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Clinical Trial of YH14618 in Patients With Degenerative Disc Disease

Phase 2
Completed
Conditions
Disc Degenerative Disease
Interventions
Drug: Placebo
Registration Number
NCT02320019
Lead Sponsor
Yuhan Corporation
Brief Summary

Research Hypothesis:

There will be a greater proportion of VAS responders defined as those who achieve ≥ 50% reduction from baseline in VAS for low back pain at week 12 following intradiscal injection of YH14618 compared to placebo. Patients have been diagnosed as one or two symptomatic lumbar degenerative disc disease defined as Pfirrmann grade 2 to 4 using MRI. Patients have suffered from persistent low back pain with at least 3 months of conservative therapy and must have low back pain measured by VAS≥4 cm and modified Oswestry disability index (mODI) ≥30% at the baseline.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
326
Inclusion Criteria
  • Patients diagnosed as one or two symptomatic early lumbar (L1/L2 ~ L5/S1) degenerative disc disease defined as Pfirrmann grade 2 to 4 using MRI performed within 4 weeks prior to randomization.
  • Patients have suffered from persistent low back pain with at least 3-month conservative therapy.
  • Patients have low back pain measured by VAS≥4cm and mODI≥30% at screening and randomization visit (Day 0).
Exclusion Criteria
  • Clinically significant spine compression fracture, spinal stenosis, or spinal instability.
  • Clinically significant sacroiliac joint dysfunction, facet joint pain, or those who are suspected.
  • Modic change type III assessed by X-ray and MRI
  • History of spine surgery
  • Neurologic disorders.
  • Any other systemic disease which can influence spine such as rheumatoid arthritis, ankylosing spondylitis, or autoimmune disease.
  • Participation in other clinical trials with intradiscal injection (eg, Phase 1/2a YH14618-201 trial, or Cell therapy, etc.)

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Placebo groupPlaceboPlacebo
Group AYH14618YH14618 A mg/disc
Group CYH14618YH14618 C mg/disc
Group DYH14618YH14618 D mg/disc
Group BYH14618YH14618 B mg/disc
Primary Outcome Measures
NameTimeMethod
Proportion of VAS respondersat 12-week

Proportion of VAS responders defined as those who achieve ≥ 50% reduction in VAS at week 12 from baseline

Secondary Outcome Measures
NameTimeMethod
Changes in mODI score from baselineEach visit for 24 weeks
Proportion of VAS respondersat 24-week
Proportion of mODI responderat 12-week, 24-week
Changes in VAS score from baselineEach visit for 24 weeks

Trial Locations

Locations (1)

Severance Hospital

🇰🇷

Seoul, Korea, Republic of

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