Phase III Study of CG100649 in Osteoarthritis Patients
Primary Purpose
Localized Primary Osteoarthritis of Hip, Localized Primary Osteoarthritis of Knee
Status
Completed
Phase
Phase 3
Locations
Korea, Republic of
Study Type
Interventional
Intervention
CG100649
Celecoxib
Placebo
Sponsored by
About this trial
This is an interventional treatment trial for Localized Primary Osteoarthritis of Hip focused on measuring COX-1, COX-2, carbonic anhydrase, anti-inflammatory, Cyclooxygenase Inhibitors, Polmacoxib
Eligibility Criteria
Inclusion Criteria (abbreviated)
- Males or females, age 20 years or above, able and willing to provide written informed consent
- Knee or Hip OA diagnosed according to American College of Rheumatology guidelines
- Chronic pain for ≥3 months from OA
- BP [systolic 90-140 mmHg, diastolic 50-90 mmHg] and pulse rate [resting 40-100 bpm].
- WOMAC-Pain score in the index joint must be between 4-8 on a 0-10 numerical rating scale
- Blood chemistry must be within 2x normal range
- Urinalysis must be within normal limits; minor deviations are acceptable
- Subjects and their sexual partners must agree to use double barrier contraception during the study period and for 3 months afterward, or be at least one year post- menopause, or provide proof of surgical sterility
- For prior non-steroidal inflammatory drug (NSAID) users only, the subject has a history of positive therapeutic benefit
- Subject is willing to limit alcohol intake to 2 or less drinks per day during study and the follow-up period
- Subjects must be able to read, understand and follow study related documents.
Exclusion Criteria (abbreviated)
- Use of any analgesics except the study medication or acetaminophen at any time
- Use of any medications for ongoing chronic symptoms, or psychiatric disorders that could significantly diminish the cognitive ability or cause behavioral changes that would prevent the subject from complying with study procedures.
- Subject is legally incompetent, or has active psychosis, or significant emotional problems which are sufficient to interfere with the conduct of the study
- Use of anticoagulants (aspirin, warfarin, heparin, etc.) within 2 weeks of V1
- Previous history of hypersensitivity or allergy to NSAIDs, COX-2 inhibitors, carbonic anhydrase inhibitors, sulfa drugs, aspirin, or acetaminophen/paracetamol
- Subjects requiring knee or hip arthroplasty within 2 months of screening or anticipating any need for a surgical procedure on the index joint during the study
- Diagnosed or treated for active GI ulcer, GI bleeding, ulcerative colitis, or severe renal, hepatic, or coagulant disorder within 6 months prior to randomization
- History of nasal polyps, bronchospasm, urticaria, or anaphylactic shock
- Subjects who have had surgery on the affected joint within 6 months prior to the study and subjects with a prosthesis at the index joint
- Pregnant or breast-feeding, or expecting to conceive within the projected duration of the study
- Subjects who are currently participating or have participated in other clinical studies within 4 weeks of screening or in any other clinical trial evaluating NSAIDs or COX-2 inhibitors within 6 months of screening
- Subjects who have received even one dose of rofecoxib or etoricoxib at any time in their life
- History of congestive heart failure with a status of New York Heart Association II-IV, ischemic heart disease, uncontrolled hypertension, peripheral arterial disease, cerebrovascular disease or subjects who have one of these diseases
- Current user of recreational or illicit drugs or has had a recent history (1 year) of drug or alcohol abuse or dependence
- History of neoplastic disease or chemotherapy within 5 years of V1, with the exception of non-metastatic skin cancer that has been completely cured
- Subjects with gout, pseudogout, inflammatory arthritis, Paget's disease of bone, chronic pain syndrome, fibromyalgia, or another major joint disease
- Subjects using i.v, i.m., or oral corticosteroids, i.a. steroids or hyaluronic acid injections within 1 month of V1
- Subjects receiving a Chinese traditional arthritis treatment within 1 week of V1
- Subjects who are not suitable to participate in the study by the investigator's clinical decision
Sites / Locations
- Kyungpook National University Hospital
- Chungnam National University Hospital
- NHIC Ilsan Hospital
- Gachon University Gil Medical Center
- Seoul National University Hospital
- Hanyang University Hospital
- Gangnam Severance Hospital
- Seoul St. Mary's Hospital
- Asan Medical Center
- Boramae Medical Center
- Ewha Womans University Hospital
- Inje University Seoul Paik Hospital
- Korea University Anam Hospital
- Samsung Medical Center
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm Type
Active Comparator
Placebo Comparator
Experimental
Arm Label
Celecoxib
Placebo
CG100649
Arm Description
Celecoxib 200 mg by mouth, once a day for 6 weeks (Treatment Phase), followed by CG100649 2 mg, oral, for 18 weeks (Safety Phase)
Placebo capsule by mouth, once a day for 6 weeks (Treatment Phase), followed by CG100649 2 mg, oral, for 18 weeks (Safety Phase)
CG100649 2 mg capsule by mouth, once a day for 6 weeks (Treatment Phase); CG100649 2 mg capsule by mouth, once a day for 18 weeks (Safety Phase)
Outcomes
Primary Outcome Measures
Change in WOMAC-Pain Subscale
Western Ontario and McMaster Universities (WOMAC) OA index. Version 3.1 of the WOMAC knee and hip osteoarthritis index translated in Korean language will be used for each site enrolled in the trial.
The numerical rating scale version of the WOMAC-Pain subscale was used, i.e., with the subject assessing each question by a 11-point (0-10) numerical rating scale, and the total pain score being represented by the sum of the 5 component item scores. A higher WOMAC score represented worse symptom severity, with 50 being the worst possible total score.
Secondary Outcome Measures
Change of the WOMAC-physical Function Subscale at Week 3 and 6 From Pre-dose Baseline
Western Ontario and McMaster Universities (WOMAC) OA index. Version 3.1 of the WOMAC knee and hip osteoarthritis index translated in Korean language will be used for each site enrolled in the trial.
The 24 questions, which measure with 0-10 point numerical rating scale (NRS) with a maximum of 240 points to evaluate "Pain (5 questions)," "Stiffness (2 questions)," and "Physical Function (17 questions)" in WOMAC 3.1.
Total scores for WOMAC-physical function is from 0 to 170 points. A higher WOMAC score represented worse symptom severity.
Full Information
NCT ID
NCT01765296
First Posted
January 8, 2013
Last Updated
February 13, 2023
Sponsor
CrystalGenomics, Inc.
1. Study Identification
Unique Protocol Identification Number
NCT01765296
Brief Title
Phase III Study of CG100649 in Osteoarthritis Patients
Official Title
A Double-blind, Randomized, Multicenter, Active- and Placebo-Controlled Phase III Study to Evaluate the Efficacy and Safety of CG100649 in Osteoarthritis Patients
Study Type
Interventional
2. Study Status
Record Verification Date
February 2023
Overall Recruitment Status
Completed
Study Start Date
March 2013 (undefined)
Primary Completion Date
December 2013 (Actual)
Study Completion Date
April 2014 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
CrystalGenomics, Inc.
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
6-week Efficacy Study The objective of this study is to prove the safety and non-inferiority of analgesic efficacy of CG100649 2 mg vs. celecoxib 200 mg, and analgesic superiority of CG100649 2 mg vs. placebo, when administered once a day in patients with osteoarthritis of the hip or knee over the 6 week Treatment period. The primary efficacy parameter is the difference from Baseline to Week 6 in the Western Ontario and McMaster Universities Index of Osteoarthritis (WOMAC)-Pain subscale.
Extended Safety Study The objective of the Extended Safety Study is to collect a total of 24 weeks of safety data for CG100649 including the initial 6 weeks of safety data, and an additional 18 weeks of safety data for those subjects who agree on the consent form to continue into the Extended Safety Study. Subjects will be administered CG100649 2 mg only during 18 weeks of Extended Safety Study.
Detailed Description
Number of Subjects: 350 (2:2:1 ratio of experimental vs. active comparator vs. placebo comparator)
Adverse Events will be coded to preferred term and body system using the Medical Dictionary for Regulatory Activities (MedDRA)
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Localized Primary Osteoarthritis of Hip, Localized Primary Osteoarthritis of Knee
Keywords
COX-1, COX-2, carbonic anhydrase, anti-inflammatory, Cyclooxygenase Inhibitors, Polmacoxib
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
362 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Celecoxib
Arm Type
Active Comparator
Arm Description
Celecoxib 200 mg by mouth, once a day for 6 weeks (Treatment Phase), followed by CG100649 2 mg, oral, for 18 weeks (Safety Phase)
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo capsule by mouth, once a day for 6 weeks (Treatment Phase), followed by CG100649 2 mg, oral, for 18 weeks (Safety Phase)
Arm Title
CG100649
Arm Type
Experimental
Arm Description
CG100649 2 mg capsule by mouth, once a day for 6 weeks (Treatment Phase); CG100649 2 mg capsule by mouth, once a day for 18 weeks (Safety Phase)
Intervention Type
Drug
Intervention Name(s)
CG100649
Intervention Description
2 mg capsule
Intervention Type
Drug
Intervention Name(s)
Celecoxib
Other Intervention Name(s)
Celebrex
Intervention Description
200 mg capsule
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Mimic for CG100649 2 mg capsule and for celecoxib 200 mg capsule
Primary Outcome Measure Information:
Title
Change in WOMAC-Pain Subscale
Description
Western Ontario and McMaster Universities (WOMAC) OA index. Version 3.1 of the WOMAC knee and hip osteoarthritis index translated in Korean language will be used for each site enrolled in the trial.
The numerical rating scale version of the WOMAC-Pain subscale was used, i.e., with the subject assessing each question by a 11-point (0-10) numerical rating scale, and the total pain score being represented by the sum of the 5 component item scores. A higher WOMAC score represented worse symptom severity, with 50 being the worst possible total score.
Time Frame
Baseline, Week 6
Secondary Outcome Measure Information:
Title
Change of the WOMAC-physical Function Subscale at Week 3 and 6 From Pre-dose Baseline
Description
Western Ontario and McMaster Universities (WOMAC) OA index. Version 3.1 of the WOMAC knee and hip osteoarthritis index translated in Korean language will be used for each site enrolled in the trial.
The 24 questions, which measure with 0-10 point numerical rating scale (NRS) with a maximum of 240 points to evaluate "Pain (5 questions)," "Stiffness (2 questions)," and "Physical Function (17 questions)" in WOMAC 3.1.
Total scores for WOMAC-physical function is from 0 to 170 points. A higher WOMAC score represented worse symptom severity.
Time Frame
Baseline, Week 3 and Week 6
10. Eligibility
Sex
All
Minimum Age & Unit of Time
20 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria (abbreviated)
Males or females, age 20 years or above, able and willing to provide written informed consent
Knee or Hip OA diagnosed according to American College of Rheumatology guidelines
Chronic pain for ≥3 months from OA
BP [systolic 90-140 mmHg, diastolic 50-90 mmHg] and pulse rate [resting 40-100 bpm].
WOMAC-Pain score in the index joint must be between 4-8 on a 0-10 numerical rating scale
Blood chemistry must be within 2x normal range
Urinalysis must be within normal limits; minor deviations are acceptable
Subjects and their sexual partners must agree to use double barrier contraception during the study period and for 3 months afterward, or be at least one year post- menopause, or provide proof of surgical sterility
For prior non-steroidal inflammatory drug (NSAID) users only, the subject has a history of positive therapeutic benefit
Subject is willing to limit alcohol intake to 2 or less drinks per day during study and the follow-up period
Subjects must be able to read, understand and follow study related documents.
Exclusion Criteria (abbreviated)
Use of any analgesics except the study medication or acetaminophen at any time
Use of any medications for ongoing chronic symptoms, or psychiatric disorders that could significantly diminish the cognitive ability or cause behavioral changes that would prevent the subject from complying with study procedures.
Subject is legally incompetent, or has active psychosis, or significant emotional problems which are sufficient to interfere with the conduct of the study
Use of anticoagulants (aspirin, warfarin, heparin, etc.) within 2 weeks of V1
Previous history of hypersensitivity or allergy to NSAIDs, COX-2 inhibitors, carbonic anhydrase inhibitors, sulfa drugs, aspirin, or acetaminophen/paracetamol
Subjects requiring knee or hip arthroplasty within 2 months of screening or anticipating any need for a surgical procedure on the index joint during the study
Diagnosed or treated for active GI ulcer, GI bleeding, ulcerative colitis, or severe renal, hepatic, or coagulant disorder within 6 months prior to randomization
History of nasal polyps, bronchospasm, urticaria, or anaphylactic shock
Subjects who have had surgery on the affected joint within 6 months prior to the study and subjects with a prosthesis at the index joint
Pregnant or breast-feeding, or expecting to conceive within the projected duration of the study
Subjects who are currently participating or have participated in other clinical studies within 4 weeks of screening or in any other clinical trial evaluating NSAIDs or COX-2 inhibitors within 6 months of screening
Subjects who have received even one dose of rofecoxib or etoricoxib at any time in their life
History of congestive heart failure with a status of New York Heart Association II-IV, ischemic heart disease, uncontrolled hypertension, peripheral arterial disease, cerebrovascular disease or subjects who have one of these diseases
Current user of recreational or illicit drugs or has had a recent history (1 year) of drug or alcohol abuse or dependence
History of neoplastic disease or chemotherapy within 5 years of V1, with the exception of non-metastatic skin cancer that has been completely cured
Subjects with gout, pseudogout, inflammatory arthritis, Paget's disease of bone, chronic pain syndrome, fibromyalgia, or another major joint disease
Subjects using i.v, i.m., or oral corticosteroids, i.a. steroids or hyaluronic acid injections within 1 month of V1
Subjects receiving a Chinese traditional arthritis treatment within 1 week of V1
Subjects who are not suitable to participate in the study by the investigator's clinical decision
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Sangsook Cho, Ph.D.
Organizational Affiliation
CrystalGenomics, Inc.
Official's Role
Study Director
Facility Information:
Facility Name
Kyungpook National University Hospital
City
Daegu
Country
Korea, Republic of
Facility Name
Chungnam National University Hospital
City
Daejeon
ZIP/Postal Code
301-721
Country
Korea, Republic of
Facility Name
NHIC Ilsan Hospital
City
Goyang-si
ZIP/Postal Code
410-719
Country
Korea, Republic of
Facility Name
Gachon University Gil Medical Center
City
Incheon
Country
Korea, Republic of
Facility Name
Seoul National University Hospital
City
Seoul
ZIP/Postal Code
110-744
Country
Korea, Republic of
Facility Name
Hanyang University Hospital
City
Seoul
ZIP/Postal Code
133-792
Country
Korea, Republic of
Facility Name
Gangnam Severance Hospital
City
Seoul
ZIP/Postal Code
135-720
Country
Korea, Republic of
Facility Name
Seoul St. Mary's Hospital
City
Seoul
ZIP/Postal Code
137-701
Country
Korea, Republic of
Facility Name
Asan Medical Center
City
Seoul
ZIP/Postal Code
138-736
Country
Korea, Republic of
Facility Name
Boramae Medical Center
City
Seoul
ZIP/Postal Code
156-707
Country
Korea, Republic of
Facility Name
Ewha Womans University Hospital
City
Seoul
ZIP/Postal Code
158-710
Country
Korea, Republic of
Facility Name
Inje University Seoul Paik Hospital
City
Seoul
Country
Korea, Republic of
Facility Name
Korea University Anam Hospital
City
Seoul
Country
Korea, Republic of
Facility Name
Samsung Medical Center
City
Seoul
Country
Korea, Republic of
12. IPD Sharing Statement
Plan to Share IPD
Yes
IPD Sharing Plan Description
This medication already got NDA approval in Korea
Learn more about this trial
Phase III Study of CG100649 in Osteoarthritis Patients
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