Safety and Efficacy of SFPP in Knee Osteoarthritis
Primary Purpose
Osteoarthritis Knee Pain
Status
Completed
Phase
Phase 3
Locations
Indonesia
Study Type
Interventional
Intervention
Esflurbiprofen
Diclofenac diethylamine
Sponsored by

About this trial
This is an interventional treatment trial for Osteoarthritis Knee Pain focused on measuring Osteoarthritis Knee Pain
Eligibility Criteria
Inclusion Criteria:
- Patients who had unilateral knee pain and were classified as Grade II or III according to Kellgren-Lawrence (KL) grading and whose non-assessed knee is not graded higher than the assessed knee based on x-ray in standing, weight-bearing extension position within 90 days before screening visit (1st visit)
- Patients whose knee pain on rising from the chair assessed by visual analogue scale (rVAS) of the assessed knee meets all the following criteria for the level of pain; < 80 mm at washout visit (2nd visit), ≥ 40 mm at baseline visit (3rd visit), Worsening of ≥ 15 mm at baseline visit (3rd visit) compared with rVAS at washout visit (2nd visit) as a result of discontinuation of use of NSAIDs
Exclusion Criteria:
- Patients with complication of rheumatoid arthritis, history of knee surgery, malignant tumor, neuropsychiatric disease, or serious disease
Sites / Locations
- Klinik Perisai Husada
- Rumah Sakit Hasan Sadikin
- Rumah Sakit Umum Daerah Al Ihsan Bale Endah
- Rumah Sakit Anna Medika Bekasi
- Rumah Sakit Cipto Mangunkusumo
- Rumah Sakit Islam Pd. Kopi
- Rumah Sakit Siloam Karawaci
- Rheumatology and Allergy Clinic
- Rumah Sakit UD Dr. Saiful Anwar
- Rumah Sakit TNI AU Soemitro
- Rumah Sakit UD Dr. Soetomo
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Active Comparator
Arm Label
SFPP (Esflurbiprofen plaster)
Diclofenac gel
Arm Description
A plaster containing 40 mg of Esflurbiprofen and 36.2 mg of Japanese Pharmacopoeia mentha oil per patch (10 × 14 cm)
A gel containing 11.6 mg of Diclofenac diethylamine (equivalent to 10 mg of diclofenac sodium) per 1 g (1 tube contains 20 g)
Outcomes
Primary Outcome Measures
Improvement of Knee pain on rising from the chair
0-100 mm Visual Analogue Scale (VAS) (0mm, no pain; 100mm, worst pain ever)
Secondary Outcome Measures
Improvement of Changes in total clinical symptom
Assessment from investigator ( 0=Absent, 1=Mild, 2=Moderate, 3=Severe; total= 0 - 45 )
Improvement of Investigator's global assessment
Investigator's global assessment Questionnaire ( 1=Marked, 2=Moderate, 3=Mild, 4=No change, 5=Worse)
Improvement of Patient's global assessment
Patient's global assessment Questionnaire ( 1=Marked, 2=Moderate, 3=Mild, 4=No change, 5=Worse )
Improvement of Knee pain on walking
0-100 mm Visual Analogue Scale (VAS) (0mm, no pain; 100mm, worst pain ever)
Number of Rescue drug use during treatment period
Report from investigator
Number of Adverse events and adverse drug reactions
Report from investigator
Full Information
NCT ID
NCT03434197
First Posted
February 2, 2018
Last Updated
August 18, 2021
Sponsor
Taisho Pharmaceutical Co., Ltd.
1. Study Identification
Unique Protocol Identification Number
NCT03434197
Brief Title
Safety and Efficacy of SFPP in Knee Osteoarthritis
Official Title
Randomized Controlled Study to Evaluate the Safety and Efficacy of SFPP in Knee Osteoarthritis Using Diclofenac Gel as the Comparator
Study Type
Interventional
2. Study Status
Record Verification Date
August 2021
Overall Recruitment Status
Completed
Study Start Date
February 5, 2018 (Actual)
Primary Completion Date
January 11, 2021 (Actual)
Study Completion Date
January 11, 2021 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Taisho Pharmaceutical Co., Ltd.
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
The objectives of this study are to demonstrate the non-inferiority of esflurbiprofen plaster (SFPP) 40 mg applied for 2 weeks to diclofenac gel, the comparator, in terms of efficacy in patients with knee osteoarthritis (OA) and to examine the safety of SFPP.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Osteoarthritis Knee Pain
Keywords
Osteoarthritis Knee Pain
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
313 (Actual)
8. Arms, Groups, and Interventions
Arm Title
SFPP (Esflurbiprofen plaster)
Arm Type
Experimental
Arm Description
A plaster containing 40 mg of Esflurbiprofen and 36.2 mg of Japanese Pharmacopoeia mentha oil per patch (10 × 14 cm)
Arm Title
Diclofenac gel
Arm Type
Active Comparator
Arm Description
A gel containing 11.6 mg of Diclofenac diethylamine (equivalent to 10 mg of diclofenac sodium) per 1 g (1 tube contains 20 g)
Intervention Type
Drug
Intervention Name(s)
Esflurbiprofen
Intervention Description
A plaster containing 40 mg of Esflurbiprofen and 36.2 mg of Japanese Pharmacopoeia mentha oil per patch (10 × 14 cm)
Intervention Type
Drug
Intervention Name(s)
Diclofenac diethylamine
Intervention Description
A gel containing 11.6 mg of Diclofenac diethylamine (equivalent to 10 mg of diclofenac sodium) per 1 g (1 tube contains 20 g)
Primary Outcome Measure Information:
Title
Improvement of Knee pain on rising from the chair
Description
0-100 mm Visual Analogue Scale (VAS) (0mm, no pain; 100mm, worst pain ever)
Time Frame
5 weeks (3 weeks of observation period and follow up with 2 weeks treatment period)
Secondary Outcome Measure Information:
Title
Improvement of Changes in total clinical symptom
Description
Assessment from investigator ( 0=Absent, 1=Mild, 2=Moderate, 3=Severe; total= 0 - 45 )
Time Frame
5 weeks (3 weeks of observation period and follow up with 2 weeks treatment period)
Title
Improvement of Investigator's global assessment
Description
Investigator's global assessment Questionnaire ( 1=Marked, 2=Moderate, 3=Mild, 4=No change, 5=Worse)
Time Frame
Last visit
Title
Improvement of Patient's global assessment
Description
Patient's global assessment Questionnaire ( 1=Marked, 2=Moderate, 3=Mild, 4=No change, 5=Worse )
Time Frame
Last visit
Title
Improvement of Knee pain on walking
Description
0-100 mm Visual Analogue Scale (VAS) (0mm, no pain; 100mm, worst pain ever)
Time Frame
5 weeks (3 weeks of observation period and follow up with 2 weeks treatment period)
Title
Number of Rescue drug use during treatment period
Description
Report from investigator
Time Frame
3 weeks (1 weeks of observation period and follow up with 2 weeks treatment period)
Title
Number of Adverse events and adverse drug reactions
Description
Report from investigator
Time Frame
5 weeks (3 weeks of observation period and follow up with 2 weeks treatment period)
10. Eligibility
Sex
All
Minimum Age & Unit of Time
40 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Patients who had unilateral knee pain and were classified as Grade II or III according to Kellgren-Lawrence (KL) grading and whose non-assessed knee is not graded higher than the assessed knee based on x-ray in standing, weight-bearing extension position within 90 days before screening visit (1st visit)
Patients whose knee pain on rising from the chair assessed by visual analogue scale (rVAS) of the assessed knee meets all the following criteria for the level of pain; < 80 mm at washout visit (2nd visit), ≥ 40 mm at baseline visit (3rd visit), Worsening of ≥ 15 mm at baseline visit (3rd visit) compared with rVAS at washout visit (2nd visit) as a result of discontinuation of use of NSAIDs
Exclusion Criteria:
Patients with complication of rheumatoid arthritis, history of knee surgery, malignant tumor, neuropsychiatric disease, or serious disease
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Bambang Setyohadi, Dr. Sp.PD-KR
Organizational Affiliation
Rumah Sakit Cipto Mangunkusumo
Official's Role
Study Chair
First Name & Middle Initial & Last Name & Degree
Sumariyono, Dr. Sp.PD-KR
Organizational Affiliation
Rumah Sakit Cipto Mangunkusumo
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Tanggo Meriza, Dr. Sp.PD-KR
Organizational Affiliation
Rumah Sakit Islam Pd. Kopi
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Sandra Sinthya Langow, Dr. Sp.PD-KR
Organizational Affiliation
Rumah Sakit Siloam Karawaci
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Ika Wulan Yuliani, Dr. Sp.PD-KR
Organizational Affiliation
Rumah Sakit Anna Medika Bekasi
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Sumartini Dewi, Dr. Sp.PD-KR
Organizational Affiliation
Rumah Sakit Hasan Sadikin
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Andri Reza, Dr. Sp.PD-KR
Organizational Affiliation
Rumah Sakit Umum Daerah Al Ihsan Bale Endah
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Laniyati Hamijoyo, Dr. Sp.PD-KR
Organizational Affiliation
Klinik Perisai Husada
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Yuliasih, Dr. Sp.PD-KR
Organizational Affiliation
Rumah Sakit UD Dr. Soetomo
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Lita Diah Rahmawati, Dr. Sp.PD-KR
Organizational Affiliation
Rumah Sakit TNI AU Soemitro
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Cesarius Singgih Wahono, Dr. Sp.PD-KR
Organizational Affiliation
Rumah Sakit UD Dr. Saiful Anwar
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Handono Kalim, Dr. Sp.PD-KR
Organizational Affiliation
Rheumatology and Allergy Clinic
Official's Role
Principal Investigator
Facility Information:
Facility Name
Klinik Perisai Husada
City
Bandung
Country
Indonesia
Facility Name
Rumah Sakit Hasan Sadikin
City
Bandung
Country
Indonesia
Facility Name
Rumah Sakit Umum Daerah Al Ihsan Bale Endah
City
Bandung
Country
Indonesia
Facility Name
Rumah Sakit Anna Medika Bekasi
City
Jakarta
Country
Indonesia
Facility Name
Rumah Sakit Cipto Mangunkusumo
City
Jakarta
Country
Indonesia
Facility Name
Rumah Sakit Islam Pd. Kopi
City
Jakarta
Country
Indonesia
Facility Name
Rumah Sakit Siloam Karawaci
City
Jakarta
Country
Indonesia
Facility Name
Rheumatology and Allergy Clinic
City
Malang
Country
Indonesia
Facility Name
Rumah Sakit UD Dr. Saiful Anwar
City
Malang
Country
Indonesia
Facility Name
Rumah Sakit TNI AU Soemitro
City
Surabaya
Country
Indonesia
Facility Name
Rumah Sakit UD Dr. Soetomo
City
Surabaya
Country
Indonesia
12. IPD Sharing Statement
Plan to Share IPD
No
Learn more about this trial
Safety and Efficacy of SFPP in Knee Osteoarthritis
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