Safety and Efficacy of OMS103HP-S Administered in Joint Irrigation Solution to Subjects Undergoing Arthroscopic Meniscectomy

Phase 3

Completed

• Conditions: Meniscal Tear
• Interventions: Drug: Vehicle; Drug: OMS103HP-S

• Registration Number: NCT01406561
• Lead Sponsor: Omeros Corporation

Brief Summary

The purpose of this study is to assess the effect of OMS103HP solution for Injection (OMS103HP-S) and function as measured by the Knee Osteoarthritis Outcome Survey (KOOS) Symptoms subscale through Day 30 compared with vehicle irrigation solution for knee symptoms in subjects undergoing meniscectomy.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2011-07-28
• Study First Submitted QC: 2011-07-29
• Study Start: 2011-08
• Study First Posted: 2011-08-01
• Primary Completion: 2012-11
• Study Completion: 2012-12
• Status Verified: 2018-10
• Disposition First Submitted: 2018-10-17
• Disposition First Submitted QC: 2018-10-17
• Disposition First Posted: 2018-10-22
• Last Update Submitted: 2018-10-24
• Last Update Posted: 2018-10-26

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 344

Inclusion Criteria

1. Voluntarily provide written informed consent in accordance with governing Institutional Review Board (IRB)/Independent Ethics Committee (IEC) requirements, local regulations, and Health Insurance Portability and Accountability Act (HIPAA) Authorization (or equivalent if locally applicable)
2. In the opinion of the Investigator are able to comply with study-required visits and procedures
3. 18 to 75 years of age, inclusive at the time of screening
4. Have a traumatic or degenerative meniscal cartilage injury (full thickness tear) that occurred at least 14 days prior to the day of arthroscopic surgery that is demonstrated on MRI
5. Planning to undergo unilateral arthroscopic meniscectomy
6. If female and of childbearing potential (i.e., not surgically sterilized or post-menopausal for longer than one year), agree to use a medically accepted method of birth control for the duration of her study involvement
7. At minimal risk from anesthesia and classified according to the American Society of Anesthesiologists Physical Status Classification as either PS-1 (a normal healthy patient) or PS-2 (a patient with mild systemic disease that results in no functional limitation) as determined by the Investigator.

Exclusion Criteria

1. Significant arthritis in the surgical knee (Grade 3 or 4 on the Kellgren- Lawrence Grading Scale).

2. History of reactive synovial disease

3. History of a complex regional pain syndrome (Type I, i.e., reflex sympathetic dystrophy, or Type II, i.e., causalgia), chronic pain, attendance at a chronic pain clinic, or neurologic disorder associated with sensory deficit of the lower extremities

4. History of fibromyalgia

5. Expected to undergo any of the following procedures concurrent with the meniscectomy:

   • Meniscal repair procedure
   • Patellar tendon debridement
   • Patellar realignment
   • Lateral or retinacular release
   • Excision synovectomy (minor synovectomy to improve arthroscopic visualization is allowed)
   • Concurrent ligamentous procedure
   • Abrasion chondroplasty involving bone
   • Microfracture
   • Chondral transplantation
   • Use of more than three portals

6. Known allergies to any of the individual ingredients in OMS103HP-S, other NSAIDs, aspirin, tricyclic antidepressants, or opioid analgesics

7. Pregnant, breastfeeding, or planning to become pregnant or breastfeed during the study

8. Have a job-related claim(s) under dispute or mediation

9. History of drug or alcohol abuse

10. Treatment with an investigational drug or device within 30 days prior to the day of surgery

11. A clinically significant medical condition that in the opinion of the Investigator would put the subject at increased risk, impair the subject's ability to comply with the requirements of the protocol, or confound the interpretation of the data

12. Expected to receive a regional block for analgesia for this procedure

13. Considered by the Investigator for any reason to be an unsuitable candidate for receipt of an investigational drug

14. The Investigator, employee of the investigative site, and/or part of the Investigator/employee's immediate families (defined as current spouse or partner, parent, natural or legally adopted child, stepchild living in the household, grandparent, or grandchild).

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Vehicle Irrigation Solution	Vehicle	Vehicle Irrigation Solution
OMS103HP-S	OMS103HP-S	OMS103HP-S injected into vehicle irrigation solution for administration during meniscectomy surgery

Primary Outcome Measures

Name	Time	Method
KOOS Symptoms Subscale	30 days	To evaluate the effect of OMS103HP-S compared to vehicle when administered in joint irrigation fluid during arthroscopic meniscectomy on knee symptoms as measured by the KOOS Symptoms subscale through Day 30.
Safety	90 days	To evaluate the safety of OMS103HP-S compared to vehicle when administered in joint irrigation fluid during arthroscopic meniscectomy on safety as measured by adverse events.

Secondary Outcome Measures

Name	Time	Method
Knee Function in Sport Active patients	30 Days	To evaluate the effect of OMS103HP-S compared to vehicle when administered in joint irrigation fluid during arthroscopic meniscectomy on knee function as measured by the KOOS Sports and Recreation subscale through Day 30 in the subset of subjects who participate in sports.
Knee Pain	30 days	To evaluate the effect of OMS103HP-S compared to vehicle when administered in joint irrigation fluid during arthroscopic meniscectomy on knee pain as measured by the KOOS Pain subscale through Day 30.
Knee Function	30 days	To evaluate the effect of OMS103HP-S compared to vehicle when administered in joint irrigation fluid during arthroscopic meniscectomy on knee function as measured by the KOOS Activities of Daily Living subscale through Day 30.
Quality of Life	30 days	To evaluate the effect of OMS103HP-S compared to vehicle when administered in joint irrigation fluid during arthroscopic meniscectomy on knee quality of life as measured by the KOOS Quality of Life subscale through Day 30.
Postoperative Knee Pain	Day of Surgery (day 1)	To evaluate the effect of OMS103HP-S compared to vehicle when administered in joint irrigation fluid during arthroscopic meniscectomy on postoperative knee pain as measured by the Visual Analog Scale during the day of surgery.
Passive Flexion	7 Days	To evaluate the effect of OMS103HP-S compared to vehicle when administered in joint irrigation fluid during arthroscopic meniscectomy on Passive flexion on Day 7.

Trial Locations

Locations (1)

Orthopedic Surgery Center; 🇺🇸 Seattle, Washington, United States