Trial Outcomes & Findings for Study of Safety and Efficacy of 6 mL Synvisc-One (Hylan G-F 20) in Indian Patients With Symptomatic Osteoarthritis of Knee(s) After Initial and Repeat Treatment (NCT NCT02389452)

NCT ID: NCT02389452

Last Updated: 2017-08-07

Results Overview

WOMAC is health status measure questionnaire comprising 3 subscales (pain, stiffness and physical function). WOMAC A1 (measure of pain during walking on a flat surface) was measured using a visual analogue scale (100 mm line marked by participants with total score ranging from 0-100). Lower score represents lower pain.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

394 participants

Primary outcome timeframe

Baseline, Week 26 (missing data imputed by Last Observation Carried Forward [LOCF]).

Results posted on

2017-08-07

Participant Flow

The study was conducted at 36 sites in India between February 16, 2010 and September 7, 2011.

Participant milestones

Participant milestones
Measure
Synvisc-One
Single 6 mL intra-articular (IA) injection of Synvisc-One (48 mg of cross-linked hylan polymer) at Day 0 (Initial Treatment). Participants received repeat injection based on physician's discretion of safety and efficacy at Week 26, 39 or 52 (Repeat treatment). Repeat injection was given if there was no major safety concerns and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) A1 subscore (measurement of pain while walking on flat surface) was between 40-80 mm (at Week 26, 39 or 52 ) when measured on a 0-100 mm scale, where higher score indicate higher pain.
Overall Study
STARTED
394
Overall Study
Participants Received Repeat Injection
11
Overall Study
COMPLETED
369
Overall Study
NOT COMPLETED
25

Reasons for withdrawal

Reasons for withdrawal
Measure
Synvisc-One
Single 6 mL intra-articular (IA) injection of Synvisc-One (48 mg of cross-linked hylan polymer) at Day 0 (Initial Treatment). Participants received repeat injection based on physician's discretion of safety and efficacy at Week 26, 39 or 52 (Repeat treatment). Repeat injection was given if there was no major safety concerns and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) A1 subscore (measurement of pain while walking on flat surface) was between 40-80 mm (at Week 26, 39 or 52 ) when measured on a 0-100 mm scale, where higher score indicate higher pain.
Overall Study
Lost to Follow-up
13
Overall Study
Adverse Event
1
Overall Study
Withdrawal by Subject
5
Overall Study
Enrolled but Not Eligible for Study
6

Baseline Characteristics

Study of Safety and Efficacy of 6 mL Synvisc-One (Hylan G-F 20) in Indian Patients With Symptomatic Osteoarthritis of Knee(s) After Initial and Repeat Treatment

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Synvisc-One
n=394 Participants
Single 6 mL IA injection of Synvisc-One at Day 0 (Initial Treatment). Participants received repeat injection based on physician's discretion of safety and efficacy at Week 26, 39 or 52 (Repeat treatment). Repeat injection was given if there was no major safety concerns and WOMAC A1 subscore (measurement of pain while walking on flat surface) was between 40-80 mm (at Week 26, 39 or 52) when measured on a 0-100 mm scale, where higher score indicate higher pain.
Age, Continuous
57.6 years
STANDARD_DEVIATION 9.80 • n=5 Participants
Sex: Female, Male
Female
285 Participants
n=5 Participants
Sex: Female, Male
Male
109 Participants
n=5 Participants
Weight
70.72 kilograms
STANDARD_DEVIATION 11.526 • n=5 Participants
Height
160.11 centimeters
STANDARD_DEVIATION 8.836 • n=5 Participants
Body Mass Index
27.66 kilogram per square meter
STANDARD_DEVIATION 4.477 • n=5 Participants

PRIMARY outcome

Timeframe: Baseline, Week 26 (missing data imputed by Last Observation Carried Forward [LOCF]).

Population: ITT population.

WOMAC is health status measure questionnaire comprising 3 subscales (pain, stiffness and physical function). WOMAC A1 (measure of pain during walking on a flat surface) was measured using a visual analogue scale (100 mm line marked by participants with total score ranging from 0-100). Lower score represents lower pain.

Outcome measures

Outcome measures
Measure
Synvisc-One
n=394 Participants
Single 6 mL IA injection of Synvisc-One at Day 0 (Initial Treatment). Participants received repeat injection based on physician's discretion of safety and efficacy at Week 26, 39 or 52 (Repeat treatment). Repeat injection was given if there was no major safety concerns and WOMAC A1 subscore (measurement of pain while walking on flat surface) was between 40-80 mm (at Week 26, 39 or 52) when measured on a 0-100 mm scale, where higher score indicate higher pain.
Change From Baseline in WOMAC A1 Subscore at Week 26
-28.0 units on a scale
Standard Deviation 19.89

SECONDARY outcome

Timeframe: Baseline, Week 52 (missing data imputed by LOCF)

Population: ITT population. Number of participants analyzed=participants with baseline and Week 52 data.

WOMAC is health status measure questionnaire comprising 3 subscales (pain, stiffness and physical function). WOMAC A1 (measure of pain during walking on a flat surface) was measured using a visual analogue scale (100 mm line marked by participants with total score ranging from 0-100). Lower score represents lower pain.

Outcome measures

Outcome measures
Measure
Synvisc-One
n=388 Participants
Single 6 mL IA injection of Synvisc-One at Day 0 (Initial Treatment). Participants received repeat injection based on physician's discretion of safety and efficacy at Week 26, 39 or 52 (Repeat treatment). Repeat injection was given if there was no major safety concerns and WOMAC A1 subscore (measurement of pain while walking on flat surface) was between 40-80 mm (at Week 26, 39 or 52) when measured on a 0-100 mm scale, where higher score indicate higher pain.
Change From Baseline in WOMAC A1 Subscore at Week 52
-32.7 units on a scale
Standard Deviation 19.95

SECONDARY outcome

Timeframe: Baseline, Week 52 (missing data imputed by LOCF)

Population: ITT population. Number of participants analyzed=participants with baseline and Week 52 data.

WOMAC is health status measure questionnaire comprising 3 subscales (pain, stiffness and physical function). WOMAC A (measure of pain) calculated as a mean of 5 individual components, measured using a visual analogue scale (100 mm line marked by participants with score ranging from 0-100). Total score range is 0 to 100, where higher scores indicate higher pain.

Outcome measures

Outcome measures
Measure
Synvisc-One
n=388 Participants
Single 6 mL IA injection of Synvisc-One at Day 0 (Initial Treatment). Participants received repeat injection based on physician's discretion of safety and efficacy at Week 26, 39 or 52 (Repeat treatment). Repeat injection was given if there was no major safety concerns and WOMAC A1 subscore (measurement of pain while walking on flat surface) was between 40-80 mm (at Week 26, 39 or 52) when measured on a 0-100 mm scale, where higher score indicate higher pain.
Change From Baseline in WOMAC A Score at Week 52
-29.18 units on a scale
Standard Deviation 19.158

SECONDARY outcome

Timeframe: Baseline, Week 52 (missing data imputed by LOCF)

Population: ITT population. Number of participants analyzed=participants with baseline and Week 52 data.

WOMAC is health status measure questionnaire comprising 3 subscales (pain, stiffness and physical function). WOMAC B (measure of stiffness) calculated as a mean of 2 individual components, measured using a visual analogue scale (100 mm line marked by participants with score ranging from 0-100). Total score range is 0 to 100, where higher scores indicate higher stiffness. Stiffness is defined as a sensation of decreased ease in movement of joint.

Outcome measures

Outcome measures
Measure
Synvisc-One
n=388 Participants
Single 6 mL IA injection of Synvisc-One at Day 0 (Initial Treatment). Participants received repeat injection based on physician's discretion of safety and efficacy at Week 26, 39 or 52 (Repeat treatment). Repeat injection was given if there was no major safety concerns and WOMAC A1 subscore (measurement of pain while walking on flat surface) was between 40-80 mm (at Week 26, 39 or 52) when measured on a 0-100 mm scale, where higher score indicate higher pain.
Change From Baseline in WOMAC B Score at Week 52
-25.77 units on a scale
Standard Deviation 22.047

SECONDARY outcome

Timeframe: Baseline, Week 52 (missing data imputed by LOCF)

Population: ITT population. Number of participants analyzed=participants with baseline and Week 52 data.

WOMAC is health status measure questionnaire comprising 3 subscales (pain, stiffness and physical function). WOMAC C (measure of physical function) calculated as a mean of 17 individual components, measured using a visual analogue scale (100 mm line marked by participants with score ranging from 0-100). Total score range is 0 to 100, where higher scores indicate higher worse function. Physical function refers to participant's ability to move around and perform usual activities of daily living.

Outcome measures

Outcome measures
Measure
Synvisc-One
n=388 Participants
Single 6 mL IA injection of Synvisc-One at Day 0 (Initial Treatment). Participants received repeat injection based on physician's discretion of safety and efficacy at Week 26, 39 or 52 (Repeat treatment). Repeat injection was given if there was no major safety concerns and WOMAC A1 subscore (measurement of pain while walking on flat surface) was between 40-80 mm (at Week 26, 39 or 52) when measured on a 0-100 mm scale, where higher score indicate higher pain.
Change From Baseline in WOMAC C Score at Week 52
-25.72 units on a scale
Standard Deviation 19.449

SECONDARY outcome

Timeframe: Week 52 (missing data imputed by LOCF)

Population: ITT population. Number of participants analyzed=participants with baseline and Week 52 data.

PTGA (global self-assessment of target knee osteoarthritis condition) was measured using the 5 point Likert scale (0=very well, 1=well, 2=fair, 3=poor, 4=very poor) by participants to rate the osteoarthritis condition. Number of participants with different categories of PTGA score at Week 52 are reported.

Outcome measures

Outcome measures
Measure
Synvisc-One
n=388 Participants
Single 6 mL IA injection of Synvisc-One at Day 0 (Initial Treatment). Participants received repeat injection based on physician's discretion of safety and efficacy at Week 26, 39 or 52 (Repeat treatment). Repeat injection was given if there was no major safety concerns and WOMAC A1 subscore (measurement of pain while walking on flat surface) was between 40-80 mm (at Week 26, 39 or 52) when measured on a 0-100 mm scale, where higher score indicate higher pain.
Patient Global Assessment (PTGA) Score at Week 52
Very well
82 participants
Patient Global Assessment (PTGA) Score at Week 52
Well
175 participants
Patient Global Assessment (PTGA) Score at Week 52
Fair
90 participants
Patient Global Assessment (PTGA) Score at Week 52
Poor
40 participants
Patient Global Assessment (PTGA) Score at Week 52
Very poor
1 participants

SECONDARY outcome

Timeframe: Week 52 (missing data imputed by LOCF).

Population: ITT population. Number of participants analyzed=participants with baseline and Week 52 data.

COGA (global self-assessment of target knee osteoarthritis condition) was measured using the 5 point Likert scale (0=very well, 1=well, 2=fair, 3=poor, 4=very poor) by the physician to rate participant's osteoarthritis condition. Number of participants with different categories of PTGA score at Week 52 are reported.

Outcome measures

Outcome measures
Measure
Synvisc-One
n=388 Participants
Single 6 mL IA injection of Synvisc-One at Day 0 (Initial Treatment). Participants received repeat injection based on physician's discretion of safety and efficacy at Week 26, 39 or 52 (Repeat treatment). Repeat injection was given if there was no major safety concerns and WOMAC A1 subscore (measurement of pain while walking on flat surface) was between 40-80 mm (at Week 26, 39 or 52) when measured on a 0-100 mm scale, where higher score indicate higher pain.
Clinician Observer Global Assessment (COGA) Score at Week 52
Very well
77 participants
Clinician Observer Global Assessment (COGA) Score at Week 52
Well
177 participants
Clinician Observer Global Assessment (COGA) Score at Week 52
Fair
98 participants
Clinician Observer Global Assessment (COGA) Score at Week 52
Poor
35 participants
Clinician Observer Global Assessment (COGA) Score at Week 52
Very poor
1 participants

SECONDARY outcome

Timeframe: Baseline, Week 26, 52

Population: ITT population. Number of participants evaluable for baseline, Week 26 and Week 52 were 394, 394 and 388, respectively.

SF-12 health survey is a self-reported questionnaire to measure participant's profile of functional health and well-being. It includes following 12 questions (Q): Q1 In general, health status; Q2a Limitation of moderate activities; Q2b Limitation of climbing; Q3a Less accomplishment due to physical health; Q3b Limited in the kind of work or other activities due to physical health; Q4a Less accomplishment due to emotional problems; Q4b Did work or other activities less carefully than usual due to emotional problems; Q5 Pain interfere with normal work; Q6a Felt calm and peaceful; Q6b Had lot of energy; Q6c Felt downhearted and low; and Q7 Physical health or emotional problems interfered with social activities. Number of participants with response to each Q are reported.

Outcome measures

Outcome measures
Measure
Synvisc-One
n=394 Participants
Single 6 mL IA injection of Synvisc-One at Day 0 (Initial Treatment). Participants received repeat injection based on physician's discretion of safety and efficacy at Week 26, 39 or 52 (Repeat treatment). Repeat injection was given if there was no major safety concerns and WOMAC A1 subscore (measurement of pain while walking on flat surface) was between 40-80 mm (at Week 26, 39 or 52) when measured on a 0-100 mm scale, where higher score indicate higher pain.
12-Item Short Form Health Survey (SF-12)
Q4a: All/Most of the Time, Baseline
114 participants
12-Item Short Form Health Survey (SF-12)
Q4a: All/Most of the Time, Week 26
60 participants
12-Item Short Form Health Survey (SF-12)
Q4a: All/Most of the Time, Week 52
58 participants
12-Item Short Form Health Survey (SF-12)
Q4a: Some of the Time, Baseline
149 participants
12-Item Short Form Health Survey (SF-12)
Q4a: Some of the Time, Week 52
132 participants
12-Item Short Form Health Survey (SF-12)
Q4a: A Little/None of the Time, Baseline
128 participants
12-Item Short Form Health Survey (SF-12)
Q4a: A Little/None of the Time, Week 26
217 participants
12-Item Short Form Health Survey (SF-12)
Q4a: Missing, Week 26
2 participants
12-Item Short Form Health Survey (SF-12)
Q4a: Missing, Week 52
0 participants
12-Item Short Form Health Survey (SF-12)
Q4b: All/Most of the Time, Baseline
88 participants
12-Item Short Form Health Survey (SF-12)
Q4b: All/Most of the Time, Week 52
56 participants
12-Item Short Form Health Survey (SF-12)
Q4b: A Little/None of the Time, Baseline
137 participants
12-Item Short Form Health Survey (SF-12)
Q4b: A Little/None of the Time, Week 26
213 participants
12-Item Short Form Health Survey (SF-12)
Q6b: All/Most of the Time, Baseline
122 participants
12-Item Short Form Health Survey (SF-12)
Q6b: Some of the Time, Week 26
134 participants
12-Item Short Form Health Survey (SF-12)
Q6c: Some of the Time, Week 52
107 participants
12-Item Short Form Health Survey (SF-12)
Q6c: A Little/None of the Time, Week 26
261 participants
12-Item Short Form Health Survey (SF-12)
Q6c: A Little/None of the Time, Week 52
227 participants
12-Item Short Form Health Survey (SF-12)
Q6c: Missing, Baseline
6 participants
12-Item Short Form Health Survey (SF-12)
Q6c: Missing, Week 52
1 participants
12-Item Short Form Health Survey (SF-12)
Q7: All/Most of the Time, Baseline
116 participants
12-Item Short Form Health Survey (SF-12)
Q7: All/Most of the Time, Week 26
35 participants
12-Item Short Form Health Survey (SF-12)
Q7: All/Most of the Time, Week 52
43 participants
12-Item Short Form Health Survey (SF-12)
Q7: Some of the Time, Baseline
166 participants
12-Item Short Form Health Survey (SF-12)
Q7: Some of the Time, Week 26
129 participants
12-Item Short Form Health Survey (SF-12)
Q7: Some of the Time, Week 52
119 participants
12-Item Short Form Health Survey (SF-12)
Q7: A Little/None of the Time, Baseline
110 participants
12-Item Short Form Health Survey (SF-12)
Q7: A Little/None of the Time, Week 26
228 participants
12-Item Short Form Health Survey (SF-12)
Q7: A Little/None of the Time, Week 52
226 participants
12-Item Short Form Health Survey (SF-12)
Q7: Missing, Baseline
2 participants
12-Item Short Form Health Survey (SF-12)
Q7: Missing, Week 26
2 participants
12-Item Short Form Health Survey (SF-12)
Q7: Missing, Week 52
0 participants
12-Item Short Form Health Survey (SF-12)
Q3b: A Little/None of the Time, Week 26
187 participants
12-Item Short Form Health Survey (SF-12)
Q5: Not at All/A Little Bit, Week 52
219 participants
12-Item Short Form Health Survey (SF-12)
Q4a: Some of the Time, Week 26
115 participants
12-Item Short Form Health Survey (SF-12)
Q4a: A Little/None of the Time, Week 52
198 participants
12-Item Short Form Health Survey (SF-12)
Q4a: Missing, Baseline
3 participants
12-Item Short Form Health Survey (SF-12)
Q3b: Some of the Time, Week 26
147 participants
12-Item Short Form Health Survey (SF-12)
Q3b: Some of the Time, Week 52
148 participants
12-Item Short Form Health Survey (SF-12)
Q3b: A Little/None of the Time, Baseline
96 participants
12-Item Short Form Health Survey (SF-12)
Q3b: A Little/None of the Time, Week 52
183 participants
12-Item Short Form Health Survey (SF-12)
Q3b: Missing, Baseline
3 participants
12-Item Short Form Health Survey (SF-12)
Q3b: Missing, Week 26
2 participants
12-Item Short Form Health Survey (SF-12)
Q3b: Missing, Week 52
0 participants
12-Item Short Form Health Survey (SF-12)
Q4b: All/Most of the Time, Week 26
48 participants
12-Item Short Form Health Survey (SF-12)
Q4b: Some of the Time, Baseline
166 participants
12-Item Short Form Health Survey (SF-12)
Q4b: Some of the Time, Week 26
131 participants
12-Item Short Form Health Survey (SF-12)
Q4b: Some of the Time, Week 52
128 participants
12-Item Short Form Health Survey (SF-12)
Q5: Moderately, Baseline
182 participants
12-Item Short Form Health Survey (SF-12)
Q5: Moderately, Week 26
122 participants
12-Item Short Form Health Survey (SF-12)
Q4b: A Little/None of the Time, Week 52
204 participants
12-Item Short Form Health Survey (SF-12)
Q5: Moderately, Week 52
105 participants
12-Item Short Form Health Survey (SF-12)
Q5: Quite a Bit/Extremely, Baseline
140 participants
12-Item Short Form Health Survey (SF-12)
Q5: Quite a Bit/Extremely, Week 26
63 participants
12-Item Short Form Health Survey (SF-12)
Q4b: Missing, Baseline
3 participants
12-Item Short Form Health Survey (SF-12)
Q4b: Missing, Week 26
2 participants
12-Item Short Form Health Survey (SF-12)
Q4b: Missing, Week 52
0 participants
12-Item Short Form Health Survey (SF-12)
Q5: Not at All/A Little Bit, Baseline
70 participants
12-Item Short Form Health Survey (SF-12)
Q5: Not at All/A Little Bit, Week 26
207 participants
12-Item Short Form Health Survey (SF-12)
Q6a: A Little/None of the Time, Week 52
23 participants
12-Item Short Form Health Survey (SF-12)
Q5: Quite a Bit/Extremely, Week 52
64 participants
12-Item Short Form Health Survey (SF-12)
Q5: Missing, Baseline
2 participants
12-Item Short Form Health Survey (SF-12)
Q5: Missing, Week 26
2 participants
12-Item Short Form Health Survey (SF-12)
Q5: Missing, Week 52
0 participants
12-Item Short Form Health Survey (SF-12)
Q6a: All/Most of the Time, Baseline
188 participants
12-Item Short Form Health Survey (SF-12)
Q6a: All/Most of the Time, Week 26
240 participants
12-Item Short Form Health Survey (SF-12)
Q6a: All/Most of the Time, Week 52
244 participants
12-Item Short Form Health Survey (SF-12)
Q6a: Some of the Time, Baseline
112 participants
12-Item Short Form Health Survey (SF-12)
Q6a: Some of the Time, Week 26
106 participants
12-Item Short Form Health Survey (SF-12)
Q6a: Some of the Time, Week 52
121 participants
12-Item Short Form Health Survey (SF-12)
Q6a: A Little/None of the Time, Baseline
92 participants
12-Item Short Form Health Survey (SF-12)
Q6a: A Little/None of the Time, Week 26
46 participants
12-Item Short Form Health Survey (SF-12)
Q6a: Missing, Baseline
2 participants
12-Item Short Form Health Survey (SF-12)
Q1: Fair/Poor, Week 26
76 participants
12-Item Short Form Health Survey (SF-12)
Q1: Fair/Poor, Week 52
64 participants
12-Item Short Form Health Survey (SF-12)
Q1: Missing, Baseline
1 participants
12-Item Short Form Health Survey (SF-12)
Q1: Missing, Week 26
1 participants
12-Item Short Form Health Survey (SF-12)
Q1: Missing, Week 52
0 participants
12-Item Short Form Health Survey (SF-12)
Q2a: Yes, Limited a Lot/a Little, Baseline
367 participants
12-Item Short Form Health Survey (SF-12)
Q2a: Yes, Limited a Lot/a Little, Week 26
303 participants
12-Item Short Form Health Survey (SF-12)
Q2a: Yes, Limited a Lot/a Little, Week 52
293 participants
12-Item Short Form Health Survey (SF-12)
Q2a: No Not Limited at All, Baseline
24 participants
12-Item Short Form Health Survey (SF-12)
Q2a: No Not Limited at All, Week 26
90 participants
12-Item Short Form Health Survey (SF-12)
Q2a: No Not Limited at All, Week 52
95 participants
12-Item Short Form Health Survey (SF-12)
Q2a: Missing, Baseline
3 participants
12-Item Short Form Health Survey (SF-12)
Q2a: Missing, Week 26
1 participants
12-Item Short Form Health Survey (SF-12)
Q2a: Missing, Week 52
0 participants
12-Item Short Form Health Survey (SF-12)
Q2b: Yes, Limited a Lot/a Little, Baseline
373 participants
12-Item Short Form Health Survey (SF-12)
Q6a: Missing, Week 26
2 participants
12-Item Short Form Health Survey (SF-12)
Q1: Excellent/Very Good, Baseline
35 participants
12-Item Short Form Health Survey (SF-12)
Q1: Excellent/Very Good, Week 26
87 participants
12-Item Short Form Health Survey (SF-12)
Q1: Excellent/Very Good, Week 52
135 participants
12-Item Short Form Health Survey (SF-12)
Q1: Good, Baseline
139 participants
12-Item Short Form Health Survey (SF-12)
Q1: Good, Week 26
230 participants
12-Item Short Form Health Survey (SF-12)
Q1: Good, Week 52
189 participants
12-Item Short Form Health Survey (SF-12)
Q1: Fair/Poor, Baseline
219 participants
12-Item Short Form Health Survey (SF-12)
Q2b: Yes, Limited a Lot/a Little, Week 26
338 participants
12-Item Short Form Health Survey (SF-12)
Q2b: Yes, Limited a Lot/a Little, Week 52
334 participants
12-Item Short Form Health Survey (SF-12)
Q2b: No Not Limited at All, Baseline
19 participants
12-Item Short Form Health Survey (SF-12)
Q2b: No Not Limited at All, Week 26
55 participants
12-Item Short Form Health Survey (SF-12)
Q2b: No Not Limited at All, Week 52
54 participants
12-Item Short Form Health Survey (SF-12)
Q2b: Missing, Baseline
2 participants
12-Item Short Form Health Survey (SF-12)
Q2b: Missing, Week 26
1 participants
12-Item Short Form Health Survey (SF-12)
Q2b: Missing, Week 52
0 participants
12-Item Short Form Health Survey (SF-12)
Q3a: All/Most of the Time, Baseline
152 participants
12-Item Short Form Health Survey (SF-12)
Q3a: All/Most of the Time, Week 26
62 participants
12-Item Short Form Health Survey (SF-12)
Q3a: All/Most of the Time, Week 52
76 participants
12-Item Short Form Health Survey (SF-12)
Q3a: Some of the Time, Baseline
163 participants
12-Item Short Form Health Survey (SF-12)
Q3a: Some of the Time, Week 26
170 participants
12-Item Short Form Health Survey (SF-12)
Q3a: Some of the Time, Week 52
142 participants
12-Item Short Form Health Survey (SF-12)
Q3a: A Little/None of the Time, Baseline
76 participants
12-Item Short Form Health Survey (SF-12)
Q3a: A Little/None of the Time, Week 26
159 participants
12-Item Short Form Health Survey (SF-12)
Q3a: A Little/None of the Time, Week 52
169 participants
12-Item Short Form Health Survey (SF-12)
Q3a: Missing, Baseline
3 participants
12-Item Short Form Health Survey (SF-12)
Q3a: Missing, Week 26
3 participants
12-Item Short Form Health Survey (SF-12)
Q3a: Missing, Week 52
1 participants
12-Item Short Form Health Survey (SF-12)
Q3b: All/Most of the Time, Baseline
137 participants
12-Item Short Form Health Survey (SF-12)
Q3b: All/Most of the Time, Week 26
58 participants
12-Item Short Form Health Survey (SF-12)
Q3b: All/Most of the Time, Week 52
57 participants
12-Item Short Form Health Survey (SF-12)
Q3b: Some of the Time, Baseline
158 participants
12-Item Short Form Health Survey (SF-12)
Q6a: Missing, Week 52
0 participants
12-Item Short Form Health Survey (SF-12)
Q6b: All/Most of the Time, Week 26
190 participants
12-Item Short Form Health Survey (SF-12)
Q6b: All/Most of the Time, Week 52
215 participants
12-Item Short Form Health Survey (SF-12)
Q6b: Some of the Time, Baseline
154 participants
12-Item Short Form Health Survey (SF-12)
Q6b: Some of the Time, Week 52
132 participants
12-Item Short Form Health Survey (SF-12)
Q6b: A Little/None of the Time, Baseline
115 participants
12-Item Short Form Health Survey (SF-12)
Q6b: A Little/None of the Time, Week 26
67 participants
12-Item Short Form Health Survey (SF-12)
Q6b: A Little/None of the Time, Week 52
40 participants
12-Item Short Form Health Survey (SF-12)
Q6b: Missing, Baseline
3 participants
12-Item Short Form Health Survey (SF-12)
Q6b: Missing, Week 26
3 participants
12-Item Short Form Health Survey (SF-12)
Q6b: Missing, Week 52
1 participants
12-Item Short Form Health Survey (SF-12)
Q6c: All/Most of the Time, Baseline
67 participants
12-Item Short Form Health Survey (SF-12)
Q6c: All/Most of the Time, Week 26
28 participants
12-Item Short Form Health Survey (SF-12)
Q6c: All/Most of the Time, Week 52
53 participants
12-Item Short Form Health Survey (SF-12)
Q6c: Some of the Time, Baseline
162 participants
12-Item Short Form Health Survey (SF-12)
Q6c: Some of the Time, Week 26
102 participants
12-Item Short Form Health Survey (SF-12)
Q6c: A Little/None of the Time, Baseline
159 participants
12-Item Short Form Health Survey (SF-12)
Q6c: Missing, Week 26
3 participants

SECONDARY outcome

Timeframe: Baseline up to Week 52

Population: ITT population. Number of participants analysed = participants with baseline and Week 52 data.

Participants were asked about their perception regarding any additional Osteoarthritis medications or treatments or any changes in regimen or dosages compared to their baseline (Day 0) state. Any change in the therapy (increased therapy, decrease therapy, no change in therapy) during the study was reported.

Outcome measures

Outcome measures
Measure
Synvisc-One
n=369 Participants
Single 6 mL IA injection of Synvisc-One at Day 0 (Initial Treatment). Participants received repeat injection based on physician's discretion of safety and efficacy at Week 26, 39 or 52 (Repeat treatment). Repeat injection was given if there was no major safety concerns and WOMAC A1 subscore (measurement of pain while walking on flat surface) was between 40-80 mm (at Week 26, 39 or 52) when measured on a 0-100 mm scale, where higher score indicate higher pain.
Number of Participants With Change in Concomitant Medication of Osteoarthritis Therapy at Week 52
Increased Therapy
5 participants
Number of Participants With Change in Concomitant Medication of Osteoarthritis Therapy at Week 52
Decreased Therapy
2 participants
Number of Participants With Change in Concomitant Medication of Osteoarthritis Therapy at Week 52
No Change in Therapy
362 participants

SECONDARY outcome

Timeframe: Baseline up to Week 52

Population: ITT population. Number of participants analysed = participants from ITT population who received repeat injection.

Time Between initial and repeat Synvisc-One Treatment was duration between initial and repeat injection in those participants who received repeat injection.

Outcome measures

Outcome measures
Measure
Synvisc-One
n=11 Participants
Single 6 mL IA injection of Synvisc-One at Day 0 (Initial Treatment). Participants received repeat injection based on physician's discretion of safety and efficacy at Week 26, 39 or 52 (Repeat treatment). Repeat injection was given if there was no major safety concerns and WOMAC A1 subscore (measurement of pain while walking on flat surface) was between 40-80 mm (at Week 26, 39 or 52) when measured on a 0-100 mm scale, where higher score indicate higher pain.
Time Between Initial and Repeat Synvisc-One Treatment
38.31 weeks
Standard Deviation 13.403

SECONDARY outcome

Timeframe: Baseline; Weeks 1, 4 after repeat injection (missing data imputed by LOCF)

Population: Repeat Intent to treat population included all participants who were eligible for repeat treatment and received at least one repeat dose of study medication.

WOMAC is health status measure questionnaire comprising 3 subscales (pain, stiffness and physical function). WOMAC A1 (measure of pain during walking on a flat surface) was measured using a visual analogue scale (100 mm line marked by participants with total score ranging from 0-100). Lower score represents lower pain. Data are reported for those participants who received repeat injection. Here, baseline represents the day at which a participant received repeat injection (Week 26, 39 or 52).

Outcome measures

Outcome measures
Measure
Synvisc-One
n=11 Participants
Single 6 mL IA injection of Synvisc-One at Day 0 (Initial Treatment). Participants received repeat injection based on physician's discretion of safety and efficacy at Week 26, 39 or 52 (Repeat treatment). Repeat injection was given if there was no major safety concerns and WOMAC A1 subscore (measurement of pain while walking on flat surface) was between 40-80 mm (at Week 26, 39 or 52) when measured on a 0-100 mm scale, where higher score indicate higher pain.
Change From Baseline in WOMAC A1 Subscore After Repeat Injection
Week 1 After Repeat Injection
-12.4 units on a scale
Standard Deviation 15.32
Change From Baseline in WOMAC A1 Subscore After Repeat Injection
Week 4 After Repeat Injection
-10.1 units on a scale
Standard Deviation 13.05

SECONDARY outcome

Timeframe: Baseline; Weeks 1, 4 after repeat injection (missing data imputed by LOCF)

Population: Repeat Intent to treat population included all participants who were eligible for repeat treatment and received at least one repeat dose of study medication.

WOMAC is health status measure questionnaire comprising 3 subscales (pain, stiffness and physical function). WOMAC A (measure of pain) calculated as a mean of 5 individual components, measured using a visual analogue scale (100 mm line marked by participants with score ranging from 0-100). Total score range is 0 to 100, where higher scores indicate higher pain. Data are reported for those participants who received repeat injection. Here, baseline represents the day at which a participant received repeat injection (Week 26, 39 or 52).

Outcome measures

Outcome measures
Measure
Synvisc-One
n=11 Participants
Single 6 mL IA injection of Synvisc-One at Day 0 (Initial Treatment). Participants received repeat injection based on physician's discretion of safety and efficacy at Week 26, 39 or 52 (Repeat treatment). Repeat injection was given if there was no major safety concerns and WOMAC A1 subscore (measurement of pain while walking on flat surface) was between 40-80 mm (at Week 26, 39 or 52) when measured on a 0-100 mm scale, where higher score indicate higher pain.
Change From Baseline in WOMAC A Score After Repeat Injection
Week 1 After Repeat Injection
-4.04 units on a scale
Standard Deviation 10.571
Change From Baseline in WOMAC A Score After Repeat Injection
Week 4 After Repeat Injection
-3.05 units on a scale
Standard Deviation 13.473

SECONDARY outcome

Timeframe: Baseline; Weeks 1, 4 after repeat injection (missing data imputed by LOCF)

Population: Repeat intent to treat population.

WOMAC is health status measure questionnaire comprising 3 subscales (pain, stiffness and physical function). WOMAC B (measure of stiffness) calculated as a mean of 2 individual components, measured using a visual analogue scale (100 mm line marked by participants with score ranging from 0-100). Total score range is 0 to 100, where higher scores indicate higher stiffness. Stiffness is defined as a sensation of decreased ease in movement of joint. Data are reported for those participants who received repeat injection. Here, baseline represents the day at which a participant received repeat injection (Week 26, 39 or 52).

Outcome measures

Outcome measures
Measure
Synvisc-One
n=11 Participants
Single 6 mL IA injection of Synvisc-One at Day 0 (Initial Treatment). Participants received repeat injection based on physician's discretion of safety and efficacy at Week 26, 39 or 52 (Repeat treatment). Repeat injection was given if there was no major safety concerns and WOMAC A1 subscore (measurement of pain while walking on flat surface) was between 40-80 mm (at Week 26, 39 or 52) when measured on a 0-100 mm scale, where higher score indicate higher pain.
Change From Baseline in WOMAC B Score After Repeat Injection
Week 1 After Repeat Injection
-6.14 units on a scale
Standard Deviation 6.034
Change From Baseline in WOMAC B Score After Repeat Injection
Week 4 After Repeat Injection
-3.23 units on a scale
Standard Deviation 12.009

SECONDARY outcome

Timeframe: Baseline; Weeks 1, 4 after repeat injection (missing data imputed by LOCF)

Population: Repeat intent to treat population.

WOMAC is health status measure questionnaire comprising 3 subscales (pain, stiffness and physical function). WOMAC C (measure of physical function) calculated as a mean of 17 individual components, measured using a visual analogue scale (100 mm line marked by participants with score ranging from 0-100). Total score range is 0 to 100, where higher scores indicate higher worse function. Physical function refers to participant's ability to move around and perform usual activities of daily living. Data are reported for those participants who received repeat injection. Here, baseline represents the day at which a participant received repeat injection (Week 26, 39 or 52).

Outcome measures

Outcome measures
Measure
Synvisc-One
n=11 Participants
Single 6 mL IA injection of Synvisc-One at Day 0 (Initial Treatment). Participants received repeat injection based on physician's discretion of safety and efficacy at Week 26, 39 or 52 (Repeat treatment). Repeat injection was given if there was no major safety concerns and WOMAC A1 subscore (measurement of pain while walking on flat surface) was between 40-80 mm (at Week 26, 39 or 52) when measured on a 0-100 mm scale, where higher score indicate higher pain.
Change From Baseline in WOMAC C Score After Repeat Injection
Week 1 After Repeat Injection
-4.08 units on a scale
Standard Deviation 7.578
Change From Baseline in WOMAC C Score After Repeat Injection
Week 4 After Repeat Injection
-4.66 units on a scale
Standard Deviation 6.005

Adverse Events

Synvisc-One: Systemic Adverse Event

Serious events: 5 serious events
Other events: 23 other events
Deaths: 0 deaths

Synvisc-One: Local Adverse Event

Serious events: 1 serious events
Other events: 22 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Synvisc-One: Systemic Adverse Event
n=394 participants at risk
Single 6 mL IA injection of Synvisc-One at Day 0 (Initial Treatment). Participants received repeat injection based on physician's discretion of safety and efficacy at Week 26, 39 or 52 (Repeat treatment). Repeat injection was given if there was no major safety concerns and WOMAC A1 subscore (measurement of pain while walking on flat surface) was between 40-80 mm (at Week 26, 39 or 52) when measured on a 0-100 mm scale, where higher score indicate higher pain.Systemic adverse events were defined as any adverse event which occurred anywhere other than in the treated joint.
Synvisc-One: Local Adverse Event
n=394 participants at risk
Single 6 mL IA injection of Synvisc-One at Day 0 (Initial Treatment). Participants received repeat injection based on physician's discretion of safety and efficacy at Week 26, 39 or 52 (Repeat treatment). Repeat injection was given if there was no major safety concerns and WOMAC A1 subscore (measurement of pain while walking on flat surface) was between 40-80 mm (at Week 26, 39 or 52) when measured on a 0-100 mm scale, where higher score indicate higher pain. Local adverse events were defined as any adverse event which occurred in the treated joint.
Cardiac disorders
Cardiac arrest
0.25%
1/394 • All Adverse Events (AE) were collected from signature of the informed consent form up to the final follow up visit (up to Week 56) regardless of seriousness or relationship to investigational product.
Reported AEs are treatment-emergent AEs that is AEs that developed/worsened during the 'on treatment period' (From First dose of study drug until the end of study period). Analysis performed on safety population included all participants treated in the study. Data was planned to be reported for systemic and local adverse events separately.
0.00%
0/394 • All Adverse Events (AE) were collected from signature of the informed consent form up to the final follow up visit (up to Week 56) regardless of seriousness or relationship to investigational product.
Reported AEs are treatment-emergent AEs that is AEs that developed/worsened during the 'on treatment period' (From First dose of study drug until the end of study period). Analysis performed on safety population included all participants treated in the study. Data was planned to be reported for systemic and local adverse events separately.
Cardiac disorders
Coronary artery disease
0.25%
1/394 • All Adverse Events (AE) were collected from signature of the informed consent form up to the final follow up visit (up to Week 56) regardless of seriousness or relationship to investigational product.
Reported AEs are treatment-emergent AEs that is AEs that developed/worsened during the 'on treatment period' (From First dose of study drug until the end of study period). Analysis performed on safety population included all participants treated in the study. Data was planned to be reported for systemic and local adverse events separately.
0.00%
0/394 • All Adverse Events (AE) were collected from signature of the informed consent form up to the final follow up visit (up to Week 56) regardless of seriousness or relationship to investigational product.
Reported AEs are treatment-emergent AEs that is AEs that developed/worsened during the 'on treatment period' (From First dose of study drug until the end of study period). Analysis performed on safety population included all participants treated in the study. Data was planned to be reported for systemic and local adverse events separately.
Infections and infestations
Influenza
0.25%
1/394 • All Adverse Events (AE) were collected from signature of the informed consent form up to the final follow up visit (up to Week 56) regardless of seriousness or relationship to investigational product.
Reported AEs are treatment-emergent AEs that is AEs that developed/worsened during the 'on treatment period' (From First dose of study drug until the end of study period). Analysis performed on safety population included all participants treated in the study. Data was planned to be reported for systemic and local adverse events separately.
0.00%
0/394 • All Adverse Events (AE) were collected from signature of the informed consent form up to the final follow up visit (up to Week 56) regardless of seriousness or relationship to investigational product.
Reported AEs are treatment-emergent AEs that is AEs that developed/worsened during the 'on treatment period' (From First dose of study drug until the end of study period). Analysis performed on safety population included all participants treated in the study. Data was planned to be reported for systemic and local adverse events separately.
Infections and infestations
Urinary tract infection
0.25%
1/394 • All Adverse Events (AE) were collected from signature of the informed consent form up to the final follow up visit (up to Week 56) regardless of seriousness or relationship to investigational product.
Reported AEs are treatment-emergent AEs that is AEs that developed/worsened during the 'on treatment period' (From First dose of study drug until the end of study period). Analysis performed on safety population included all participants treated in the study. Data was planned to be reported for systemic and local adverse events separately.
0.00%
0/394 • All Adverse Events (AE) were collected from signature of the informed consent form up to the final follow up visit (up to Week 56) regardless of seriousness or relationship to investigational product.
Reported AEs are treatment-emergent AEs that is AEs that developed/worsened during the 'on treatment period' (From First dose of study drug until the end of study period). Analysis performed on safety population included all participants treated in the study. Data was planned to be reported for systemic and local adverse events separately.
Musculoskeletal and connective tissue disorders
Cervical spinal stenosis
0.25%
1/394 • All Adverse Events (AE) were collected from signature of the informed consent form up to the final follow up visit (up to Week 56) regardless of seriousness or relationship to investigational product.
Reported AEs are treatment-emergent AEs that is AEs that developed/worsened during the 'on treatment period' (From First dose of study drug until the end of study period). Analysis performed on safety population included all participants treated in the study. Data was planned to be reported for systemic and local adverse events separately.
0.00%
0/394 • All Adverse Events (AE) were collected from signature of the informed consent form up to the final follow up visit (up to Week 56) regardless of seriousness or relationship to investigational product.
Reported AEs are treatment-emergent AEs that is AEs that developed/worsened during the 'on treatment period' (From First dose of study drug until the end of study period). Analysis performed on safety population included all participants treated in the study. Data was planned to be reported for systemic and local adverse events separately.
Musculoskeletal and connective tissue disorders
Intervertebral disc protrusion
0.25%
1/394 • All Adverse Events (AE) were collected from signature of the informed consent form up to the final follow up visit (up to Week 56) regardless of seriousness or relationship to investigational product.
Reported AEs are treatment-emergent AEs that is AEs that developed/worsened during the 'on treatment period' (From First dose of study drug until the end of study period). Analysis performed on safety population included all participants treated in the study. Data was planned to be reported for systemic and local adverse events separately.
0.00%
0/394 • All Adverse Events (AE) were collected from signature of the informed consent form up to the final follow up visit (up to Week 56) regardless of seriousness or relationship to investigational product.
Reported AEs are treatment-emergent AEs that is AEs that developed/worsened during the 'on treatment period' (From First dose of study drug until the end of study period). Analysis performed on safety population included all participants treated in the study. Data was planned to be reported for systemic and local adverse events separately.
Nervous system disorders
Cervical myelopathy
0.25%
1/394 • All Adverse Events (AE) were collected from signature of the informed consent form up to the final follow up visit (up to Week 56) regardless of seriousness or relationship to investigational product.
Reported AEs are treatment-emergent AEs that is AEs that developed/worsened during the 'on treatment period' (From First dose of study drug until the end of study period). Analysis performed on safety population included all participants treated in the study. Data was planned to be reported for systemic and local adverse events separately.
0.00%
0/394 • All Adverse Events (AE) were collected from signature of the informed consent form up to the final follow up visit (up to Week 56) regardless of seriousness or relationship to investigational product.
Reported AEs are treatment-emergent AEs that is AEs that developed/worsened during the 'on treatment period' (From First dose of study drug until the end of study period). Analysis performed on safety population included all participants treated in the study. Data was planned to be reported for systemic and local adverse events separately.
Nervous system disorders
Myelomalacia
0.25%
1/394 • All Adverse Events (AE) were collected from signature of the informed consent form up to the final follow up visit (up to Week 56) regardless of seriousness or relationship to investigational product.
Reported AEs are treatment-emergent AEs that is AEs that developed/worsened during the 'on treatment period' (From First dose of study drug until the end of study period). Analysis performed on safety population included all participants treated in the study. Data was planned to be reported for systemic and local adverse events separately.
0.00%
0/394 • All Adverse Events (AE) were collected from signature of the informed consent form up to the final follow up visit (up to Week 56) regardless of seriousness or relationship to investigational product.
Reported AEs are treatment-emergent AEs that is AEs that developed/worsened during the 'on treatment period' (From First dose of study drug until the end of study period). Analysis performed on safety population included all participants treated in the study. Data was planned to be reported for systemic and local adverse events separately.
Musculoskeletal and connective tissue disorders
Arthritis
0.00%
0/394 • All Adverse Events (AE) were collected from signature of the informed consent form up to the final follow up visit (up to Week 56) regardless of seriousness or relationship to investigational product.
Reported AEs are treatment-emergent AEs that is AEs that developed/worsened during the 'on treatment period' (From First dose of study drug until the end of study period). Analysis performed on safety population included all participants treated in the study. Data was planned to be reported for systemic and local adverse events separately.
0.25%
1/394 • All Adverse Events (AE) were collected from signature of the informed consent form up to the final follow up visit (up to Week 56) regardless of seriousness or relationship to investigational product.
Reported AEs are treatment-emergent AEs that is AEs that developed/worsened during the 'on treatment period' (From First dose of study drug until the end of study period). Analysis performed on safety population included all participants treated in the study. Data was planned to be reported for systemic and local adverse events separately.

Other adverse events

Other adverse events
Measure
Synvisc-One: Systemic Adverse Event
n=394 participants at risk
Single 6 mL IA injection of Synvisc-One at Day 0 (Initial Treatment). Participants received repeat injection based on physician's discretion of safety and efficacy at Week 26, 39 or 52 (Repeat treatment). Repeat injection was given if there was no major safety concerns and WOMAC A1 subscore (measurement of pain while walking on flat surface) was between 40-80 mm (at Week 26, 39 or 52) when measured on a 0-100 mm scale, where higher score indicate higher pain.Systemic adverse events were defined as any adverse event which occurred anywhere other than in the treated joint.
Synvisc-One: Local Adverse Event
n=394 participants at risk
Single 6 mL IA injection of Synvisc-One at Day 0 (Initial Treatment). Participants received repeat injection based on physician's discretion of safety and efficacy at Week 26, 39 or 52 (Repeat treatment). Repeat injection was given if there was no major safety concerns and WOMAC A1 subscore (measurement of pain while walking on flat surface) was between 40-80 mm (at Week 26, 39 or 52) when measured on a 0-100 mm scale, where higher score indicate higher pain. Local adverse events were defined as any adverse event which occurred in the treated joint.
Gastrointestinal disorders
Constipation
0.25%
1/394 • All Adverse Events (AE) were collected from signature of the informed consent form up to the final follow up visit (up to Week 56) regardless of seriousness or relationship to investigational product.
Reported AEs are treatment-emergent AEs that is AEs that developed/worsened during the 'on treatment period' (From First dose of study drug until the end of study period). Analysis performed on safety population included all participants treated in the study. Data was planned to be reported for systemic and local adverse events separately.
0.00%
0/394 • All Adverse Events (AE) were collected from signature of the informed consent form up to the final follow up visit (up to Week 56) regardless of seriousness or relationship to investigational product.
Reported AEs are treatment-emergent AEs that is AEs that developed/worsened during the 'on treatment period' (From First dose of study drug until the end of study period). Analysis performed on safety population included all participants treated in the study. Data was planned to be reported for systemic and local adverse events separately.
Gastrointestinal disorders
Vomiting
0.25%
1/394 • All Adverse Events (AE) were collected from signature of the informed consent form up to the final follow up visit (up to Week 56) regardless of seriousness or relationship to investigational product.
Reported AEs are treatment-emergent AEs that is AEs that developed/worsened during the 'on treatment period' (From First dose of study drug until the end of study period). Analysis performed on safety population included all participants treated in the study. Data was planned to be reported for systemic and local adverse events separately.
0.00%
0/394 • All Adverse Events (AE) were collected from signature of the informed consent form up to the final follow up visit (up to Week 56) regardless of seriousness or relationship to investigational product.
Reported AEs are treatment-emergent AEs that is AEs that developed/worsened during the 'on treatment period' (From First dose of study drug until the end of study period). Analysis performed on safety population included all participants treated in the study. Data was planned to be reported for systemic and local adverse events separately.
General disorders
Oedema peripheral
1.0%
4/394 • All Adverse Events (AE) were collected from signature of the informed consent form up to the final follow up visit (up to Week 56) regardless of seriousness or relationship to investigational product.
Reported AEs are treatment-emergent AEs that is AEs that developed/worsened during the 'on treatment period' (From First dose of study drug until the end of study period). Analysis performed on safety population included all participants treated in the study. Data was planned to be reported for systemic and local adverse events separately.
0.00%
0/394 • All Adverse Events (AE) were collected from signature of the informed consent form up to the final follow up visit (up to Week 56) regardless of seriousness or relationship to investigational product.
Reported AEs are treatment-emergent AEs that is AEs that developed/worsened during the 'on treatment period' (From First dose of study drug until the end of study period). Analysis performed on safety population included all participants treated in the study. Data was planned to be reported for systemic and local adverse events separately.
General disorders
Pain
0.51%
2/394 • All Adverse Events (AE) were collected from signature of the informed consent form up to the final follow up visit (up to Week 56) regardless of seriousness or relationship to investigational product.
Reported AEs are treatment-emergent AEs that is AEs that developed/worsened during the 'on treatment period' (From First dose of study drug until the end of study period). Analysis performed on safety population included all participants treated in the study. Data was planned to be reported for systemic and local adverse events separately.
0.00%
0/394 • All Adverse Events (AE) were collected from signature of the informed consent form up to the final follow up visit (up to Week 56) regardless of seriousness or relationship to investigational product.
Reported AEs are treatment-emergent AEs that is AEs that developed/worsened during the 'on treatment period' (From First dose of study drug until the end of study period). Analysis performed on safety population included all participants treated in the study. Data was planned to be reported for systemic and local adverse events separately.
General disorders
Pyrexia
0.51%
2/394 • All Adverse Events (AE) were collected from signature of the informed consent form up to the final follow up visit (up to Week 56) regardless of seriousness or relationship to investigational product.
Reported AEs are treatment-emergent AEs that is AEs that developed/worsened during the 'on treatment period' (From First dose of study drug until the end of study period). Analysis performed on safety population included all participants treated in the study. Data was planned to be reported for systemic and local adverse events separately.
0.00%
0/394 • All Adverse Events (AE) were collected from signature of the informed consent form up to the final follow up visit (up to Week 56) regardless of seriousness or relationship to investigational product.
Reported AEs are treatment-emergent AEs that is AEs that developed/worsened during the 'on treatment period' (From First dose of study drug until the end of study period). Analysis performed on safety population included all participants treated in the study. Data was planned to be reported for systemic and local adverse events separately.
Infections and infestations
Cellulitis
0.25%
1/394 • All Adverse Events (AE) were collected from signature of the informed consent form up to the final follow up visit (up to Week 56) regardless of seriousness or relationship to investigational product.
Reported AEs are treatment-emergent AEs that is AEs that developed/worsened during the 'on treatment period' (From First dose of study drug until the end of study period). Analysis performed on safety population included all participants treated in the study. Data was planned to be reported for systemic and local adverse events separately.
0.00%
0/394 • All Adverse Events (AE) were collected from signature of the informed consent form up to the final follow up visit (up to Week 56) regardless of seriousness or relationship to investigational product.
Reported AEs are treatment-emergent AEs that is AEs that developed/worsened during the 'on treatment period' (From First dose of study drug until the end of study period). Analysis performed on safety population included all participants treated in the study. Data was planned to be reported for systemic and local adverse events separately.
Infections and infestations
Influenza
0.76%
3/394 • All Adverse Events (AE) were collected from signature of the informed consent form up to the final follow up visit (up to Week 56) regardless of seriousness or relationship to investigational product.
Reported AEs are treatment-emergent AEs that is AEs that developed/worsened during the 'on treatment period' (From First dose of study drug until the end of study period). Analysis performed on safety population included all participants treated in the study. Data was planned to be reported for systemic and local adverse events separately.
0.00%
0/394 • All Adverse Events (AE) were collected from signature of the informed consent form up to the final follow up visit (up to Week 56) regardless of seriousness or relationship to investigational product.
Reported AEs are treatment-emergent AEs that is AEs that developed/worsened during the 'on treatment period' (From First dose of study drug until the end of study period). Analysis performed on safety population included all participants treated in the study. Data was planned to be reported for systemic and local adverse events separately.
Injury, poisoning and procedural complications
Ligament sprain
0.25%
1/394 • All Adverse Events (AE) were collected from signature of the informed consent form up to the final follow up visit (up to Week 56) regardless of seriousness or relationship to investigational product.
Reported AEs are treatment-emergent AEs that is AEs that developed/worsened during the 'on treatment period' (From First dose of study drug until the end of study period). Analysis performed on safety population included all participants treated in the study. Data was planned to be reported for systemic and local adverse events separately.
0.00%
0/394 • All Adverse Events (AE) were collected from signature of the informed consent form up to the final follow up visit (up to Week 56) regardless of seriousness or relationship to investigational product.
Reported AEs are treatment-emergent AEs that is AEs that developed/worsened during the 'on treatment period' (From First dose of study drug until the end of study period). Analysis performed on safety population included all participants treated in the study. Data was planned to be reported for systemic and local adverse events separately.
Musculoskeletal and connective tissue disorders
Arthralgia
0.51%
2/394 • All Adverse Events (AE) were collected from signature of the informed consent form up to the final follow up visit (up to Week 56) regardless of seriousness or relationship to investigational product.
Reported AEs are treatment-emergent AEs that is AEs that developed/worsened during the 'on treatment period' (From First dose of study drug until the end of study period). Analysis performed on safety population included all participants treated in the study. Data was planned to be reported for systemic and local adverse events separately.
4.1%
16/394 • All Adverse Events (AE) were collected from signature of the informed consent form up to the final follow up visit (up to Week 56) regardless of seriousness or relationship to investigational product.
Reported AEs are treatment-emergent AEs that is AEs that developed/worsened during the 'on treatment period' (From First dose of study drug until the end of study period). Analysis performed on safety population included all participants treated in the study. Data was planned to be reported for systemic and local adverse events separately.
Musculoskeletal and connective tissue disorders
Back pain
0.76%
3/394 • All Adverse Events (AE) were collected from signature of the informed consent form up to the final follow up visit (up to Week 56) regardless of seriousness or relationship to investigational product.
Reported AEs are treatment-emergent AEs that is AEs that developed/worsened during the 'on treatment period' (From First dose of study drug until the end of study period). Analysis performed on safety population included all participants treated in the study. Data was planned to be reported for systemic and local adverse events separately.
0.00%
0/394 • All Adverse Events (AE) were collected from signature of the informed consent form up to the final follow up visit (up to Week 56) regardless of seriousness or relationship to investigational product.
Reported AEs are treatment-emergent AEs that is AEs that developed/worsened during the 'on treatment period' (From First dose of study drug until the end of study period). Analysis performed on safety population included all participants treated in the study. Data was planned to be reported for systemic and local adverse events separately.
Musculoskeletal and connective tissue disorders
Myalgia
0.51%
2/394 • All Adverse Events (AE) were collected from signature of the informed consent form up to the final follow up visit (up to Week 56) regardless of seriousness or relationship to investigational product.
Reported AEs are treatment-emergent AEs that is AEs that developed/worsened during the 'on treatment period' (From First dose of study drug until the end of study period). Analysis performed on safety population included all participants treated in the study. Data was planned to be reported for systemic and local adverse events separately.
0.00%
0/394 • All Adverse Events (AE) were collected from signature of the informed consent form up to the final follow up visit (up to Week 56) regardless of seriousness or relationship to investigational product.
Reported AEs are treatment-emergent AEs that is AEs that developed/worsened during the 'on treatment period' (From First dose of study drug until the end of study period). Analysis performed on safety population included all participants treated in the study. Data was planned to be reported for systemic and local adverse events separately.
Musculoskeletal and connective tissue disorders
Neck pain
0.25%
1/394 • All Adverse Events (AE) were collected from signature of the informed consent form up to the final follow up visit (up to Week 56) regardless of seriousness or relationship to investigational product.
Reported AEs are treatment-emergent AEs that is AEs that developed/worsened during the 'on treatment period' (From First dose of study drug until the end of study period). Analysis performed on safety population included all participants treated in the study. Data was planned to be reported for systemic and local adverse events separately.
0.00%
0/394 • All Adverse Events (AE) were collected from signature of the informed consent form up to the final follow up visit (up to Week 56) regardless of seriousness or relationship to investigational product.
Reported AEs are treatment-emergent AEs that is AEs that developed/worsened during the 'on treatment period' (From First dose of study drug until the end of study period). Analysis performed on safety population included all participants treated in the study. Data was planned to be reported for systemic and local adverse events separately.
Musculoskeletal and connective tissue disorders
Pain in extremity
1.0%
4/394 • All Adverse Events (AE) were collected from signature of the informed consent form up to the final follow up visit (up to Week 56) regardless of seriousness or relationship to investigational product.
Reported AEs are treatment-emergent AEs that is AEs that developed/worsened during the 'on treatment period' (From First dose of study drug until the end of study period). Analysis performed on safety population included all participants treated in the study. Data was planned to be reported for systemic and local adverse events separately.
0.00%
0/394 • All Adverse Events (AE) were collected from signature of the informed consent form up to the final follow up visit (up to Week 56) regardless of seriousness or relationship to investigational product.
Reported AEs are treatment-emergent AEs that is AEs that developed/worsened during the 'on treatment period' (From First dose of study drug until the end of study period). Analysis performed on safety population included all participants treated in the study. Data was planned to be reported for systemic and local adverse events separately.
Nervous system disorders
Head discomfort
0.25%
1/394 • All Adverse Events (AE) were collected from signature of the informed consent form up to the final follow up visit (up to Week 56) regardless of seriousness or relationship to investigational product.
Reported AEs are treatment-emergent AEs that is AEs that developed/worsened during the 'on treatment period' (From First dose of study drug until the end of study period). Analysis performed on safety population included all participants treated in the study. Data was planned to be reported for systemic and local adverse events separately.
0.00%
0/394 • All Adverse Events (AE) were collected from signature of the informed consent form up to the final follow up visit (up to Week 56) regardless of seriousness or relationship to investigational product.
Reported AEs are treatment-emergent AEs that is AEs that developed/worsened during the 'on treatment period' (From First dose of study drug until the end of study period). Analysis performed on safety population included all participants treated in the study. Data was planned to be reported for systemic and local adverse events separately.
Nervous system disorders
Headache
0.25%
1/394 • All Adverse Events (AE) were collected from signature of the informed consent form up to the final follow up visit (up to Week 56) regardless of seriousness or relationship to investigational product.
Reported AEs are treatment-emergent AEs that is AEs that developed/worsened during the 'on treatment period' (From First dose of study drug until the end of study period). Analysis performed on safety population included all participants treated in the study. Data was planned to be reported for systemic and local adverse events separately.
0.00%
0/394 • All Adverse Events (AE) were collected from signature of the informed consent form up to the final follow up visit (up to Week 56) regardless of seriousness or relationship to investigational product.
Reported AEs are treatment-emergent AEs that is AEs that developed/worsened during the 'on treatment period' (From First dose of study drug until the end of study period). Analysis performed on safety population included all participants treated in the study. Data was planned to be reported for systemic and local adverse events separately.
Nervous system disorders
Radiculopathy
0.25%
1/394 • All Adverse Events (AE) were collected from signature of the informed consent form up to the final follow up visit (up to Week 56) regardless of seriousness or relationship to investigational product.
Reported AEs are treatment-emergent AEs that is AEs that developed/worsened during the 'on treatment period' (From First dose of study drug until the end of study period). Analysis performed on safety population included all participants treated in the study. Data was planned to be reported for systemic and local adverse events separately.
0.00%
0/394 • All Adverse Events (AE) were collected from signature of the informed consent form up to the final follow up visit (up to Week 56) regardless of seriousness or relationship to investigational product.
Reported AEs are treatment-emergent AEs that is AEs that developed/worsened during the 'on treatment period' (From First dose of study drug until the end of study period). Analysis performed on safety population included all participants treated in the study. Data was planned to be reported for systemic and local adverse events separately.
Respiratory, thoracic and mediastinal disorders
Cough
0.25%
1/394 • All Adverse Events (AE) were collected from signature of the informed consent form up to the final follow up visit (up to Week 56) regardless of seriousness or relationship to investigational product.
Reported AEs are treatment-emergent AEs that is AEs that developed/worsened during the 'on treatment period' (From First dose of study drug until the end of study period). Analysis performed on safety population included all participants treated in the study. Data was planned to be reported for systemic and local adverse events separately.
0.00%
0/394 • All Adverse Events (AE) were collected from signature of the informed consent form up to the final follow up visit (up to Week 56) regardless of seriousness or relationship to investigational product.
Reported AEs are treatment-emergent AEs that is AEs that developed/worsened during the 'on treatment period' (From First dose of study drug until the end of study period). Analysis performed on safety population included all participants treated in the study. Data was planned to be reported for systemic and local adverse events separately.
Skin and subcutaneous tissue disorders
Rash
0.25%
1/394 • All Adverse Events (AE) were collected from signature of the informed consent form up to the final follow up visit (up to Week 56) regardless of seriousness or relationship to investigational product.
Reported AEs are treatment-emergent AEs that is AEs that developed/worsened during the 'on treatment period' (From First dose of study drug until the end of study period). Analysis performed on safety population included all participants treated in the study. Data was planned to be reported for systemic and local adverse events separately.
0.00%
0/394 • All Adverse Events (AE) were collected from signature of the informed consent form up to the final follow up visit (up to Week 56) regardless of seriousness or relationship to investigational product.
Reported AEs are treatment-emergent AEs that is AEs that developed/worsened during the 'on treatment period' (From First dose of study drug until the end of study period). Analysis performed on safety population included all participants treated in the study. Data was planned to be reported for systemic and local adverse events separately.
Skin and subcutaneous tissue disorders
Skin hyperpigmentation
0.25%
1/394 • All Adverse Events (AE) were collected from signature of the informed consent form up to the final follow up visit (up to Week 56) regardless of seriousness or relationship to investigational product.
Reported AEs are treatment-emergent AEs that is AEs that developed/worsened during the 'on treatment period' (From First dose of study drug until the end of study period). Analysis performed on safety population included all participants treated in the study. Data was planned to be reported for systemic and local adverse events separately.
0.00%
0/394 • All Adverse Events (AE) were collected from signature of the informed consent form up to the final follow up visit (up to Week 56) regardless of seriousness or relationship to investigational product.
Reported AEs are treatment-emergent AEs that is AEs that developed/worsened during the 'on treatment period' (From First dose of study drug until the end of study period). Analysis performed on safety population included all participants treated in the study. Data was planned to be reported for systemic and local adverse events separately.
Skin and subcutaneous tissue disorders
Swelling face
0.25%
1/394 • All Adverse Events (AE) were collected from signature of the informed consent form up to the final follow up visit (up to Week 56) regardless of seriousness or relationship to investigational product.
Reported AEs are treatment-emergent AEs that is AEs that developed/worsened during the 'on treatment period' (From First dose of study drug until the end of study period). Analysis performed on safety population included all participants treated in the study. Data was planned to be reported for systemic and local adverse events separately.
0.00%
0/394 • All Adverse Events (AE) were collected from signature of the informed consent form up to the final follow up visit (up to Week 56) regardless of seriousness or relationship to investigational product.
Reported AEs are treatment-emergent AEs that is AEs that developed/worsened during the 'on treatment period' (From First dose of study drug until the end of study period). Analysis performed on safety population included all participants treated in the study. Data was planned to be reported for systemic and local adverse events separately.
Skin and subcutaneous tissue disorders
Urticaria
0.25%
1/394 • All Adverse Events (AE) were collected from signature of the informed consent form up to the final follow up visit (up to Week 56) regardless of seriousness or relationship to investigational product.
Reported AEs are treatment-emergent AEs that is AEs that developed/worsened during the 'on treatment period' (From First dose of study drug until the end of study period). Analysis performed on safety population included all participants treated in the study. Data was planned to be reported for systemic and local adverse events separately.
0.00%
0/394 • All Adverse Events (AE) were collected from signature of the informed consent form up to the final follow up visit (up to Week 56) regardless of seriousness or relationship to investigational product.
Reported AEs are treatment-emergent AEs that is AEs that developed/worsened during the 'on treatment period' (From First dose of study drug until the end of study period). Analysis performed on safety population included all participants treated in the study. Data was planned to be reported for systemic and local adverse events separately.
General disorders
Injection site pain
0.00%
0/394 • All Adverse Events (AE) were collected from signature of the informed consent form up to the final follow up visit (up to Week 56) regardless of seriousness or relationship to investigational product.
Reported AEs are treatment-emergent AEs that is AEs that developed/worsened during the 'on treatment period' (From First dose of study drug until the end of study period). Analysis performed on safety population included all participants treated in the study. Data was planned to be reported for systemic and local adverse events separately.
0.25%
1/394 • All Adverse Events (AE) were collected from signature of the informed consent form up to the final follow up visit (up to Week 56) regardless of seriousness or relationship to investigational product.
Reported AEs are treatment-emergent AEs that is AEs that developed/worsened during the 'on treatment period' (From First dose of study drug until the end of study period). Analysis performed on safety population included all participants treated in the study. Data was planned to be reported for systemic and local adverse events separately.
General disorders
Injection site pruritus
0.00%
0/394 • All Adverse Events (AE) were collected from signature of the informed consent form up to the final follow up visit (up to Week 56) regardless of seriousness or relationship to investigational product.
Reported AEs are treatment-emergent AEs that is AEs that developed/worsened during the 'on treatment period' (From First dose of study drug until the end of study period). Analysis performed on safety population included all participants treated in the study. Data was planned to be reported for systemic and local adverse events separately.
0.25%
1/394 • All Adverse Events (AE) were collected from signature of the informed consent form up to the final follow up visit (up to Week 56) regardless of seriousness or relationship to investigational product.
Reported AEs are treatment-emergent AEs that is AEs that developed/worsened during the 'on treatment period' (From First dose of study drug until the end of study period). Analysis performed on safety population included all participants treated in the study. Data was planned to be reported for systemic and local adverse events separately.
Musculoskeletal and connective tissue disorders
Synovitis
0.00%
0/394 • All Adverse Events (AE) were collected from signature of the informed consent form up to the final follow up visit (up to Week 56) regardless of seriousness or relationship to investigational product.
Reported AEs are treatment-emergent AEs that is AEs that developed/worsened during the 'on treatment period' (From First dose of study drug until the end of study period). Analysis performed on safety population included all participants treated in the study. Data was planned to be reported for systemic and local adverse events separately.
1.0%
4/394 • All Adverse Events (AE) were collected from signature of the informed consent form up to the final follow up visit (up to Week 56) regardless of seriousness or relationship to investigational product.
Reported AEs are treatment-emergent AEs that is AEs that developed/worsened during the 'on treatment period' (From First dose of study drug until the end of study period). Analysis performed on safety population included all participants treated in the study. Data was planned to be reported for systemic and local adverse events separately.
Musculoskeletal and connective tissue disorders
Bursitis
0.00%
0/394 • All Adverse Events (AE) were collected from signature of the informed consent form up to the final follow up visit (up to Week 56) regardless of seriousness or relationship to investigational product.
Reported AEs are treatment-emergent AEs that is AEs that developed/worsened during the 'on treatment period' (From First dose of study drug until the end of study period). Analysis performed on safety population included all participants treated in the study. Data was planned to be reported for systemic and local adverse events separately.
0.25%
1/394 • All Adverse Events (AE) were collected from signature of the informed consent form up to the final follow up visit (up to Week 56) regardless of seriousness or relationship to investigational product.
Reported AEs are treatment-emergent AEs that is AEs that developed/worsened during the 'on treatment period' (From First dose of study drug until the end of study period). Analysis performed on safety population included all participants treated in the study. Data was planned to be reported for systemic and local adverse events separately.
Musculoskeletal and connective tissue disorders
Musculoskeletal stiffness
0.00%
0/394 • All Adverse Events (AE) were collected from signature of the informed consent form up to the final follow up visit (up to Week 56) regardless of seriousness or relationship to investigational product.
Reported AEs are treatment-emergent AEs that is AEs that developed/worsened during the 'on treatment period' (From First dose of study drug until the end of study period). Analysis performed on safety population included all participants treated in the study. Data was planned to be reported for systemic and local adverse events separately.
0.25%
1/394 • All Adverse Events (AE) were collected from signature of the informed consent form up to the final follow up visit (up to Week 56) regardless of seriousness or relationship to investigational product.
Reported AEs are treatment-emergent AEs that is AEs that developed/worsened during the 'on treatment period' (From First dose of study drug until the end of study period). Analysis performed on safety population included all participants treated in the study. Data was planned to be reported for systemic and local adverse events separately.

Additional Information

Trial Transparency Team

Sanofi

Results disclosure agreements

  • Principal investigator is a sponsor employee If no publication has occurred within 12 months of the completion of the study, the Investigator shall have the right to publish/present independently the results of the study. The Investigator shall provide the Sponsor with a copy of any such presentation/publication for comment at least 30 days before any presentation/submission for publication. If requested by the Sponsor, any presentation/submission shall be delayed up to 90 days, to allow the Sponsor to preserve its proprietary rights.
  • Publication restrictions are in place

Restriction type: OTHER