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A Study to Evaluate the Efficacy, Safety and Tolerability of MIV-711 in Osteoarthritis Patients

Phase 2
Completed
Conditions
Osteoarthritis, Knee
Interventions
Drug: Placebo
Registration Number
NCT02705625
Lead Sponsor
Medivir
Brief Summary

This is a multicentre, randomised, placebo-controlled, double-blind, three-arm parallel, Phase IIa study to evaluate the efficacy, safety and tolerability of MIV-711 in patients with knee osteoarthritis (OA).

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
244
Inclusion Criteria
  • Current average knee pain, defined as pain in either knee, within 1 week before visit 1, for which the patient gives a severity score of ≥4, <10 on a 0-10 NRS (Numeric Rating Scale).
  • Inclusive of 40-80 years old.
  • Diagnosis of primary knee osteoarthritis
Exclusion Criteria
  • The presence of any inflammatory arthritis
  • Any generalized pain condition that may interfere with the evaluation of the target knee pain (e.g., fibromyalgia) as judged by the investigator.
  • Any clinically severe or significant uncontrolled concurrent illness, which, in the opinion of the Investigator, would impair ability to give informed consent or take part in or complete this clinical study.
  • Known or suspected intolerance or hypersensitivity to the investigational product, closely related compounds, or any of the stated ingredients.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
MIV-711:1MIV-711MIV-711 for a total of 26 w
MIV-711:2MIV-711MIV-711 for a total of 26 w
PlaceboPlaceboPlacebo for a total of 26 w
Primary Outcome Measures
NameTimeMethod
Numeric Rating Scale (NRS) Average Target Knee Pain Score at Week 26baseline and 26 weeks

Change from Visit 2 (Baseline) to Visit 8 (Week 26) in NRS average target knee pain score.

NRS (Numeric rating scale) ranges from 0 indicating -"no pain", to 10 indicating - "pain as bad as it could be".

Secondary Outcome Measures
NameTimeMethod
Magnetic Resonance Imaging (MRI) Bone Area of the Target Knee at Week 26baseline and 26 weeks

Change from Visit 2 (Baseline) to Visit 8 (Week 26) in MRI (Magnetic Resonance Imaging;) bone area of the target knee in mm\^2.

Magnetic Resonance Imaging (MRI) of Cartilage Thickness (Femur) at Week 26baseline and 26 weeks

Change from Visit 2 (baseline) to Visit 8 (week 26) in MRI cartilage thickness in the Central Medial Femur Region of the target knee in mm.

Normalised Western Ontario & McMaster Universities Osteoarthritis Index (WOMAC) Pain Scorebaseline and 26 weeks

Change from Visit 2 (Baseline) to Visit 8 (Week 26) in normalised WOMAC pain score. The WOMAC responses are scored using an 11-point NRS where 0=none and 10=extreme. There are 5 questions in the WOMAC pain scale which is summed up for the total WOMAC score, leading to a range of 0 to 50. The total WOMAC pain score has been standardised to a scale with a range from 0 to 100 (where 100 is extreme pain):

- Normalised WOMAC pain score = Total WOMAC pain score multiplicated with 2.

Normalised Western Ontario & McMaster Universities Osteoarthritis Index (WOMAC) Difficulty Scorebaseline and 26 weeks

Change from Visit 2 (Baseline) to Visit 8 (Week 26) in normalised WOMAC difficulty score. The WOMAC responses are scored using an 11-point NRS where 0=none and 10=extreme. There are 17 questions in the WOMAC difficulty scale which is summed up for the total WOMAC difficulty score, leading to a range of 0 to 170. The total WOMAC difficulty score has been standardised to a scale with a range from 0 to 100 (where 100 is extreme pain):

- Normalised WOMAC difficulty score = Total WOMAC difficulty score divided with 1.7

Normalised Western Ontario & McMaster Universities Osteoarthritis Index (WOMAC) Stiffness Scorebaseline and 26 weeks

Change from Visit 2 (Baseline) to Visit 8 (Week 26) in normalised WOMAC stiffness score. The WOMAC responses are scored using an 11-point NRS where 0=none and 10=extreme. There are 2 questions in the WOMAC stiffness scale which is summed up for the total WOMAC stiffness score, leading to a range of 0 to 20. The total WOMAC stiffness score has been standardised to a scale with a range from 0 to 100 (where 100 is extreme pain):

- Normalised WOMAC stiffness score = Total WOMAC stiffness score multiplicated with 5

Serum C-terminal Telopeptide of Collagen Type I (CTX-I) at Week 26baseline and 26 weeks

Change from Visit 2 (baseline) to Visit 8 (week 26) in serum CTX-I, a biomarker for bone resorption.

Creatinine Corrected Urine C-terminal Telopeptide of Collagen Type II (CTX-II) at Week 26baseline and 26 weeks

Change from Visit 2 (baseline) to Visit 8 (week 26) in creatinine corrected urine CTX-II, a biomarker for cartilage degradation.

Trial Locations

Locations (5)

MC Comac Medical

🇧🇬

Sofia, Bulgaria

LCC ARENSIA Exploratory Medicine

🇲🇩

Chisinau, Moldova, Republic of

SC ARENSIA Exploratory Medicine SRL

🇷🇴

Bucharest, Romania

PAREXEL Berlin Early Phase Clinical Unit

🇩🇪

Berlin, Germany

University of Leeds, Leeds Institute of Rheumatic and Musculoskeletal Medicine

🇬🇧

Leeds, United Kingdom

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