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临床试验/NCT00484120
NCT00484120已完成2 期

Proof-of Concept Study to Evaluate the Safety and Analgesic Efficacy of Topical 3%-Diclofenac-Nano-Emulsion Cream Versus Placebo for Knee Osteoarthritis

Pharmos4 个研究点 分布在 1 个国家目标入组 123 人开始时间: 2007年6月最近更新:
适应症
干预措施
相关药物

试验速览

阶段
2 期
状态
已完成
发起方
入组人数
123
试验地点
4
主要终点
Analgesic activity as measured by the WOMAC pain subscale.

研究概览

简要总结

This study valuates the safety and efficacy of treatment with 3% Diclofenac Nano-Emulsion Cream versus Placebo in subjects with osteoarthritis of the knee.

详细描述

This will be a multi-center, double-blind, placebo-controlled, multiple-dose, parallel treatment study. A total of 126 subjects will be randomized to receive either 3%-Diclofenac-NE cream or a placebo cream respectively. Following screening and a washout period from previous treatments subjects will be enrolled and will self-apply the study medication. During the study, subjects will apply 3%-Diclofenac-NE or placebo cream three times daily for 28 days and complete a home-diary. Subjects will visit the clinic at mid-treatment for a follow up examination and again for a final examination at the end of treatment.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
Double (Participant, Investigator)

入排标准

年龄范围
50 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Males and females 50 years of age and above.
  • Patients with primary osteoarthritis in at least a single knee joint, grade 2 or 3 based on the Kellgren and Lawrence classification system.
  • Radiographic evidence consistent with OA carried out within the 6 months before screening.
  • Pain should have been present for at least half of the days in the previous month and for at least 48h prior to the screening visit.
  • Eligible subjects must have used an oral, topical or rectal NSAID within the past 6 months before screening.
  • At baseline, after a 1 week withdrawal period of analgesic/anti-inflammatory medications, subjects should have a flare of pain.
  • Able to read, comprehend, and sign the consent form.
  • Examined by the authorized physician and medically cleared to participate in the study.
  • In general good health and have no contraindications to any of the investigational medicinal products.

排除标准

  • Secondary osteoarthritis.
  • Presence of a serious or unstable medical condition (e.g., malignancy, severe neurological impairment or uncontrolled hypertension) or poor general health interfering with compliance or assessment at the study physician's discretion.
  • OA causing significant pain in any joint other than the knees.
  • Any other rheumatic or non-rheumatic joint disease or any other painful condition within the past month (e.g. fibromyalgia).
  • Knee surgery or other knee trauma at any time during the previous year or subjects for whom a treatment is planned within the study period that could alter the degree or nature of pain (e.g. arthroscopic techniques, osteotomy, joint replacement surgery etc.).
  • Active or history of gastrointestinal ulceration or bleeding within the past 5 years.
  • Presence of a significant active psychiatric disorder including major depression or subjects receiving anti-psychotic medication.
  • Existence of any dermatological condition on the knee.
  • Subjects with disabling congestive heart failure (CHF), angina, pulmonary disease.
  • Clinically significant abnormal blood results.
  • Subjects cannot have had an arthrocentesis prior or during the study.
  • Concomitant treatment with physical and/or occupational therapy.
  • Prior use of any type of NSAID or other analgesic before taking the first dose of investigational medicinal product. Rescue treatment will be allowed during the study
  • Change in sedative or CNS/psychotropic agent within the past month.
  • Chronic treatment with anticoagulants (e.g. Warfarin).
  • Subjects under treatment with corticosteroids.
  • Subjects using topical analgesics including OTC products.
  • Females who are pregnant, lactating, of child-bearing potential, or post-menopausal for less than 2 years and not using a medically approved method of contraception (i.e., oral, transdermal, or implanted contraceptives, intrauterine device, diaphragm, condom, abstinence, or surgical sterility), or females who test positive on a urine-based pregnancy test.
  • Active alcoholism or substance abuse.
  • Has taken an investigational drug or has used an investigational device within the past 30 days.
  • History of hypersensitivity and/or idiosyncrasy to diclofenac or excipients employed in this study, aspirin or other NSAIDS.
  • Has previously been entered into this study.
  • Any condition that in the investigator's judgement precludes participation in the study.

研究组 & 干预措施

2

Placebo Comparator

干预措施: Placebo cream (Drug)

1

Experimental

3% Diclofenac NE cream

干预措施: 3%-Diclofenac-Nano-Emulsion Cream (Drug)

结局指标

主要结局

Analgesic activity as measured by the WOMAC pain subscale.

时间窗: 1 month

次要结局

  • Patient's daily pain assessment in the home diary.(1 month)
  • Pain on walking.(1 month)
  • Safety and Tolerability.(1 month)

研究者

发起方
Pharmos
申办方类型
Industry

研究点 (4)

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