An Open-label, 8-week Safety, Efficacy, and Assessment of Cooling Methods for Administration of CNTX-4975-05 for Knee OA

NCT ID: NCT03661996

Last Updated: 2022-03-09

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

854 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-09-18

Study Completion Date

2019-10-22

Brief Summary

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An Open-label, 8-Week Study to Compare the Comfort and Ease of Use of Five Different Treatment Regimens for CNTX 4975-05 Intra-articular Injection in Subjects with Chronic, Moderate-to-Severe Osteoarthritis Knee Pain.

Detailed Description

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This is an open-label, single injection (per knee), 8-week study to evaluate the comfort and ease of use of 5 different treatment regimens, and to evaluate the efficacy and safety of a single intra-articular (IA) injection, in one or both knees, of CNTX-4975-05 in subjects with chronic, moderate-to-severe knee OA pain. Procedural pain associated with IA injection of the investigational product, CNTX-4975-05, will be controlled primarily through adjunct controlled joint cooling and secondarily by pre-medication with IA lidocaine.

Conditions

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Knee Osteoarthritis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Breg Cooling Control Group

Subject receives 2% lidocaine and CNTX-4975-05 with cooling device Breg ice water pump.

Group Type EXPERIMENTAL

CNTX-4975-05

Intervention Type DRUG

Osteoarthritis (OA) intra-articular injection of CNTX-4975-05

Lidocaine without epinephrine

Intervention Type DRUG

15 mL lidocaine intra-articular injection

Breg Ice Water Pump

Intervention Type DEVICE

Cooling Device

Gel Pack Cooling Group

Subject receives 2% lidocaine and CNTX-4975-05 with cooling device Elasto-Gel.

Group Type EXPERIMENTAL

CNTX-4975-05

Intervention Type DRUG

Osteoarthritis (OA) intra-articular injection of CNTX-4975-05

Lidocaine without epinephrine

Intervention Type DRUG

15 mL lidocaine intra-articular injection

ElastoGel

Intervention Type DEVICE

Cooling Device

Shortened Gel Pack Cooling Group

Subject receives 2% lidocaine and CNTX-4975-05 with cooling device Elasto-Gel.

Group Type EXPERIMENTAL

CNTX-4975-05

Intervention Type DRUG

Osteoarthritis (OA) intra-articular injection of CNTX-4975-05

Lidocaine without epinephrine

Intervention Type DRUG

15 mL lidocaine intra-articular injection

ElastoGel

Intervention Type DEVICE

Cooling Device

Single Needle Injection Gel Pack Cooling Group - 2% Lidocaine

Subject receives 2% lidocaine and CNTX-4975-05 with cooling device Elasto-Gel.

Group Type EXPERIMENTAL

CNTX-4975-05

Intervention Type DRUG

Osteoarthritis (OA) intra-articular injection of CNTX-4975-05

Lidocaine without epinephrine

Intervention Type DRUG

15 mL lidocaine intra-articular injection

ElastoGel

Intervention Type DEVICE

Cooling Device

Single Needle Injection Gel Pack Cooling Group - 1% Lidocaine

Subject receives 1% lidocaine and CNTX-4975-05 with cooling device Elasto-Gel.

Group Type EXPERIMENTAL

CNTX-4975-05

Intervention Type DRUG

Osteoarthritis (OA) intra-articular injection of CNTX-4975-05

Lidocaine without epinephrine

Intervention Type DRUG

15 mL lidocaine intra-articular injection

ElastoGel

Intervention Type DEVICE

Cooling Device

Interventions

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CNTX-4975-05

Osteoarthritis (OA) intra-articular injection of CNTX-4975-05

Intervention Type DRUG

Lidocaine without epinephrine

15 mL lidocaine intra-articular injection

Intervention Type DRUG

ElastoGel

Cooling Device

Intervention Type DEVICE

Breg Ice Water Pump

Cooling Device

Intervention Type DEVICE

Other Intervention Names

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capsaicin Lidocaine

Eligibility Criteria

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Inclusion Criteria

* Male or female subjects between 40 and 95 years of age (inclusive)
* Confirmation of osteoarthritis (OA) of the knee: radiography of both knees using standard standing films (scored by the investigator) or using the fixed flexion method, taken during the Screening Visit of CNTX-4975i-OA-301 or CNTX-4975i-OA-304.
* Confirmation of OA of the index knee: American College of Rheumatology (ACR) diagnostic criteria
* For subjects for monoarticular knee injection, the index knee must have moderate to severe pain at screening associated with OA, which must be stable for a minimum of 6 months prior to Screening, as assessed by the investigator.

These subjects may have:

1. unilateral or bilateral OA, with the index knee having moderate to severe pain, and the contralateral knee having none to mild pain, OR
2. unilateral or bilateral OA, with the index knee having moderate to severe pain and the other knee having had a PJR or TJR within 5 years of the Screening Visit. The knee with the PJR/TJR is not to be injected with CNTX-4975-05.

For subjects for bilateral knee injection, the index knee must have moderate to severe pain at screening associated with OA, and greater pain in the index knee than in the contralateral knee. Their pain must be stable for a minimum of 6 months prior to Screening, as assessed by the investigator. The index knee in these subjects is the one with the worst pain with walking. Where both knees have equal pain with walking, then the knee on the subject's dominant side will be designated the index knee.

For qualifying knee pain with walking, subjects will use an NPRS (0-10; 0=no pain, 10=worst possible pain) to rate their knee pain with walking (both knees, except knees with PJR/TJR). The PJR/TJR pain should be rated using the NPRS scale, but will not be a qualifying pain score.

* Body mass index ≤45 kg/m\^2.

Exclusion Criteria

* Joint replacement surgery of the index knee at any time, or open surgery of the index knee in the past 24 months. Joint replacement of the contralateral knee is permitted for subjects who will not receive an injection in the contralateral (natural) knee.
* Prior arthroscopic surgery of the index knee within 6 months of Screening.
* Any painful conditions of the index knee due to joint disease other than OA. Radicular or referred pain involving the index knee or from joint disease other than OA involving the index knee, such as, but not restricted to chondromalacia patellae, inflammatory disease, metabolic diseases, gout/pseudogout, hemochromatosis, acromegaly, etc.
* Periarticular pain from any cause, including referred pain, bursitis, tendonitis, soft tissue tenderness, or subacute/acute pain from injury.
* Other chronic pain anywhere in the body that requires the use of chronic analgesic medications, including, but not limited to, local painful areas, myofascial pain syndromes, fibromyalgia, genetic, metabolic abnormalities, hematologic, or neuropathic pain.
Minimum Eligible Age

40 Years

Maximum Eligible Age

95 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Centrexion Therapeutics

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Randall M. Stevens, MD

Role: STUDY_CHAIR

Centrexion Therapeutics Corp

Locations

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Alabama Orthopaedic Center-Research

Birmingham, Alabama, United States

Site Status

Holland Center for Family Health

Peoria, Arizona, United States

Site Status

Noble Clinical Research

Tucson, Arizona, United States

Site Status

Med Center Medical Clinic

Carmichael, California, United States

Site Status

Core Healthcare Group

Cerritos, California, United States

Site Status

Encompass Clinical Research

Spring Valley, California, United States

Site Status

Chase Medical Research, LLC

Waterbury, Connecticut, United States

Site Status

Conquest Clinical Research

Maitland, Florida, United States

Site Status

F&T Medical Research, Inc.

Miami, Florida, United States

Site Status

M&M Medical Center, Inc.

Miami, Florida, United States

Site Status

Charter Research

Mt. Dora, Florida, United States

Site Status

Premier MED Family & Sports Medicine

Ocoee, Florida, United States

Site Status

Ascension Research

Pinellas Park, Florida, United States

Site Status

M&M Clinical Trials Sunrise

Sunrise, Florida, United States

Site Status

Georgia Institute for Clinical Research, LLC

Marietta, Georgia, United States

Site Status

Atlanta Orthopaedic Institute, LLC

Stockbridge, Georgia, United States

Site Status

Healthcare Research Network II, LLC

Flossmoor, Illinois, United States

Site Status

Affinity Health

Oak Brook, Illinois, United States

Site Status

MediSphere Medical Research Center, LLC

Evansville, Indiana, United States

Site Status

Tandem Clinical Research

Marrero, Louisiana, United States

Site Status

DelRicht Research

New Orleans, Louisiana, United States

Site Status

Healthcare Research Network

Hazelwood, Missouri, United States

Site Status

Center for Pharmaceutical Research, LLC

Kansas City, Missouri, United States

Site Status

Office of Robert P. Kaplan, DO

Las Vegas, Nevada, United States

Site Status

Hassman Research Institute

Berlin, New Jersey, United States

Site Status

First Surgical Hospital

Bellaire, Texas, United States

Site Status

Metroplex Clinical Research Center

Dallas, Texas, United States

Site Status

Hermann Drive Surgical Hospital

Houston, Texas, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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CNTX-4975i-OA-303

Identifier Type: -

Identifier Source: org_study_id

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