine

Site Status

Central City Clinical Hospital#1, Department of Therapy,

Donetsk, , Ukraine

Site Status

Ivano-Frankivsk Regional Clinical Hospital

Ivano-Frankivsk, , Ukraine

Site Status

City Clinical Hospital #8, Department of reumatology,

Kharkiv, , Ukraine

Site Status

State Institution "Institute of Gerontology AMS of Ukraine"

Kiev, , Ukraine

Site Status

Oleksandrivska Clinical Hospital in Kyiv-Department of Rheumatology # 1

Kyiv, , Ukraine

Site Status

Kyiv Central Basin Clinical Hospital, Department of cardiology,

Kyiv, , Ukraine

Site Status

4th City Communal Clinical Hospital, Department of Rheumatology,

Lviv, , Ukraine

Site Status

City communal clinical hospital #5, Dept. of Therapy, Danylo Galytskiy Lviv National Med. University

Lviv, , Ukraine

Site Status

Communal Institution Ternopil regional council, "Ternopil Regional Clinical Hospital"

Ternopil, , Ukraine

Site Status

Vinnytsya regional clinical hospital named after M.I. Pyrogova

Vinnytsia, , Ukraine

Site Status

Communal institution "City Hospital #7", Department of Therapy,

Zaporizhzhia, , Ukraine

Site Status

Barnsley Hospital NHS Trust

Barnsley, South Yorkshire, United Kingdom

Site Status

Department of Rheumatology

Dudley, West Midlands, , United Kingdom

Site Status

Wrightington Hospital

Wigan, , United Kingdom

Site Status

Countries

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Austria France Germany Poland Romania Russia Spain Sweden Ukraine United Kingdom

References

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Tive L, Bello AE, Radin D, Schnitzer TJ, Nguyen H, Brown MT, West CR. Pooled analysis of tanezumab efficacy and safety with subgroup analyses of phase III clinical trials in patients with osteoarthritis pain of the knee or hip. J Pain Res. 2019 Mar 19;12:975-995. doi: 10.2147/JPR.S191297. eCollection 2019.

Reference Type DERIVED
PMID: 30936738 (View on PubMed)

Hochberg MC, Tive LA, Abramson SB, Vignon E, Verburg KM, West CR, Smith MD, Hungerford DS. When Is Osteonecrosis Not Osteonecrosis?: Adjudication of Reported Serious Adverse Joint Events in the Tanezumab Clinical Development Program. Arthritis Rheumatol. 2016 Feb;68(2):382-91. doi: 10.1002/art.39492.

Reference Type DERIVED
PMID: 26554876 (View on PubMed)

Balanescu AR, Feist E, Wolfram G, Davignon I, Smith MD, Brown MT, West CR. Efficacy and safety of tanezumab added on to diclofenac sustained release in patients with knee or hip osteoarthritis: a double-blind, placebo-controlled, parallel-group, multicentre phase III randomised clinical trial. Ann Rheum Dis. 2014 Sep;73(9):1665-72. doi: 10.1136/annrheumdis-2012-203164. Epub 2013 Jul 12.

Reference Type DERIVED
PMID: 23852695 (View on PubMed)

Related Links

Other Identifiers

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2009-009318-41

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

P3 6 MO OA HIP/KNEE DICLOFENAC

Identifier Type: OTHER

Identifier Source: secondary_id

A4091017

Identifier Type: -

Identifier Source: org_study_id

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