Efficacy and Safety of ATB-346 Versus Placebo in Osteoarthritis Patients

NCT ID: NCT03978208

Last Updated: 2022-07-21

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

381 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-03-29

Study Completion Date

2019-12-29

Brief Summary

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The primary objective of this study is to evaluate the efficacy of a 14-day dosing regimen of ATB-346 at doses of 150 mg, 200 mg and 250 mg compared to placebo in reducing osteoarthritis knee pain as measured by changes in the post-treatment WOMAC subscale pain score relative to each patient's pretreatment baseline WOMAC assessment.Safety will be assessed via measurements of vital signs and clinical laboratory tests at baseline and at various time points during the study, patient monitoring, and by the documentation of adverse events.

Detailed Description

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The primary objective of this study is to evaluate the efficacy of a 14-day dosing regimen of once daily administration of ATB-346 at doses of 150 mg, 200 mg and 250 mg compared to placebo in reducing osteoarthritis knee pain as measured by changes in the post-treatment WOMAC subscale pain score relative to each patient's pretreatment baseline WOMAC assessment.A total of 360 evaluable patients are planned in this study: 250 mg (n=120); 200 mg (n=120); 150 mg (n=60); placebo (n=60).

Safety will be assessed via measurements of vital signs and clinical laboratory tests at baseline and at various time points during the study, patient monitoring, and by the documentation of adverse events.

Conditions

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Osteoarthritis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors
Overencapsulation of study drug tablets

Study Groups

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Placebo Comparator

ATB-346 150 mg overencapsulated tablet taken by mouth once daily for 14 days

Group Type ACTIVE_COMPARATOR

ATB-346 low dose

Intervention Type DRUG

Double blind comparison of orally administered ATB-346 versus placebo in osteoarthritis patients

ATB-346 mid-dose

ATB-346 200 mg overencapsulated tablet taken by mouth once daily for 14 days

Group Type ACTIVE_COMPARATOR

ATB-346 mid-dose

Intervention Type DRUG

Double blind comparison of orally administered ATB-346 versus placebo in osteoarthritis patients

ATB-346 standard dose

ATB-346 250 mg overencapsulated tablet taken by mouth once daily for 14 days

Group Type ACTIVE_COMPARATOR

ATB-346 standard dose

Intervention Type DRUG

Double blind comparison of orally administered ATB-346 versus placebo in osteoarthritis patients

Active Comparator

Overencapsulated placebo tablet taken by mouth once daily for 14 days

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

Double blind comparison of orally administered ATB-346 versus placebo in osteoarthritis patients

Interventions

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ATB-346 low dose

Double blind comparison of orally administered ATB-346 versus placebo in osteoarthritis patients

Intervention Type DRUG

Placebo

Double blind comparison of orally administered ATB-346 versus placebo in osteoarthritis patients

Intervention Type OTHER

ATB-346 mid-dose

Double blind comparison of orally administered ATB-346 versus placebo in osteoarthritis patients

Intervention Type DRUG

ATB-346 standard dose

Double blind comparison of orally administered ATB-346 versus placebo in osteoarthritis patients

Intervention Type DRUG

Other Intervention Names

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Active comparator Non-active comparator Active comparator Active comparator

Eligibility Criteria

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Inclusion Criteria

* Diagnosis greater than 2 years duration requiring the use of regular therapies, e.g. oral or topical anti-inflammatories, acetaminophen, topical capsaicin
* Between the ages of 40 to 75
* BMI ≤40
* Patients must be unlikely to procreate or agree to the use of acceptable contraceptive regimens from first drug administration , during the study, and for at least 30 days after the last dose
* Patients must not have used aspirin or naproxen-containing medications for 7 days prior to study entry
* Patients must not have used any anti-inflammatory medications or acetaminophen for 5 days prior to study entry
* Patients must show a ≥10-point increase in WOMAC Visual Analog Score between their screening visit and baseline study entry visit

Exclusion Criteria

* Females who are pregnant or breastfeeding
* Seated and resting pulse rate less than 50 beats per minute (bpm) or more than 100 bpm at screening
* Seated and resting blood pressure below 100/60 mmHg or higher than 140/90 mmHg at screening
* History of significant hypersensitivity to naproxen, other non-steroidal anti-inflammatory agents, or any related products (including excipients of the formulations) as well as severe hypersensitivity reactions (like angioedema) to any drugs
* Patients with a history of GI bleeding or ulceration
* Patients refractory to NSAIDs
* Presence of significant gastrointestinal, liver, or kidney disease, or any other conditions known to interfere with the absorption, distribution, metabolism or excretion of drugs or know to potentiate or predispose patients to undesired effects
* Presence of significant cardiovascular, pulmonary, hematologic, neurological, psychiatric, endocrine, immunologic, or dermatologic disease as determined by the investigator
* Suicidal tendency, history of/or disposition to seizures, state of confusion
* History of hepatic disease
* Maintenance therapy with any drug, including gastroprotective agents such as proton pump inhibitors, H2 receptor antagonists, sucralfate, etc., or significant history of drug dependency or alcohol abuse (\>3 units of alcohol per day, intake of excessive alcohol, acute or chronic)
* Any clinically significant illness in the previous 30 days before Day 1 of this study
* Use of any enzyme-modifying drugs, including strong inhibitors of CYP enzymes (such as cimetidine, fluoxetine, quinidine, erythromycin, ciprofloxacin, fluconazole, ketoconazole, diltiazem, and HIV antivirals) and strong inducers of CYP enzymes (such as barbiturates, carbamazepine, glucocorticoids, phenytoin, rifampin and St John's Wort) in the previous 30 days before Day 1 of this study
* Any history of tuberculosis and/or prophylaxis for tuberculosis
* Positive H. Pylori Urea Breathe Test
* Positive urine screening of alcohol and/or drugs of abuse at the screening visit
* Positive results to HIV Ag/Ab Combo, Hepatitis B surface Antigen (HBsAg) or anti-Hepatitis C Virus (HCV) tests
* Females who are pregnant according to a positive serum pregnancy test
* Patients who took an Investigational Product (in another clinical trial) in the previous 30 days before Day 1 of this study.
Minimum Eligible Age

40 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Veristat, Inc.

OTHER

Sponsor Role collaborator

Antibe Therapeutics Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Deepen Patel, MD

Role: STUDY_DIRECTOR

Veristat

Locations

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Viable Clinical Research Corp

Mission, British Columbia, Canada

Site Status

Ocean West Research Clinic

Surrey, British Columbia, Canada

Site Status

James K. Lai MD Inc

Vancouver, British Columbia, Canada

Site Status

Dr. MB Jones Inc

Victoria, British Columbia, Canada

Site Status

True North Clinical Research Inc.

Halifax, Nova Scotia, Canada

Site Status

Aggarwal and Associates Limited

Brampton, Ontario, Canada

Site Status

Manna Research (Burlington North)

Burlington, Ontario, Canada

Site Status

Etobicoke Medical Centre

Etobicoke, Ontario, Canada

Site Status

Dawson Clinical Research

Guelph, Ontario, Canada

Site Status

Dr. Allen Greenspoon Medicine Professional Corporation

Hamilton, Ontario, Canada

Site Status

Hamilton Medical Research Group

Hamilton, Ontario, Canada

Site Status

Milestone Research Inc.

London, Ontario, Canada

Site Status

KGK Science Inc

London, Ontario, Canada

Site Status

Malton Medical Clinic

Mississauga, Ontario, Canada

Site Status

SKDS Research Inc

Newmarket, Ontario, Canada

Site Status

King Street Medical Clinic

Oshawa, Ontario, Canada

Site Status

Bluewater Clinical Research Group Inc

Sarnia, Ontario, Canada

Site Status

Viable Clinical Research Corp

Scarborough Village, Ontario, Canada

Site Status

Dr. Steven V. Zizzo Medicine Professional Corporation

Stoney Creek, Ontario, Canada

Site Status

Manna Research (Stoney Creek)

Stoney Creek, Ontario, Canada

Site Status

Canadian Phase Onward Inc.

Toronto, Ontario, Canada

Site Status

LMC Clinical Research Inc

Toronto, Ontario, Canada

Site Status

Manna Research (Toronto)

Toronto, Ontario, Canada

Site Status

Dr. Sabeen Anwar Medicine Professional Corporation

Windsor, Ontario, Canada

Site Status

Clinical Research& Arthritis Centre

Windsor, Ontario, Canada

Site Status

Devonshire Clinical Research Inc.

Woodstock, Ontario, Canada

Site Status

Manna Research (Quebec)

Lévis, Quebec, Canada

Site Status

Manna Research (Mirabel QC)

Mirabel, Quebec, Canada

Site Status

Recherche GCP Research

Montreal, Quebec, Canada

Site Status

Centre Medical Acadie

Montreal, Quebec, Canada

Site Status

Manna Research (Montreal)

Pointe-Claire, Quebec, Canada

Site Status

Diex Recherche Quebec Inc.

Québec, Quebec, Canada

Site Status

Centre de Recherche Saint-Louis

Québec, Quebec, Canada

Site Status

Diex Recherche Sherbrooke Inc.

Sherbrooke, Quebec, Canada

Site Status

Diex Recherche Victoriaville Inc.

Victoriaville, Quebec, Canada

Site Status

Countries

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Canada

Other Identifiers

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ATB-346-P2B-DRF

Identifier Type: -

Identifier Source: org_study_id

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