Trial Outcomes & Findings for Efficacy of Lodotra®(Prednisone) in Reduction of Morning Stiffness Duration(K-IMPROvE) (NCT NCT02072200)

NCT ID: NCT02072200

Last Updated: 2016-08-08

Results Overview

Data for the duration of morning stiffness will be obtained from patient diaries. Duration of morning stiffness will be from wake-up time to time of resolution of morning stiffness. Relative reduction rate of the morning stiffness duration from baseline to Week 12 of the study drug treatment was calculated for this outcome measure.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

147 participants

Primary outcome timeframe

Baseline and 12 weeks

Results posted on

2016-08-08

Participant Flow

Participant milestones

Participant milestones
Measure
Modified Release Prednisone
Single arm / Lodotra Lodotra®: Single arm will be received below oral 10mg tablet daily and maximum 10mg/d depending on the clinical symptoms and the patient's response
Overall Study
STARTED
147
Overall Study
COMPLETED
145
Overall Study
NOT COMPLETED
2

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Efficacy of Lodotra®(Prednisone) in Reduction of Morning Stiffness Duration(K-IMPROvE)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Modified Release Prednisone
n=145 Participants
Single arm / Lodotra Lodotra®: Single arm will be received below oral 10mg tablet daily and maximum 10mg/d depending on the clinical symptoms and the patient's response
Age, Continuous
55.41 participant
STANDARD_DEVIATION 11.79 • n=5 Participants
Sex: Female, Male
Female
113 Participants
n=5 Participants
Sex: Female, Male
Male
32 Participants
n=5 Participants
Region of Enrollment
Korea, Republic of
145 participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline and 12 weeks

Population: ITT set = 145 patients. Missing data was handled as LOCF.

Data for the duration of morning stiffness will be obtained from patient diaries. Duration of morning stiffness will be from wake-up time to time of resolution of morning stiffness. Relative reduction rate of the morning stiffness duration from baseline to Week 12 of the study drug treatment was calculated for this outcome measure.

Outcome measures

Outcome measures
Measure
Modified Release Prednisone
n=145 Participants
Single arm / Lodotra Lodotra®: Single arm will be received below oral 10mg tablet daily and maximum 10mg/d depending on the clinical symptoms and the patient's response
Change From Baseline in Morning Stiffness Duration at Week 12 as Assessed by Patient Diary
-16.76 minutes
Standard Deviation 3.352

SECONDARY outcome

Timeframe: Baseline and 12 weeks

Population: ITT population was 145, but 3 patients were not assessed for primary efficacy parameter of morning stiffness severity. So, Last Observation Carried Forward (LOCF) was not done for these 3 patients after baseline . Other patients' missing data were handled using LOCF method.

The VAS is a 100 mm line ranging from 0 mm (no pain) on the left end and 100 mm (worst pain) on the right end. Subjects marked on the line to indicate their pain severity. The distance in mm was measured from the left end to the subject's marking.

Outcome measures

Outcome measures
Measure
Modified Release Prednisone
n=142 Participants
Single arm / Lodotra Lodotra®: Single arm will be received below oral 10mg tablet daily and maximum 10mg/d depending on the clinical symptoms and the patient's response
Change of Baseline Severity of Morning Stiffness at Week 12 Using Visual Analog Scale (VAS) Scale
-25.70 mm
Standard Deviation 25.87

SECONDARY outcome

Timeframe: 12 weeks

Population: ITT set was 145 patients, but 11 patients data was not assessed except baseline score.

Change in KHAQ score from baseline to Week 12 post-treatment: KHAQ is composed of 8 functional disability indices. The scale for each index is from 0 (without any difficulty) to 3 (unable to do). Scores for each disability index were summed to obtain the total score for each subject, ranging between 0 to 24, with higher scores reflecting higher functional disability. The scores were then averaged across all subjects.

Outcome measures

Outcome measures
Measure
Modified Release Prednisone
n=134 Participants
Single arm / Lodotra Lodotra®: Single arm will be received below oral 10mg tablet daily and maximum 10mg/d depending on the clinical symptoms and the patient's response
Change of Functional Disability Index of the Korea Health Assessment Questionnaire (KHAQ) From Baseline to Week 12
-4.76 scores on a scale
Standard Deviation 8.16

Adverse Events

Modified Release Prednisone

Serious events: 5 serious events
Other events: 51 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Modified Release Prednisone
n=145 participants at risk
Single arm / Lodotra Lodotra®: Single arm will be received below oral 10mg tablet daily and maximum 10mg/d depending on the clinical symptoms and the patient's response
Infections and infestations
Herpes zoster
0.69%
1/145 • 12 weeks
Infections and infestations
Pneumonia
0.69%
1/145 • 12 weeks
Infections and infestations
Sepsis
0.69%
1/145 • 12 weeks
Musculoskeletal and connective tissue disorders
Back pain
0.69%
1/145 • 12 weeks
Musculoskeletal and connective tissue disorders
Rotator cuff syndrome
0.69%
1/145 • 12 weeks

Other adverse events

Other adverse events
Measure
Modified Release Prednisone
n=145 participants at risk
Single arm / Lodotra Lodotra®: Single arm will be received below oral 10mg tablet daily and maximum 10mg/d depending on the clinical symptoms and the patient's response
Infections and infestations
Nasopharyngitis
4.1%
6/145 • 12 weeks
Gastrointestinal disorders
Dyspepsia
2.8%
4/145 • 12 weeks
Gastrointestinal disorders
Abdominal pain upper
2.1%
3/145 • 12 weeks
Gastrointestinal disorders
Nausea
2.1%
3/145 • 12 weeks
Musculoskeletal and connective tissue disorders
Arthralgia
2.1%
3/145 • 12 weeks
Gastrointestinal disorders
Abdominal pain
1.4%
2/145 • 12 weeks
Gastrointestinal disorders
Diarrhoea, vomiting, constipation, gastric disorder, gastritis, gastrointestinal disorder
5.5%
8/145 • 12 weeks
Infections and infestations
Bronchitis, cellulitis, conjunctivitis, folliculitis, rhinitis
3.4%
5/145 • 12 weeks
Musculoskeletal and connective tissue disorders
Joint swelling, musculoskeletal pain, neck pain, pain in extremity, synovial cyst
3.4%
5/145 • 12 weeks
General disorders
Face edema, edema, pain, pyrexia, oedma peripheral
5.5%
8/145 • 12 weeks
Investigations
Alanine aminotransferase increased, aspartate aminotransferase increased, blood glucose increased
2.1%
3/145 • 12 weeks
Skin and subcutaneous tissue disorders
Alopecia, onychoclasis, rash, urticaria
2.8%
4/145 • 12 weeks
Eye disorders
Cataract, dry eye, eyelid edema, vision blurred
2.8%
4/145 • 12 weeks
Injury, poisoning and procedural complications
Humerus fracture, thoracic vertebral fracture
1.4%
2/145 • 12 weeks
Metabolism and nutrition disorders
Hyperlipedemia
1.4%
2/145 • 12 weeks
Nervous system disorders
Headache
1.4%
2/145 • 12 weeks
Ear and labyrinth disorders
Tinnitus
0.69%
1/145 • 12 weeks
Psychiatric disorders
Insomnia
0.69%
1/145 • 12 weeks
Renal and urinary disorders
Dysuria
0.69%
1/145 • 12 weeks

Additional Information

Kim Bu Yeon

Mundipharma Korea Ltd

Phone: +82 2 568 5689

Results disclosure agreements

  • Principal investigator is a sponsor employee PI/ Institution shall provide to Mundipharma any proposed presentation at least 15 working days prior to being disclosed and any other proposed publication at least 45 working days prior to being disclosed. Mundipharma may in its sole discretion permit such publications and presentations and shall have the right to require amendments to any such proposed presentation or publication on reasonable grounds.
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Restriction type: OTHER