A Study of the Efficacy and Safety of MEDI7352 in Participants With Painful Osteoarthritis of the Knee

NCT ID: NCT04675034

Last Updated: 2025-02-10

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

345 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-12-02

Study Completion Date

2023-08-16

Brief Summary

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This is a Phase IIb randomised, double-blind, placebo-controlled, dose-response study in participants with painful osteoarthritis (OA) of the knee. The study will assess the safety and efficacy of multiple doses of MEDI7352 compared to placebo, as well as the pharmacokinetics, pharmacodynamics and immunogenicity of MEDI7352 in participants with moderate to severe chronic pain persistent for 3 months or more not adequately controlled by standard of care treatments.

Detailed Description

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Conditions

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Painful Osteoarthritis of the Knee

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

This is a Phase IIb, multinational, multicentre, randomised, double-blind, placebo-controlled, dose-response study of MEDI7352 in participants 18 to 80 years of age (inclusive) with moderate-to-severe chronic pain of the knee. The study consists of a screening period of up to 45 days, a 12-week treatment period, and a 24-week follow-up (FU) period.

Daily pain scores (as measured on an 11-point numerical rating scale \[NRS\]) recorded at the first screening visit and from Day -7 to Day -1 will be used be used to determine eligibility.

Participants will be randomised to one of 4 doses of MEDI7352 or placebo. Each participant will receive 6 doses of MEDI7352 or placebo during the treatment period.

After the end-of-treatment (EOT) visit at Week 12, participants will enter the FU period, which comprises 3 clinic visits (Weeks 18, 32, and 36) and 4 FU phone calls (Weeks 15, 21, 24, and 28). All participants who receive investigational product (IP) are expected to complete the FU period.
Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors
All participants will be centrally assigned to randomised IP using an Interactive Response Technology/Randomisation and Trial Supply Management (IRT/RTSM) system. Before the study is initiated, telephone number and call-in directions for IRT and/or log in information and directions for RTSM will be provided to each site.

The IRT/RTSM will provide investigator(s) or appropriate study personnel with kit identification number to be allocated to participant at IP dosing visit.

Details for this will be described in IRT/RTSM user manual that will be provided to each centre.

All participants, investigators, and study personnel involved in conduct of the study will be blinded to treatment assignment. The unblinded study personnel (eg, site pharmacist) will not participate in study procedures or data analysis prior to unblinding of study data to all study-related personnel. Unblinded AstraZeneca personnel who are not otherwise involved in study will prepare data for review and interim analyses.

Study Groups

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MEDl7352 Dose 1

Participants received 6 doses of subcutaneous (SC) MEDl7352 Dose 1 injection once every 2 weeks (Q2W) during a 12-week parallel-group treatment period.

Group Type EXPERIMENTAL

MEDI7352

Intervention Type DRUG

Participants will receive SC injection of MEDI7352 as stated in arm description.

MEDl7352 Dose 2

Participants received 6 doses of SC MEDl7352 Dose 2 injection Q2W during a 12-week parallel-group treatment period.

Group Type EXPERIMENTAL

MEDI7352

Intervention Type DRUG

Participants will receive SC injection of MEDI7352 as stated in arm description.

MEDl7352 Dose 3

Participants received 6 doses of SC MEDl7352 Dose 3 injection Q2W during a 12-week parallel-group treatment period.

Group Type EXPERIMENTAL

MEDI7352

Intervention Type DRUG

Participants will receive SC injection of MEDI7352 as stated in arm description.

MEDl7352 Dose 4

Participants received 6 doses of SC MEDl7352 Dose 4 injection Q2W during a 12-week parallel-group treatment period.

Group Type EXPERIMENTAL

MEDI7352

Intervention Type DRUG

Participants will receive SC injection of MEDI7352 as stated in arm description.

Placebo

Participants received 6 doses of SC placebo injection matched to MEDl7352 Q2W during a 12-week parallel-group treatment period.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

Participants will receive SC injection of placebo as stated in arm description.

Interventions

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MEDI7352

Participants will receive SC injection of MEDI7352 as stated in arm description.

Intervention Type DRUG

Placebo

Participants will receive SC injection of placebo as stated in arm description.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

1. Participants must understand the nature of the study and must give signed and dated written informed consent prior to the initiation of any study procedures, which includes compliance with the requirements and restrictions listed in the informed consent form (ICF) and in this protocol.
2. For participants participating in the optional genetic research, a separate signed and dated optional genetic research ICF must be provided prior to collection of samples for optional genetic research that supports the Genomics Initiative. If a participant declines to participate in the genetic research, this will have no influence on the ability of a participant to participate in the study.
3. The participant should be willing and able to understand and comply with all protocol-specified restrictions and procedures and be able to use an electronic patient-reported outcome (ePRO) device as judged by the investigator.
4. The participant must be considered likely to comply with the study protocol and to have a high probability of completing the study, as judged by the investigator.
5. The participant must be willing and able to discontinue all analgesic therapy with nonsteroidal anti-inflammatory drugs (NSAID) or cyclooxygenase-2 (COX-2) inhibitors from the start of the washout period until the end of the FU period. This includes over-the-counter (OTC) pain medications and topical analgesics that contain an NSAID or COX-2 inhibitor.

Exclusion Criteria

1. Requires current treatment with another biologic therapeutic agent, disease-modifying antirheumatic drug (DMARD), or other immunosuppressants.
2. Previously received any form of anti-nerve growth factor (NGF); received anti-tumour necrosis factors (TNFs) including but not limited to golimumab, certolizumab, infliximab, adalimumab, etanercept, or rituximab within 12 months prior to screening, or other biological DMARDs (including but not limited to abatacept, tocilizumab, and tofacitinib), or other immunosuppressants within 6 months prior to screening (with the exception of inhaled or topical corticosteroids).
3. Currently receiving strong opioids for any indication.
4. Participation in another clinical study with an IP or device within 60 days or 5 half-lives, whichever is longer, prior to screening.
5. Plasma donation within 28 days of screening or any blood donation or blood loss \> 500 mL within 2 months of screening.
6. Previous allogeneic bone marrow or stem cell transplant.
7. Received nonleukocyte-depleted whole blood transfusion within 120 days of the genetic research sample collection, if participating in the optional genetic research.
8. Involvement in the planning and/or conduct of the study.
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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AstraZeneca

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Research Site

Frederiksberg, , Denmark

Site Status

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Tallinn, , Estonia

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Tartu, , Estonia

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Bad Doberan, , Germany

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Leipzig, , Germany

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Munich, , Germany

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Bialystok, , Poland

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Bialystok, , Poland

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Bydgoszcz, , Poland

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Elblag, , Poland

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Gdynia, , Poland

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Lodz, , Poland

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Lublin, , Poland

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Poznan, , Poland

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Puławy, , Poland

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Staszów, , Poland

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Torun, , Poland

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Warsaw, , Poland

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Zamość, , Poland

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A Coruña, , Spain

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Barcelona, , Spain

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Madrid, , Spain

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Málaga, , Spain

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Sabadell, , Spain

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Santiago de Compostela, , Spain

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Santiago de Compostela, , Spain

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Santiago de Compostela-Coruña, , Spain

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Valencia, , Spain

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Corby, , United Kingdom

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Enfield, , United Kingdom

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Glasgow, , United Kingdom

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High Wycombe, , United Kingdom

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Leeds, , United Kingdom

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London, , United Kingdom

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Northwich, , United Kingdom

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Northwood, , United Kingdom

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Orpington, , United Kingdom

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Preston, , United Kingdom

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Rochdale, , United Kingdom

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Salford, , United Kingdom

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Shipley, , United Kingdom

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Countries

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Denmark Estonia Germany Poland Spain United Kingdom

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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2020-003797-51

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

D5680C00003

Identifier Type: -

Identifier Source: org_study_id

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