Trial Outcomes & Findings for Study of Cingal for the Relief of Knee Osteoarthritis Compared to Triamcinolone Hexacetonide at 39 Weeks Follow up (NCT NCT03390036)

NCT ID: NCT03390036

Last Updated: 2023-05-31

Results Overview

The post treatment Responder Rate at 39 weeks is determined through a calculation defined by the Outcomes Measures for Rheumatic Arthritis Clinical Trials-Osteoarthritis Research Society International (OMERACT-OARSI) Responder Index. The OMERACT-OARSI Responder Index reports the percentage of subjects that met the criteria to be a good responder. The criteria for response are (1) improvement in pain or physical function ≥50% and an absolute change ≥20 mm; or (2) improvement of ≥20% with an absolute change ≥10 mm in at least two of the following three categories: pain, physical function, and patient's global assessment. A higher percentage of subjects responding indicates a better outcome.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

526 participants

Primary outcome timeframe

39 weeks

Results posted on

2023-05-31

Participant Flow

Subjects enrolled in Cingal 16-02 were given the option to enroll in Cingal 17-02 for a 39-week follow-up. 233 subjects in the Cingal arm (95%), 230 subjects in the Monovisc arm (93%), and 63 subjects in the Triamcinolone Hexacetonide arm (90%) elected to enroll in the extension study.

No enrolled participants were excluded.

Participant milestones

Participant milestones
Measure
Cingal
Cingal is a combination product consisting of 88 milligrams of crosslinked HA (hyaluronic acid) with 18 milligrams of TH (triamcinolone hexacetonide) in a 4 milliliter (mL) intra-articular injection. Cingal: Hyaluronic Acid with Triamcinolone Hexacetonide
Monovisc
Monovisc is a device that consists of 88 milligrams of cross-linked HA (hyaluronic acid) in a 4 milliliter (mL) intra-articular injection. Monovisc: Hyaluronic Acid
Triamcinolone Hexacetonide (TH)
Triamcinolone hexacetonide (TH) is a corticosteroid supplied in a 20 milligram per 1 milliliter (20 mg/mL) intra-articular injection. Triamcinolone Hexacetonide: Triamcinolone Hexacetonide
Overall Study
STARTED
233
230
63
Overall Study
COMPLETED
231
230
63
Overall Study
NOT COMPLETED
2
0
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Cingal
Cingal is a combination product consisting of 88 milligrams of crosslinked HA (hyaluronic acid) with 18 milligrams of TH (triamcinolone hexacetonide) in a 4 milliliter (mL) intra-articular injection. Cingal: Hyaluronic Acid with Triamcinolone Hexacetonide
Monovisc
Monovisc is a device that consists of 88 milligrams of cross-linked HA (hyaluronic acid) in a 4 milliliter (mL) intra-articular injection. Monovisc: Hyaluronic Acid
Triamcinolone Hexacetonide (TH)
Triamcinolone hexacetonide (TH) is a corticosteroid supplied in a 20 milligram per 1 milliliter (20 mg/mL) intra-articular injection. Triamcinolone Hexacetonide: Triamcinolone Hexacetonide
Overall Study
Lost to Follow-up
1
0
0
Overall Study
Lack of Efficacy
1
0
0

Baseline Characteristics

Study of Cingal for the Relief of Knee Osteoarthritis Compared to Triamcinolone Hexacetonide at 39 Weeks Follow up

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Cingal
n=233 Participants
Cingal is a combination product consisting of 88 milligrams of crosslinked HA (hyaluronic acid) with 18 milligrams of TH (triamcinolone hexacetonide) in a 4 milliliter (mL) intra-articular injection. Cingal: Hyaluronic Acid with Triamcinolone Hexacetonide
Monovisc
n=230 Participants
Monovisc is a device that consists of 88 milligrams of cross-linked HA (hyaluronic acid) in a 4 milliliter (mL) intra-articular injection. Monovisc: Hyaluronic Acid
Triamcinolone Hexacetonide (TH)
n=63 Participants
Triamcinolone hexacetonide (TH) is a corticosteroid supplied in a 20 milligram per 1 milliliter (20 mg/mL) intra-articular injection. Triamcinolone Hexacetonide: Triamcinolone Hexacetonide
Total
n=526 Participants
Total of all reporting groups
Age, Continuous
57.8 years
STANDARD_DEVIATION 8.8 • n=5 Participants
57.7 years
STANDARD_DEVIATION 8.9 • n=7 Participants
59.2 years
STANDARD_DEVIATION 8.4 • n=5 Participants
57.9 years
STANDARD_DEVIATION 8.8 • n=4 Participants
Sex: Female, Male
Female
165 Participants
n=5 Participants
152 Participants
n=7 Participants
44 Participants
n=5 Participants
361 Participants
n=4 Participants
Sex: Female, Male
Male
68 Participants
n=5 Participants
78 Participants
n=7 Participants
19 Participants
n=5 Participants
165 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
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
White
233 Participants
n=5 Participants
230 Participants
n=7 Participants
63 Participants
n=5 Participants
526 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
Baseline WOMAC Pain in Index Knee
63.5 millimeters (mm)
STANDARD_DEVIATION 11.1 • n=5 Participants
63.7 millimeters (mm)
STANDARD_DEVIATION 11.4 • n=7 Participants
64.6 millimeters (mm)
STANDARD_DEVIATION 10.9 • n=5 Participants
63.7 millimeters (mm)
STANDARD_DEVIATION 11.2 • n=4 Participants

PRIMARY outcome

Timeframe: 39 weeks

Population: Intent to Treat population

The post treatment Responder Rate at 39 weeks is determined through a calculation defined by the Outcomes Measures for Rheumatic Arthritis Clinical Trials-Osteoarthritis Research Society International (OMERACT-OARSI) Responder Index. The OMERACT-OARSI Responder Index reports the percentage of subjects that met the criteria to be a good responder. The criteria for response are (1) improvement in pain or physical function ≥50% and an absolute change ≥20 mm; or (2) improvement of ≥20% with an absolute change ≥10 mm in at least two of the following three categories: pain, physical function, and patient's global assessment. A higher percentage of subjects responding indicates a better outcome.

Outcome measures

Outcome measures
Measure
Cingal
n=233 Participants
Cingal is a combination product consisting of 88 milligrams of crosslinked HA (hyaluronic acid) with 18 milligrams of TH (triamcinolone hexacetonide) in a 4 milliliter (mL) intra-articular injection. Cingal: Hyaluronic Acid with Triamcinolone Hexacetonide
Monovisc
n=230 Participants
Monovisc is a device that consists of 88 milligrams of cross-linked HA (hyaluronic acid) in a 4 milliliter (mL) intra-articular injection. Monovisc: Hyaluronic Acid
Triamcinolone Hexacetonide (TH)
n=63 Participants
Triamcinolone hexacetonide (TH) is a corticosteroid supplied in a 20 milligram per 1 milliliter (20 mg/mL) intra-articular injection. Triamcinolone Hexacetonide: Triamcinolone Hexacetonide
OMERACT-OARSI Responder Rate at 39 Weeks
91.2 Percentage of subjects
92.4 Percentage of subjects
93.2 Percentage of subjects

SECONDARY outcome

Timeframe: 39 Weeks

Population: Intent to Treat Population

The change from baseline in knee pain as measured by the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Pain Score at 39 weeks post treatment comparing the Cingal group to the Triamcinolone Hexacetonide group. The WOMAC Pain Score is a validated visual analog scale from 0 to 100 mm, where a higher score is equal to a higher pain level. A negative number for the difference from baseline indicates improvement in pain. A greater negative difference from baseline indicates a better outcome.

Outcome measures

Outcome measures
Measure
Cingal
n=233 Participants
Cingal is a combination product consisting of 88 milligrams of crosslinked HA (hyaluronic acid) with 18 milligrams of TH (triamcinolone hexacetonide) in a 4 milliliter (mL) intra-articular injection. Cingal: Hyaluronic Acid with Triamcinolone Hexacetonide
Monovisc
n=230 Participants
Monovisc is a device that consists of 88 milligrams of cross-linked HA (hyaluronic acid) in a 4 milliliter (mL) intra-articular injection. Monovisc: Hyaluronic Acid
Triamcinolone Hexacetonide (TH)
n=63 Participants
Triamcinolone hexacetonide (TH) is a corticosteroid supplied in a 20 milligram per 1 milliliter (20 mg/mL) intra-articular injection. Triamcinolone Hexacetonide: Triamcinolone Hexacetonide
Change From Baseline in WOMAC Pain Score at 39 Weeks
39 Week WOMAC Pain in mm
17.0 Millimeters (mm)
Standard Deviation 19.3
16.0 Millimeters (mm)
Standard Deviation 18.6
20.1 Millimeters (mm)
Standard Deviation 21.1
Change From Baseline in WOMAC Pain Score at 39 Weeks
Change from Baseline in WOMAC Pain 39 Weeks
-46.3 Millimeters (mm)
Standard Deviation 20.2
-47.2 Millimeters (mm)
Standard Deviation 18.6
-43.6 Millimeters (mm)
Standard Deviation 21.4
Change From Baseline in WOMAC Pain Score at 39 Weeks
Baseline WOMAC Pain in mm
63.3 Millimeters (mm)
Standard Deviation 11.0
63.3 Millimeters (mm)
Standard Deviation 11.3
63.8 Millimeters (mm)
Standard Deviation 11.3

SECONDARY outcome

Timeframe: 39 Weeks

Population: Intent to Treat Population

This endpoint compares the change of the WOMAC Physical Function Score from baseline to Week 39 between the Cingal and Triamcinolone Hexacetonide arms. The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Physical Function Score is a validated visual analog scale from 0 to 100 mm, where a higher score is equal to a higher degree of functional limitation. A negative number for the change from baseline indicates improvement in physical function.

Outcome measures

Outcome measures
Measure
Cingal
n=233 Participants
Cingal is a combination product consisting of 88 milligrams of crosslinked HA (hyaluronic acid) with 18 milligrams of TH (triamcinolone hexacetonide) in a 4 milliliter (mL) intra-articular injection. Cingal: Hyaluronic Acid with Triamcinolone Hexacetonide
Monovisc
n=230 Participants
Monovisc is a device that consists of 88 milligrams of cross-linked HA (hyaluronic acid) in a 4 milliliter (mL) intra-articular injection. Monovisc: Hyaluronic Acid
Triamcinolone Hexacetonide (TH)
n=63 Participants
Triamcinolone hexacetonide (TH) is a corticosteroid supplied in a 20 milligram per 1 milliliter (20 mg/mL) intra-articular injection. Triamcinolone Hexacetonide: Triamcinolone Hexacetonide
Change From Baseline in WOMAC Physical Function Score at 39 Weeks
Change from Baseline WOMAC Function 39 Weeks
-42.5 Millimeters (mm)
Standard Deviation 22.4
-43.5 Millimeters (mm)
Standard Deviation 20.7
-41.1 Millimeters (mm)
Standard Deviation 22.5
Change From Baseline in WOMAC Physical Function Score at 39 Weeks
Baseline WOMAC Function
60.8 Millimeters (mm)
Standard Deviation 15.2
60.8 Millimeters (mm)
Standard Deviation 15.8
61.8 Millimeters (mm)
Standard Deviation 15.7
Change From Baseline in WOMAC Physical Function Score at 39 Weeks
39 Week WOMAC Function
18.4 Millimeters (mm)
Standard Deviation 19.8
17.3 Millimeters (mm)
Standard Deviation 18.6
20.7 Millimeters (mm)
Standard Deviation 21.3

SECONDARY outcome

Timeframe: 39 Weeks

Population: Intent to Treat Population

The change from baseline in knee stiffness as measured by the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Stiffness Score at 39 weeks post treatment comparing the Cingal group to the Triamcinolone Hexacetonide group. The WOMAC Stiffness Score is a validated visual analog scale from 0 to 100 mm, where a higher score is equal to a higher degree of stiffness. A negative number for the change from baseline indicates improvement in knee stiffness.

Outcome measures

Outcome measures
Measure
Cingal
n=233 Participants
Cingal is a combination product consisting of 88 milligrams of crosslinked HA (hyaluronic acid) with 18 milligrams of TH (triamcinolone hexacetonide) in a 4 milliliter (mL) intra-articular injection. Cingal: Hyaluronic Acid with Triamcinolone Hexacetonide
Monovisc
n=230 Participants
Monovisc is a device that consists of 88 milligrams of cross-linked HA (hyaluronic acid) in a 4 milliliter (mL) intra-articular injection. Monovisc: Hyaluronic Acid
Triamcinolone Hexacetonide (TH)
n=63 Participants
Triamcinolone hexacetonide (TH) is a corticosteroid supplied in a 20 milligram per 1 milliliter (20 mg/mL) intra-articular injection. Triamcinolone Hexacetonide: Triamcinolone Hexacetonide
Change From Baseline in WOMAC Stiffness Score at 39 Weeks
Baseline WOMAC Stiffness in mm
57.7 Millimeters (mm)
Standard Deviation 19.3
59.2 Millimeters (mm)
Standard Deviation 18.1
57.9 Millimeters (mm)
Standard Deviation 17.6
Change From Baseline in WOMAC Stiffness Score at 39 Weeks
39 Week WOMAC Stiffness in mm
17.9 Millimeters (mm)
Standard Deviation 20.0
17.2 Millimeters (mm)
Standard Deviation 18.6
19.9 Millimeters (mm)
Standard Deviation 21.9
Change From Baseline in WOMAC Stiffness Score at 39 Weeks
Change from Baseline in WOMAC Stiffness 39 Weeks
-39.8 Millimeters (mm)
Standard Deviation 24.4
-42.0 Millimeters (mm)
Standard Deviation 22.4
-38.0 Millimeters (mm)
Standard Deviation 24.9

SECONDARY outcome

Timeframe: 39 Weeks

Population: Intent to Treat Population

The change from baseline as measured by the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Total Score at 39 weeks post treatment comparing the Cingal group to the Triamcinolone Hexacetonide group. The Total WOMAC Score is determined from the SUM of the scores from the WOMAC Pain Score, the WOMAC Stiffness Score, and the WOMAC Physical Function Score, resulting in a final range for Total Score from 0 mm to 240 mm. A higher Total WOMAC Score indicates a higher overall degree of pain, stiffness and functional limitations. A negative number for the change from baseline indicates improvement in the Total WOMAC Score.

Outcome measures

Outcome measures
Measure
Cingal
n=233 Participants
Cingal is a combination product consisting of 88 milligrams of crosslinked HA (hyaluronic acid) with 18 milligrams of TH (triamcinolone hexacetonide) in a 4 milliliter (mL) intra-articular injection. Cingal: Hyaluronic Acid with Triamcinolone Hexacetonide
Monovisc
n=230 Participants
Monovisc is a device that consists of 88 milligrams of cross-linked HA (hyaluronic acid) in a 4 milliliter (mL) intra-articular injection. Monovisc: Hyaluronic Acid
Triamcinolone Hexacetonide (TH)
n=63 Participants
Triamcinolone hexacetonide (TH) is a corticosteroid supplied in a 20 milligram per 1 milliliter (20 mg/mL) intra-articular injection. Triamcinolone Hexacetonide: Triamcinolone Hexacetonide
Change From Baseline in Total WOMAC Score at 39 Weeks
Change from Baseline in Total WOMAC 39 Weeks
-128.4 Millimeters (mm)
Standard Deviation 63.1
-132.6 Millimeters (mm)
Standard Deviation 56.6
-122.7 Millimeters (mm)
Standard Deviation 62.2
Change From Baseline in Total WOMAC Score at 39 Weeks
39 Week Total WOMAC in mm
53.4 Millimeters (mm)
Standard Deviation 58.1
50.8 Millimeters (mm)
Standard Deviation 54.6
60.8 Millimeters (mm)
Standard Deviation 62.5
Change From Baseline in Total WOMAC Score at 39 Weeks
Baseline Total WOMAC in mm
181.8 Millimeters (mm)
Standard Deviation 40.6
183.4 Millimeters (mm)
Standard Deviation 39.4
183.5 Millimeters (mm)
Standard Deviation 38.4

SECONDARY outcome

Timeframe: 39 Weeks

Population: Intent to Treat Population

Comparison of the change of the Patient Global Assessment from baseline to 39 weeks between the Cingal and Triamcinolone Hexacetonide arms (ITT population). The Patient Global Assessment is done by the subject, and answers the question "Considering all the ways the osteoarthritis in your index knee bothers you, what is your assessment of how much your knee is bothering you today?" The Patient Global Assessment is scored on a 0 to 100 mm visual analog scale, where a higher number means the patient is bothered to a higher degree. A negative number for the change from baseline indicates a reduction (improvement) in the assessment.

Outcome measures

Outcome measures
Measure
Cingal
n=233 Participants
Cingal is a combination product consisting of 88 milligrams of crosslinked HA (hyaluronic acid) with 18 milligrams of TH (triamcinolone hexacetonide) in a 4 milliliter (mL) intra-articular injection. Cingal: Hyaluronic Acid with Triamcinolone Hexacetonide
Monovisc
n=230 Participants
Monovisc is a device that consists of 88 milligrams of cross-linked HA (hyaluronic acid) in a 4 milliliter (mL) intra-articular injection. Monovisc: Hyaluronic Acid
Triamcinolone Hexacetonide (TH)
n=63 Participants
Triamcinolone hexacetonide (TH) is a corticosteroid supplied in a 20 milligram per 1 milliliter (20 mg/mL) intra-articular injection. Triamcinolone Hexacetonide: Triamcinolone Hexacetonide
Change From Baseline in Patient Global Assessment at 39 Weeks
Change from Baseline in Patient Global 39 weeks
-38.6 Millimeters (mm)
Standard Deviation 25.4
-38.2 Millimeters (mm)
Standard Deviation 22.8
-36.7 Millimeters (mm)
Standard Deviation 28.0
Change From Baseline in Patient Global Assessment at 39 Weeks
Baseline Patient Global in mm
57.0 Millimeters (mm)
Standard Deviation 18.9
56.0 Millimeters (mm)
Standard Deviation 18.6
58.2 Millimeters (mm)
Standard Deviation 20.3
Change From Baseline in Patient Global Assessment at 39 Weeks
39 Week Patient Global in mm
18.4 Millimeters (mm)
Standard Deviation 19.8
17.8 Millimeters (mm)
Standard Deviation 19.4
21.5 Millimeters (mm)
Standard Deviation 22.1

SECONDARY outcome

Timeframe: 39 Weeks

Population: Intent to Treat Population

Comparison of the change of the Evaluator Global Assessment from baseline to 39 weeks between the Cingal and Triamcinolone Hexacetonide arms (ITT population). The Evaluator Global Assessment is done by the Blinded Outcomes Assessor, and answers the question "Considering all the ways the osteoarthritis in the patient's index knee bothers him/her, what is your assessment of how much the patient's knee is bothering him/her today?" The Evaluator Global Assessment is scored on a 0 to 100 mm visual analog scale, where a higher number means the Evaluator assesses that the patient is bothered to a higher degree. A negative number for the change from baseline indicates a reduction (improvement) in the assessment.

Outcome measures

Outcome measures
Measure
Cingal
n=233 Participants
Cingal is a combination product consisting of 88 milligrams of crosslinked HA (hyaluronic acid) with 18 milligrams of TH (triamcinolone hexacetonide) in a 4 milliliter (mL) intra-articular injection. Cingal: Hyaluronic Acid with Triamcinolone Hexacetonide
Monovisc
n=230 Participants
Monovisc is a device that consists of 88 milligrams of cross-linked HA (hyaluronic acid) in a 4 milliliter (mL) intra-articular injection. Monovisc: Hyaluronic Acid
Triamcinolone Hexacetonide (TH)
n=63 Participants
Triamcinolone hexacetonide (TH) is a corticosteroid supplied in a 20 milligram per 1 milliliter (20 mg/mL) intra-articular injection. Triamcinolone Hexacetonide: Triamcinolone Hexacetonide
Change From Baseline in Evaluator Global Assessment at 39 Weeks
Change from Baseline in Evaluator Global 39 eeks
-37.1 Millimeters (mm)
Standard Deviation 21.3
-37.7 Millimeters (mm)
Standard Deviation 19.9
-39.1 Millimeters (mm)
Standard Deviation 22.1
Change From Baseline in Evaluator Global Assessment at 39 Weeks
Baseline Evaluator Global in mm
52.9 Millimeters (mm)
Standard Deviation 17.2
52.3 Millimeters (mm)
Standard Deviation 17.7
56.6 Millimeters (mm)
Standard Deviation 18.1
Change From Baseline in Evaluator Global Assessment at 39 Weeks
39 Week Evaluator Global in mm
15.8 Millimeters (mm)
Standard Deviation 16.5
14.6 Millimeters (mm)
Standard Deviation 16.5
17.4 Millimeters (mm)
Standard Deviation 15.6

SECONDARY outcome

Timeframe: 39 Weeks

Population: Intent to Treat Population

The usage of rescue medication (number of pills of acetominophen) at Week 39 weeks post treatment in the Cingal group compared to the Triamcinolone Hexacetonide group.

Outcome measures

Outcome measures
Measure
Cingal
n=233 Participants
Cingal is a combination product consisting of 88 milligrams of crosslinked HA (hyaluronic acid) with 18 milligrams of TH (triamcinolone hexacetonide) in a 4 milliliter (mL) intra-articular injection. Cingal: Hyaluronic Acid with Triamcinolone Hexacetonide
Monovisc
n=230 Participants
Monovisc is a device that consists of 88 milligrams of cross-linked HA (hyaluronic acid) in a 4 milliliter (mL) intra-articular injection. Monovisc: Hyaluronic Acid
Triamcinolone Hexacetonide (TH)
n=63 Participants
Triamcinolone hexacetonide (TH) is a corticosteroid supplied in a 20 milligram per 1 milliliter (20 mg/mL) intra-articular injection. Triamcinolone Hexacetonide: Triamcinolone Hexacetonide
The Usage of Rescue Medication (Acetaminophen) at Week 39
7.9 Number of pills
Standard Deviation 39.5
6.0 Number of pills
Standard Deviation 18.7
6.9 Number of pills
Standard Deviation 22.8

Adverse Events

Cingal

Serious events: 0 serious events
Other events: 20 other events
Deaths: 0 deaths

Monovisc

Serious events: 0 serious events
Other events: 19 other events
Deaths: 0 deaths

Triamcinolone Hexacetonide (TH)

Serious events: 0 serious events
Other events: 6 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Cingal
n=233 participants at risk
Cingal is a combination product consisting of 88 milligrams of crosslinked HA (hyaluronic acid) with 18 milligrams of TH (triamcinolone hexacetonide) in a 4 milliliter (mL) intra-articular injection. Cingal: Hyaluronic Acid with Triamcinolone Hexacetonide
Monovisc
n=230 participants at risk
Monovisc is a device that consists of 88 milligrams of cross-linked HA (hyaluronic acid) in a 4 milliliter (mL) intra-articular injection. Monovisc: Hyaluronic Acid
Triamcinolone Hexacetonide (TH)
n=63 participants at risk
Triamcinolone hexacetonide (TH) is a corticosteroid supplied in a 20 milligram per 1 milliliter (20 mg/mL) intra-articular injection. Triamcinolone Hexacetonide: Triamcinolone Hexacetonide
Nervous system disorders
Headache
3.0%
7/233 • Number of events 7 • Adverse events were collected from the 26 Week visit (the last one in the Cingal 16-02 study) through the 39 Week visit in the Cingal 17-02 extension study.
The adverse event descriptions used are consistent with the clinicaltrials.gov definitions.
2.6%
6/230 • Number of events 6 • Adverse events were collected from the 26 Week visit (the last one in the Cingal 16-02 study) through the 39 Week visit in the Cingal 17-02 extension study.
The adverse event descriptions used are consistent with the clinicaltrials.gov definitions.
0.00%
0/63 • Adverse events were collected from the 26 Week visit (the last one in the Cingal 16-02 study) through the 39 Week visit in the Cingal 17-02 extension study.
The adverse event descriptions used are consistent with the clinicaltrials.gov definitions.
Musculoskeletal and connective tissue disorders
Arthralgia
3.4%
8/233 • Number of events 8 • Adverse events were collected from the 26 Week visit (the last one in the Cingal 16-02 study) through the 39 Week visit in the Cingal 17-02 extension study.
The adverse event descriptions used are consistent with the clinicaltrials.gov definitions.
1.7%
4/230 • Number of events 4 • Adverse events were collected from the 26 Week visit (the last one in the Cingal 16-02 study) through the 39 Week visit in the Cingal 17-02 extension study.
The adverse event descriptions used are consistent with the clinicaltrials.gov definitions.
0.00%
0/63 • Adverse events were collected from the 26 Week visit (the last one in the Cingal 16-02 study) through the 39 Week visit in the Cingal 17-02 extension study.
The adverse event descriptions used are consistent with the clinicaltrials.gov definitions.
Infections and infestations
Viral upper respiratory tract infection
0.86%
2/233 • Number of events 2 • Adverse events were collected from the 26 Week visit (the last one in the Cingal 16-02 study) through the 39 Week visit in the Cingal 17-02 extension study.
The adverse event descriptions used are consistent with the clinicaltrials.gov definitions.
0.87%
2/230 • Number of events 2 • Adverse events were collected from the 26 Week visit (the last one in the Cingal 16-02 study) through the 39 Week visit in the Cingal 17-02 extension study.
The adverse event descriptions used are consistent with the clinicaltrials.gov definitions.
3.2%
2/63 • Number of events 2 • Adverse events were collected from the 26 Week visit (the last one in the Cingal 16-02 study) through the 39 Week visit in the Cingal 17-02 extension study.
The adverse event descriptions used are consistent with the clinicaltrials.gov definitions.
Musculoskeletal and connective tissue disorders
Musculoskeletal pain
0.43%
1/233 • Number of events 1 • Adverse events were collected from the 26 Week visit (the last one in the Cingal 16-02 study) through the 39 Week visit in the Cingal 17-02 extension study.
The adverse event descriptions used are consistent with the clinicaltrials.gov definitions.
1.7%
4/230 • Number of events 4 • Adverse events were collected from the 26 Week visit (the last one in the Cingal 16-02 study) through the 39 Week visit in the Cingal 17-02 extension study.
The adverse event descriptions used are consistent with the clinicaltrials.gov definitions.
0.00%
0/63 • Adverse events were collected from the 26 Week visit (the last one in the Cingal 16-02 study) through the 39 Week visit in the Cingal 17-02 extension study.
The adverse event descriptions used are consistent with the clinicaltrials.gov definitions.
Musculoskeletal and connective tissue disorders
Spinal pain
0.43%
1/233 • Number of events 1 • Adverse events were collected from the 26 Week visit (the last one in the Cingal 16-02 study) through the 39 Week visit in the Cingal 17-02 extension study.
The adverse event descriptions used are consistent with the clinicaltrials.gov definitions.
1.3%
3/230 • Number of events 3 • Adverse events were collected from the 26 Week visit (the last one in the Cingal 16-02 study) through the 39 Week visit in the Cingal 17-02 extension study.
The adverse event descriptions used are consistent with the clinicaltrials.gov definitions.
1.6%
1/63 • Number of events 1 • Adverse events were collected from the 26 Week visit (the last one in the Cingal 16-02 study) through the 39 Week visit in the Cingal 17-02 extension study.
The adverse event descriptions used are consistent with the clinicaltrials.gov definitions.
Cardiac disorders
Arrythmia
0.43%
1/233 • Number of events 1 • Adverse events were collected from the 26 Week visit (the last one in the Cingal 16-02 study) through the 39 Week visit in the Cingal 17-02 extension study.
The adverse event descriptions used are consistent with the clinicaltrials.gov definitions.
0.00%
0/230 • Adverse events were collected from the 26 Week visit (the last one in the Cingal 16-02 study) through the 39 Week visit in the Cingal 17-02 extension study.
The adverse event descriptions used are consistent with the clinicaltrials.gov definitions.
1.6%
1/63 • Number of events 1 • Adverse events were collected from the 26 Week visit (the last one in the Cingal 16-02 study) through the 39 Week visit in the Cingal 17-02 extension study.
The adverse event descriptions used are consistent with the clinicaltrials.gov definitions.
Gastrointestinal disorders
Abdominal pain
0.00%
0/233 • Adverse events were collected from the 26 Week visit (the last one in the Cingal 16-02 study) through the 39 Week visit in the Cingal 17-02 extension study.
The adverse event descriptions used are consistent with the clinicaltrials.gov definitions.
0.00%
0/230 • Adverse events were collected from the 26 Week visit (the last one in the Cingal 16-02 study) through the 39 Week visit in the Cingal 17-02 extension study.
The adverse event descriptions used are consistent with the clinicaltrials.gov definitions.
3.2%
2/63 • Number of events 2 • Adverse events were collected from the 26 Week visit (the last one in the Cingal 16-02 study) through the 39 Week visit in the Cingal 17-02 extension study.
The adverse event descriptions used are consistent with the clinicaltrials.gov definitions.

Additional Information

Carol Pekar, VP Clinical Affairs

Anika

Phone: 781-457-9218

Results disclosure agreements

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