Dose Finding Study of Bone Morphogenetic Protein 7 (BMP-7) in Subjects With Osteoarthritis (OA) of the Knee

NCT ID: NCT01111045

Last Updated: 2012-02-01

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

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

355 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-04-30

Study Completion Date

2011-08-31

Brief Summary

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The objectives of the study are to evaluate the safety and efficacy of intraarticular BMP-7 for the treatment of osteoarthritis of the knee.

Detailed Description

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Conditions

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Osteoarthritis of the Knee

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Arm 1

0.03 mg/ml BMP-7, single intraarticular knee injection

Group Type ACTIVE_COMPARATOR

Bone morphogenetic protein 7

Intervention Type DRUG

Comparison of different doses of the drug via single intraarticular knee injection

Arm 2

0.1 mg/ml BMP-7, single intraarticular knee injection

Group Type ACTIVE_COMPARATOR

Bone morphogenetic protein 7

Intervention Type DRUG

Comparison of different doses of the drug via single intraarticular knee injection

Arm 3

0.3 mg/ml BMP-7, single intraarticular knee injection

Group Type ACTIVE_COMPARATOR

Bone morphogenetic protein 7

Intervention Type DRUG

Comparison of different doses of the drug via single intraarticular knee injection

Arm 4

1 ml placebo, single intraarticular knee injection (control)

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo

Interventions

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Bone morphogenetic protein 7

Comparison of different doses of the drug via single intraarticular knee injection

Intervention Type DRUG

Placebo

Placebo

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Ambulatory with a diagnosis of OA of the knee with symptoms for at least 6 months and pain on the majority of days in the last 30 days. Symptoms must include knee joint pain.
* A male or female adult age \>40 years
* female subjects of childbearing potential must have a negative serum pregnancy test during screening and a negative urine pregnancy test on the day of injection
* Radiographic evidence of at least one tibiofemoral osteophyte and Osteoarthritis Research Society International (OARSI) Atlas joint space narrowing grade of 1 or 2 in the index knee
* WOMAC pain score of \>8 at screening and baseline
* Able to comply with the study and give informed consent
* Able to read, write and understand English

Exclusion Criteria

* A requirement for treatment with opioids for pain relief.
* Unwilling to abstain from NSAIDs and/or other analgesic medications for 48 hours and acetaminophen for 24 hours prior to pain assessments during the study. Subjects taking low dose aspirin for cardiovascular health may remain on their stable dose throughout the study.
* Using a handicap assistance device (i.e., cane, walker) \>50% of the time.
* Undergoing new physical therapy or participating in a weight loss or exercise program that has not been stable for at least 3 months prior to screening visit 1 and will not remain stable during their participation in the study.
* History of arthroscopic or open surgery to the index knee in the past 12 months or planned surgery during study.
* History of joint replacement surgery (index knee).
* Received corticosteroid, short acting hyaluronic acid, or other intraarticular injections of the index knee within 3 months of screening and/or not willing to abstain from treatments for the duration of the study
* Received long acting hyaluronic acid injection of the index knee within 6 months of screening and/or not willing to abstain from treatments for the duration of the study.
* History in the past 10 years of reactive arthritis, rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, arthritis associated with inflammatory bowel disease, sarcoidosis, amyloidosis or fibromyalgia.
* Clinical signs and symptoms of active knee infection or radiographic evidence of crystal disease other than chondrocalcinosis (i.e., gout and CPPD).
* A history of abnormal laboratory results ≥2.5 x ULN indicative of any significant medical disease, which in the opinion of the investigator, would preclude the subjects participation in the study
* Any of the following abnormal laboratory results during screening:

1. ALT and AST ≥2.5x ULN
2. Hemoglobin \<11.5 g/dL (Female) or \<13.2 g/dL (Male)
3. WBC \<3500 cells/mm3
4. Lymphocyte count ≤1000 cells/mm3
5. Serum creatinine ≥1.5 x ULN
6. Platelet count below the central laboratory lower limit of normal.
* History of malignancy in the past ten years (\<10 years), with the exception of resected basal cell, squamous cell of the skin, resected cervical atypia or carcinoma in situ.
* Significant hip pain, ipsilateral to the index knee that may interfere with assessments of index knee pain
* Skin breakdown at the knee where the injection would take place
* A known or clinically suspected infection with human immunodeficiency virus (HIV), or hepatitis C or B viruses
* Participated within 3 months or will participate concurrently in another investigational drug or vaccine study
* A history of drug or alcohol dependence or abuse in the past 3 years
* Previous treatment with BMP-7 or any bone morphogenetic protein
* A female with reproductive capability who is unwilling to use birth control for the duration of the study and/or intends to conceive within 12 months of dosing.
* Other serious, non-malignant, significant, acute or chronic medical or psychiatric illness that, in the judgment of the investigator, could compromise subject safety, limit the subject's ability to complete the study, and/or compromise the objectives of the study.
Minimum Eligible Age

40 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Stryker Biotech

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Arizona Arthritis and Rheumatology Research

Glendale, Arizona, United States

Site Status

University of Arizona Arthritis Center

Tucson, Arizona, United States

Site Status

Stanford University School of Medicine

Palo Alto, California, United States

Site Status

UC Davis Medical Center, Center for Aging

Sacramento, California, United States

Site Status

Robin Dore, MD, Inc

Tustin, California, United States

Site Status

Boulder Medical Center, PC

Boulder, Colorado, United States

Site Status

Rheumatology Associates of S. Florida

Boca Raton, Florida, United States

Site Status

The Arthritis Center

Palm Harbor, Florida, United States

Site Status

Rheumatology Associates

Stuart, Florida, United States

Site Status

Northwestern Center for Clinical Research

Chicago, Illinois, United States

Site Status

Apex Medical Research, AMR, Inc

Chicago, Illinois, United States

Site Status

Illinois Bone and Joint Institute

Morton Grove, Illinois, United States

Site Status

Johns Hopkins Medical Center

Baltimore, Maryland, United States

Site Status

Klein & Associates, MD, PA

Cumberland, Maryland, United States

Site Status

Arthritis and Osteoporosis Center of Maryland

Frederick, Maryland, United States

Site Status

The Center for Pharmaceutical Research, PC

Kansas City, Missouri, United States

Site Status

Billings Clinic

Billings, Montana, United States

Site Status

The Ohio State University Medical Center

Columbus, Ohio, United States

Site Status

David R. Mandel, MD, Inc.

Mayfield Village, Ohio, United States

Site Status

Altoona Center for Clinical Research

Duncansville, Pennsylvania, United States

Site Status

Clinical Research Center of Reading

West Reading, Pennsylvania, United States

Site Status

Baylor Research Institute

Dallas, Texas, United States

Site Status

Houston Institute for Clinical Research

Houston, Texas, United States

Site Status

Houston Medical Research Associates

Houston, Texas, United States

Site Status

Tacoma Center for Arthritis Research

Tacoma, Washington, United States

Site Status

Countries

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United States

Other Identifiers

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09-OA-002

Identifier Type: -

Identifier Source: org_study_id

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