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A Study to Evaluate the Efficacy and Safety of CG5503 Prolonged Release (PR) in Subjects With Moderate to Severe Chronic Pain Due to Osteoarthritis of the Knee
This study has been completed.
First Received: June 14, 2007   Last Updated: September 10, 2008   History of Changes
Sponsor: Grünenthal GmbH
Collaborator: Johnson & Johnson Pharmaceutical Research & Development, L.L.C.
Information provided by: Grünenthal GmbH
ClinicalTrials.gov Identifier: NCT00486811
  Purpose

The purpose of this study is to evaluate whether CG5503 prolonged-release (PR) tablets at doses of 100-250 mg twice daily provide a better pain relief in patients with moderate to severe chronic pain due to osteoarthritis of the knee than a placebo (a medication without active substance). In addition the tolerability of CG5503 PR will be assessed. One third of the patients will receive CG5503 and one third will receive placebo. For further comparison one third of the patients will receive oxycodone controlled release (CR) at doses of 20-50 mg twice daily which is an active approved pain medication.


Condition Intervention Phase
Pain
Knee Osteoarthritis
Drug: CG5503, centrally acting analgesic
Drug: Placebo
Drug: CG5503
Drug: Oxycodone
Phase III

Study Type: Interventional
Study Design: Treatment, Randomized, Double Blind (Subject, Investigator), Placebo Control, Parallel Assignment, Efficacy Study
Official Title: A Randomized Double-Blind, Placebo- and Active-Control, Parallel-Arm, Phase III Trial With Controlled Adjustment of Dose to Evaluate the Efficacy and Safety of CG5503 Prolonged Release (PR) in Subjects With Moderate to Severe Chronic Pain Due to Osteoarthritis of the Knee.

Resource links provided by NLM:


Further study details as provided by Grünenthal GmbH:

Primary Outcome Measures:
  • Change from baseline of the average pain intensity over the last week of the Maintenance period at Week 12 or over the entire 12-week Maintenance period, depending on country requirements. [ Time Frame: 12 weeks ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Incidence rates of treatment-emergent adverse events. Changes from baseline of the Western Ontario MacMaster Questionnaire (WOMAC). Sleep Questionnaire (SQ). 11-point NRS, SF-36, EQ-5D, and others, for a maximum timeframe of 20 weeks. [ Time Frame: 12 weeks ] [ Designated as safety issue: Yes ]

Estimated Enrollment: 1200
Study Start Date: June 2007
Study Completion Date: July 2008
Primary Completion Date: July 2008 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
1: Placebo Comparator Drug: Placebo
Placebo BID
2: Experimental Drug: CG5503, centrally acting analgesic
CG5503 PR 100 mg - 250 mg BID
Drug: CG5503
CG5503 PR 100 mg - 250 mg BID
3: Active Comparator Drug: Oxycodone
Oxycodone CR, 20 mg - 50 mg BID

Detailed Description:

This is a randomized (study medication assigned to patients by chance), double-blind (neither patient nor investigator knows which patient gets which study medication, i.e. CG5503, placebo, oxycodone), placebo and active control study. The primary objective is to evaluate the efficacy and safety of orally administered CG5503 prolonged-release (PR) at doses of 100-250 mg (base) twice daily in patients with moderate to severe chronic pain from osteoarthritis (OA) of the knee. The study is being conducted for registration and approval of CG5503 in Europe and outside Europe. The study will consist of five periods: screening (to assess eligibility), washout (3-7 days with determination of a baseline pain intensity), titration (of dose over 3 weeks to the optimal individual level), maintenance (investigational drug intake for 12 weeks with adjustments allowed), and follow-up (2 weeks after end of treatment). The study hypothesis is that the study drug will be more effective than placebo in reducing patients' pain intensity. The secondary objectives include the collection of pharmacokinetic (related to how the body absorbs, distributes, changes and excretes the drug) information for dose verification. The efficacy objectives will be assessed by comparing the baseline pain level to the pain level during the maintainence period. This will be done by looking at the patients' pain diary information (electronic diaries).

  Eligibility

Ages Eligible for Study:   40 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Patients diagnosed with osteoarthritis of the knee based on the American College of Rheumatology (ACR) criteria and functional capacity class of I- III;
  • patients taking analgesic medications for at least 3 months prior to screening and dissatisfied with their current therapy;
  • Patients requiring opioid treatment must be taking daily doses of opioid- based analgesic, equivalent to <160 mg of oral morphine;
  • baseline score of >=5 on an 11-point numeric rating scale, calculated as the average pain intensity during the last 3 days prior to randomization.

Exclusion Criteria:

  • History of alcohol and/or drug abuse in Investigator's judgment;
  • chronic hepatitis B or C, or HIV, presence of active hepatitis B or C within the past 3 months;
  • life-long history of seizure disorder or epilepsy;
  • history of malignancy within past 2 years, with exception of basal cell carcinoma that has been successfully treated;
  • uncontrolled hypertension;
  • patients with severely impaired renal function;
  • patients with moderate to severely impaired hepatic function or with laboratory values reflecting inadequate hepatic function, treatment with neuroleptics, monoamine oxidase inhibitors, serotonin norepinephrine reuptake inhibitor (SNRI), tricyclic antidepressants, anticonvulsants, or anti-parkinsonian drugs, treatment with any other analgesic therapy than investigational medication or rescue medication during the trial
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00486811

  Hide Study Locations
Locations
Austria
Site 043001
Vienna, Austria
Site 043002
Salzburg, Austria
Site 043003
Wiener Neustadt, Austria
Site 043006
Mitterdorf, Austria
Site 043005
Innsbruck, Austria
Site 043004
Vienna, Austria
Croatia
Site 385001
Osijek, Croatia
Site 385002
Zagreb, Croatia
Site 385003
Karlovac, Croatia
Site 385004
Sisak, Croatia
Seite 385005
Zagreb, Croatia
Germany
Site 049001
Leipzig, Germany
Site 049002
Berlin, Germany
Site 049003
Dresden, Germany
Site 049004
Frankfurt, Germany
Site 049005
Magdeburg, Germany
Site 049008
Berlin, Germany
Site 049007
Hamburg, Germany
Site 049006
Wiesbaden, Germany
Site 049009
Schwerin, Germany
Site 049010
Berlin, Germany
Hungary
Site 036002
Visegrad, Hungary
Site 036003
Budapest, Hungary
Site 036004
Kecskemet, Hungary
Site 036005
Budapest, Hungary
Site 036006
Budapest, Hungary
Site 036007
Györj, Hungary
Site 036008
Debrecen, Hungary
Site 036009
Budapest, Hungary
Italy
Site 039003
Milano, Italy
Site 039002
Chieti, Italy
Site 039001
Perugia, Italy
Site 039004
Pavia, Italy
Latvia
Site 371002
Bauska, Latvia
Site 371004
Riga, Latvia
Site 371005
Riga, Latvia
Netherlands
Site 031003
Losser, Netherlands
Site 031004
s'Hertogenbosch, Netherlands
Site 031007
Spijkenisse, Netherlands
Site 031006
Oude Pekela, Netherlands
Site 031008
Eindhoven, Netherlands
Poland
Site 048001
Lublin, Poland
Site 048002
Wroclaw, Poland
Site 048003
Piekary Slaskie, Poland
Site 048009
Warszawa, Poland
Site 048005
Konskie, Poland
Site 048006
Katowice, Poland
Site 048007
Bielsko-Biala, Poland
Site 048008
Mielec, Poland
Site 048004
Krakow, Poland
Site 048010
Rzeszow, Poland
Site 048011
Wroclaw, Poland
Portugal
Site 351001
Coimbra, Portugal
Site 351002
Ponta Delgada, Portugal
Site 351005
Guimaraes, Portugal
Site 351004
Lisboa, Portugal
Site 351003
Faro, Portugal
Sites 351008
Funchal, Portugal
Site 351009
Lisboa, Portugal
Romania
Site 040001
Bucharest, Romania
Site 040002
Bucharest, Romania
Site 040004
Campulung Muscel Arges County, Romania
Site 040005
Bucharest, Romania
Site 040006
Bucharest, Romania
Site 040007
Bucharest, Romania
Site 040008
Bucharest, Romania
Site 040009
Bucharest, Romania
Site 040010
Craiova, Dolj County, Romania
Site 040011
Bucharest, Romania
Slovakia
Site 421001
Kosice, Slovakia
Site 421002
Rimavska Sobota, Slovakia
Site 421003
Poprad, Slovakia
Site 421004
Presov, Slovakia
Site 421005
Banska Bystrica, Slovakia
Spain
Site 034001
Torrelavega, Spain
Site 034002
Petrer, Spain
Site 034004
Vic, Spain
Site 034005
L'Hospitalet de Llobregat, Spain
Site 034007
La roca del Valles, Spain
Site 034008
Mostoles, Spain
Site 034009
Benidorm, Spain
Site 034003
Oviedo, Spain
Site 034016
Sevilla, Spain
Site 034012
Valencia, Spain
Site 034014
Gran Canaria, Spain
Site 034015
Malaga, Spain
Site 034013
Oviedo, Spain
United Kingdom
Site 044001
Kenton, United Kingdom
Site 044002
Chesterfield, United Kingdom
Site 044018
Chorley, United Kingdom
Site 044004
Blackpool, United Kingdom
Site 044005
Ecclesfield, United Kingdom
Site 044006
London, United Kingdom
Site 044007
Woolpit, United Kingdom
Site 044008
Falkirk, United Kingdom
Site 044009
Bradford, United Kingdom
Site 044011
London, United Kingdom
Site 044012
Birmingham, United Kingdom
Site 044013
Cardiff, United Kingdom
Site 044016
Gardens Reading, United Kingdom
Site 044003
Solihull, United Kingdom
Sponsors and Collaborators
Grünenthal GmbH
Johnson & Johnson Pharmaceutical Research & Development, L.L.C.
Investigators
Principal Investigator: Alain Serrie, Dr. C.E.T.D Hôpital Lariboisière
  More Information

No publications provided

Responsible Party: Grünenthal GmbH ( Grünenthal GmbH )
Study ID Numbers: 335862
Study First Received: June 14, 2007
Last Updated: September 10, 2008
ClinicalTrials.gov Identifier: NCT00486811     History of Changes
Health Authority: Czech Republic: SUKL (State Institute for Drug Control);   France: AFSSAPS (Agence Francaise de Securite);   Germany: Bundesinstitut für Arzneimittel und Medizinprodukte;   Hungary: OGYI (National Hungarian Institute of Pharmacy);   Italy: IRCCS Ospedale Maggiore di Milano;   Latvia: State Agency of Medicines;   Netherlands: CCMO (Central Commissie Mensgebonden Onderzoek);   Poland: CEBK (Centralna Ewidencja Badan Klinicznych);   Portugal: Board of Hospital Distrital de Faro;   Portugal: Board of Hospital Do Divino Espirito Santo de Ponta Delgada;   Portugal: Board of Hospitalda Universidade de Coimbra;   Portugal: Board of Hospital des. Hospital Senhora da Oliveira Guimaraes;   Portugal: Board of Hospital Central do Funchal;   Portugal: Board of Instituto de Reumatologia Lisboa;   Romania: National Medicine Agency;   Spain: AEMPS (Agenica Espanola de Medicamentos y Productos Sanitarios)

Keywords provided by Grünenthal GmbH:
Osteoarthritis
Knee
Pain Assessment
CG5503 PR
Centrally acting analgesic
Placebo
Oxycodone
Chronic Pain due to knee Osteoarthritis

Additional relevant MeSH terms:
Osteoarthritis
Joint Diseases
Oxycodone
Physiological Effects of Drugs
Central Nervous System Depressants
Narcotics
Rheumatic Diseases
Pharmacologic Actions
Osteoarthritis, Knee
Musculoskeletal Diseases
Sensory System Agents
Therapeutic Uses
Arthritis
Analgesics
Peripheral Nervous System Agents
Central Nervous System Agents
Analgesics, Opioid

ClinicalTrials.gov processed this record on November 27, 2009