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A Study to Compare Meloxicam IM Once Daily Versus Meloxicam Orally Once Daily in Patients With Rheumatoid Arthritis

Phase 3
Completed
Conditions
Arthritis, Rheumatoid
Registration Number
NCT00239382
Lead Sponsor
Boehringer Ingelheim
Brief Summary

The objective of this trial was to assess the efficacy and safety of 15 mg meloxicam i.m. once daily compared with 15 mg meloxicam tablets once daily p.o. in patients with Rheumatoid arthritis over a time period of 7 days.

Detailed Description

This was a randomized (1:1), open-label, multi-center, active-control, parallel-group study to compare the efficacy of 15 mg meloxicam i.m. once daily compared with 15 mg meloxicam tablets once daily p.o. in patients with rheumatoid arthritis over a time period of 7 days.

Patients eligible for the trial who met all inclusion and exclusion criteria and who gave their informed consent were randomized to one of two treatment groups (i.e. meloxicam ampoule or meloxicam tablet).

The study period totaled 8-14 days included screening, randomisation, study drug administration, and 7-day follow-up. The relevant assessment were performed on the day of randomisation and 7-day follow up.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
150
Inclusion Criteria
  • Male or female aged 18 years or above
  • The patient has rheumatoid arthritis, as defined by the American Rheumatism Association.
  • Assessment of overall pain (by the patient), after a washout for NSAID of at least 2 days (3 days for oxicams), must exceed 40 mm on a 100 mm visual analogue scale (VAS)
  • Symptoms of RA requiring administration of NSAIDs
  • Outpatients
  • Willingness and ability to provide written informed consent.
Exclusion Criteria
  • Known or suspected hypersensitivity to the trial drugs or their excipients, analgesics, antipyretics or NSAIDs
  • Any clinical evidence of active peptic ulceration during the previous 6 months
  • Pregnancy or breastfeeding (precaution: attention should be drawn to reports that NSAIDs were reported to decrease the effectivity of intrauterine devices)
  • Asthma, nasal polyps, angioneurotic oedema or urticaria following the administration of aspirin or NSAIDs
  • Concomitant treatment with anti-coagulants (including heparin), lithium
  • Concomitant administration of other NSAIDs or analgesic agents (except paracetamol up to 4g/day)
  • Administration of any NSAID during the last 2 days (3 days for any oxicam) prior to the first administration of the trial drug
  • Concomitant treatment with methotrexate, sulfasalazine, D-penicillamine, chloroquine or any other disease modifying antirheumatic drug initiated or with an altered dose over the previous 3 months
  • Concomitant treatment with an oral corticosteroid initiated or with an altered dose over the previous month
  • Parenteral or intraarticular administration of corticosteroids in the previous month
  • Any i.m. injection during the previous 7 days
  • Synovectomy and/or surgical treatment for RA in the previous month or during the trial
  • Any physiotherapy which will be changed during the trial
  • Any contra-indication to i.m. injections
  • Clinical evidence of or known severe cardiac, hepatic, renal, metabolic, haematological disease, mental disturbance, ulcerative colitis
  • Any other rheumatological or non-rheumatological disease that could interfere with the evaluation of efficacy and safety
  • Serum creatinine 125 % of the upper limit of normal range ; aspartate amino-transferase (AST/SGOT) and/or alaline amino-transferase (ALT/SGPT) 200 % of the upper limit of normal range
  • Platelet count < 100,000/mm3 ; leucocytes count < 3,000/mm3
  • Participation in another clinical trial during this study or during the previous month
  • Previous participation in this trial (i.e. having been allocated a randomized treatment number)
  • Patient unable to comply with the protocol

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Patient's assessment of overall pain7 days
Patient's global assessment of disease activity7 days
Secondary Outcome Measures
NameTimeMethod
Patient's assessment of physical function7 days
Investigator's Global Assessment of Disease Activity7 days
Tender/Painful Joint Count7 days
Swollen Joint Count7 days
Duration of Morning Stiffness7 days
Final Global Assessment of Efficacy by Patient7 days
Final Global Assessment of Efficacy by Investigator7 days
Withdrawals due to Inadequate Efficacy7 days
Change in Patient Status With Regard to Arthritic Condition as Assessed by the Patient7 days
Change in Patient Status With Regard to Arthritic Condition as Assessed by the Investigator7 days
Onset of Analgesic Action7 days
Paracetamol Consumption7 days
Time to Maximum Pain Relief After the First Trial Drug Administration7 days

Trial Locations

Locations (8)

Shanghai Zhongshan Hospital

🇨🇳

Shanghai, China

Shanghai Guanghai Hospital

🇨🇳

Shanghai, China

People's Hospital, Beijing University

🇨🇳

Beijing, China

Shanghai Renji Hospital

🇨🇳

Shanghai, China

Beijing Xuan Wu Hospital

🇨🇳

Beijing, China

1st Affiliated, Anhui Medical University

🇨🇳

Hefei City, Anhui Province, China

Qilu Hospital, Shang Dong University

🇨🇳

Nan City, China

Shanghai Changhai Hospital

🇨🇳

Shanghai, China

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