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A Study of the Efficacy and Safety of VX-150 in Subjects With Osteoarthritis of the Knee

Primary Purpose

Osteoarthritis

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
VX-150
Placebo
Sponsored by
Vertex Pharmaceuticals Incorporated
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Osteoarthritis

Eligibility Criteria

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

Inclusion Criteria:

  • Willing and able to comply with scheduled visits, treatment plan, study restrictions, laboratory tests, contraceptive guidelines, and other study procedures.
  • Subjects (male and female [of non-childbearing potential]) will be between the ages of 40 and 80 years, inclusive. Female subjects must have a negative pregnancy test at Screening and on Day 1 of each Treatment Period and must not be nursing; male subjects must not have a female partner who is pregnant or nursing.
  • Body mass index (BMI) of 18.0 to 38.0 kg/m2, inclusive, and a total body weight of 50 to 150 kg.
  • Ambulatory with osteoarthritis of the knee with symptoms for at least 6 months and pain on the majority of days for the past 30 days. Symptoms must include knee joint pain. In subjects with bilateral knee osteoarthritis, the more symptomatic knee will be considered the index knee.
  • Radiographic evidence of at least one tibiofemoral osteophyte in the index knee within 12 months before the Day 1 Visit.
  • WOMAC pain subscale score

Exclusion Criteria:

  • History in the past 10 years of reactive arthritis, rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, arthritis associated with inflammatory bowel disease, sarcoidosis, amyloidosis or fibromyalgia.
  • History in the past 10 years of malignancy with the exception of resected basal cell carcinoma, squamous cell carcinoma of the skin or resected cervical atypia or carcinoma in situ.
  • History of cardiac dysrhythmias requiring anti-arrythmia treatment(s).
  • History of abnormal laboratory results ≥2.5 × upper limit of normal (ULN) indicative of any significant medical disease which in the opinion of the investigator would preclude the subjects participation in the study.
  • A known or clinically suspected infection with human immunodeficiency virus or hepatitis B or C viruses.
  • Other serious, acute or chronic medical or psychiatric illness that in the judgment of the investigator could compromise subject safety, limit the subject's ability to complete the study and/or compromise the objectives of the study.
  • Either participated within 3 months in another investigational study in which the subject was exposed to study drugs or vaccines,or will participate concurrently in such study.
  • History of drug or alcohol dependence in the past 3 years, or a positive test for drugs of abuse at the Screening Visit.
  • Requires opioids for pain relief.
  • Changed analgesic treatment regimen within 30 days of the Screening Visit.
  • Received or plan to receive short acting hyaluronic acid, corticosteroid, or other intra-articular injections as follows:

    1. in the index knee within 3 months of the Screening Visit, or at any time during the study
    2. in any other joint within 4 weeks of the Screening Visit, or at any time during the study
  • Received or plan to receive long acting hyaluronic acid or other intra-articular injections as follows:

    1. in the index knee within 6 months of the Screening Visit, or at any time during the study
    2. in any other joint within 4 weeks of the Screening Visit, or at any time during the study
  • History of arthroscopic or open surgery within 12 months before the Screening Visit, or have a planned surgery during, or immediately after, study follow-up.
  • History of joint replacement surgery in the index knee.
  • Significant hip pain, ipsilateral to the index knee that may interfere with assessments of index knee pain.
  • Clinical signs and symptoms of an active knee infection.
  • Current use of a handicap assistance device (unilateral assistance device such as a cane is permitted).
  • Started a new physical therapy, weight loss, or exercise program within 3 months of the Screening Visit, or are not willing to maintain a stable program during the course of the study.
  • Lab abnormalities at the screening visit.

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

VX-150, placebo

placebo, VX-150

Arm Description

Sequence 1: VX-150 in Treatment Period 1→washout→ placebo in Treatment Period 2

Sequence 2: placebo in Treatment Period 1→washout→ VX-150 in Treatment Period 2

Outcomes

Primary Outcome Measures

Change from baseline in Western Ontario and McMaster Universities (WOMAC) osteoarthritis index pain subscale score at Day 14

Secondary Outcome Measures

Proportion of subjects with ≥50% reduction in WOMAC pain subscale at Day 14
Change from baseline in total WOMAC score at Day 14
Use of rescue medications [to be obtained by electronic diary and questionnaire]
Safety and tolerability based on the incidence and type of adverse events (AEs),changes from baseline in clinically significant laboratory test results, and assessment of 12 lead electrocardiograms (ECGs) and vital signs at designated visits.
Plasma PK parameters of prodrug, VX-150 and its primary metabolite: Cmax [maximum plasma concentrations]
Plasma PK parameters of prodrug, VX-150 and its primary metabolite: Tmax [time to maximum plasma concentration]
Plasma PK parameters of prodrug, VX-150 and its primary metabolite: AUC [area under the plasma concentration-time curve]

Full Information

First Posted
December 18, 2015
Last Updated
September 22, 2020
Sponsor
Vertex Pharmaceuticals Incorporated
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1. Study Identification

Unique Protocol Identification Number
NCT02660424
Brief Title
A Study of the Efficacy and Safety of VX-150 in Subjects With Osteoarthritis of the Knee
Official Title
A Phase 2a Randomized, Double-blind, Placebo-Controlled, Crossover Study of the Efficacy and Safety of VX-150 in Subjects With Osteoarthritis of the Knee
Study Type
Interventional

2. Study Status

Record Verification Date
September 2020
Overall Recruitment Status
Completed
Study Start Date
December 2015 (undefined)
Primary Completion Date
August 2016 (Actual)
Study Completion Date
September 2016 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Vertex Pharmaceuticals Incorporated

4. Oversight

5. Study Description

Brief Summary
The Primary objective of this study is to evaluate the efficacy of VX-150 in the treatment of osteoarthritis pain

6. Conditions and Keywords

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

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
VX-150, placebo
Arm Type
Experimental
Arm Description
Sequence 1: VX-150 in Treatment Period 1→washout→ placebo in Treatment Period 2
Arm Title
placebo, VX-150
Arm Type
Experimental
Arm Description
Sequence 2: placebo in Treatment Period 1→washout→ VX-150 in Treatment Period 2
Intervention Type
Drug
Intervention Name(s)
VX-150
Intervention Type
Drug
Intervention Name(s)
Placebo
Primary Outcome Measure Information:
Title
Change from baseline in Western Ontario and McMaster Universities (WOMAC) osteoarthritis index pain subscale score at Day 14
Time Frame
from baseline at Day 14
Secondary Outcome Measure Information:
Title
Proportion of subjects with ≥50% reduction in WOMAC pain subscale at Day 14
Time Frame
at Day 14
Title
Change from baseline in total WOMAC score at Day 14
Time Frame
at Day 14
Title
Use of rescue medications [to be obtained by electronic diary and questionnaire]
Time Frame
Treatment periods1 (14 days) and 2 (14 days)
Title
Safety and tolerability based on the incidence and type of adverse events (AEs),changes from baseline in clinically significant laboratory test results, and assessment of 12 lead electrocardiograms (ECGs) and vital signs at designated visits.
Time Frame
up to 12 weeks (duration of study)
Title
Plasma PK parameters of prodrug, VX-150 and its primary metabolite: Cmax [maximum plasma concentrations]
Time Frame
Days 1,14 of each treatment periods
Title
Plasma PK parameters of prodrug, VX-150 and its primary metabolite: Tmax [time to maximum plasma concentration]
Time Frame
Days 1,14 of each treatment periods
Title
Plasma PK parameters of prodrug, VX-150 and its primary metabolite: AUC [area under the plasma concentration-time curve]
Time Frame
Days 1,14,16,18 of each treatment periods

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: Willing and able to comply with scheduled visits, treatment plan, study restrictions, laboratory tests, contraceptive guidelines, and other study procedures. Subjects (male and female [of non-childbearing potential]) will be between the ages of 40 and 80 years, inclusive. Female subjects must have a negative pregnancy test at Screening and on Day 1 of each Treatment Period and must not be nursing; male subjects must not have a female partner who is pregnant or nursing. Body mass index (BMI) of 18.0 to 38.0 kg/m2, inclusive, and a total body weight of 50 to 150 kg. Ambulatory with osteoarthritis of the knee with symptoms for at least 6 months and pain on the majority of days for the past 30 days. Symptoms must include knee joint pain. In subjects with bilateral knee osteoarthritis, the more symptomatic knee will be considered the index knee. Radiographic evidence of at least one tibiofemoral osteophyte in the index knee within 12 months before the Day 1 Visit. WOMAC pain subscale score Exclusion Criteria: History in the past 10 years of reactive arthritis, rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, arthritis associated with inflammatory bowel disease, sarcoidosis, amyloidosis or fibromyalgia. History in the past 10 years of malignancy with the exception of resected basal cell carcinoma, squamous cell carcinoma of the skin or resected cervical atypia or carcinoma in situ. History of cardiac dysrhythmias requiring anti-arrythmia treatment(s). History of abnormal laboratory results ≥2.5 × upper limit of normal (ULN) indicative of any significant medical disease which in the opinion of the investigator would preclude the subjects participation in the study. A known or clinically suspected infection with human immunodeficiency virus or hepatitis B or C viruses. Other serious, acute or chronic medical or psychiatric illness that in the judgment of the investigator could compromise subject safety, limit the subject's ability to complete the study and/or compromise the objectives of the study. Either participated within 3 months in another investigational study in which the subject was exposed to study drugs or vaccines,or will participate concurrently in such study. History of drug or alcohol dependence in the past 3 years, or a positive test for drugs of abuse at the Screening Visit. Requires opioids for pain relief. Changed analgesic treatment regimen within 30 days of the Screening Visit. Received or plan to receive short acting hyaluronic acid, corticosteroid, or other intra-articular injections as follows: in the index knee within 3 months of the Screening Visit, or at any time during the study in any other joint within 4 weeks of the Screening Visit, or at any time during the study Received or plan to receive long acting hyaluronic acid or other intra-articular injections as follows: in the index knee within 6 months of the Screening Visit, or at any time during the study in any other joint within 4 weeks of the Screening Visit, or at any time during the study History of arthroscopic or open surgery within 12 months before the Screening Visit, or have a planned surgery during, or immediately after, study follow-up. History of joint replacement surgery in the index knee. Significant hip pain, ipsilateral to the index knee that may interfere with assessments of index knee pain. Clinical signs and symptoms of an active knee infection. Current use of a handicap assistance device (unilateral assistance device such as a cane is permitted). Started a new physical therapy, weight loss, or exercise program within 3 months of the Screening Visit, or are not willing to maintain a stable program during the course of the study. Lab abnormalities at the screening visit.
Facility Information:
City
San Diego
State/Province
California
Country
United States
City
West Palm Beach
State/Province
Florida
Country
United States
City
Marietta
State/Province
Georgia
Country
United States
City
Valparaiso
State/Province
Indiana
Country
United States
City
Wichita
State/Province
Kansas
Country
United States
City
Bay City
State/Province
Michigan
Country
United States
City
Las Vegas
State/Province
Nevada
Country
United States
City
Hartsdale
State/Province
New York
Country
United States
City
Duncansville
State/Province
Pennsylvania
Country
United States
City
Providence
State/Province
Rhode Island
Country
United States
City
Chattanooga
State/Province
Tennessee
Country
United States
City
Danville
State/Province
Virginia
Country
United States

12. IPD Sharing Statement

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A Study of the Efficacy and Safety of VX-150 in Subjects With Osteoarthritis of the Knee

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