A Study of the Efficacy and Safety of CF101 to Patients With Osteoarthritis of the Knee
Primary Purpose
Osteoarthritis of the Knee
Status
Withdrawn
Phase
Phase 2
Locations
Israel
Study Type
Interventional
Intervention
CF101
Placebo
Sponsored by
About this trial
This is an interventional treatment trial for Osteoarthritis of the Knee focused on measuring osteoarthritis, knee, CF101
Eligibility Criteria
Inclusion Criteria:
- Males and females age 40 years or above
Clinical evidence of knee OA, as indicated by:
- Pain requiring treatment with NSAID or coxib medication for analgesia for at least 6 months prior to the screening visit, and
- Pain requiring treatment with NSAID or coxib medication for analgesia on the majority of days during the preceding month
- Radiographic evidence of knee OA, as indicated by findings of Kellgren-Lawrence Grade 2 or 3 within 1 year prior to the screening visit2
- American College of Rheumatology functional class I, II, or III3
- WOMAC pain subscale score ≥40 mm at baseline
- WOMAC function subscale score >20 mm at baseline
- PGA >10 mm at baseline
- In the Investigator's opinion, the ability to understand the nature of the study and any hazards of participation, and to communicate satisfactorily with the Investigator and to participate in, and to comply with, the requirements of the entire protocol
- Negative screening serum pregnancy test for female patients of childbearing potential
- Females of childbearing potential must utilize, throughout the course of the trial, 2 methods of contraception deemed adequate by the Investigator (for example, oral contraceptive pills plus a barrier method)
- All aspects of the protocol explained and written informed consent obtained
Exclusion Criteria:
- Predominant patellofemoral disease
- Concomitant local or systemic inflammatory arthropathy which could confound evaluation of the knee
- Ipsilateral hip or extremity disease which could confound evaluation of the knee
- History of clinical significant trauma or surgery to the index knee
- Arthroscopy to the index knee within 6 months prior to the screening visit
- Corticosteroid, hyaluronic acid, or other intraatricular injection to the index knee within 3 months prior to the screening visit
- Use of chondroitin sulfate and/or glucosamine, or diacerin, within 2 weeks prior to the screening visit
- Concomitant requirement for NSAID, coxib medication, or opioid analgesics (acetaminophen is allowed)
- Use of systemic corticosteroids >10 mg/d of prednisone, or equivalent
- Presence or history of uncontrolled arterial hypertension or symptomatic hypotension
- Significant cardiac arrhythmia or conduction block, congestive heart failure, or any other evidence of clinically significant heart disease; other clinically significant findings on screening electrocardiogram (ECG)
- Hemoglobin level <10.0 gm/dL at the screening visit
- White blood cell count <3000/mm3 at the screening visit
- Platelet count <125,000/mm3 at the screening visit
- Serum creatinine level outside the central laboratory's normal limits at the screening visit
- Liver aminotransferase (ALT and/or AST) levels greater than the upper limit of normal at the screening visit
- Known or suspected immunodeficiency or human immunodeficiency virus positivity
- Pregnancy, lactation, or inadequate contraception as judged by the Investigator
- Participation in another investigational drug or vaccine trial concurrently or within 30 days prior to screening
- History of drug or alcohol dependence
- History of malignancy within the past 5 years (excluding excised basal or squamous cell carcinoma of the skin)
- Diagnosis of Parkinson's Disease
- Significant acute or chronic medical or psychiatric illness that, in the judgment of the Investigator, could compromise patient safety, limit the patient's ability to complete the study, and/or compromise the objectives of the study
Sites / Locations
- Barzilai Medical Center
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Placebo Comparator
Arm Label
CF101 1 mg BID
Placebo
Arm Description
Placebo tablets BID
Outcomes
Primary Outcome Measures
Proportion of responders by OMERACT-OARSI definition
Secondary Outcome Measures
Safety, as assessed through vital signs, physical examinations, adverse event reporting, clinical laboratory testing, and ECGs
Change from baseline in total WOMAC score, and pain, physical function, and stiffness subscale scores
Change from baseline in physician's and patient's global assessments
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT00837291
Brief Title
A Study of the Efficacy and Safety of CF101 to Patients With Osteoarthritis of the Knee
Official Title
A Phase 2, Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group Study of the Efficacy and Safety of Daily CF101 Administered Orally for 12 Weeks to Patients With Osteoarthritis of the Knee
Study Type
Interventional
2. Study Status
Record Verification Date
January 2018
Overall Recruitment Status
Withdrawn
Why Stopped
The company has decided not to conduct the study
Study Start Date
November 2018 (Anticipated)
Primary Completion Date
December 2018 (Anticipated)
Study Completion Date
January 2019 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Can-Fite BioPharma
4. Oversight
Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
This study will test the effectiveness of CF101 in treating the symptoms of osteoarthritis (OA) of the knee. Eligible patients will be given either CF101 or matching placebo tablets and their symptoms will be evaluated over the 12 week treatment period.
Detailed Description
This will be a randomized, double-blind, placebo-controlled, parallel-group study in which patients with knee OA will be randomized to either CF101 1 mg or matching placebo tablets every 12 hours and followed for 12 weeks on treatment. For patients with bilateral knee involvement, only 1 knee will be selected for evaluation, namely, the most severely involved knee that meets study criteria (the "index knee"). Screening examinations will occur within 1 month prior to dosing. Washout of non-specific non-steroidal anti-inflammatory drugs (nsNSAIDs) and cyclo-oxygenase-2 (COX-2) inhibitors will occur prior to dosing, and must be followed by requalification before dosing. Disease activity will be assessed using changes from baseline in Patient's Global Assessment (PGA) and Investigator's Global Assessment (IGA) scores, and the Western Ontario and McMaster Universities Osteoarthritis (WOMAC) index and subscales for pain, physical function, stiffness, according to the Outcome Measures in Rheumatology Clinical Trials-Osteoarthritis Research Society International (OMERACT-OARSI) criteria. Assessments will take place at Screening, Baseline (Week 0), and at Weeks 2, 4, 8, 12, and 14.
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, CF101
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
0 (Actual)
8. Arms, Groups, and Interventions
Arm Title
CF101 1 mg BID
Arm Type
Experimental
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo tablets BID
Intervention Type
Drug
Intervention Name(s)
CF101
Other Intervention Name(s)
IB-MECA
Intervention Description
CF101 tablets 1 mg BID
Intervention Type
Drug
Intervention Name(s)
Placebo
Other Intervention Name(s)
Inactive tablets
Intervention Description
Placebo tablets BID
Primary Outcome Measure Information:
Title
Proportion of responders by OMERACT-OARSI definition
Time Frame
12 weeks
Secondary Outcome Measure Information:
Title
Safety, as assessed through vital signs, physical examinations, adverse event reporting, clinical laboratory testing, and ECGs
Time Frame
14 weeks
Title
Change from baseline in total WOMAC score, and pain, physical function, and stiffness subscale scores
Time Frame
12 weeks
Title
Change from baseline in physician's and patient's global assessments
Time Frame
12 weeks
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
90 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Males and females age 40 years or above
Clinical evidence of knee OA, as indicated by:
Pain requiring treatment with NSAID or coxib medication for analgesia for at least 6 months prior to the screening visit, and
Pain requiring treatment with NSAID or coxib medication for analgesia on the majority of days during the preceding month
Radiographic evidence of knee OA, as indicated by findings of Kellgren-Lawrence Grade 2 or 3 within 1 year prior to the screening visit2
American College of Rheumatology functional class I, II, or III3
WOMAC pain subscale score ≥40 mm at baseline
WOMAC function subscale score >20 mm at baseline
PGA >10 mm at baseline
In the Investigator's opinion, the ability to understand the nature of the study and any hazards of participation, and to communicate satisfactorily with the Investigator and to participate in, and to comply with, the requirements of the entire protocol
Negative screening serum pregnancy test for female patients of childbearing potential
Females of childbearing potential must utilize, throughout the course of the trial, 2 methods of contraception deemed adequate by the Investigator (for example, oral contraceptive pills plus a barrier method)
All aspects of the protocol explained and written informed consent obtained
Exclusion Criteria:
Predominant patellofemoral disease
Concomitant local or systemic inflammatory arthropathy which could confound evaluation of the knee
Ipsilateral hip or extremity disease which could confound evaluation of the knee
History of clinical significant trauma or surgery to the index knee
Arthroscopy to the index knee within 6 months prior to the screening visit
Corticosteroid, hyaluronic acid, or other intraatricular injection to the index knee within 3 months prior to the screening visit
Use of chondroitin sulfate and/or glucosamine, or diacerin, within 2 weeks prior to the screening visit
Concomitant requirement for NSAID, coxib medication, or opioid analgesics (acetaminophen is allowed)
Use of systemic corticosteroids >10 mg/d of prednisone, or equivalent
Presence or history of uncontrolled arterial hypertension or symptomatic hypotension
Significant cardiac arrhythmia or conduction block, congestive heart failure, or any other evidence of clinically significant heart disease; other clinically significant findings on screening electrocardiogram (ECG)
Hemoglobin level <10.0 gm/dL at the screening visit
White blood cell count <3000/mm3 at the screening visit
Platelet count <125,000/mm3 at the screening visit
Serum creatinine level outside the central laboratory's normal limits at the screening visit
Liver aminotransferase (ALT and/or AST) levels greater than the upper limit of normal at the screening visit
Known or suspected immunodeficiency or human immunodeficiency virus positivity
Pregnancy, lactation, or inadequate contraception as judged by the Investigator
Participation in another investigational drug or vaccine trial concurrently or within 30 days prior to screening
History of drug or alcohol dependence
History of malignancy within the past 5 years (excluding excised basal or squamous cell carcinoma of the skin)
Diagnosis of Parkinson's Disease
Significant acute or chronic medical or psychiatric illness that, in the judgment of the Investigator, could compromise patient safety, limit the patient's ability to complete the study, and/or compromise the objectives of the study
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Michael H Silverman, MD
Organizational Affiliation
Can-Fite BioPharma Ltd
Official's Role
Study Director
Facility Information:
Facility Name
Barzilai Medical Center
City
Ashkelon
Country
Israel
12. IPD Sharing Statement
Citations:
PubMed Identifier
15742438
Citation
Baharav E, Bar-Yehuda S, Madi L, Silberman D, Rath-Wolfson L, Halpren M, Ochaion A, Weinberger A, Fishman P. Antiinflammatory effect of A3 adenosine receptor agonists in murine autoimmune arthritis models. J Rheumatol. 2005 Mar;32(3):469-76.
Results Reference
background
PubMed Identifier
17922624
Citation
Bar-Yehuda S, Silverman MH, Kerns WD, Ochaion A, Cohen S, Fishman P. The anti-inflammatory effect of A3 adenosine receptor agonists: a novel targeted therapy for rheumatoid arthritis. Expert Opin Investig Drugs. 2007 Oct;16(10):1601-13. doi: 10.1517/13543784.16.10.1601.
Results Reference
background
PubMed Identifier
15516022
Citation
van Troostenburg AR, Clark EV, Carey WD, Warrington SJ, Kerns WD, Cohn I, Silverman MH, Bar-Yehuda S, Fong KL, Fishman P. Tolerability, pharmacokinetics and concentration-dependent hemodynamic effects of oral CF101, an A3 adenosine receptor agonist, in healthy young men. Int J Clin Pharmacol Ther. 2004 Oct;42(10):534-42. doi: 10.5414/cpp42534.
Results Reference
background
Links:
URL
http://www.canfite.com
Description
Sponsor
URL
http://www.canfite.com/publications.html
Description
Additional publications
Learn more about this trial
A Study of the Efficacy and Safety of CF101 to Patients With Osteoarthritis of the Knee
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