Trial Outcomes & Findings for A Study to Evaluate the Efficacy, Safety and Tolerability of MIV-711 in Osteoarthritis Patients (NCT NCT02705625)

NCT ID: NCT02705625

Last Updated: 2019-06-17

Results Overview

Change from Visit 2 (Baseline) to Visit 8 (Week 26) in NRS average target knee pain score. NRS (Numeric rating scale) ranges from 0 indicating -"no pain", to 10 indicating - "pain as bad as it could be".

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

244 participants

Primary outcome timeframe

baseline and 26 weeks

Results posted on

2019-06-17

Participant Flow

Participant milestones

Participant milestones
Measure
MIV-711:100 mg
MIV-711 100 mg administered orally once daily for a total of 26 weeks
MIV-711:200 mg
MIV-711 200 mg administered orally once daily for a total of 26 weeks
Placebo
Placebo manufactured to mimic MIV-711 capsule administered orally once daily for a total of 26 weeks
Overall Study
STARTED
82
82
80
Overall Study
COMPLETED
74
72
69
Overall Study
NOT COMPLETED
8
10
11

Reasons for withdrawal

Reasons for withdrawal
Measure
MIV-711:100 mg
MIV-711 100 mg administered orally once daily for a total of 26 weeks
MIV-711:200 mg
MIV-711 200 mg administered orally once daily for a total of 26 weeks
Placebo
Placebo manufactured to mimic MIV-711 capsule administered orally once daily for a total of 26 weeks
Overall Study
Protocol Violation
1
0
0
Overall Study
Adverse Event
6
5
2
Overall Study
Death
0
0
1
Overall Study
Withdrawal by Subject
1
4
5
Overall Study
Lost to Follow-up
0
0
1
Overall Study
Non-compliance
0
1
1
Overall Study
Overdosing
0
0
1

Baseline Characteristics

A Study to Evaluate the Efficacy, Safety and Tolerability of MIV-711 in Osteoarthritis Patients

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
MIV-711:100 mg
n=82 Participants
MIV-711 100 mg administered orally once daily for a total of 26 weeks
MIV-711:200 mg
n=81 Participants
MIV-711 200 mg administered orally once daily for a total of 26 weeks
Placebo
n=77 Participants
Placebo manufactured to mimic MIV-711 capsule administered orally once daily for a total of 26 weeks
Total
n=240 Participants
Total of all reporting groups
Age, Continuous
61.2 years
STANDARD_DEVIATION 6.58 • n=5 Participants
62.0 years
STANDARD_DEVIATION 7.33 • n=7 Participants
62.3 years
STANDARD_DEVIATION 6.59 • n=5 Participants
61.8 years
STANDARD_DEVIATION 6.83 • n=4 Participants
Sex: Female, Male
Female
64 Participants
n=5 Participants
58 Participants
n=7 Participants
62 Participants
n=5 Participants
184 Participants
n=4 Participants
Sex: Female, Male
Male
18 Participants
n=5 Participants
23 Participants
n=7 Participants
15 Participants
n=5 Participants
56 Participants
n=4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
2 Participants
n=5 Participants
2 Participants
n=4 Participants
Race (NIH/OMB)
White
82 Participants
n=5 Participants
81 Participants
n=7 Participants
75 Participants
n=5 Participants
238 Participants
n=4 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Region of Enrollment
Romania
3 participants
n=5 Participants
2 participants
n=7 Participants
3 participants
n=5 Participants
8 participants
n=4 Participants
Region of Enrollment
United Kingdom
0 participants
n=5 Participants
1 participants
n=7 Participants
1 participants
n=5 Participants
2 participants
n=4 Participants
Region of Enrollment
Moldova
26 participants
n=5 Participants
29 participants
n=7 Participants
36 participants
n=5 Participants
91 participants
n=4 Participants
Region of Enrollment
Georgia
13 participants
n=5 Participants
13 participants
n=7 Participants
7 participants
n=5 Participants
33 participants
n=4 Participants
Region of Enrollment
Bulgaria
14 participants
n=5 Participants
14 participants
n=7 Participants
9 participants
n=5 Participants
37 participants
n=4 Participants
Region of Enrollment
Germany
26 participants
n=5 Participants
22 participants
n=7 Participants
21 participants
n=5 Participants
69 participants
n=4 Participants

PRIMARY outcome

Timeframe: baseline and 26 weeks

Population: As there were discontinuations in the study, not all patients in the mITT population had an assessment at week 26. The analysis population is therefore equal to the number of patients completing the study for this outcome measure.

Change from Visit 2 (Baseline) to Visit 8 (Week 26) in NRS average target knee pain score. NRS (Numeric rating scale) ranges from 0 indicating -"no pain", to 10 indicating - "pain as bad as it could be".

Outcome measures

Outcome measures
Measure
MIV-711:100 mg
n=74 Participants
MIV-711 100 mg administered orally once daily for a total of 26 weeks
MIV-711:200 mg
n=72 Participants
MIV-711 200 mg administered orally once daily for a total of 26 weeks
Placebo
n=69 Participants
Placebo, manufactured to mimic MIV-711 capsule, administered orally once daily for a total of 26 weeks
Numeric Rating Scale (NRS) Average Target Knee Pain Score at Week 26
-1.7 score
Standard Deviation 2.01
-1.5 score
Standard Deviation 1.95
-1.3 score
Standard Deviation 2.15

SECONDARY outcome

Timeframe: baseline and 26 weeks

Population: As there were discontinuations in the study, not all patients in the mITT population had an MRI assessment at week 26. In addition, there were patients with non valid MRIs. The analysis population is therefore smaller than the Participant Flow.

Change from Visit 2 (Baseline) to Visit 8 (Week 26) in MRI (Magnetic Resonance Imaging;) bone area of the target knee in mm\^2.

Outcome measures

Outcome measures
Measure
MIV-711:100 mg
n=69 Participants
MIV-711 100 mg administered orally once daily for a total of 26 weeks
MIV-711:200 mg
n=69 Participants
MIV-711 200 mg administered orally once daily for a total of 26 weeks
Placebo
n=66 Participants
Placebo, manufactured to mimic MIV-711 capsule, administered orally once daily for a total of 26 weeks
Magnetic Resonance Imaging (MRI) Bone Area of the Target Knee at Week 26
8.1290 mm^2
Standard Deviation 31.10846
8.2142 mm^2
Standard Deviation 29.39941
23.2234 mm^2
Standard Deviation 32.68365

SECONDARY outcome

Timeframe: baseline and 26 weeks

Population: As there were discontinuations in the study, not all patients in the mITT population had an MRI assessment at week 26. In addition, there were patients with non valid MRIs. The analysis population is therefore smaller than the Participant Flow.

Change from Visit 2 (baseline) to Visit 8 (week 26) in MRI cartilage thickness in the Central Medial Femur Region of the target knee in mm.

Outcome measures

Outcome measures
Measure
MIV-711:100 mg
n=69 Participants
MIV-711 100 mg administered orally once daily for a total of 26 weeks
MIV-711:200 mg
n=69 Participants
MIV-711 200 mg administered orally once daily for a total of 26 weeks
Placebo
n=66 Participants
Placebo, manufactured to mimic MIV-711 capsule, administered orally once daily for a total of 26 weeks
Magnetic Resonance Imaging (MRI) of Cartilage Thickness (Femur) at Week 26
0.0077 mm
Standard Deviation 0.19258
-0.0171 mm
Standard Deviation 0.24113
-0.0658 mm
Standard Deviation 0.21904

SECONDARY outcome

Timeframe: baseline and 26 weeks

Population: As there were discontinuations in the study, not all patients in the mITT population had an assessment at week 26. The analysis population is therefore equal to the number of patients completing the study for this outcome measure.

Change from Visit 2 (Baseline) to Visit 8 (Week 26) in normalised WOMAC pain score. The WOMAC responses are scored using an 11-point NRS where 0=none and 10=extreme. There are 5 questions in the WOMAC pain scale which is summed up for the total WOMAC score, leading to a range of 0 to 50. The total WOMAC pain score has been standardised to a scale with a range from 0 to 100 (where 100 is extreme pain): \- Normalised WOMAC pain score = Total WOMAC pain score multiplicated with 2.

Outcome measures

Outcome measures
Measure
MIV-711:100 mg
n=74 Participants
MIV-711 100 mg administered orally once daily for a total of 26 weeks
MIV-711:200 mg
n=72 Participants
MIV-711 200 mg administered orally once daily for a total of 26 weeks
Placebo
n=69 Participants
Placebo, manufactured to mimic MIV-711 capsule, administered orally once daily for a total of 26 weeks
Normalised Western Ontario & McMaster Universities Osteoarthritis Index (WOMAC) Pain Score
-16.6 score
Standard Deviation 19.35
-13.0 score
Standard Deviation 18.6
-9.8 score
Standard Deviation 21.89

SECONDARY outcome

Timeframe: baseline and 26 weeks

Population: As there were discontinuations in the study, not all patients in the mITT population had an assessment at week 26. The analysis population is therefore equal to the number of patients completing the study for this outcome measure.

Change from Visit 2 (Baseline) to Visit 8 (Week 26) in normalised WOMAC difficulty score. The WOMAC responses are scored using an 11-point NRS where 0=none and 10=extreme. There are 17 questions in the WOMAC difficulty scale which is summed up for the total WOMAC difficulty score, leading to a range of 0 to 170. The total WOMAC difficulty score has been standardised to a scale with a range from 0 to 100 (where 100 is extreme pain): \- Normalised WOMAC difficulty score = Total WOMAC difficulty score divided with 1.7

Outcome measures

Outcome measures
Measure
MIV-711:100 mg
n=74 Participants
MIV-711 100 mg administered orally once daily for a total of 26 weeks
MIV-711:200 mg
n=72 Participants
MIV-711 200 mg administered orally once daily for a total of 26 weeks
Placebo
n=69 Participants
Placebo, manufactured to mimic MIV-711 capsule, administered orally once daily for a total of 26 weeks
Normalised Western Ontario & McMaster Universities Osteoarthritis Index (WOMAC) Difficulty Score
-16.39 score
Standard Deviation 20.937
-13.95 score
Standard Deviation 20.668
-9.9 score
Standard Deviation 21.862

SECONDARY outcome

Timeframe: baseline and 26 weeks

Population: As there were discontinuations in the study, not all patients in the mITT population had an assessment at week 26. The analysis population is therefore equal to the number of patients completing the study for this outcome measure.

Change from Visit 2 (Baseline) to Visit 8 (Week 26) in normalised WOMAC stiffness score. The WOMAC responses are scored using an 11-point NRS where 0=none and 10=extreme. There are 2 questions in the WOMAC stiffness scale which is summed up for the total WOMAC stiffness score, leading to a range of 0 to 20. The total WOMAC stiffness score has been standardised to a scale with a range from 0 to 100 (where 100 is extreme pain): \- Normalised WOMAC stiffness score = Total WOMAC stiffness score multiplicated with 5

Outcome measures

Outcome measures
Measure
MIV-711:100 mg
n=74 Participants
MIV-711 100 mg administered orally once daily for a total of 26 weeks
MIV-711:200 mg
n=72 Participants
MIV-711 200 mg administered orally once daily for a total of 26 weeks
Placebo
n=69 Participants
Placebo, manufactured to mimic MIV-711 capsule, administered orally once daily for a total of 26 weeks
Normalised Western Ontario & McMaster Universities Osteoarthritis Index (WOMAC) Stiffness Score
-17 score
Standard Deviation 24.69
-14.5 score
Standard Deviation 22.71
-9.8 score
Standard Deviation 24.71

SECONDARY outcome

Timeframe: baseline and 26 weeks

Population: As there were discontinuations in the study, not all patients in the mITT population had an assessment at week 26. In addition, there was one missing sample for serum CTX-I. The analysis population is therefore smaller than in the Participant Flow.

Change from Visit 2 (baseline) to Visit 8 (week 26) in serum CTX-I, a biomarker for bone resorption.

Outcome measures

Outcome measures
Measure
MIV-711:100 mg
n=74 Participants
MIV-711 100 mg administered orally once daily for a total of 26 weeks
MIV-711:200 mg
n=71 Participants
MIV-711 200 mg administered orally once daily for a total of 26 weeks
Placebo
n=69 Participants
Placebo, manufactured to mimic MIV-711 capsule, administered orally once daily for a total of 26 weeks
Serum C-terminal Telopeptide of Collagen Type I (CTX-I) at Week 26
-0.1209 ug/L
Standard Deviation 0.16733
-0.2575 ug/L
Standard Deviation 0.19931
0.0000 ug/L
Standard Deviation 0.16165

SECONDARY outcome

Timeframe: baseline and 26 weeks

Population: As there were discontinuations in the study, not all patients in the mITT population had an assessment at week 26. In addition, there was two missing samples for urine CTX-II. The analysis population is therefore smaller than in the Participant Flow.

Change from Visit 2 (baseline) to Visit 8 (week 26) in creatinine corrected urine CTX-II, a biomarker for cartilage degradation.

Outcome measures

Outcome measures
Measure
MIV-711:100 mg
n=73 Participants
MIV-711 100 mg administered orally once daily for a total of 26 weeks
MIV-711:200 mg
n=72 Participants
MIV-711 200 mg administered orally once daily for a total of 26 weeks
Placebo
n=68 Participants
Placebo, manufactured to mimic MIV-711 capsule, administered orally once daily for a total of 26 weeks
Creatinine Corrected Urine C-terminal Telopeptide of Collagen Type II (CTX-II) at Week 26
-138.0 ng/mmol
Standard Deviation 198.68
-242.5 ng/mmol
Standard Deviation 266.56
28.4 ng/mmol
Standard Deviation 225.69

Adverse Events

MIV-711:100 mg

Serious events: 3 serious events
Other events: 33 other events
Deaths: 0 deaths

MIV-711:200 mg

Serious events: 2 serious events
Other events: 27 other events
Deaths: 0 deaths

Placebo

Serious events: 1 serious events
Other events: 33 other events
Deaths: 1 deaths

Serious adverse events

Serious adverse events
Measure
MIV-711:100 mg
n=82 participants at risk
MIV-711 100 mg administered orally once daily for a total of 26 weeks
MIV-711:200 mg
n=82 participants at risk
MIV-711 200 mg administered orally once daily for a total of 26 weeks
Placebo
n=80 participants at risk
Placebo, manufactured to mimic MIV-711 capsule, administered orally once daily for a total of 26 weeks
Cardiac disorders
Atrial Fibrillation
1.2%
1/82 • Number of events 1 • Adverse events were collected from signing the Informed Consent Form to the Follow up visit (4 weeks after end of treatment).
0.00%
0/82 • Adverse events were collected from signing the Informed Consent Form to the Follow up visit (4 weeks after end of treatment).
0.00%
0/80 • Adverse events were collected from signing the Informed Consent Form to the Follow up visit (4 weeks after end of treatment).
Cardiac disorders
Cardiac failure
0.00%
0/82 • Adverse events were collected from signing the Informed Consent Form to the Follow up visit (4 weeks after end of treatment).
0.00%
0/82 • Adverse events were collected from signing the Informed Consent Form to the Follow up visit (4 weeks after end of treatment).
1.2%
1/80 • Number of events 1 • Adverse events were collected from signing the Informed Consent Form to the Follow up visit (4 weeks after end of treatment).
Cardiac disorders
Prinzmetal angina
1.2%
1/82 • Number of events 1 • Adverse events were collected from signing the Informed Consent Form to the Follow up visit (4 weeks after end of treatment).
0.00%
0/82 • Adverse events were collected from signing the Informed Consent Form to the Follow up visit (4 weeks after end of treatment).
0.00%
0/80 • Adverse events were collected from signing the Informed Consent Form to the Follow up visit (4 weeks after end of treatment).
Hepatobiliary disorders
Cholecystitis acute
0.00%
0/82 • Adverse events were collected from signing the Informed Consent Form to the Follow up visit (4 weeks after end of treatment).
1.2%
1/82 • Number of events 1 • Adverse events were collected from signing the Informed Consent Form to the Follow up visit (4 weeks after end of treatment).
0.00%
0/80 • Adverse events were collected from signing the Informed Consent Form to the Follow up visit (4 weeks after end of treatment).
Infections and infestations
Pyelonephritis chronic
1.2%
1/82 • Number of events 1 • Adverse events were collected from signing the Informed Consent Form to the Follow up visit (4 weeks after end of treatment).
0.00%
0/82 • Adverse events were collected from signing the Informed Consent Form to the Follow up visit (4 weeks after end of treatment).
0.00%
0/80 • Adverse events were collected from signing the Informed Consent Form to the Follow up visit (4 weeks after end of treatment).
Injury, poisoning and procedural complications
Compression fracture
1.2%
1/82 • Number of events 1 • Adverse events were collected from signing the Informed Consent Form to the Follow up visit (4 weeks after end of treatment).
0.00%
0/82 • Adverse events were collected from signing the Informed Consent Form to the Follow up visit (4 weeks after end of treatment).
0.00%
0/80 • Adverse events were collected from signing the Informed Consent Form to the Follow up visit (4 weeks after end of treatment).
Injury, poisoning and procedural complications
Contussion
1.2%
1/82 • Number of events 1 • Adverse events were collected from signing the Informed Consent Form to the Follow up visit (4 weeks after end of treatment).
0.00%
0/82 • Adverse events were collected from signing the Informed Consent Form to the Follow up visit (4 weeks after end of treatment).
0.00%
0/80 • Adverse events were collected from signing the Informed Consent Form to the Follow up visit (4 weeks after end of treatment).
Nervous system disorders
Cerebral infarction
0.00%
0/82 • Adverse events were collected from signing the Informed Consent Form to the Follow up visit (4 weeks after end of treatment).
1.2%
1/82 • Number of events 1 • Adverse events were collected from signing the Informed Consent Form to the Follow up visit (4 weeks after end of treatment).
0.00%
0/80 • Adverse events were collected from signing the Informed Consent Form to the Follow up visit (4 weeks after end of treatment).
Vascular disorders
Haematoma
1.2%
1/82 • Number of events 1 • Adverse events were collected from signing the Informed Consent Form to the Follow up visit (4 weeks after end of treatment).
0.00%
0/82 • Adverse events were collected from signing the Informed Consent Form to the Follow up visit (4 weeks after end of treatment).
0.00%
0/80 • Adverse events were collected from signing the Informed Consent Form to the Follow up visit (4 weeks after end of treatment).

Other adverse events

Other adverse events
Measure
MIV-711:100 mg
n=82 participants at risk
MIV-711 100 mg administered orally once daily for a total of 26 weeks
MIV-711:200 mg
n=82 participants at risk
MIV-711 200 mg administered orally once daily for a total of 26 weeks
Placebo
n=80 participants at risk
Placebo, manufactured to mimic MIV-711 capsule, administered orally once daily for a total of 26 weeks
Vascular disorders
Hypertension
0.00%
0/82 • Adverse events were collected from signing the Informed Consent Form to the Follow up visit (4 weeks after end of treatment).
1.2%
1/82 • Number of events 1 • Adverse events were collected from signing the Informed Consent Form to the Follow up visit (4 weeks after end of treatment).
5.0%
4/80 • Number of events 4 • Adverse events were collected from signing the Informed Consent Form to the Follow up visit (4 weeks after end of treatment).
Investigations
Gamma-glutamyltransferase increased
1.2%
1/82 • Number of events 1 • Adverse events were collected from signing the Informed Consent Form to the Follow up visit (4 weeks after end of treatment).
0.00%
0/82 • Adverse events were collected from signing the Informed Consent Form to the Follow up visit (4 weeks after end of treatment).
5.0%
4/80 • Number of events 4 • Adverse events were collected from signing the Informed Consent Form to the Follow up visit (4 weeks after end of treatment).
Nervous system disorders
Headache
6.1%
5/82 • Number of events 6 • Adverse events were collected from signing the Informed Consent Form to the Follow up visit (4 weeks after end of treatment).
6.1%
5/82 • Number of events 5 • Adverse events were collected from signing the Informed Consent Form to the Follow up visit (4 weeks after end of treatment).
7.5%
6/80 • Number of events 8 • Adverse events were collected from signing the Informed Consent Form to the Follow up visit (4 weeks after end of treatment).
Musculoskeletal and connective tissue disorders
Osteoarthritis
8.5%
7/82 • Number of events 7 • Adverse events were collected from signing the Informed Consent Form to the Follow up visit (4 weeks after end of treatment).
7.3%
6/82 • Number of events 6 • Adverse events were collected from signing the Informed Consent Form to the Follow up visit (4 weeks after end of treatment).
8.8%
7/80 • Number of events 8 • Adverse events were collected from signing the Informed Consent Form to the Follow up visit (4 weeks after end of treatment).
Musculoskeletal and connective tissue disorders
Back pain
1.2%
1/82 • Number of events 1 • Adverse events were collected from signing the Informed Consent Form to the Follow up visit (4 weeks after end of treatment).
7.3%
6/82 • Number of events 6 • Adverse events were collected from signing the Informed Consent Form to the Follow up visit (4 weeks after end of treatment).
3.8%
3/80 • Number of events 3 • Adverse events were collected from signing the Informed Consent Form to the Follow up visit (4 weeks after end of treatment).
Musculoskeletal and connective tissue disorders
Arthralgia
6.1%
5/82 • Number of events 5 • Adverse events were collected from signing the Informed Consent Form to the Follow up visit (4 weeks after end of treatment).
2.4%
2/82 • Number of events 2 • Adverse events were collected from signing the Informed Consent Form to the Follow up visit (4 weeks after end of treatment).
2.5%
2/80 • Number of events 4 • Adverse events were collected from signing the Informed Consent Form to the Follow up visit (4 weeks after end of treatment).
Musculoskeletal and connective tissue disorders
Muscle spasms
7.3%
6/82 • Number of events 7 • Adverse events were collected from signing the Informed Consent Form to the Follow up visit (4 weeks after end of treatment).
0.00%
0/82 • Adverse events were collected from signing the Informed Consent Form to the Follow up visit (4 weeks after end of treatment).
1.2%
1/80 • Number of events 1 • Adverse events were collected from signing the Informed Consent Form to the Follow up visit (4 weeks after end of treatment).
Infections and infestations
Nasopharyngitis
9.8%
8/82 • Number of events 8 • Adverse events were collected from signing the Informed Consent Form to the Follow up visit (4 weeks after end of treatment).
8.5%
7/82 • Number of events 9 • Adverse events were collected from signing the Informed Consent Form to the Follow up visit (4 weeks after end of treatment).
7.5%
6/80 • Number of events 6 • Adverse events were collected from signing the Informed Consent Form to the Follow up visit (4 weeks after end of treatment).

Additional Information

Linda Basse, Cheif Medical Officer

Medivir

Phone: +46 8 546 831 00

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place