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Study of REGN475 in Patients With Pain Due to Osteoarthritis of the Knee or Hip

Primary Purpose

Osteoarthritis, Knee, Osteoarthritis, Hip

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
REGN475
Placebo
Sponsored by
Regeneron Pharmaceuticals
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Osteoarthritis, Knee

Eligibility Criteria

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

Key Inclusion Criteria:

  1. Body mass index ≤39
  2. Clinical diagnosis of OA of the knee or hip
  3. History of inadequate pain relief or intolerance to analgesics used for OA
  4. Moderate to severe pain in the index joint
  5. History of regular use of analgesic medications for OA pain
  6. Willing to discontinue current non-steroidal anti-inflammatory drug (NSAID) and opioid pain medications

Key Exclusion Criteria:

  1. Other diseases that may involve index knee or hip, including inflammatory joint diseases, crystalline disease (gout or pseudogout), endocrinopathies, metabolic joint disease, lupus erythematosus, rheumatoid arthritis, joint infections, neuropathic disorders, avascular necrosis, Paget's disease, renal osteodystrophy or tumors
  2. History of osteonecrosis, destructive arthropathy (RPOA), hip dislocation, pathologic fractures, neuropathic joint arthropathy, knee dislocation or hip dislocation
  3. Trauma to the index joint in the 30 days before screening
  4. Active fibromyalgia, regional pain caused by lumbar or cervical compression with radiculopathy or other moderate to severe pain that may confound assessments or self-evaluation of the pain associated with OA
  5. Prior to the start of the study has received a recommendation for, or is scheduled for joint replacement surgery to be performed during the study period
  6. Presence of subchondral insufficiency fracture on screening films or MRI
  7. Received an intra-articular injection of hyaluronic acid in the affected index joint within 90 days prior to the screening visit
  8. Systemic (ie, oral or intramuscular) corticosteroids within 30 days prior to the screening visit. Intra-articular corticosteroids in the index joint within 12 weeks of the screening visit, or to any other joint within 30 days prior to the screening visit.
  9. History of autonomic neuropathy, diabetic neuropathy, or presence of clinically relevant peripheral neuropathy at the time of screening
  10. Women of childbearing potential who have a positive pregnancy test result, or who do not have their pregnancy test results at baseline
  11. Pregnant or breastfeeding women

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

Group A

Group B

Group C

Group D

Group E

Arm Description

Group A will receive REGN475 dosing regimen 1

Group B will receive REGN475 dosing regimen 2

Group C will receive REGN475 dosing regimen 3

Group D will receive REGN475 dosing regimen 4

Group E will receive matching placebo

Outcomes

Primary Outcome Measures

The primary endpoint in the study is the change from baseline to week 16 in the Western Ontario and McMaster Osteoarthritis Index (WOMAC) pain subscale score.

Secondary Outcome Measures

Change from baseline to week 16 in the WOMAC physical function subscale score
Change from baseline to week 16 in the Patient Global Assessment score
Incidence of treatment-emergent adverse events (TEAEs)
Incidence of anti-REGN475 antibody development

Full Information

First Posted
May 14, 2015
Last Updated
March 24, 2017
Sponsor
Regeneron Pharmaceuticals
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1. Study Identification

Unique Protocol Identification Number
NCT02447276
Brief Title
Study of REGN475 in Patients With Pain Due to Osteoarthritis of the Knee or Hip
Official Title
A Randomized, Double-Blind, Multi-Dose, Placebo-Controlled Study to Evaluate the Efficacy and Safety of REGN475 in Patients With Pain Due to Osteoarthritis of the Knee or Hip
Study Type
Interventional

2. Study Status

Record Verification Date
October 2016
Overall Recruitment Status
Completed
Study Start Date
May 2015 (undefined)
Primary Completion Date
March 2016 (Actual)
Study Completion Date
November 2016 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Regeneron Pharmaceuticals

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The primary objective of this study is to evaluate the effectiveness of REGN475 compared to placebo in participants with pain due to osteoarthritis (OA) of the knee or hip and a history of inadequate joint pain relief or intolerance to current analgesic therapy.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2, Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
421 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Group A
Arm Type
Experimental
Arm Description
Group A will receive REGN475 dosing regimen 1
Arm Title
Group B
Arm Type
Experimental
Arm Description
Group B will receive REGN475 dosing regimen 2
Arm Title
Group C
Arm Type
Experimental
Arm Description
Group C will receive REGN475 dosing regimen 3
Arm Title
Group D
Arm Type
Experimental
Arm Description
Group D will receive REGN475 dosing regimen 4
Arm Title
Group E
Arm Type
Experimental
Arm Description
Group E will receive matching placebo
Intervention Type
Drug
Intervention Name(s)
REGN475
Intervention Type
Drug
Intervention Name(s)
Placebo
Primary Outcome Measure Information:
Title
The primary endpoint in the study is the change from baseline to week 16 in the Western Ontario and McMaster Osteoarthritis Index (WOMAC) pain subscale score.
Time Frame
Baseline to week 16
Secondary Outcome Measure Information:
Title
Change from baseline to week 16 in the WOMAC physical function subscale score
Time Frame
Baseline to week 16
Title
Change from baseline to week 16 in the Patient Global Assessment score
Time Frame
Baseline to week 16
Title
Incidence of treatment-emergent adverse events (TEAEs)
Time Frame
Baseline to week 36 (end of study)
Title
Incidence of anti-REGN475 antibody development
Time Frame
Baseline to week 36 (end of study)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
40 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Key Inclusion Criteria: Body mass index ≤39 Clinical diagnosis of OA of the knee or hip History of inadequate pain relief or intolerance to analgesics used for OA Moderate to severe pain in the index joint History of regular use of analgesic medications for OA pain Willing to discontinue current non-steroidal anti-inflammatory drug (NSAID) and opioid pain medications Key Exclusion Criteria: Other diseases that may involve index knee or hip, including inflammatory joint diseases, crystalline disease (gout or pseudogout), endocrinopathies, metabolic joint disease, lupus erythematosus, rheumatoid arthritis, joint infections, neuropathic disorders, avascular necrosis, Paget's disease, renal osteodystrophy or tumors History of osteonecrosis, destructive arthropathy (RPOA), hip dislocation, pathologic fractures, neuropathic joint arthropathy, knee dislocation or hip dislocation Trauma to the index joint in the 30 days before screening Active fibromyalgia, regional pain caused by lumbar or cervical compression with radiculopathy or other moderate to severe pain that may confound assessments or self-evaluation of the pain associated with OA Prior to the start of the study has received a recommendation for, or is scheduled for joint replacement surgery to be performed during the study period Presence of subchondral insufficiency fracture on screening films or MRI Received an intra-articular injection of hyaluronic acid in the affected index joint within 90 days prior to the screening visit Systemic (ie, oral or intramuscular) corticosteroids within 30 days prior to the screening visit. Intra-articular corticosteroids in the index joint within 12 weeks of the screening visit, or to any other joint within 30 days prior to the screening visit. History of autonomic neuropathy, diabetic neuropathy, or presence of clinically relevant peripheral neuropathy at the time of screening Women of childbearing potential who have a positive pregnancy test result, or who do not have their pregnancy test results at baseline Pregnant or breastfeeding women
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Clinical Trial Management
Organizational Affiliation
Regeneron Pharmaceuticals
Official's Role
Study Director
Facility Information:
City
Birmingham
State/Province
Alabama
Country
United States
City
Mobile
State/Province
Alabama
Country
United States
City
Chandler
State/Province
Arizona
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United States
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Phoenix
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Arizona
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United States
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Tuscon
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Arizona
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United States
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Hot Spring
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Arkansas
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United States
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Little Rock
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Arkansas
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United States
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Anaheim
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California
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United States
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Beverly Hills
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California
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United States
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El Cajon
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United States
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Sacramento
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California
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United States
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San Diego
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California
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United States
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Santa Ana
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California
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United States
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Thousand Oaks
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California
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United States
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Upland
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California
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United States
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Walnut Creek
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California
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United States
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Lakewood
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Colorado
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United States
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Clearwater
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Florida
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United States
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Fleming Island
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Florida
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United States
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Jacksonville
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Florida
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United States
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Miami
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Florida
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United States
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Orlando
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United States
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Palm Harbor
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Florida
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United States
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Tamarac
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Florida
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United States
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Tampa
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United States
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West Palm Beach
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United States
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Weston
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United States
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Winter Haven
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United States
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Decatur
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Georgia
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United States
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Honolulu
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Hawaii
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Chicago
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Illinois
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United States
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Indianapolis
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Indiana
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United States
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New Orleans
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Louisiana
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United States
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Elkridge
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Maryland
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United States
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Frederick
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Maryland
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United States
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Worcester
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Massachusetts
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United States
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St. Clair Shores
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Michigan
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United States
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Traverse City
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United States
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Hattiesburg
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Mississippi
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United States
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Kansas City
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Missouri
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St. Louis
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Missouri
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Omaha
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Nebraska
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United States
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Brooklyn
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New York
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United States
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Hartsdale
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New York
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United States
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New York
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New York
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United States
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Plainview
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New York
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United States
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Rochester
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New York
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United States
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Charlotte
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North Carolina
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United States
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High Point
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North Carolina
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United States
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Raleigh
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North Carolina
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United States
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Cincinnati
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Ohio
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United States
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Cleveland
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Ohio
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United States
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Oklahoma City
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Oklahoma
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United States
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Tulsa
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Oklahoma
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United States
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Bensalem
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Pennsylvania
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United States
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Duncansville
State/Province
Pennsylvania
Country
United States
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Jenkintown
State/Province
Pennsylvania
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United States
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Warwick
State/Province
Rhode Island
Country
United States
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Mount Pleasant
State/Province
South Carolina
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United States
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Jackson
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Tennessee
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United States
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Jefferson City
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Tennessee
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United States
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Memphis
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Tennessee
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United States
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Cypress
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Texas
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United States
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Dallas
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Texas
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United States
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Lubbock
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United States
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Mesquite
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United States
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Plano
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United States
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Waco
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Texas
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United States
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Salt Lake City
State/Province
Utah
Country
United States
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Sandy
State/Province
Utah
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United States
City
West Jordan
State/Province
Utah
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United States
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Norfolk
State/Province
Virginia
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
31207169
Citation
Dakin P, DiMartino SJ, Gao H, Maloney J, Kivitz AJ, Schnitzer TJ, Stahl N, Yancopoulos GD, Geba GP. The Efficacy, Tolerability, and Joint Safety of Fasinumab in Osteoarthritis Pain: A Phase IIb/III Double-Blind, Placebo-Controlled, Randomized Clinical Trial. Arthritis Rheumatol. 2019 Nov;71(11):1824-1834. doi: 10.1002/art.41012. Epub 2019 Sep 20.
Results Reference
derived

Learn more about this trial

Study of REGN475 in Patients With Pain Due to Osteoarthritis of the Knee or Hip

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