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Phase IIa, Randomized, Double Blinded, Placebo Controlled, Dose Finding Study for TLC599 in OA Patients

Primary Purpose

Osteoarthritis of the Knee

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
TLC599 LD group
Normal Saline
TLC599 HD group
Sponsored by
Taiwan Liposome Company
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Osteoarthritis of the Knee focused on measuring osteoarthritis of the knee, TLC599, Dexamethasone, DSP

Eligibility Criteria

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

Main Inclusion Criteria:

  1. Male or female patients, at least 50 years of age.
  2. Documented diagnosis of OA of the knee for at least 6 months
  3. The study knee has OA with Grade 2 to 3 severity based on the Kellgren Lawrence grades
  4. Patients with patient related visual analogue scale (VAS) score of 5.0 to 9.0 at baseline.
  5. Willing and able to comply with study procedures and provide written informed consent.

Main Exclusion Criteria:

  1. Patients who received systemic corticosteroids within the last 30 days prior to dosing.
  2. Patients who use prohibited medications within 7 days prior to study drug administration or any pain control medication including acetaminophen within 48 hours prior to study drug administration.
  3. Patients who use prohibited medications other than acetaminophen and oral NSAIDs from screening visit to 7 days prior to study drug administration.
  4. Documented history and confirmed autoimmune disease
  5. History of post-traumatic knee arthritis, or evidence of intra articular bleeding of the study knee
  6. History of infective arthritis
  7. Unstable study knee joint
  8. Use of IA corticosteroid, hyaluronic acid, or other IA injection in the study knee within 3 months prior to the screening visit.
  9. A history of treated malignancy which is disease free for ≤ 5 years prior to the screening visit
  10. Uncontrolled and unstable concurrent medical or psychiatric illness, that will jeopardize the safety of the patient
  11. Use of any chemotherapeutic or systemic immunosuppressant agents for inflammatory diseases within 6 months prior to the screening visit.
  12. Current use of anticoagulants, including warfarin, heparin, low molecular weight heparin, or dabigatran.
  13. Abnormalities of laboratory parameters as described below will qualify for exclusion:

    • hemoglobin < 8 g/dL;
    • total white blood cell count < 4000/ µL;
    • serum bilirubin/ alanine aminotransferase/ aspartate aminotransferase > 2 times upper limit of normal (ULN) for the laboratory reference ranges;
    • serum creatinine > 2 times ULN for the laboratory reference range;
    • serum uric acid > ULN for the laboratory reference range;
    • prothrombin time/International Normalized Ratio > ULN for the laboratory reference range.
  14. Contraindication to undergoing magnetic resonance imaging (MRI)

Sites / Locations

  • Genesis Research Services Pty Limited
  • Pendlebury Clinic Private Hospital
  • Footscray Hospital- Western Health
  • Linear Clinical Research Limited
  • Royal North Shore Hospital
  • Show Chwan Memorial Hospital
  • Kaohsiung Medical University Hospital
  • Chung Shan Medical University Hosptial
  • China Medical University Hospital
  • Taichung Veterans General Hospital
  • Cheng Hsin General Hospital
  • Shin Kong Wu Ho-Su Memorial Hospital
  • Taipei Medical Universtiy Hospital

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Placebo Comparator

Arm Label

TLC599 LD group

TLC599 HD group

Placebo group

Arm Description

12 mg DSP with 100 µmol PL (1.0 mL)

18 mg DSP with 150 µmol PL (1.5 mL)

1.5 mL normal saline

Outcomes

Primary Outcome Measures

WOMAC questionnaire pain sub-scale
The primary endpoint is to evaluate the change from baseline by Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) pain subscale through Week 12.

Secondary Outcome Measures

WOMAC questionnaire pain sub-scale
Change from baseline to Weeks 1, 4, 8, 12, 16, 20, and 24 in pain / function subscales of WOMAC.
Pain score (VAS)
Change from baseline to Weeks 1, 4, 8, 12, 16, 20, and 24 in the patient rated visual analogue scale (VAS).
Pain score (VAS)
Change from baseline through Weeks 12, 16, 20, and 24 in the patient rated visual analogue scale (VAS).
WOMAC questionnaire pain sub-scale
Change from baseline through Weeks 12, 16, 20, and 24 in the patient rated visual analogue scale (VAS).
EuroQol-5 Dimension questionnaire
Change from baseline to Weeks 1, 4, 8, 12, 16, 20, and 24 in EuroQol-5 Dimension questionnaire.
Usage of acetaminophen
Total consumption of acetaminophen at Weeks 1, 4, 8, 12, 16, 20, and 24.
Incidence of Treatment-Emergent Adverse Events
To evaluate the safety and tolerability of TLC599 by incidence of Treatment-Emergent Adverse Events reported by Investigators

Full Information

First Posted
December 12, 2016
Last Updated
September 17, 2018
Sponsor
Taiwan Liposome Company
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1. Study Identification

Unique Protocol Identification Number
NCT03005873
Brief Title
Phase IIa, Randomized, Double Blinded, Placebo Controlled, Dose Finding Study for TLC599 in OA Patients
Official Title
A Phase IIa, Randomized, Double Blinded, Placebo Controlled, Dose Finding Study for Single Dose Administration of TLC599 in Patients With Osteoarthritis (OA) of Knee
Study Type
Interventional

2. Study Status

Record Verification Date
September 2018
Overall Recruitment Status
Completed
Study Start Date
March 16, 2017 (Actual)
Primary Completion Date
July 4, 2018 (Actual)
Study Completion Date
July 4, 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Taiwan Liposome Company

4. Oversight

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

5. Study Description

Brief Summary
This trial is a Phase IIa, Randomized, Double blinded, Placebo controlled, Dose finding Study to investigate the safety and efficacy of TLC599 in subjects with osteoarthritis of the knee.
Detailed Description
Protocol No: TLC599A2003 Name of Finished Product: TLC599 Title of Study: A Phase IIa, Randomized, Double blinded, Placebo controlled, Dose finding Study for Single dose Administration of TLC599 in Patients with Osteoarthritis (OA) of Knee. Study duration: The trial will last around 27 weeks including a 21-day screening period and a 24-week follow-up period.

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 of the knee, TLC599, Dexamethasone, DSP

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
TLC599 LD group
Arm Type
Experimental
Arm Description
12 mg DSP with 100 µmol PL (1.0 mL)
Arm Title
TLC599 HD group
Arm Type
Experimental
Arm Description
18 mg DSP with 150 µmol PL (1.5 mL)
Arm Title
Placebo group
Arm Type
Placebo Comparator
Arm Description
1.5 mL normal saline
Intervention Type
Drug
Intervention Name(s)
TLC599 LD group
Other Intervention Name(s)
12 mg DSP with 100 µmol PL (1.0 mL)
Intervention Description
Single dose via intra-articular injection
Intervention Type
Drug
Intervention Name(s)
Normal Saline
Other Intervention Name(s)
Placebo
Intervention Description
Single dose via intra-articular injection
Intervention Type
Drug
Intervention Name(s)
TLC599 HD group
Other Intervention Name(s)
18 mg DSP with 150 µmol PL (1.5 mL)
Intervention Description
Single dose via intra-articular injection
Primary Outcome Measure Information:
Title
WOMAC questionnaire pain sub-scale
Description
The primary endpoint is to evaluate the change from baseline by Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) pain subscale through Week 12.
Time Frame
from dosing through Week 12
Secondary Outcome Measure Information:
Title
WOMAC questionnaire pain sub-scale
Description
Change from baseline to Weeks 1, 4, 8, 12, 16, 20, and 24 in pain / function subscales of WOMAC.
Time Frame
at Weeks 1, 4, 8, 12, 16, 20, and 24
Title
Pain score (VAS)
Description
Change from baseline to Weeks 1, 4, 8, 12, 16, 20, and 24 in the patient rated visual analogue scale (VAS).
Time Frame
at Weeks 1, 4, 8, 12, 16, 20, and 24
Title
Pain score (VAS)
Description
Change from baseline through Weeks 12, 16, 20, and 24 in the patient rated visual analogue scale (VAS).
Time Frame
from dosing through Week 12, 16, 20, 24
Title
WOMAC questionnaire pain sub-scale
Description
Change from baseline through Weeks 12, 16, 20, and 24 in the patient rated visual analogue scale (VAS).
Time Frame
from dosing through Week 12, 16, 20, 24
Title
EuroQol-5 Dimension questionnaire
Description
Change from baseline to Weeks 1, 4, 8, 12, 16, 20, and 24 in EuroQol-5 Dimension questionnaire.
Time Frame
at Weeks 1, 4, 8, 12, 16, 20, and 24
Title
Usage of acetaminophen
Description
Total consumption of acetaminophen at Weeks 1, 4, 8, 12, 16, 20, and 24.
Time Frame
at Weeks 1, 4, 8, 12, 16, 20, and 24
Title
Incidence of Treatment-Emergent Adverse Events
Description
To evaluate the safety and tolerability of TLC599 by incidence of Treatment-Emergent Adverse Events reported by Investigators
Time Frame
up to 24 weeks after dosing

10. Eligibility

Sex
All
Minimum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Main Inclusion Criteria: Male or female patients, at least 50 years of age. Documented diagnosis of OA of the knee for at least 6 months The study knee has OA with Grade 2 to 3 severity based on the Kellgren Lawrence grades Patients with patient related visual analogue scale (VAS) score of 5.0 to 9.0 at baseline. Willing and able to comply with study procedures and provide written informed consent. Main Exclusion Criteria: Patients who received systemic corticosteroids within the last 30 days prior to dosing. Patients who use prohibited medications within 7 days prior to study drug administration or any pain control medication including acetaminophen within 48 hours prior to study drug administration. Patients who use prohibited medications other than acetaminophen and oral NSAIDs from screening visit to 7 days prior to study drug administration. Documented history and confirmed autoimmune disease History of post-traumatic knee arthritis, or evidence of intra articular bleeding of the study knee History of infective arthritis Unstable study knee joint Use of IA corticosteroid, hyaluronic acid, or other IA injection in the study knee within 3 months prior to the screening visit. A history of treated malignancy which is disease free for ≤ 5 years prior to the screening visit Uncontrolled and unstable concurrent medical or psychiatric illness, that will jeopardize the safety of the patient Use of any chemotherapeutic or systemic immunosuppressant agents for inflammatory diseases within 6 months prior to the screening visit. Current use of anticoagulants, including warfarin, heparin, low molecular weight heparin, or dabigatran. Abnormalities of laboratory parameters as described below will qualify for exclusion: hemoglobin < 8 g/dL; total white blood cell count < 4000/ µL; serum bilirubin/ alanine aminotransferase/ aspartate aminotransferase > 2 times upper limit of normal (ULN) for the laboratory reference ranges; serum creatinine > 2 times ULN for the laboratory reference range; serum uric acid > ULN for the laboratory reference range; prothrombin time/International Normalized Ratio > ULN for the laboratory reference range. Contraindication to undergoing magnetic resonance imaging (MRI)
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Yvonne Shih, PhD
Organizational Affiliation
Taiwan Liposome Company
Official's Role
Study Director
Facility Information:
Facility Name
Genesis Research Services Pty Limited
City
Broadmeadow
Country
Australia
Facility Name
Pendlebury Clinic Private Hospital
City
Cardiff
ZIP/Postal Code
2285
Country
Australia
Facility Name
Footscray Hospital- Western Health
City
Footscray
Country
Australia
Facility Name
Linear Clinical Research Limited
City
Nedlands,
Country
Australia
Facility Name
Royal North Shore Hospital
City
Sydney
Country
Australia
Facility Name
Show Chwan Memorial Hospital
City
Changhua
Country
Taiwan
Facility Name
Kaohsiung Medical University Hospital
City
Kaohsiung
Country
Taiwan
Facility Name
Chung Shan Medical University Hosptial
City
Taichung
ZIP/Postal Code
402
Country
Taiwan
Facility Name
China Medical University Hospital
City
Taichung
Country
Taiwan
Facility Name
Taichung Veterans General Hospital
City
Taichung
Country
Taiwan
Facility Name
Cheng Hsin General Hospital
City
Taipei
Country
Taiwan
Facility Name
Shin Kong Wu Ho-Su Memorial Hospital
City
Taipei
Country
Taiwan
Facility Name
Taipei Medical Universtiy Hospital
City
Taipei
Country
Taiwan

12. IPD Sharing Statement

Plan to Share IPD
Undecided
Citations:
PubMed Identifier
35189943
Citation
Hunter DJ, Chang CC, Wei JC, Lin HY, Brown C, Tai TT, Wu CF, Chuang WC, Shih SF. TLC599 in patients with osteoarthritis of the knee: a phase IIa, randomized, placebo-controlled, dose-finding study. Arthritis Res Ther. 2022 Feb 21;24(1):52. doi: 10.1186/s13075-022-02739-4.
Results Reference
derived

Learn more about this trial

Phase IIa, Randomized, Double Blinded, Placebo Controlled, Dose Finding Study for TLC599 in OA Patients

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