search
Back to results

A Study to Evaluate the Analgesic Efficacy and Safety of VM902A in Subjects With Osteoarthritis (OA) of the Knee

Primary Purpose

Osteoarthritis Pain of the Knee

Status
Terminated
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
VM902A 200-mg Capsules
VM902A 400-mg Capsules
Naproxen 500-mg Capsules
Placebo
Sponsored by
Purdue Pharma LP
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Osteoarthritis Pain of the Knee focused on measuring Osteoarthritis, Pain, Osteoarthritis, knee

Eligibility Criteria

40 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Key Inclusion Criteria Include:

  1. Males and females ≥ 40 and ≤ 75 years of age with moderate to severe chronic OA pain of the knee (lasting several hours daily) as their predominant pain condition for at least 6 months prior to screening
  2. Diagnostic criteria for primary pain condition (American College of Rheumatology [ACR] clinical and radiographic criteria):

    • At least 1 of the following in addition to knee pain: age > 50, stiffness < 30 min, crepitus on active motion, and
    • Kellgren-Lawrence (K-L) grade 2 or 3 radiographic evidence at the screening visit as determined by a local radiologist or rheumatologist. Note that K-L grades 2 to 3 require the presence of osteophytes, which is required to meet ACR clinical and radiographic criteria for knee OA
  3. Subjects whose OA pain of the index knee is not adequately treated prior to the screening visit:

    • Subjects must have a self-reported average pain intensity rating of moderate or severe on a verbal rating scale (ie, none, mild, moderate, and severe) over the 7 days prior to the screening visit

  4. The subjects must have "average pain over the last 24 hours" scores ≥ 5 and ≤ 9 on an 11-point numerical rating scale (NRS) for the index knee on ≥ 3 consecutive days during the screening period and come in for randomization within 72 hours after qualification is met
  5. Subjects who are willing and able to stop taking any/all analgesic medications, including over-the-counter pain medications, opioids, marijuana, and topical analgesics for OA pain for the duration of the treatment period, with the exception of study-specific rescue medication.

Key Exclusion Criteria Include:

  1. Subjects with radiographic evidence of OA with K-L grade 0, 1, or 4
  2. Subjects at risk for destructive arthropathy, subjects with a history of osteonecrosis, osteoporotic fracture, rapidly progressive osteoarthritis (RPOA 1 and 2), subchondral insufficiency fracture, and hip/knee dislocations
  3. Subjects considered high risk for surgery based upon American Society of Anesthesiologists physical classification system for surgery grading, or subjects who would not be willing to undergo joint replacement surgery if required
  4. Subjects with chronic pain conditions other than OA of the knee as their predominant pain condition, including gout (except for subjects with gout that is controlled with diet and/or with stable suppressive treatment with uric acid reducing medication(s) and/or colchicine, and who have not had any attack within the past 2 years), pseudogout, psoriatic arthritis, active Lyme disease, rheumatoid arthritis or any other inflammatory arthritis, fibromyalgia, neuropathic pain conditions, bursitis, or acute injury or signs of active infection in the target pain area
  5. Subjects scheduled for surgical interventions of the disease site or any other major surgery during the study conduct period
  6. Subjects with a history of a prior joint replacement of the index knee
  7. Subjects who have had arthroscopy on either knee or hip within 6 months of entering the study, or open surgery on either knee or hip within 12 months of entering the study.

Other protocol-specific inclusion/exclusion criteria may apply.

Sites / Locations

  • Investigational Site
  • Investigational Site
  • Investigational Site
  • Investigational Site
  • Investigational Site
  • Investigational Site
  • Investigational Site
  • Investigational Site
  • Investigational Site
  • Investigational Site
  • Investigational Site
  • Investigational Site
  • Investigational Site
  • Investigational Site
  • Investigational Site
  • Investigational Site
  • Investigational Site
  • Investigational Site
  • Investigational Site
  • Investigational Site
  • Investigational Site
  • Investigational Site
  • Investigational Site
  • Investigational Site
  • Investigational Site
  • Investigational Site
  • Investigational Site
  • Investigational Site
  • Investigational Site
  • Investigational Site
  • Investigational Site

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Active Comparator

Placebo Comparator

Arm Label

VM902A 200 mg

VM902A 400 mg

Naproxen

Placebo

Arm Description

VM902A 200-mg Capsules

VM902A 400-mg Capsules (2 x 200-mg capsules)

Naproxen 500-mg Capsules

Placebo

Outcomes

Primary Outcome Measures

Daily "Average Pain Over the Last 24 Hours" Score at Week 4

Secondary Outcome Measures

Weekly "Average Pain Over the Last 24 Hours" at Week 4
Average Daily "Pain Right Now" Score at Week 4
Western Ontario and McMaster OA Index (WOMAC) - Total Scores
Western Ontario and McMaster OA Index (WOMAC) Pain Severity Subscale Score
Western Ontario and McMaster OA Index (WOMAC) Physical Function Subscale Score
Western Ontario and McMaster OA Index (WOMAC) Stiffness Subscale Score
Modified Brief Pain Inventory-Short Form (mBPI-SF) - Total Scores
Modified Brief Pain Inventory-Short Form (mBPI-SF) Pain Severity Subscale Score
Modified Brief Pain Inventory-Short Form (mBPI-SF) Pain Interference Subscale Score
Medical Outcomes Study 36-item Short-Form Health Survey (SF-36)
EuroQol-5D (EQ-5D) to Measure Health Status
Patient Global Impression of Change (PGIC) at the End of the Double-blind Period
Supplemental Analgesic Medication Use
The average daily number of tablets of supplemental pain medication taken during the study.
Responder to Treatment
The percentage reduction from the baseline mean "average pain over the last 24 hours" score to the week 4 mean pain score from the mBPI-SF pain severity subscale.
Hospital Anxiety and Depression Scale (HADS) Score
Safety assessment to evaluate the impact of VM902A on mood (anxiety and depression)
Columbia-Suicide Severity Rating Score (C-SSRS)
Safety assessment to evaluate the occurrence of treatment-emergent suicidal ideation
Survey of Autonomic Symptoms (SAS) Score
Safety assessment to evaluate symptoms of autonomic dysfunction
Kellgren-Lawrence Classification (K-L) Score
Safety assessment to classify the severity of knee OA

Full Information

First Posted
July 25, 2016
Last Updated
November 20, 2017
Sponsor
Purdue Pharma LP
search

1. Study Identification

Unique Protocol Identification Number
NCT02847702
Brief Title
A Study to Evaluate the Analgesic Efficacy and Safety of VM902A in Subjects With Osteoarthritis (OA) of the Knee
Official Title
A Phase 2a, Multicenter, Randomized, Double-blind, Placebo Controlled and Active-controlled, Parallel-group Study Evaluating the Analgesic Efficacy and Safety of VM902A in Subjects With Moderate to Severe Chronic Pain Due to Osteoarthritis of the Knee
Study Type
Interventional

2. Study Status

Record Verification Date
November 2017
Overall Recruitment Status
Terminated
Why Stopped
Company decision
Study Start Date
August 2016 (Actual)
Primary Completion Date
November 22, 2016 (Actual)
Study Completion Date
November 22, 2016 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Purdue Pharma LP

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to evaluate the analgesic efficacy, safety, and tolerability of VM902A twice daily compared to placebo in subjects with moderate to severe chronic pain due to OA of the knee.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
75 (Actual)

8. Arms, Groups, and Interventions

Arm Title
VM902A 200 mg
Arm Type
Experimental
Arm Description
VM902A 200-mg Capsules
Arm Title
VM902A 400 mg
Arm Type
Experimental
Arm Description
VM902A 400-mg Capsules (2 x 200-mg capsules)
Arm Title
Naproxen
Arm Type
Active Comparator
Arm Description
Naproxen 500-mg Capsules
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo
Intervention Type
Drug
Intervention Name(s)
VM902A 200-mg Capsules
Intervention Description
Taken orally with food twice daily
Intervention Type
Drug
Intervention Name(s)
VM902A 400-mg Capsules
Intervention Description
Taken orally with food twice daily
Intervention Type
Drug
Intervention Name(s)
Naproxen 500-mg Capsules
Intervention Description
Taken orally with food twice daily
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Capsules to match VM902A and/or naproxen taken orally with food twice daily
Primary Outcome Measure Information:
Title
Daily "Average Pain Over the Last 24 Hours" Score at Week 4
Time Frame
Week 4
Secondary Outcome Measure Information:
Title
Weekly "Average Pain Over the Last 24 Hours" at Week 4
Time Frame
Week 4
Title
Average Daily "Pain Right Now" Score at Week 4
Time Frame
Week 4
Title
Western Ontario and McMaster OA Index (WOMAC) - Total Scores
Time Frame
Week 4
Title
Western Ontario and McMaster OA Index (WOMAC) Pain Severity Subscale Score
Time Frame
Week 4
Title
Western Ontario and McMaster OA Index (WOMAC) Physical Function Subscale Score
Time Frame
Week 4
Title
Western Ontario and McMaster OA Index (WOMAC) Stiffness Subscale Score
Time Frame
Week 4
Title
Modified Brief Pain Inventory-Short Form (mBPI-SF) - Total Scores
Time Frame
Week 4
Title
Modified Brief Pain Inventory-Short Form (mBPI-SF) Pain Severity Subscale Score
Time Frame
Week 4
Title
Modified Brief Pain Inventory-Short Form (mBPI-SF) Pain Interference Subscale Score
Time Frame
Week 4
Title
Medical Outcomes Study 36-item Short-Form Health Survey (SF-36)
Time Frame
Week 4
Title
EuroQol-5D (EQ-5D) to Measure Health Status
Time Frame
Week 4
Title
Patient Global Impression of Change (PGIC) at the End of the Double-blind Period
Time Frame
Week 4
Title
Supplemental Analgesic Medication Use
Description
The average daily number of tablets of supplemental pain medication taken during the study.
Time Frame
Days 1 - 28
Title
Responder to Treatment
Description
The percentage reduction from the baseline mean "average pain over the last 24 hours" score to the week 4 mean pain score from the mBPI-SF pain severity subscale.
Time Frame
Week 4
Title
Hospital Anxiety and Depression Scale (HADS) Score
Description
Safety assessment to evaluate the impact of VM902A on mood (anxiety and depression)
Time Frame
Baseline to Week 4
Title
Columbia-Suicide Severity Rating Score (C-SSRS)
Description
Safety assessment to evaluate the occurrence of treatment-emergent suicidal ideation
Time Frame
Baseline to Week 4
Title
Survey of Autonomic Symptoms (SAS) Score
Description
Safety assessment to evaluate symptoms of autonomic dysfunction
Time Frame
Baseline to Week 4
Title
Kellgren-Lawrence Classification (K-L) Score
Description
Safety assessment to classify the severity of knee OA
Time Frame
Baseline to Week 4

10. Eligibility

Sex
All
Minimum Age & Unit of Time
40 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Key Inclusion Criteria Include: Males and females ≥ 40 and ≤ 75 years of age with moderate to severe chronic OA pain of the knee (lasting several hours daily) as their predominant pain condition for at least 6 months prior to screening Diagnostic criteria for primary pain condition (American College of Rheumatology [ACR] clinical and radiographic criteria): At least 1 of the following in addition to knee pain: age > 50, stiffness < 30 min, crepitus on active motion, and Kellgren-Lawrence (K-L) grade 2 or 3 radiographic evidence at the screening visit as determined by a local radiologist or rheumatologist. Note that K-L grades 2 to 3 require the presence of osteophytes, which is required to meet ACR clinical and radiographic criteria for knee OA Subjects whose OA pain of the index knee is not adequately treated prior to the screening visit: • Subjects must have a self-reported average pain intensity rating of moderate or severe on a verbal rating scale (ie, none, mild, moderate, and severe) over the 7 days prior to the screening visit The subjects must have "average pain over the last 24 hours" scores ≥ 5 and ≤ 9 on an 11-point numerical rating scale (NRS) for the index knee on ≥ 3 consecutive days during the screening period and come in for randomization within 72 hours after qualification is met Subjects who are willing and able to stop taking any/all analgesic medications, including over-the-counter pain medications, opioids, marijuana, and topical analgesics for OA pain for the duration of the treatment period, with the exception of study-specific rescue medication. Key Exclusion Criteria Include: Subjects with radiographic evidence of OA with K-L grade 0, 1, or 4 Subjects at risk for destructive arthropathy, subjects with a history of osteonecrosis, osteoporotic fracture, rapidly progressive osteoarthritis (RPOA 1 and 2), subchondral insufficiency fracture, and hip/knee dislocations Subjects considered high risk for surgery based upon American Society of Anesthesiologists physical classification system for surgery grading, or subjects who would not be willing to undergo joint replacement surgery if required Subjects with chronic pain conditions other than OA of the knee as their predominant pain condition, including gout (except for subjects with gout that is controlled with diet and/or with stable suppressive treatment with uric acid reducing medication(s) and/or colchicine, and who have not had any attack within the past 2 years), pseudogout, psoriatic arthritis, active Lyme disease, rheumatoid arthritis or any other inflammatory arthritis, fibromyalgia, neuropathic pain conditions, bursitis, or acute injury or signs of active infection in the target pain area Subjects scheduled for surgical interventions of the disease site or any other major surgery during the study conduct period Subjects with a history of a prior joint replacement of the index knee Subjects who have had arthroscopy on either knee or hip within 6 months of entering the study, or open surgery on either knee or hip within 12 months of entering the study. Other protocol-specific inclusion/exclusion criteria may apply.
Facility Information:
Facility Name
Investigational Site
City
Birmingham
State/Province
Alabama
ZIP/Postal Code
35216
Country
United States
Facility Name
Investigational Site
City
Huntsville
State/Province
Alabama
ZIP/Postal Code
35801
Country
United States
Facility Name
Investigational Site
City
DeLand
State/Province
Florida
ZIP/Postal Code
32720
Country
United States
Facility Name
Investigational Site
City
Hialeah
State/Province
Florida
ZIP/Postal Code
33012
Country
United States
Facility Name
Investigational Site
City
Homestead
State/Province
Florida
ZIP/Postal Code
33030
Country
United States
Facility Name
Investigational Site
City
Jupiter
State/Province
Florida
ZIP/Postal Code
33458
Country
United States
Facility Name
Investigational Site
City
Orlando
State/Province
Florida
ZIP/Postal Code
32806
Country
United States
Facility Name
Investigational Site
City
Port Orange
State/Province
Florida
ZIP/Postal Code
32129
Country
United States
Facility Name
Investigational Site
City
Port Saint Lucie
State/Province
Florida
ZIP/Postal Code
34952
Country
United States
Facility Name
Investigational Site
City
The Villages
State/Province
Florida
ZIP/Postal Code
32162
Country
United States
Facility Name
Investigational Site
City
West Palm Beach
State/Province
Florida
ZIP/Postal Code
33409
Country
United States
Facility Name
Investigational Site
City
Columbus
State/Province
Georgia
ZIP/Postal Code
31904
Country
United States
Facility Name
Investigational Site
City
Avon
State/Province
Indiana
ZIP/Postal Code
46123
Country
United States
Facility Name
Investigational Site
City
Muncie
State/Province
Indiana
ZIP/Postal Code
47304
Country
United States
Facility Name
Investigational Site
City
Newton
State/Province
Kansas
ZIP/Postal Code
67114
Country
United States
Facility Name
Investigational Site
City
Prairie Village
State/Province
Kansas
ZIP/Postal Code
66206
Country
United States
Facility Name
Investigational Site
City
New Bedford
State/Province
Massachusetts
ZIP/Postal Code
02740
Country
United States
Facility Name
Investigational Site
City
Bay City
State/Province
Michigan
ZIP/Postal Code
48706
Country
United States
Facility Name
Investigational Site
City
Troy
State/Province
Michigan
ZIP/Postal Code
48098
Country
United States
Facility Name
Investigational Site
City
Kansas City
State/Province
Missouri
ZIP/Postal Code
64114
Country
United States
Facility Name
Investigational Site
City
Saint Louis
State/Province
Missouri
ZIP/Postal Code
63141
Country
United States
Facility Name
Investigational Site
City
Bronx
State/Province
New York
ZIP/Postal Code
10467
Country
United States
Facility Name
Investigational Site
City
Hartsdale
State/Province
New York
ZIP/Postal Code
10530
Country
United States
Facility Name
Investigational Site
City
Rosedale
State/Province
New York
ZIP/Postal Code
11422
Country
United States
Facility Name
Investigational Site
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45219
Country
United States
Facility Name
Investigational Site
City
Dayton
State/Province
Ohio
ZIP/Postal Code
45417
Country
United States
Facility Name
Investigational Site
City
Dublin
State/Province
Ohio
ZIP/Postal Code
43016
Country
United States
Facility Name
Investigational Site
City
Duncansville
State/Province
Pennsylvania
ZIP/Postal Code
16635
Country
United States
Facility Name
Investigational Site
City
Ogden
State/Province
Utah
ZIP/Postal Code
84405
Country
United States
Facility Name
Investigational Site
City
Salt Lake City
State/Province
Utah
ZIP/Postal Code
84121
Country
United States
Facility Name
Investigational Site
City
South Jordan
State/Province
Utah
ZIP/Postal Code
84095
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

A Study to Evaluate the Analgesic Efficacy and Safety of VM902A in Subjects With Osteoarthritis (OA) of the Knee

We'll reach out to this number within 24 hrs