A Study to Evaluate the Efficacy & Safety of an Intra-Articular Ampion Injection for Pain of Osteoarthritis of the Knee

Phase 3

Completed

Conditions: Osteoarthritis of the Knee

Interventions: Biological: 4 mL injection of AMPION™
Drug: 4 mL injection of Placebo

Registration Number: NCT02556710

Lead Sponsor: Ampio Pharmaceuticals. Inc.

Brief Summary: This study will evaluate the efficacy and safety of an intra-articular injection of AMPION™ in adults with pain due to osteoarthritis of the knee

Detailed Description: A Randomized, Placebo-Controlled, Double-Blind Study To Evaluate The Efficacy And Safety Of An Intra-Articular Injection Of AMPION™ In Adults With Pain Due to Osteoarthritis Of The Knee

The primary trial objective is to evaluate the efficacy of 4 mL of AMPION™ versus 4 mL placebo intra-articular (IA) injection in improving knee pain, when applied to patients suffering from OA of the knee.

The secondary trial objective is evaluation of the safety of an intra-articular injection of AMPION™.

Recruitment & Eligibility

Status: COMPLETED

Sex: All

Target Recruitment: 480

Inclusion Criteria

Able to provide written informed consent to participate in the study;
Willing and able to comply with all study requirements and instructions of the site study staff;
Male or female, 40 years to 85 years old (inclusive);
Must be ambulatory;
Index knee must be symptomatic for greater than 6 months with a clinical diagnosis of OA and supported by radiological evidence (Kellgren Lawrence Grade II, III, or IV) read by a central reader;
WOMAC 5-point Likert pain subscale <1.5 in the contralateral knee;
Moderate to moderately-severe OA pain in the index knee (rating of at least 1.5 on the WOMAC Index 3.1 5-point Likert Pain Subscale);
Moderate to moderately-severe OA pain in the index knee (even if chronic doses of nonsteroidal anti-inflammatory drug (NSAID), which have not changed in the 4 weeks prior to screening, have been/are being used);
Ability to discontinue NSAID use at Screening visit and/or 72 hours prior to the Baseline visit and for the duration of the clinical study (low dose Aspirin is allowed during the study);
No analgesia (including acetaminophen [paracetamol]) taken 24 hours prior to an efficacy measure;
No known clinically significant liver abnormality (e.g. cirrhosis, transplant, etc.).

Exclusion Criteria

As a result of medical review and screening investigation, the Principal Investigator considers the patient unfit for the study
A history of allergic reactions to human albumin (reaction to non-human albumin such as egg albumin is not an exclusion criterion)
A history of allergic reactions to excipients in 5% human albumin (N-acetyltryptophan, sodium caprylate)
Presence of tense effusions
Inflammatory or crystal arthropathies, acute fractures, history of aseptic necrosis or joint replacement in the affected knee, as assessed locally by the Principal Investigator
Isolated patella femoral syndrome, also known as chondromalacia
Any other disease or condition interfering with the free use and evaluation of the index knee for the duration of the trial (e.g. cancer, congenital defects, spine osteoarthritis)
Major injury to the index knee within the 12 months prior to screening
Severe hip osteoarthritis ipsilateral to the index knee
Any pain that could interfere with the assessment of index knee pain (e.g. pain in any other part of the lower extremities, pain radiating to the knee)
Any pharmacological or non-pharmacological treatment targeting OA started or changed during the 4 weeks prior to randomization or likely to be changed during the duration of the study
Pregnancy or planning to become pregnant during the study.
Use of the following medications:
No IA injected pain medications in the study knee during the study
No analgesics containing opioids.
NSAIDs are not permitted during the study; acetaminophen is available as a rescue medication during the study from the provided supply.
No topical treatment on osteoarthritis index knee during the study
No significant anticoagulant therapy (e.g. Heparin or Lovenox) during the study (treatment such as low dose Aspirin and Plavix are allowed)
No systemic treatments that may interfere with safety or efficacy assessments during the study
No immunosuppressants
No use of corticosteroids
No human albumin treatment in the 3 months before randomization or throughout the duration of the study

Study & Design

Study Type: INTERVENTIONAL

Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
AMPION™ 4 mL dose	4 mL injection of AMPION™	4 mL injection of Ampion
Placebo 4 mL dose	4 mL injection of Placebo	4 mL Injection of Placebo

Primary Outcome Measures

Name	Time	Method
Change in Knee Pain	Scored at Baseline and 12 weeks	Mean Change in WOMAC A Pain (Western Ontario and McMaster Universities Arthritis Index) score from Baseline to 12 weeks. 5-point Likert scale (0=none to 4=extreme). A negative difference constitutes a decrease in pain with a greater negative value indicating a greater reduction in pain.

Secondary Outcome Measures

Name	Time	Method
Change in Knee Function	Scored at Baseline and 12 Weeks	Mean change in WOMAC C function score (Western Ontario and McMaster Universities Arthritis Index) from Baseline to 12 weeks. 5-point Likert scale indicating limitation of function (0=none to 4=extreme). A greater negative value indicates a improvement in function.