A 12-Week Efficacy Study of Paracetamol 1000mg Sustained-release Tablets in Patients With Osteoarthritis

NCT ID: NCT02311881

Last Updated: 2017-04-07

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

960 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-01-31

Study Completion Date

2016-02-29

Brief Summary

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The purpose of the study is to determine whether paracetamol 1000 mg sustained-release (SR) tablets administered orally, twice daily are effective and safe in the treatment of patients with osteoarthritis of the knee or hip.

Detailed Description

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Conditions

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Pain

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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Paracetamol 2000 mg twice daily (BID)

Participants will be instructed to take two active paracetamol 1000 mg SR tablets twice daily (with 10-12 hours between adjacent doses) and two placebo to match paracetamol 665 mg SR tablets thrice daily (with 6-8 hours between adjacent doses) orally with approximately 8 ounces (\~ 240 mL) of water/dose for 12 weeks.

Group Type EXPERIMENTAL

Paracetamol 1000 mg SR tablets

Intervention Type DRUG

Two paracetamol 1000 mg SR tablets administered orally two times a day plus two placebo-matched paracetamol 665 mg SR tablets administered orally three times a day for 12 weeks.

Paracetamol 1330 mg thrice daily (TID)

Participants will be instructed to take two active paracetamol 665 mg SR tablets orally thrice daily (with 6-8 hours between adjacent doses) and two placebo to match paracetamol 1000 mg SR tablets orally twice daily (with 10-12 hours between adjacent doses) orally with approximately 8 ounces (\~ 240 mL) of water/dose for 12 weeks.

Group Type ACTIVE_COMPARATOR

Paracetamol 665 mg SR tablets

Intervention Type DRUG

Two paracetamol 665 mg SR tablets administered orally three times a day plus two placebo-matched paracetamol 1000 mg SR tablets administered orally two times a day for 12 weeks.

Placebo

Participants will be instructed to take two placebo to match paracetamol 1000 mg SR tablets twice daily (with 10-12 hours between adjacent doses) and two placebo to match paracetamol 665 mg SR tablets thrice daily (with 6-8 hours between adjacent doses) orally with approximately 8 ounces (\~ 240 mL) of water/dose for 12 weeks.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Two placebo-matched paracetamol 665 mg SR tablets administered orally three times a day plus two placebo-matched paracetamol 1000 mg SR tablets administered orally two times a day for 12 weeks.

Interventions

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Paracetamol 1000 mg SR tablets

Two paracetamol 1000 mg SR tablets administered orally two times a day plus two placebo-matched paracetamol 665 mg SR tablets administered orally three times a day for 12 weeks.

Intervention Type DRUG

Paracetamol 665 mg SR tablets

Two paracetamol 665 mg SR tablets administered orally three times a day plus two placebo-matched paracetamol 1000 mg SR tablets administered orally two times a day for 12 weeks.

Intervention Type DRUG

Placebo

Two placebo-matched paracetamol 665 mg SR tablets administered orally three times a day plus two placebo-matched paracetamol 1000 mg SR tablets administered orally two times a day for 12 weeks.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Male or female participants between 40 and 80 years of age
* Diagnosis of moderate to moderately-severe osteoarthritis (OA) of either the knee or hip with respect to the following:

* Pain in one knee/hip over 3 months immediately before screening visit
* Use of non steroidal anti-inflammatory drugs (NSAIDs), acetaminophen (paracetamol) or any other analgesic for 3 or more days per week for at least 3 months prior to screening visit
* Clinical diagnosis of osteoarthritis of knee/hip for minimum 6 month duration prior to screening visit
* Therapeutic benefit with acetaminophen use with a score of ≥ 1 on 5-point categorical scale
* Radiological evidence of ≥ Grade 2 osteoarthritis according to Kellgren-Lawrence radiographic criteria
* Increased WOMAC Pain Subscale score of at least 20 % following untreated run-in period
* Moderate to moderately-severe self-reported pain on a 5-point categorical scale following untreated run-in period
* Historical self-reported positive therapeutic benefit with paracetamol use for osteoarthritis pain relief

Exclusion Criteria

* History of surgery or major trauma to the study joint
* Clinically significant signs or symptoms of inflammation upon completion of run-in period
* Required ongoing use of analgesic therapy for other indications, anticoagulants, psychotherapeutic agents, aspirin at daily doses greater than 325 mg, statin-class hypolipidemic agents at doses that have not been stabilized, or other treatments know to interfere with pain perception
* History of hepatic or renal or liver or biliary disease or gastrointestinal surgery
* Participants with alanine aminotransferase (ALT) \>2 times Upper Limit Normal (2xULN) and bilirubin \> 1.5 times Upper Limit Normal (1.5xULN) (However, if direct bilirubin is \<35% and fractioned, isolated bilirubin \>1.5xULN is acceptable)
* Other arthritis type, fibromyalgia or collagen vascular disease or secondary OA of study joint or chronic pain condition
Minimum Eligible Age

40 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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GlaxoSmithKline

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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GSK Clinical Trials

Role: STUDY_DIRECTOR

GlaxoSmithKline

Locations

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GSK Investigational Site

Birmingham, Alabama, United States

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Huntsville, Alabama, United States

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Chandler, Arizona, United States

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Tucson, Arizona, United States

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Tucson, Arizona, United States

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Anaheim, California, United States

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Carmichael, California, United States

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Fresno, California, United States

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North Hollywood, California, United States

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San Diego, California, United States

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Brandon, Florida, United States

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Clearwater, Florida, United States

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Edgewater, Florida, United States

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Hialeah, Florida, United States

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Hialeah, Florida, United States

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Homestead, Florida, United States

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Jupiter, Florida, United States

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Miami, Florida, United States

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Miami, Florida, United States

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Miami, Florida, United States

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Oldsmar, Florida, United States

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Orlando, Florida, United States

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Oviedo, Florida, United States

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Port Orange, Florida, United States

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South Miami, Florida, United States

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West Palm Beach, Florida, United States

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Savannah, Georgia, United States

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Chicago, Illinois, United States

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Evanston, Illinois, United States

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Prairie Village, Kansas, United States

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Wichita, Kansas, United States

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Crestview Hills, Kentucky, United States

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New Orleans, Louisiana, United States

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Watertown, Massachusetts, United States

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St Louis, Missouri, United States

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Bellevue, Nebraska, United States

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Omaha, Nebraska, United States

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Las Vegas, Nevada, United States

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Brooklyn, New York, United States

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Buffalo, New York, United States

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Hartsdale, New York, United States

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Hickory, North Carolina, United States

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Cincinnati, Ohio, United States

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Cincinnati, Ohio, United States

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Cincinnati, Ohio, United States

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Dayton, Ohio, United States

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Toledo, Ohio, United States

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Oklahoma City, Oklahoma, United States

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Altoona, Pennsylvania, United States

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Duncansville, Pennsylvania, United States

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Smithfield, Pennsylvania, United States

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Mt. Pleasant, South Carolina, United States

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Dallas, Texas, United States

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Plano, Texas, United States

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San Antonio, Texas, United States

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San Antonio, Texas, United States

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Countries

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United States

Other Identifiers

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RH02448

Identifier Type: OTHER

Identifier Source: secondary_id

202195

Identifier Type: -

Identifier Source: org_study_id

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