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Efficacy of Celecoxib 200mg in Relieving Pain and Walking Dysfunction in Osteoarthritis of the Knee

Primary Purpose

Osteoarthritis of the Knee

Status
Unknown status
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
celecoxib
placebo
Sponsored by
University Hospitals Cleveland Medical Center
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional supportive care trial for Osteoarthritis of the Knee focused on measuring Osteoarthritis, Knee pain

Eligibility Criteria

45 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • If female and of childbearing potential, must be using adequate contraception since last menses and will use adequate contraception during the study,
  • Diagnosed as having OA of the knee
  • Functional Capacity Classification of I-II (FCC)
  • If on active analgesic or anti-inflammatory pain medication, must have VAS pain score>=30mm in signal knee related to walking on a flat surface within the previous 48 hours. Subjects who are not taking any pain medication must have a VAS pain score>=40mm in the signal knee
  • At baseline visit, must have a history of pain in the signal knee>=40mm when walking on the flat within the previous 48 hours.
  • In the Investigator's opinion, the patient requires and is eligible for therapy with an anti-inflammatory analgesic.
  • If on an NSAID or analgesic, patient must have completed a washout period prior to baseline assessments that is a minium of five half lives.
  • The patient has provided written informed consent before undergoing any study procedures.

Exclusion Criteria:

  • Diagnosed as having inflammatory arthritis or acute trauma at the index joint.
  • Another painful condition that would interfere with his/her ability to walk or to make reasonable assessments of their pain.
  • Received an injection of corticosteroid into the signal knee within 3 months; or with a hyaluronan produce in the signal knee within the previous 6 months.
  • Requires the use of a cane or other assistive device to complete the walk.
  • Known cardiovascular disease which has been symptomatic in the past 12 months
  • History of blood clots or is at any increased risk for blood clotting.
  • Asthma or any breathing condition which would preclude walking briskly for 20 consecutive minutes or 40 minutes total.
  • Has taken any NSAIDs, COX-2 inhibitors, or any analgesic, with the exception of the rescue acetaminophen, within two days prior to Visit 2
  • Active malignancies or any type or a malignancy that has recurred within 5 years before enrollment.
  • Diagnosed as having or has been treated for esophageal, gastric, pyloric channel, duodenal ulceration within 90 days
  • Active GI disease, a chronic or acute renal or hepatic disorder, or a significant coagulation defect.
  • Any chronic illness or laboratory abnormalities considered to be clinically significant.
  • Received any investigational medication within 30 days
  • Known hypersensitivity to celecoxib, NSAIDs, to sulfonamides
  • Use of the following drugs:

    1. NSAIDs or COX-2 specific inhibitors
    2. Analgesics except rescue medication within 24 hours of a study visit
    3. Anticoagulants
    4. Lithium
    5. Glucosamine or chondroitin sulfate are excluded unless on stable dose for at least 3 months

Sites / Locations

  • University Hospitals Case Medical CenterRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Placebo Comparator

Active Comparator

Arm Label

A 1

A 2

Arm Description

A 1=placebo

A 2=celecoxib

Outcomes

Primary Outcome Measures

The primary endpoint is the time to onset of moderate and severe pain. The mean change in time to onset of moderate and sever pain between the first and second walks will be compared using paired t-tests.

Secondary Outcome Measures

Secondary endpoints are the distance to onset of moderate to sever pain the the percent responders in each group. Thirty subjects will be studied in this randomized, placebo-controlled, double-blind crossover study.

Full Information

First Posted
January 9, 2008
Last Updated
January 9, 2008
Sponsor
University Hospitals Cleveland Medical Center
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1. Study Identification

Unique Protocol Identification Number
NCT00597415
Brief Title
Efficacy of Celecoxib 200mg in Relieving Pain and Walking Dysfunction in Osteoarthritis of the Knee
Official Title
A Double-Blind, Placebo-Controlled, Randomized, Crossover Pilot Study of the Efficacy of Celecoxib 200 mg QD in Relieving Pain and Walking Dysfunction in Osteoarthritis of the Knee.
Study Type
Interventional

2. Study Status

Record Verification Date
December 2007
Overall Recruitment Status
Unknown status
Study Start Date
December 2004 (undefined)
Primary Completion Date
February 2008 (Anticipated)
Study Completion Date
March 2008 (Anticipated)

3. Sponsor/Collaborators

Name of the Sponsor
University Hospitals Cleveland Medical Center

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to compare the efficacy of celecoxib versus placebo in delaying the onset of pain and improving walking function in subjects with knee Osteoarthritis
Detailed Description
We have developed a walking model that safely and reproducibly induces pain in subjects with knee OA in a manner that permits the comparison of the effect of different therapies on pain control. In a previous study, we demonstrated that a self-paced 20 minute walk followed by a one-hour rest and a second coordinator-paced 20-minute walk was well tolerated and generated moderate to severe pain in all participants within the time frame of the walk. We will now use this model, but with a crossover design to test the efficacy of celecoxib compared to placebo for the control of knee pain and improvement of walking function.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Osteoarthritis of the Knee
Keywords
Osteoarthritis, Knee pain

7. Study Design

Primary Purpose
Supportive Care
Study Phase
Phase 2
Interventional Study Model
Crossover Assignment
Masking
ParticipantInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
30 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
A 1
Arm Type
Placebo Comparator
Arm Description
A 1=placebo
Arm Title
A 2
Arm Type
Active Comparator
Arm Description
A 2=celecoxib
Intervention Type
Drug
Intervention Name(s)
celecoxib
Other Intervention Name(s)
Celebrex
Intervention Description
celecoxib 200mg
Intervention Type
Drug
Intervention Name(s)
placebo
Other Intervention Name(s)
inactive capsule
Intervention Description
placebo
Primary Outcome Measure Information:
Title
The primary endpoint is the time to onset of moderate and severe pain. The mean change in time to onset of moderate and sever pain between the first and second walks will be compared using paired t-tests.
Time Frame
Visits 2 and 3
Secondary Outcome Measure Information:
Title
Secondary endpoints are the distance to onset of moderate to sever pain the the percent responders in each group. Thirty subjects will be studied in this randomized, placebo-controlled, double-blind crossover study.
Time Frame
Visits 2 and 3

10. Eligibility

Sex
All
Minimum Age & Unit of Time
45 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: If female and of childbearing potential, must be using adequate contraception since last menses and will use adequate contraception during the study, Diagnosed as having OA of the knee Functional Capacity Classification of I-II (FCC) If on active analgesic or anti-inflammatory pain medication, must have VAS pain score>=30mm in signal knee related to walking on a flat surface within the previous 48 hours. Subjects who are not taking any pain medication must have a VAS pain score>=40mm in the signal knee At baseline visit, must have a history of pain in the signal knee>=40mm when walking on the flat within the previous 48 hours. In the Investigator's opinion, the patient requires and is eligible for therapy with an anti-inflammatory analgesic. If on an NSAID or analgesic, patient must have completed a washout period prior to baseline assessments that is a minium of five half lives. The patient has provided written informed consent before undergoing any study procedures. Exclusion Criteria: Diagnosed as having inflammatory arthritis or acute trauma at the index joint. Another painful condition that would interfere with his/her ability to walk or to make reasonable assessments of their pain. Received an injection of corticosteroid into the signal knee within 3 months; or with a hyaluronan produce in the signal knee within the previous 6 months. Requires the use of a cane or other assistive device to complete the walk. Known cardiovascular disease which has been symptomatic in the past 12 months History of blood clots or is at any increased risk for blood clotting. Asthma or any breathing condition which would preclude walking briskly for 20 consecutive minutes or 40 minutes total. Has taken any NSAIDs, COX-2 inhibitors, or any analgesic, with the exception of the rescue acetaminophen, within two days prior to Visit 2 Active malignancies or any type or a malignancy that has recurred within 5 years before enrollment. Diagnosed as having or has been treated for esophageal, gastric, pyloric channel, duodenal ulceration within 90 days Active GI disease, a chronic or acute renal or hepatic disorder, or a significant coagulation defect. Any chronic illness or laboratory abnormalities considered to be clinically significant. Received any investigational medication within 30 days Known hypersensitivity to celecoxib, NSAIDs, to sulfonamides Use of the following drugs: NSAIDs or COX-2 specific inhibitors Analgesics except rescue medication within 24 hours of a study visit Anticoagulants Lithium Glucosamine or chondroitin sulfate are excluded unless on stable dose for at least 3 months
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Michelle Wallette, CMA, CCRC
Phone
216-591-1443
Ext
15
Email
michelle.wallette@uhhospitals.org
First Name & Middle Initial & Last Name or Official Title & Degree
Mary Lesko, CNP
Phone
216-591-1443
Ext
13
Email
mary.lesko@uhhospitals.org
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Nora G Singer, MD
Organizational Affiliation
University Hospitals Cleveland Medical Center
Official's Role
Principal Investigator
Facility Information:
Facility Name
University Hospitals Case Medical Center
City
Beachwood
State/Province
Ohio
ZIP/Postal Code
44122
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Nora G Singer, MD
First Name & Middle Initial & Last Name & Degree
Mary Lesko, CNP

12. IPD Sharing Statement

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Efficacy of Celecoxib 200mg in Relieving Pain and Walking Dysfunction in Osteoarthritis of the Knee

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