Study to Determine the Safety and the Efficacy of Fasinumab Compared to Placebo and Nonsteroidal Anti-inflammatory Drugs (NSAIDs) for Treatment of Adults With Pain From Osteoarthritis of the Knee or Hip

NCT ID: NCT03304379

Last Updated: 2023-02-24

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

1650 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-10-26

Study Completion Date

2020-11-09

Brief Summary

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The primary objective of the study is to evaluate the efficacy of fasinumab compared to placebo, when administered for up to 24 weeks in patients with pain due to osteoarthritis (OA) of the knee or hip.

The secondary objectives of the study are:

* To evaluate the efficacy of fasinumab compared to non-steroidal anti-inflammatory drugs (NSAID)s, when administered for up to 24 weeks in patients with pain due to OA of the knee or hip
* To assess the safety and tolerability of fasinumab compared to placebo and compared to NSAIDs, when administered for up to 24 weeks in patients with pain due to OA of the knee or hip

Detailed Description

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Conditions

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Osteoarthritis, Knee Osteoarthritis, Hip

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Dosing regimen 1

Group Type EXPERIMENTAL

Fasinumab

Intervention Type DRUG

Solution for injection in pre-filled syringe

Matching placebo

Intervention Type DRUG

Fasinumab-matching placebo (solution for injection in pre-filled syringe); NSAID-matching placebo (capsule)

Dosing regimen 2

Group Type EXPERIMENTAL

Diclofenac

Intervention Type OTHER

NSAID active comparator (capsule)

Matching placebo

Intervention Type DRUG

Fasinumab-matching placebo (solution for injection in pre-filled syringe); NSAID-matching placebo (capsule)

Dosing regimen 3

Group Type EXPERIMENTAL

Celecoxib

Intervention Type OTHER

NSAID active comparator (capsule)

Matching placebo

Intervention Type DRUG

Fasinumab-matching placebo (solution for injection in pre-filled syringe); NSAID-matching placebo (capsule)

Dosing regimen 4

Group Type EXPERIMENTAL

Matching placebo

Intervention Type DRUG

Fasinumab-matching placebo (solution for injection in pre-filled syringe); NSAID-matching placebo (capsule)

Interventions

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Fasinumab

Solution for injection in pre-filled syringe

Intervention Type DRUG

Diclofenac

NSAID active comparator (capsule)

Intervention Type OTHER

Celecoxib

NSAID active comparator (capsule)

Intervention Type OTHER

Matching placebo

Fasinumab-matching placebo (solution for injection in pre-filled syringe); NSAID-matching placebo (capsule)

Intervention Type DRUG

Other Intervention Names

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REGN475 MT-5547 ZORVOLEX CELEBREX

Eligibility Criteria

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Inclusion Criteria

1. A clinical diagnosis of osteoarthritis (OA) of the knee or hip based on the American College of Rheumatology criteria with radiologic evidence of OA (K-L score ≥2 for the index joint) at the screening visit.
2. Willing to discontinue current pain medications and to adhere to study requirements for rescue treatments (acetaminophen/paracetamol to be taken as needed with a maximum daily dose of 2500 mg \[countries where 500 mg strength tablets/capsules are available\] or 2600 mg \[countries where 325 mg strength tablets/capsules are available\])
3. A history of at least 12 weeks of inadequate pain relief or intolerance to analgesics used for pain due to OA of the knee or hip
4. Currently using a stable dose of NSAID
5. Willing to discontinue glucosamine sulfate and chondroitin sulfate treatments during the 24 weeks of treatment

Exclusion Criteria

1. Non-compliance with the numeric rating scale (NRS) recording during the pre-randomization period
2. History or presence at the screening visit of non-OA inflammatory joint disease, Paget's disease of the spine, pelvis or femur, neuropathic disorders, multiple sclerosis, fibromyalgia, tumors or infections of the spinal cord, or renal osteodystrophy
3. History or presence on imaging of arthropathy, hip or knee dislocation, extensive subchondral cysts, evidence of severe structural damage, bone collapse, or primary metastatic tumor with the exception of chondromas or pathologic fractures
4. Trauma to the index joint within 3 months prior to the screening visit
5. Signs or symptoms of carpal tunnel syndrome within 6 months of screening
6. Patient is not a candidate for magnetic resonance imaging (MRI)
7. Is scheduled for a JR surgery to be performed during the study period or who would be unwilling or unable to undergo JR surgery if needed
8. History or presence at the screening visit of autonomic or diabetic neuropathy, or other peripheral neuropathy, including reflex sympathetic dystrophy
9. Evidence of autonomic neuropathy as defined in the schedule of assessments (SoAs)
10. History or diagnosis of chronic autonomic failure syndrome including pure autonomic failure, multiple system atrophy
11. Use of systemic corticosteroids within 30 days prior to the screening visit. Intra-articular corticosteroids in the index joint within 12 weeks prior to the screening visit, or to any other joint within 30 days prior to the screening visit
12. Exposure to an anti-NGF antibody prior to the screening visit or known sensitivity or intolerance to anti-NGF antibodies
13. Women of childbearing potential who are unwilling to practice highly effective contraception prior to the start of the first treatment, during the study, and for at least 20 weeks after the last dose
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Teva Pharmaceutical Industries, Ltd.

INDUSTRY

Sponsor Role collaborator

Regeneron Pharmaceuticals

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Trial Management

Role: STUDY_DIRECTOR

Regeneron Pharmaceuticals

Locations

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Pinnacle Research Group, Llc

Anniston, Alabama, United States

Site Status

Horizon Research Partners

Mobile, Alabama, United States

Site Status

Clinical Research Advantage, Inc./Warner Family Practice, PC

Chandler, Arizona, United States

Site Status

Synexus Central Phoenix Medical Clinic

Phoenix, Arizona, United States

Site Status

Clinical Research Consortium Arizona

Tempe, Arizona, United States

Site Status

Advance Research Center

Anaheim, California, United States

Site Status

TriWest Research Associates, LLC

El Cajon, California, United States

Site Status

Paragon Rx Clinical Research, Inc.

Garden Grove, California, United States

Site Status

Catalina Research Institute, LLC

Montclair, California, United States

Site Status

Sierra Clinical Research

Roseville, California, United States

Site Status

UC Davis Center for Musculoskeletal Health

Sacramento, California, United States

Site Status

Advanced Research Center, Inc

San Diego, California, United States

Site Status

California Research Foundation

San Diego, California, United States

Site Status

Paragon Rx Clinical Research, Inc

Santa Ana, California, United States

Site Status

Encompass Clinical Research

Spring Valley, California, United States

Site Status

Westlake Medical Research

Thousand Oaks, California, United States

Site Status

Synexus Clinical Research US, Inc.

Vista, California, United States

Site Status

Mountain View Clinical Research

Denver, Colorado, United States

Site Status

New England Research Associates, LLC

Bridgeport, Connecticut, United States

Site Status

CRM of Greater New Haven, LLC

Hamden, Connecticut, United States

Site Status

Stamford Therapeutics Consortium

Stamford, Connecticut, United States

Site Status

Avail Clinical Research, LLC

DeLand, Florida, United States

Site Status

AMB Research Center, Inc

Miami, Florida, United States

Site Status

Allied Biomedical Research Institute

Miami, Florida, United States

Site Status

Lakes Research, LLC

Miami Lakes, Florida, United States

Site Status

Bioclinica Research

Orlando, Florida, United States

Site Status

Gulf Region Clinical Research institute

Pensacola, Florida, United States

Site Status

Integral Rheumatology & Immunology Specialists (IRIS)

Plantation, Florida, United States

Site Status

Progressive Medical Research

Port Orange, Florida, United States

Site Status

Drug Studies America

Marietta, Georgia, United States

Site Status

Georgia Institute For Clinical Research LLC

Marietta, Georgia, United States

Site Status

North Georgia Clinical Research

Woodstock, Georgia, United States

Site Status

Chicago Clinical Research Institute, Inc

Chicago, Illinois, United States

Site Status

Affinity Clinical Research Institute

Oak Lawn, Illinois, United States

Site Status

Clinical Research Advantage, Inc.

Evansville, Indiana, United States

Site Status

MediSphere Medical Research Center, LLC

Evansville, Indiana, United States

Site Status

L-MARC Research Center

Louisville, Kentucky, United States

Site Status

Tandem Clinical Research

Marrero, Louisiana, United States

Site Status

Tufts Medical Center, Inc.

Boston, Massachusetts, United States

Site Status

Great Lakes Research Group, Inc.

Bay City, Michigan, United States

Site Status

Onyx Clinical Research

Caro, Michigan, United States

Site Status

Synexus Clinical Research US, Inc.

Richfield, Minnesota, United States

Site Status

Skyline Medical Center /Radiant Research, Inc.

Elkhorn, Nebraska, United States

Site Status

Meridian Clinical Research Associates, LLC

Omaha, Nebraska, United States

Site Status

Robert Kaplan, D.O.

Las Vegas, Nevada, United States

Site Status

Amici Clinical Research, LLC

Raritan, New Jersey, United States

Site Status

Albuquerque Clinical Trials, Inc.

Albuquerque, New Mexico, United States

Site Status

Drug Trial Brooklyn

Brooklyn, New York, United States

Site Status

Northwell Health

Great Neck, New York, United States

Site Status

Drug Trials America

Hartsdale, New York, United States

Site Status

Upstate Clinical Research Associates, LLC

Williamsville, New York, United States

Site Status

Carolina Research Center

Shelby, North Carolina, United States

Site Status

PMG Research of Wilmington LLC

Wilmington, North Carolina, United States

Site Status

The Center For Clinical Research

Winston-Salem, North Carolina, United States

Site Status

New Horizons Clinical Research

Cincinnati, Ohio, United States

Site Status

Aventiv Research Inc

Columbus, Ohio, United States

Site Status

DOC Clinical Research

Dayton, Ohio, United States

Site Status

Center for Orthopaedics and Sports Medicine

Indiana, Pennsylvania, United States

Site Status

Radiant Research, Inc.

Anderson, South Carolina, United States

Site Status

Piedmont Comprehensive Pain Management Group

Greenville, South Carolina, United States

Site Status

Radiant Research, Inc.

Greer, South Carolina, United States

Site Status

Coastal Carolina Research Center at LowCountry Orthopaedics

North Charleston, South Carolina, United States

Site Status

Piedmont Research Partners, LLC

Old Point Station, South Carolina, United States

Site Status

ACME Research, LLC

Orangeburg, South Carolina, United States

Site Status

Office of Dr.Ramesh C. Gupta MD

Memphis, Tennessee, United States

Site Status

West Texas Clinical Research

Lubbock, Texas, United States

Site Status

Clinical Investigations Of Texas

Plano, Texas, United States

Site Status

Synexus USA

Plano, Texas, United States

Site Status

Charlottesville Medical Research Center LLC

Charlottesville, Virginia, United States

Site Status

Health Research of Hampton Roads, Inc

Newport News, Virginia, United States

Site Status

Spokane Joint Replacement Center

Spokane, Washington, United States

Site Status

Countries

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United States

References

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DiMartino SJ, Gao H, Eng S, Valenzuela G, Fuerst T, Emeremni C, Ho T, Hassan HE, Turner KC, Davis JD, Zaim S, Chao J, Patel Y, Brener L, Trinh N, Manvelian G, Fetell M, Braunstein N, Geba GP, Dakin P. Efficacy and safety of fasinumab in an NSAID-controlled study in patients with pain due to osteoarthritis of the knee or hip. BMC Musculoskelet Disord. 2025 Feb 25;26(1):192. doi: 10.1186/s12891-025-08402-8.

Reference Type DERIVED
PMID: 40001000 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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2017-001702-15

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

R475-OA-1688

Identifier Type: -

Identifier Source: org_study_id

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