A Double-Blind, Randomized, Placebo-Controlled, Parallel Group, Multi-Site Study to Evaluate the Clinical Equivalence of Diclofenac Sodium 1% Gel (Anchen Pharmaceuticals, Inc.) With Voltaren® Gel (Diclofenac Sodium Topical Gel) 1% (Novartis) in Patients With Osteoarthritis of the Knee
Overview
- Phase
- Phase 3
- Intervention
- Diclofenac
- Conditions
- Osteo Arthritis of the Knee
- Sponsor
- Anchen Pharmaceuticals, Inc
- Enrollment
- 749
- Locations
- 1
- Primary Endpoint
- Mean Change from Baseline in WOMAC Pain Scale
- Status
- Completed
- Last Updated
- 13 years ago
Overview
Brief Summary
The objective of this study is to evaluate the clinical equivalence and safety of the Test formulation of diclofenac sodium topical gel 1% (Anchen Pharmaceuticals, Inc.) compared to the marketed formulation Voltaren® Gel (diclofenac sodium topical gel) 1% (Novartis) in patients with osteoarthritis of the knee.
The efficacy of both the Test and Reference formulations will also be compared to the Placebo gel to determine Superiority.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Ambulatory Male and Non Pregnant Females 35 years and older diagnosed with osteoarthritis (according to the American College of Rheumatology Criteria) in one or both knees.
- •ACR Criteria includes, Knee Pain and at least 3 of the following:
- •stiffness lasting \< 30 mins
- •bony tenderness
- •bony enlargement
- •no palpable warmth
- •Symptom onset of \> 6 Months prior to Screening for the target knee.
- •If female and of child-bearing potential, prepare to abstain from sexual intercourse or use a reliable method of contraception during the study (e.g., condom + spermicide, IUD, oral, transdermal, injected or implanted hormonal contraceptives).
- •Periarticular knee pain due to osteoarthritis (not bursitis, tendonitis etc) requiring the use of oral or topical treatments (NSAIDS or acetaminophen) for \> 15 days in the 30 days prior to Screening.
- •Radiograph of the target knee within the previous year with a Grade 1, 2 or 3 disease based upon the Kellgren-Lawrence disease severity scale.
Exclusion Criteria
- •Females who are pregnant, breast feeding, or planning a pregnancy
- •Radiograph of the target knee within the previous year with a Grade 4 score on the Kellgren-Lawrence disease severity scale. 24
- •History of osteoarthritis in the contralateral knee requiring medication (OTC or prescription) within 12 months of screening.
- •After a 7 day wash out of all pain medication has baseline pain on movement score of ≥ 20mm on a 100-mm Visual Analogue Scale for the contralateral knee immediately prior to randomization.
- •Known history of secondary osteoarthritis (e.g. congenital, traumatic, gouty arthritis) or rheumatoid arthritis.
- •Known history of other chronic inflammatory diseases, (e.g.,colitis) or fibromyalgia.
- •History of asthma, hypertension, myocardial infarction, thrombotic events, stroke, congestive heart failure, impaired renal function or liver disease.
- •History of coronary artery bypass graft within 6 months of screening.
- •Concomitant acetylsalicylic acid therapy other than a stable low dose used for cardiac prophylaxis (max 162mg daily) taken for at least 3 months prior to enrollment and maintained throughout the duration of the study.
- •Use of warfarin or other anticoagulant therapy within 30 days of screening.
Arms & Interventions
Diclofenac Sodium Gel
Diclofenac sodium Topical Gel 1%
Intervention: Diclofenac
Voltaren (R) Gel
Voltaren (R) Gel 1%
Intervention: Diclofenac
Placebo
Placebo Topical Gel
Intervention: Placebo
Outcomes
Primary Outcomes
Mean Change from Baseline in WOMAC Pain Scale
Time Frame: Baseline and Week 4
Secondary Outcomes
- Superiority of Test and Reference against Placebo in the Mean Change from baseline in the total WOMAC pain score.(Baseline and Week 4)