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A Study of LY2828360 in Patients With Osteoarthritic Knee Pain

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01319929
Recruitment Status : Completed
First Posted : March 22, 2011
Last Update Posted : May 31, 2012
Information provided by (Responsible Party):
Eli Lilly and Company

Brief Summary:
To investigate the safety, efficacy and pharmacokinetics of single daily oral dose of LY2828360 in male and female subjects with osteoarthritic knee pain

Condition or disease Intervention/treatment Phase
Osteoarthritis, Knee Drug: LY2828360 Drug: Placebo Phase 2

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 39 participants
Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: Double (Participant, Investigator)
Official Title: A Proof of Concept Study of the Effects of LY2828360 in the Treatment of Patients With Osteoarthritic Knee Pain.
Study Start Date : March 2011
Actual Primary Completion Date : September 2011
Actual Study Completion Date : September 2011

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Osteoarthritis

Arm Intervention/treatment
Experimental: LY2828360 then Placebo
80 milligrams (mg) of LY2828360 daily by mouth for 4 weeks: placebo daily by mouth for 4 weeks. There is a washout period of 3 weeks between treatments.
Drug: LY2828360
Administered orally

Drug: Placebo
Administered orally

Experimental: Placebo then LY2828360
Placebo daily by mouth for 4 weeks: LY2828360 daily by mouth for 4 weeks. There is a washout period of 3 weeks between treatments.
Drug: LY2828360
Administered orally

Drug: Placebo
Administered orally

Primary Outcome Measures :
  1. Change from baseline to 4 week endpoint in weekly mean of daily 24 hour Average Pain Scores (APS) [ Time Frame: Baseline, 4 weeks ]

Secondary Outcome Measures :
  1. Pharmacokinetic (PK) of LY2828360, maximal concentration (Cmax) [ Time Frame: Pre-dose to 8 hours post last dose ]
  2. Pharmacokinetic (PK) of LY2828360, area under the concentration-time curve (AUC) [ Time Frame: Pre-dose to 8 hours post last dose ]
  3. Change from baseline to 4 week endpoint in weekly mean of night pain and worst daily pain scores [ Time Frame: Baseline, 4 weeks ]
  4. Change from baseline to 4 week endpoint in Chronic Pain Sleep Inventory (CPSI) [ Time Frame: Baseline, 4 weeks ]
  5. Change from baseline to 4 week endpoint in Pittsburgh Sleep Quality Index (PSQI) [ Time Frame: Baseline, 4 weeks ]
  6. Change from baseline to 4 week endpoint in Brief Pain Inventory (BPI) - Severity and Interference [ Time Frame: Baseline, 4 weeks ]
  7. Change from baseline to 4 week endpoint in Investigator Global Assessment of Changes (IGAC) [ Time Frame: Baseline, 4 weeks ]
  8. Change from baseline to 4 week endpoint in Patient Global Assessment of Changes (PGAC) [ Time Frame: Baseline, 4 weeks ]
  9. Change from baseline to 4 week endpoint in Western Ontario and MacMaster (WOMAC) [ Time Frame: Baseline, 4 weeks ]
  10. Change from baseline to 4 week endpoint in Pain from 40 meter self-paced walk test [ Time Frame: Baseline, 4 weeks ]
  11. Change from baseline to 4 week endpoint in Time from the 11 step stair climb test [ Time Frame: Baseline, 4 weeks ]
  12. Change from baseline to 4 week endpoint in DoloTest sum score [ Time Frame: Baseline, 4 weeks ]
  13. Number of participants with treatment emergent suicidal ideation and behaviors assessed by Columbia-Suicide Severity Rating Scale (C-SSRS) [ Time Frame: Baseline up to 15 weeks ]

Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.

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Ages Eligible for Study:   40 Years to 75 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Are male or female patients with osteoarthritis (OA), as determined by medical history and physical examination. Males and females with stable medical problems that, in the investigator's opinion, will not significantly alter the disposition of the drug, will not place the patient at increased risk by participating in the study, and will not interfere with interpretation of the data.

    1. Male patients: agree to use a reliable method of birth control during the study and for 3 months following the last dose of the investigational product
    2. Female patients: women not of child-bearing potential due to surgical sterilization (at least 6 weeks post surgical bilateral oophorectomy with or without hysterectomy or tubal ligation) confirmed by medical history, or menopause
  • Body weight greater than 40 kilograms (kg) and less than 120 kilograms (kg) with a body mass index (BMI) between 19-35 kilograms per square meter (kg/m^2) inclusive
  • Patient with osteoarthritic knee based on disease diagnostic criteria as presented in the Inclusion Disease Criteria, below
  • Blood pressure and pulse rate in supine and standing positions, within normal reference ranges for the population and investigator clinical research unit (CRU), or results with acceptable deviations that are judged to be not clinically significant by the investigator
  • Have clinical laboratory test results within normal reference range for the population or investigator clinical research unit (CRU), or results with acceptable deviations that are judged to be not clinically significant by the investigator
  • Have venous access sufficient to allow for blood sampling
  • Have agreed to maintain the same activity level throughout the course of the study

Inclusion Disease Criteria:

  • Have a unilateral or bilateral osteoarthritis (OA) of the knee diagnosed according to the American College of Rheumatology (ACR) criteria. The clinical diagnosis of osteoarthritis (OA) will be confirmed by the American College of Rheumatology (ACR) clinical and radiographic criteria for classification of idiopathic osteoarthritis (OA) of the knee based upon the following criteria:

    1. Knee pain for at least 14 days per month for the 3 months before screening
    2. Osteophytes (with radiographic evidence)
    3. At least 1 of the following 3 conditions: Age greater than 50, or Morning stiffness less than 30 minutes, or Crepitus
  • Have a Kellgren and Lawrence grade of I, II, III or IV
  • Have a mean score of at least 4 (moderate) and less than or equal to 8 (moderate-severe) on the 24-hour average pain score (0-10) (question 1) in the patient e-diary from screening to randomization for the knee joint during walking
  • Discontinued use of all analgesic medications (including over-the-counter [OTC] analgesics/Non-Steroidal Anti-Inflammatory Drug [NSAID]) at least 2 weeks prior to randomization (patients are allowed limited use of analgesic medications)

Exclusion Criteria:

  • Are currently enrolled in, have completed or discontinued within the last 3 months from, a clinical trial involving an off-label investigational drug or device or are concurrently enrolled in any other type of medical research judged not to be scientifically or medically compatible with this study
  • Have known allergies to LY2828360, related compounds or any components of the formulation
  • Have an abnormality in the 12-lead electrocardiogram (ECG) at screening that, in the opinion of the investigator, increases the risks associated with participation in the study
  • Have a recent or current history of cardiovascular, respiratory, hepatic, renal, gastrointestinal, endocrine, hematological, or neurological disorders capable of significantly altering the absorption, metabolism, or elimination of drugs; of constituting a risk when taking the study medication; or of interfering with the interpretation of data
  • Have current or previous (within the past year) Axis 1 diagnosis of major depressive disorder, mania, bipolar disorder, psychosis, dysthymia, generalized anxiety disorder, alcohol or eating disorders according to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition Text Revision, criteria, as determined by the investigator and confirmed by the Mini-International Neuropsychiatric Interview
  • Are judged by the Principal Investigator to be clinically at suicidal risk based upon clinical interview
  • Have intercurrent illness or clinically significant adverse events
  • Have increased risk of seizures as evidenced by a history of seizures, stroke, surgery to the cerebral cortex, or head trauma with loss of consciousness
  • Have an alanine aminotransaminase (ALT) greater than 2.5 times Upper Limit of Normal (ULN) at Screening, based on reference ranges of the local laboratory. Moderate or greater hepatic impairment
  • Have prior renal transplant, current renal dialysis or severe renal insufficiency, or serum creatinine laboratory value greater than 1.5 times Upper Limit of Normal, based on the reference ranges of the local laboratory
  • Have clinically significant abnormal neurological examination, especially any evidence of tremor or nystagmus
  • Have a history of or symptoms suggestive of sleep apnoea
  • Use of any known strong inducers or inhibitors of Cytochrome P450 within 30 days prior to enrolment.
  • Regularly use known drugs of abuse and/or show positive findings on urinary drug screening
  • Have a positive alcohol breath test at Screening
  • Show evidence of human immunodeficiency virus infection and/or positive human HIV antibodies
  • Have an active malignancy of any type or a history of malignancy (except basal cell carcinoma of the skin that has been excised prior to study start)
  • Are at a high risk of infection
  • Have an autoimmune disorder
  • Show evidence of hepatitis C and/or positive hepatitis C antibody
  • Show evidence of hepatitis B and/or positive hepatitis B surface antigen
  • Are women with a positive pregnancy test or women who are lactating or child bearing
  • Use prescription and herbal medications that cannot safely be discontinued by end of screening
  • Have donated blood of more than 500 milliliters (mL) within the last 3 months
  • Have an average weekly alcohol intake that exceeds 21 units per week (males up to age 65) and 14 units per week (males over 65 and females), or are unwilling to refrain alcohol consumption for the duration of the study
  • Are persons who have previously received the investigational product in study, have completed or withdrawn from this study or any other study investigation LY2828360
  • Are taking any excluded medications (analgesic medications) and over-the- counter medications that cannot be discontinued at screening
  • Show evidence or have any prior history of significant active neurological or psychiatric disease including depression

Exclusion Disease Criteria:

  • Have secondary causes of arthritis of the knee including septic arthritis, inflammatory joint disease, articular fracture, major dysplasias or congenital abnormality, ochronosis, acromegaly, hemochromatosis, Wilson's disease, and primary osteochondromatosis
  • Have had lower extremity surgery (including arthroscopy of the index knee) within 6 months prior to Screening or have surgery planned of the index knee at anytime
  • Have had significant prior injury to the index knee within 12 months prior to Screening
  • Use of lower extremity assistive devices other than a cane or knee brace (use of a 'shoe lift' is permitted). Are non-ambulatory or require the use of crutches or a walker. Use of a cane in the hand opposite the index knee is acceptable
  • Have a confounding painful condition that may interfere with assessment of the index joint, i.e., knee
  • Have any other musculoskeletal or arthritic condition that may affect the interpretation of clinical efficacy and/or safety data or otherwise contraindicates participation in this clinical study
  • Have used corticosteroid prior to baseline
  • Have received hyaluronan injections into index knee within the previous 6 months prior to Treatment Phase day 3
  • Have initiated or have changed to an established physiotherapy program within 2 weeks prior to Treatment Phase day 3 or during the study period An established physiotherapy program may be continued throughout the study period if unchanged in frequency and intensity
  • Has had a prior synovial fluid analysis showing a White Blood Cell (WBC) greater than or equal to 2000 cubic millimeters (mm^3) that is indicative of a diagnosis other than OA
  • Have started recently or changed dose regimen of any OA specific therapies (i.e., nutraceutical products)

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT01319929

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For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
Aalborg, Denmark
Sponsors and Collaborators
Eli Lilly and Company
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Study Director: Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST) Eli Lilly and Company

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Responsible Party: Eli Lilly and Company Identifier: NCT01319929     History of Changes
Other Study ID Numbers: 14165
I4F-EW-CCAC ( Other Identifier: Eli Lilly and Company )
First Posted: March 22, 2011    Key Record Dates
Last Update Posted: May 31, 2012
Last Verified: May 2012
Keywords provided by Eli Lilly and Company:
Osteoarthritis, knee pain, osteoarthritic knee pain
Additional relevant MeSH terms:
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Osteoarthritis, Knee
Joint Diseases
Musculoskeletal Diseases
Rheumatic Diseases