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Study Comparing a Generic Diclofenac Sodium Topical Gel, 1% to Voltaren in the Treatment of Subjects With Osteoarthritis of the Knee

Primary Purpose

Osteoarthritis

Status
Completed
Phase
Phase 3
Locations
India
Study Type
Interventional
Intervention
Diclofenac Sodium Topical Gel, 1%
Voltaren Topical Gel, 1%
Vehicle Diclofenac Sodium Topical Gel
Sponsored by
Amneal Pharmaceuticals, LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Osteoarthritis focused on measuring Knee

Eligibility Criteria

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

Inclusion Criteria:

  • Healthy, ambulatory male or non-pregnant female subjects aged ≥ 35 years with a clinical diagnosis of OA of the knee.
  • Had an X-ray of the target knee, taken no more than 1 year before baseline, showing evidence of OA with Kellgren-Lawrence grade 1-3 disease.
  • After discontinuing all pain medications for at least 7 days, has at least moderate pain on movement for target knee
  • If female and of child-bearing potential, agree to abstain from sexual intercourse or use a reliable method of contraception during the study
  • Able to tolerate rescue medication with paracetamol/acetaminophen.

Exclusion Criteria:

  • Pregnant or lactating or planning to become pregnant during the study period.
  • X-ray showing evidence of OA with Kellgren-Lawrence grade 4 disease.
  • History of OA pain in the contralateral knee requiring medication within 1 year prior to screening.
  • After discontinuing all pain medications for at least 7 days, has a baseline score of ≥20 mm on a 0-100 mm Visual Analog Scale (VAS) for the contralateral knee immediately prior to randomization.
  • History of secondary OA, rheumatoid arthritis, chronic inflammatory disease or fibromyalgia.
  • History of asthma, hypertension, myocardial infarction, thrombotic events, stroke, congestive heart failure, impaired renal function or liver disease.
  • History of gastrointestinal bleeding or peptic ulcer disease.
  • Use of warfarin or other anticoagulant therapy within 30 days of study randomization.
  • Elevated transaminases at screening.
  • Use of ACE inhibitors, cyclosporine, diuretics, lithium or methotrexate, within 30 days of study randomization.
  • Concomitant use of corticosteroids or use within 30 days of study randomization.
  • Concomitant acetylsalicylic acid therapy other than a stable low dose used for cardiac prophylaxis taken for at least 3 months prior to enrollment and maintained throughout the duration of the study.
  • Known allergy to aspirin or nonsteroidal anti-inflammatory drug
  • Any other acute or chronic illness that could compromise the integrity of study data or place the subject at risk by participating in the study.
  • Receipt of any drug as part of a research study within 30 days prior to screening.
  • Previous participation in this study.
  • Any use between screening and baseline of a treatment or medication that may potentially confound study assessment that may potentially confound study assessment (e.g. use of topical analgesics or anti-inflammatory drugs).
  • Recent history of major knee injury or surgery.
  • Known history of positive HIV

Sites / Locations

  • Sunshine Hospitals
  • King George Hospital
  • King George Hospital
  • Rathi Orthopedic and Research Centre
  • B. J. Medical College & Hospital
  • GMERS Medical College and Hospital
  • Shir Hatkesh Sarvajanik Tabibi Chikitsha Kendra
  • Centre For Knee Surgery
  • Shree Giriraj Multispeciality Hospital
  • St Johns Medical College
  • K L E Societys Jawaharlal Nehry Medical College
  • Mysore Medical College
  • Government Medical College, Calicut
  • Psm Dept Ltmmc & Ltmg Hospital
  • Government Medical College
  • Jasleen Hospital
  • Lata Mangeshkar Hospital
  • Bj Medical College
  • Malpani Multispeciality Hospital
  • Apollo Speciality Hospitals
  • M V Hospital and Research Centre
  • King Georges Medical University
  • Goa Medical College

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Active Comparator

Placebo Comparator

Arm Label

Diclofenac Sodium Topical Gel, 1%

Voltaren Topical Gel, 1%

Vehicle Diclofenac Sodium Topical Gel

Arm Description

Diclofenac Sodium Topical Gel, 1%. 4 gm, 4 times a day for 4 weeks

Voltaren Topical Gel, 1%. 4 gm, 4 times a day for 4 weeks

Vehicle Diclofenac Sodium Topical Gel. 4 gm, 4 times a day for 4 weeks

Outcomes

Primary Outcome Measures

Change From Baseline to 4 Weeks in WOMAC Pain Score
Mean change from baseline to week 4 in the Western Ontario McMaster Osteoarthritis (WOMAC) pain score: 5-point Likert scale: none=o, mild=1, moderate=2, severe=3, extreme=4

Secondary Outcome Measures

Full Information

First Posted
April 21, 2014
Last Updated
May 21, 2021
Sponsor
Amneal Pharmaceuticals, LLC
Collaborators
Sristek Clinical Research Solutions Limited
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1. Study Identification

Unique Protocol Identification Number
NCT02121002
Brief Title
Study Comparing a Generic Diclofenac Sodium Topical Gel, 1% to Voltaren in the Treatment of Subjects With Osteoarthritis of the Knee
Official Title
A Multi-Center, Double-Blind, Vehicle-Controlled, Parallel-Group Study Comparing a Generic Diclofenac Sodium Topical Gel, 1% to Voltaren® Gel (Diclofenac Sodium Topical Gel) 1% in the Treatment of Subjects With Osteoarthritis of the Knee
Study Type
Interventional

2. Study Status

Record Verification Date
May 2021
Overall Recruitment Status
Completed
Study Start Date
April 2014 (undefined)
Primary Completion Date
October 2014 (Actual)
Study Completion Date
December 2014 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Amneal Pharmaceuticals, LLC
Collaborators
Sristek Clinical Research Solutions Limited

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
To establish the therapeutic equivalence and safety of a generic Diclofenac Sodium Topical Gel, 1% with Voltaren® Gel 1% in subjects with osteoarthritis of the knee.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
1176 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Diclofenac Sodium Topical Gel, 1%
Arm Type
Experimental
Arm Description
Diclofenac Sodium Topical Gel, 1%. 4 gm, 4 times a day for 4 weeks
Arm Title
Voltaren Topical Gel, 1%
Arm Type
Active Comparator
Arm Description
Voltaren Topical Gel, 1%. 4 gm, 4 times a day for 4 weeks
Arm Title
Vehicle Diclofenac Sodium Topical Gel
Arm Type
Placebo Comparator
Arm Description
Vehicle Diclofenac Sodium Topical Gel. 4 gm, 4 times a day for 4 weeks
Intervention Type
Drug
Intervention Name(s)
Diclofenac Sodium Topical Gel, 1%
Intervention Description
Opaque, white gel
Intervention Type
Drug
Intervention Name(s)
Voltaren Topical Gel, 1%
Intervention Description
Opaque, white gel
Intervention Type
Drug
Intervention Name(s)
Vehicle Diclofenac Sodium Topical Gel
Intervention Description
Opaque, white gel
Primary Outcome Measure Information:
Title
Change From Baseline to 4 Weeks in WOMAC Pain Score
Description
Mean change from baseline to week 4 in the Western Ontario McMaster Osteoarthritis (WOMAC) pain score: 5-point Likert scale: none=o, mild=1, moderate=2, severe=3, extreme=4
Time Frame
Baseline and Week 4

10. Eligibility

Sex
All
Minimum Age & Unit of Time
35 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Healthy, ambulatory male or non-pregnant female subjects aged ≥ 35 years with a clinical diagnosis of OA of the knee. Had an X-ray of the target knee, taken no more than 1 year before baseline, showing evidence of OA with Kellgren-Lawrence grade 1-3 disease. After discontinuing all pain medications for at least 7 days, has at least moderate pain on movement for target knee If female and of child-bearing potential, agree to abstain from sexual intercourse or use a reliable method of contraception during the study Able to tolerate rescue medication with paracetamol/acetaminophen. Exclusion Criteria: Pregnant or lactating or planning to become pregnant during the study period. X-ray showing evidence of OA with Kellgren-Lawrence grade 4 disease. History of OA pain in the contralateral knee requiring medication within 1 year prior to screening. After discontinuing all pain medications for at least 7 days, has a baseline score of ≥20 mm on a 0-100 mm Visual Analog Scale (VAS) for the contralateral knee immediately prior to randomization. History of secondary OA, rheumatoid arthritis, chronic inflammatory disease or fibromyalgia. History of asthma, hypertension, myocardial infarction, thrombotic events, stroke, congestive heart failure, impaired renal function or liver disease. History of gastrointestinal bleeding or peptic ulcer disease. Use of warfarin or other anticoagulant therapy within 30 days of study randomization. Elevated transaminases at screening. Use of ACE inhibitors, cyclosporine, diuretics, lithium or methotrexate, within 30 days of study randomization. Concomitant use of corticosteroids or use within 30 days of study randomization. Concomitant acetylsalicylic acid therapy other than a stable low dose used for cardiac prophylaxis taken for at least 3 months prior to enrollment and maintained throughout the duration of the study. Known allergy to aspirin or nonsteroidal anti-inflammatory drug Any other acute or chronic illness that could compromise the integrity of study data or place the subject at risk by participating in the study. Receipt of any drug as part of a research study within 30 days prior to screening. Previous participation in this study. Any use between screening and baseline of a treatment or medication that may potentially confound study assessment that may potentially confound study assessment (e.g. use of topical analgesics or anti-inflammatory drugs). Recent history of major knee injury or surgery. Known history of positive HIV
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Prayag Shah, MD
Organizational Affiliation
Amneal Pharmaceuticals, LLC
Official's Role
Study Director
Facility Information:
Facility Name
Sunshine Hospitals
City
Secunderabad
State/Province
Andhra Pradesh
ZIP/Postal Code
500003
Country
India
Facility Name
King George Hospital
City
Visakhapatnam
State/Province
Andhra Pradesh
ZIP/Postal Code
530002
Country
India
Facility Name
King George Hospital
City
Visakhapatnam
State/Province
Andra Pradesh
ZIP/Postal Code
530002
Country
India
Facility Name
Rathi Orthopedic and Research Centre
City
Ahmedabad
State/Province
Gujarat
ZIP/Postal Code
380 015
Country
India
Facility Name
B. J. Medical College & Hospital
City
Ahmedabad
State/Province
Gujarat
ZIP/Postal Code
380016
Country
India
Facility Name
GMERS Medical College and Hospital
City
Ahmedabad
State/Province
Gujarat
ZIP/Postal Code
380061
Country
India
Facility Name
Shir Hatkesh Sarvajanik Tabibi Chikitsha Kendra
City
Junagadh
State/Province
Gujarat
ZIP/Postal Code
362 001
Country
India
Facility Name
Centre For Knee Surgery
City
Vadodara
State/Province
Gujarat
ZIP/Postal Code
390007
Country
India
Facility Name
Shree Giriraj Multispeciality Hospital
City
Rajkot
State/Province
Gujurat
ZIP/Postal Code
360007
Country
India
Facility Name
St Johns Medical College
City
Bangalore
State/Province
Karnataka
ZIP/Postal Code
560034
Country
India
Facility Name
K L E Societys Jawaharlal Nehry Medical College
City
Belgaum
State/Province
Karnataka
ZIP/Postal Code
590010
Country
India
Facility Name
Mysore Medical College
City
Mysore
State/Province
Karnataka
ZIP/Postal Code
570001
Country
India
Facility Name
Government Medical College, Calicut
City
Calicut
State/Province
Kerala
ZIP/Postal Code
673008
Country
India
Facility Name
Psm Dept Ltmmc & Ltmg Hospital
City
Mumbai
State/Province
Maharashtra
ZIP/Postal Code
400022
Country
India
Facility Name
Government Medical College
City
Nagpur
State/Province
Maharashtra
ZIP/Postal Code
440009
Country
India
Facility Name
Jasleen Hospital
City
Nagpur
State/Province
Maharashtra
ZIP/Postal Code
440010
Country
India
Facility Name
Lata Mangeshkar Hospital
City
Nagpur
State/Province
Maharashtra
ZIP/Postal Code
440019
Country
India
Facility Name
Bj Medical College
City
Pune
State/Province
Maharashtra
ZIP/Postal Code
411001
Country
India
Facility Name
Malpani Multispeciality Hospital
City
Jaipur
State/Province
Rajasthan
ZIP/Postal Code
302023
Country
India
Facility Name
Apollo Speciality Hospitals
City
Madurai
State/Province
Tamil Nadu
ZIP/Postal Code
625020
Country
India
Facility Name
M V Hospital and Research Centre
City
Lucknow
State/Province
Uttar Pradesh
ZIP/Postal Code
226 003
Country
India
Facility Name
King Georges Medical University
City
Lucknow
State/Province
Uttar Pradesh
ZIP/Postal Code
226003
Country
India
Facility Name
Goa Medical College
City
Goa
ZIP/Postal Code
403716
Country
India

12. IPD Sharing Statement

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Study Comparing a Generic Diclofenac Sodium Topical Gel, 1% to Voltaren in the Treatment of Subjects With Osteoarthritis of the Knee

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