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Study to Evaluate the Efficacy and Safety of FX006 in Patients With Hip Osteoarthritis

Primary Purpose

Osteoarthritis, Hip

Status
Terminated
Phase
Phase 3
Locations
United States
Study Type
Interventional
Intervention
FX006
Normal saline
Sponsored by
Flexion Therapeutics, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Osteoarthritis, Hip focused on measuring Osteoarthritis, Hip, Pain, Intra-articular, Injection

Eligibility Criteria

40 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Willingness and ability to comply with the study procedures and visit schedules and ability to follow verbal and written instructions
  • Patients 40 to 80 years of age, inclusive, on the day of randomization (Day 1)
  • Body Mass Index (BMI) ≤ 40 kg/m2
  • Symptoms associated with OA of the index hip for ≥ 3 months prior to Screening visit
  • Currently meet the American College of Radiology (ACR) Criteria (clinical and radiological) for OA of the index hip
  • Kellgren-Lawrence (KL) Grade 2 or 3 in the index hip as confirmed by X-ray during Screening visit (centrally read)
  • Qualifying mean score on the WOMAC A and C (0-10 NRS scale)
  • Agree to maintain the similar activity level throughout the study
  • Willingness to abstain from use of restricted medications

Exclusion Criteria:

  • Patients who cannot washout of prohibited medications
  • Diagnosed as secondary OA in the index hip including but not limited to articular fracture, major dysplasia or congenital abnormality, osteochondritis dissecans, acromegaly, ochronosis, hemochromatosis, Wilson's disease, or primary osteochondromatosis, etc.
  • Ipsilateral chronic knee pain
  • Sciatica
  • Atrophic osteoarthritis, femoral head necrosis and/or collapse, or subchondral bone insufficiency fracture in the index hip joint determined via central reading
  • Current or history of infection in the index hip (e.g. osteomyelitis) or current skin infection at injection site
  • Trauma or surgeries (e.g., arthroscopy, knee surgery) of lower limbs within 52 weeks with sequelae, etc.
  • History or current evidence of reactive arthritis, rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, or arthritis associated with inflammatory bowel disease, systemic lupus erythematosus or other autoimmune diseases
  • Any planned surgeries in the lower limbs during the study period, or any other surgery during the study period that would require use of a restricted medication
  • Presence of surgical hardware or other foreign body in the index hip
  • Planned/anticipated surgery of the index hip or any other surgery that would require use of a restricted medication during the study period
  • IA corticosteroid of any joint within 3 months of Screening visit (investigational or marketed, including FX006)
  • IA treatment of index hip with any of the following agents within 6 months of Screening: any biologic agent or hyaluronic acid (investigational or marketed)
  • IV or IM corticosteroids (investigational or marketed) within 3 months of Screening
  • Oral corticosteroids (investigational or marketed) within 1 month of Screening
  • Inhaled, intranasal or topical corticosteroids (investigational or marketed) within 2 weeks of Screening visit
  • Planned or expected changes to lifestyle with regard to physical activity, physical therapy, acupuncture, transcutaneous electrical nerve stimulation (TENS), or bracing within 1 month prior to Screening and changes throughout the duration of the study
  • Women of child-bearing potential (not surgically sterile or post-menopausal for at least 1 year as documented in medical history) not using a highly effective method or who are pregnant or nursing

Sites / Locations

  • Arizona Research Center
  • Noble Clinical Research
  • Hope Clinical Research
  • TriWest Research Associates, LLC
  • BioSolutions Clinical Research Center
  • Artemis Institute for Clinical Research
  • Mountain View Clinical Research, Inc.
  • Chase Medical Research, LLC
  • Tampa Bay Medical Research
  • Florida Research Associates, LLC
  • Advanced Research for Health Improvement
  • Medallion Clinical Research Institute, LLC
  • Oviedo Medical Research
  • Progressive Medical Research
  • Precision Clinical Research, LLC
  • National Pain Research Institute
  • Better Health Clinical Research, Inc
  • Injury Care Research, LLC
  • Northwestern University Feinberg School of Medicine
  • Heartland Research Associates
  • Excel Clinical Research
  • Drug Trials America
  • M3 Wake Research, Inc.
  • PMG Research of Wilmington
  • University Orthopedics Center
  • Altoona Center for Clinical Research
  • Clinical Trials of South Carolina
  • Coastal Carolina Research Center
  • Wasatch Clinical Research, LLC
  • Charlottesville Medical Research
  • Spectrum Medical, Inc.
  • Northwest Clinical Research Center

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

FX006

Normal Saline

Arm Description

FX006 32mg

Normal Saline

Outcomes

Primary Outcome Measures

Change in WOMAC A (Pain) Score at Week 12
The change from baseline on the average Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) A (pain) score at Week 12. The average WOMAC A score is calculated by taking the average of five questions with a range from 0 (no pain) to 10 (extreme pain).

Secondary Outcome Measures

Change in WOMAC C (Function) Score at Week 12
Change from Baseline on the WOMAC C (function) score at Week 12. The average WOMAC C score is calculated by taking the average of seventeen questions with a range from 0 (no difficulty) to 10 (extreme difficulty).
PGIC Score at Week 12
PGIC (Patient Global Impression of Change) at Week 12. The PGIC score has a range from 1(very much improved) to 7 (very much worse) and indicates the overall status of the patient since baseline.

Full Information

First Posted
January 2, 2019
Last Updated
January 13, 2022
Sponsor
Flexion Therapeutics, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT03793010
Brief Title
Study to Evaluate the Efficacy and Safety of FX006 in Patients With Hip Osteoarthritis
Official Title
A Randomized, Double-blind, Placebo-controlled, Parallel-group Study to Evaluate the Efficacy and Safety of FX006 in Patients With Hip Osteoarthritis
Study Type
Interventional

2. Study Status

Record Verification Date
January 2022
Overall Recruitment Status
Terminated
Why Stopped
By Sponsor due to occurrences of incomplete study drug administration
Study Start Date
December 12, 2018 (Actual)
Primary Completion Date
August 7, 2019 (Actual)
Study Completion Date
August 7, 2019 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Flexion Therapeutics, Inc.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a two-part, multi-center, randomized, double-blind, placebo-controlled, parallel-group study in patients with hip OA. Approximately 70 patients will be enrolled in Part I and approximately 440 patients will be enrolled in Part II of the study. In each part, patients will be randomized to one of two treatment groups (1:1) and treated with a single IA injection of either 32 mg FX006 or normal saline.
Detailed Description
This is a two-part, multi-center, randomized, double-blind, placebo-controlled, parallel-group study in patients with hip OA. Approximately 70 patients will be enrolled in Part I and approximately 440 patients will be enrolled in Part II of the study. In each part, patients will be randomized to one of two treatment groups (1:1) and treated with a single IA injection of either 32 mg FX006 or normal saline. FX006 or saline placebo will be administered as a single IA injection with a 12-week follow-up period in the double-blind phase. Patients participating in Part I of the study will be treated with a single IA injection of either 32 mg FX006 or normal saline and will return for follow up visits at Weeks 12, 16, 20, and 24. The patients will be discontinued at the time of notification by the Investigator. Patients participating in Part II of the study will be treated with a single IA injection of either 32 mg FX006 or normal saline and will return for follow up visits at Weeks 12, 16, 20, and 24. Patients participating in Part II of the study that are not clinically indicated for a second injection at Week 12 will return to the clinic at Weeks 16, 20, and 24 and will receive an open-label injection of FX006 at the first evaluation where the patient has been determined to meet all criteria. Patients will then return for follow-up visits every 4 weeks for 12 weeks post second injection and will complete the study 12 weeks post second injection (e.g., Week 24, 28, 32, or 36 depending on when the patient receives the open-label injection). Patients participating in Part II of the study who are not eligible for a second injection after evaluation at Weeks 12, 16, 20, and 24 will complete the study at the Week 24 visit and complete the End of Study (EOS) assessments.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Osteoarthritis, Hip
Keywords
Osteoarthritis, Hip, Pain, Intra-articular, Injection

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Model Description
Randomized, Double-blind, Placebo-controlled, Parallel-group
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
70 (Actual)

8. Arms, Groups, and Interventions

Arm Title
FX006
Arm Type
Experimental
Arm Description
FX006 32mg
Arm Title
Normal Saline
Arm Type
Placebo Comparator
Arm Description
Normal Saline
Intervention Type
Drug
Intervention Name(s)
FX006
Intervention Description
Single Intra-articular injection
Intervention Type
Drug
Intervention Name(s)
Normal saline
Intervention Description
Single Intra-articular injection
Primary Outcome Measure Information:
Title
Change in WOMAC A (Pain) Score at Week 12
Description
The change from baseline on the average Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) A (pain) score at Week 12. The average WOMAC A score is calculated by taking the average of five questions with a range from 0 (no pain) to 10 (extreme pain).
Time Frame
Baseline and Week 12
Secondary Outcome Measure Information:
Title
Change in WOMAC C (Function) Score at Week 12
Description
Change from Baseline on the WOMAC C (function) score at Week 12. The average WOMAC C score is calculated by taking the average of seventeen questions with a range from 0 (no difficulty) to 10 (extreme difficulty).
Time Frame
Baseline and Week 12
Title
PGIC Score at Week 12
Description
PGIC (Patient Global Impression of Change) at Week 12. The PGIC score has a range from 1(very much improved) to 7 (very much worse) and indicates the overall status of the patient since baseline.
Time Frame
12 Weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
40 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Willingness and ability to comply with the study procedures and visit schedules and ability to follow verbal and written instructions Patients 40 to 80 years of age, inclusive, on the day of randomization (Day 1) Body Mass Index (BMI) ≤ 40 kg/m2 Symptoms associated with OA of the index hip for ≥ 3 months prior to Screening visit Currently meet the American College of Radiology (ACR) Criteria (clinical and radiological) for OA of the index hip Kellgren-Lawrence (KL) Grade 2 or 3 in the index hip as confirmed by X-ray during Screening visit (centrally read) Qualifying mean score on the WOMAC A and C (0-10 NRS scale) Agree to maintain the similar activity level throughout the study Willingness to abstain from use of restricted medications Exclusion Criteria: Patients who cannot washout of prohibited medications Diagnosed as secondary OA in the index hip including but not limited to articular fracture, major dysplasia or congenital abnormality, osteochondritis dissecans, acromegaly, ochronosis, hemochromatosis, Wilson's disease, or primary osteochondromatosis, etc. Ipsilateral chronic knee pain Sciatica Atrophic osteoarthritis, femoral head necrosis and/or collapse, or subchondral bone insufficiency fracture in the index hip joint determined via central reading Current or history of infection in the index hip (e.g. osteomyelitis) or current skin infection at injection site Trauma or surgeries (e.g., arthroscopy, knee surgery) of lower limbs within 52 weeks with sequelae, etc. History or current evidence of reactive arthritis, rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, or arthritis associated with inflammatory bowel disease, systemic lupus erythematosus or other autoimmune diseases Any planned surgeries in the lower limbs during the study period, or any other surgery during the study period that would require use of a restricted medication Presence of surgical hardware or other foreign body in the index hip Planned/anticipated surgery of the index hip or any other surgery that would require use of a restricted medication during the study period IA corticosteroid of any joint within 3 months of Screening visit (investigational or marketed, including FX006) IA treatment of index hip with any of the following agents within 6 months of Screening: any biologic agent or hyaluronic acid (investigational or marketed) IV or IM corticosteroids (investigational or marketed) within 3 months of Screening Oral corticosteroids (investigational or marketed) within 1 month of Screening Inhaled, intranasal or topical corticosteroids (investigational or marketed) within 2 weeks of Screening visit Planned or expected changes to lifestyle with regard to physical activity, physical therapy, acupuncture, transcutaneous electrical nerve stimulation (TENS), or bracing within 1 month prior to Screening and changes throughout the duration of the study Women of child-bearing potential (not surgically sterile or post-menopausal for at least 1 year as documented in medical history) not using a highly effective method or who are pregnant or nursing
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Scott Kelley, MD
Organizational Affiliation
Flexion Therapeutics, Inc.
Official's Role
Study Director
Facility Information:
Facility Name
Arizona Research Center
City
Phoenix
State/Province
Arizona
ZIP/Postal Code
85053
Country
United States
Facility Name
Noble Clinical Research
City
Tucson
State/Province
Arizona
ZIP/Postal Code
85704
Country
United States
Facility Name
Hope Clinical Research
City
Canoga Park
State/Province
California
ZIP/Postal Code
91303
Country
United States
Facility Name
TriWest Research Associates, LLC
City
El Cajon
State/Province
California
ZIP/Postal Code
92020
Country
United States
Facility Name
BioSolutions Clinical Research Center
City
La Mesa
State/Province
California
ZIP/Postal Code
91942
Country
United States
Facility Name
Artemis Institute for Clinical Research
City
San Diego
State/Province
California
ZIP/Postal Code
92103
Country
United States
Facility Name
Mountain View Clinical Research, Inc.
City
Denver
State/Province
Colorado
ZIP/Postal Code
80209
Country
United States
Facility Name
Chase Medical Research, LLC
City
Waterbury
State/Province
Connecticut
ZIP/Postal Code
06708
Country
United States
Facility Name
Tampa Bay Medical Research
City
Clearwater
State/Province
Florida
ZIP/Postal Code
33761
Country
United States
Facility Name
Florida Research Associates, LLC
City
DeLand
State/Province
Florida
ZIP/Postal Code
32720
Country
United States
Facility Name
Advanced Research for Health Improvement
City
Naples
State/Province
Florida
ZIP/Postal Code
34102
Country
United States
Facility Name
Medallion Clinical Research Institute, LLC
City
Naples
State/Province
Florida
ZIP/Postal Code
34102
Country
United States
Facility Name
Oviedo Medical Research
City
Oviedo
State/Province
Florida
ZIP/Postal Code
32765
Country
United States
Facility Name
Progressive Medical Research
City
Port Orange
State/Province
Florida
ZIP/Postal Code
32127
Country
United States
Facility Name
Precision Clinical Research, LLC
City
Sunrise
State/Province
Florida
ZIP/Postal Code
33351
Country
United States
Facility Name
National Pain Research Institute
City
Winter Park
State/Province
Florida
ZIP/Postal Code
32789
Country
United States
Facility Name
Better Health Clinical Research, Inc
City
Newnan
State/Province
Georgia
ZIP/Postal Code
30265
Country
United States
Facility Name
Injury Care Research, LLC
City
Boise
State/Province
Idaho
ZIP/Postal Code
83713
Country
United States
Facility Name
Northwestern University Feinberg School of Medicine
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60611
Country
United States
Facility Name
Heartland Research Associates
City
Newton
State/Province
Kansas
ZIP/Postal Code
67114
Country
United States
Facility Name
Excel Clinical Research
City
Las Vegas
State/Province
Nevada
ZIP/Postal Code
89109
Country
United States
Facility Name
Drug Trials America
City
Hartsdale
State/Province
New York
ZIP/Postal Code
10530
Country
United States
Facility Name
M3 Wake Research, Inc.
City
Raleigh
State/Province
North Carolina
ZIP/Postal Code
27612
Country
United States
Facility Name
PMG Research of Wilmington
City
Wilmington
State/Province
North Carolina
ZIP/Postal Code
28401
Country
United States
Facility Name
University Orthopedics Center
City
Altoona
State/Province
Pennsylvania
ZIP/Postal Code
16602
Country
United States
Facility Name
Altoona Center for Clinical Research
City
Duncansville
State/Province
Pennsylvania
ZIP/Postal Code
16635
Country
United States
Facility Name
Clinical Trials of South Carolina
City
Charleston
State/Province
South Carolina
ZIP/Postal Code
29406
Country
United States
Facility Name
Coastal Carolina Research Center
City
Charleston
State/Province
South Carolina
ZIP/Postal Code
29406
Country
United States
Facility Name
Wasatch Clinical Research, LLC
City
Salt Lake City
State/Province
Utah
ZIP/Postal Code
84107
Country
United States
Facility Name
Charlottesville Medical Research
City
Charlottesville
State/Province
Virginia
ZIP/Postal Code
22911
Country
United States
Facility Name
Spectrum Medical, Inc.
City
Danville
State/Province
Virginia
ZIP/Postal Code
24541
Country
United States
Facility Name
Northwest Clinical Research Center
City
Bellevue
State/Province
Washington
ZIP/Postal Code
98007
Country
United States

12. IPD Sharing Statement

Learn more about this trial

Study to Evaluate the Efficacy and Safety of FX006 in Patients With Hip Osteoarthritis

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