A Study of the Efficacy and Safety of 2PX in Patients With Pain Due to Osteoarthritis of the Knee

NCT ID: NCT00954629

Last Updated: 2010-03-24

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE3

Total Enrollment

300 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-06-30

Study Completion Date

2010-05-31

Brief Summary

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The purpose of the study is to demonstrate the superiority of topically administered 2PX versus placebo (vehicle) control in terms of reduction in pain intensity and physical function.

Detailed Description

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Primary objective: To demonstrate the superiority of topically administered 2PX versus placebo (vehicle) control in terms of reduction in pain intensity and physical function.

Secondary objectives: To prospectively measure other efficacy variables of topically administered 2PX in pain associated with osteoarthritis of the knee. To evaluate the safety and tolerability of topically administered 2PX.

Conditions

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Pain 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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2PX

Pain medication

Group Type EXPERIMENTAL

strontium chloride hexahydrate

Intervention Type DRUG

Topical solution to be applied twice daily for 26 weeks. Dosage of up till 4 ml per application.

Placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Topical solution to be applied twice daily for 26 weeks. Dosage up till 4ml per application.

Interventions

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strontium chloride hexahydrate

Topical solution to be applied twice daily for 26 weeks. Dosage of up till 4 ml per application.

Intervention Type DRUG

Placebo

Topical solution to be applied twice daily for 26 weeks. Dosage up till 4ml per application.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Male and female out-patients, 40 years or older.
* Subjects with documented OA of either one or both knees, as defined by the American College of Rheumatology (ACR) criteria (\[Altman R, Asch E, Bloch D, et al (1986)\]); i.e.knee pain and at least 3 out of the following 6 criteria in the target joint:

* age \>50 years
* stiffness \< 30 minutes
* crepitus
* bony tenderness
* bony enlargement
* no palpable warmth
* Radiological evidence of joint space narrowing in the target joint within 8 weeks prior to randomisation.
* Subjects with chronic, moderate to severe OA pain of the target knee:

* present for more than 3 months, and for ≥ 20 days per month.
* not controlled by, or intolerant of, oral NSAIDs, paracetamol, COX-2 inhibitors or weak opioids.
* intensity at least moderate (i.e., actual WOMAC (pain questions 1-5) ≥ 10) on WOMAC OA index LK 3.1 at Visit 1, in the target knee, as recalled over the last 24 hours.

Exclusion Criteria

* Subjects with any moderate to severe pain of other origin (e.g., fibromyalgia) which could confound assessment or self-evaluation of pain due to OA in the target knee.
* Subjects with any prosthesis fitted to the target knee.
* Subjects requiring treatment with any of the following agents/therapies within the specified periods or at any time during the study are excluded from participation:
* Any potent/strong opioid in the 4 weeks prior to randomisation (i.e., an opioid assumed to cause withdrawal symptoms upon abrupt discontinuation).
* Any topical or subcutaneously applied analgesic agents (e.g., capsaicin, NSAIDs) applied to the target knee within 7 days prior to randomisation.
* Any treatment which could alter the degree or nature of baseline OA pain planned within the study period.
* Intra-articular injections of corticosteroids in the target knee within the 2 months prior to randomisation.
* Intra-articular injections of hyaluronan in the target knee within 6 months prior to randomisation.
* Avascular necrosis in the target knee within 6 months prior to randomisation.
* Arthrosynthesis of the target knee within 12 months prior to randomisation.
* Arthroscopy of the target knee within 6 months prior to randomisation.
* Major trauma to the target knee within 6 months prior to randomisation.
* Infection in the target knee within 6 months prior to randomisation.
* Subjects who have previously been treated with 2PX.
* Subjects who have received an investigational drug or used an investigational device within the 30 days prior to randomisation.
* Subjects with a significant psychiatric disorder, in the opinion of the investigator, or subjects receiving strong anti-psychotic medication.
* Subjects with documented or suspected alcohol or drug abuse.
* Any ongoing or past history of malignant disease within the 5 years immediately prior to randomisation (with the exception of basal cell carcinoma).
* Pregnancy or ongoing lactation
* Female subjects of childbearing potential unwilling to use adequate contraceptive measures throughout the duration of the study. For the purpose of this study, adequate contraception is defined as:

* oral, injected or implanted hormonal methods of contraception; OR
* placement of an intrauterine device (IUD) or intrauterine system (IUS); OR
* barrier methods of contraception: Condom or occlusive cap (diaphragm or cervical/vault caps) with spermicidal foam/gel/film/cream/suppository Note: Male sterilisation or abstinence are not acceptable methods of birth control and would preclude enrolment in the study.

Note: For post-menopausal women: less than 12 months since the last spontaneous menstrual bleeding will exclude the patient unless they are willing to utilise acceptable methods of contraception for the duration of the study.

* Male subjects able to conceive, who are unwilling to use barrier methods of contraception throughout the duration of the study
* Subjects unable to comply with the study assessments.
Minimum Eligible Age

40 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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SantoSolve AS

INDUSTRY

Sponsor Role collaborator

Smerud Medical Research International AS

OTHER

Sponsor Role lead

Responsible Party

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SantoSolve AS

Principal Investigators

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Stuart Ratcliffe, MD

Role: PRINCIPAL_INVESTIGATOR

MAC Neuroscience centre in Blackpool, United Kingdom

Locations

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Site in Helsinki

Helsinki, , Finland

Site Status COMPLETED

Site at Kuopio

Kuopio, , Finland

Site Status COMPLETED

Site in Turku

Turku, , Finland

Site Status COMPLETED

Site in Bialystok

Bialystok, , Poland

Site Status COMPLETED

Site in Kraków

Krakow, , Poland

Site Status COMPLETED

Site in Warszawa

Warsaw, , Poland

Site Status COMPLETED

Site in St-Petersburg

Saint Petersburg, , Russia

Site Status COMPLETED

Site in St-Petersburg

Saint Petersburg, , Russia

Site Status RECRUITING

Site in Blackpool

Blackpool, , United Kingdom

Site Status COMPLETED

Site in Bolton

Bolton, , United Kingdom

Site Status COMPLETED

Site in Bradford

Bradford, , United Kingdom

Site Status COMPLETED

Site in Manchester

Manchester, , United Kingdom

Site Status COMPLETED

Site at Cheadle Hulme

Stockport, , United Kingdom

Site Status COMPLETED

Site at Heald Green

Stockport, , United Kingdom

Site Status COMPLETED

Site at Heaton Moor

Stockport, , United Kingdom

Site Status COMPLETED

Countries

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Finland Poland Russia United Kingdom

Central Contacts

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Robert Macnair, PhD

Role: CONTACT

+44 1357 523481

Other Identifiers

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2PX-OA-03

Identifier Type: -

Identifier Source: org_study_id

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