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Long-term Observational Study of Subjects From Tanezumab Studies Who Undergo a Total Knee, Hip or Shoulder Replacement

Phase 3
Completed
Conditions
Osteoarthritis
Interventions
Drug: Investigational Medical Product (IMP) administered in parent study
Registration Number
NCT02674386
Lead Sponsor
Pfizer
Brief Summary

A4091064 is a multicenter, long-term observational study of subjects from tanezumab interventional studies (regardless of treatment group) who undergo a total knee, hip or shoulder replacement during participation in the study. The study is designed with a total duration of subject follow-up of 24 weeks after the total joint replacement surgery. There will be two methods of data collection utilized in this study: interview by site staff via the telephone and interactive web-response system (or paper if the subject has no access to the internet).

Detailed Description

A4091064 is a long-term observational follow up study of subjects from tanezumab interventional studies A4091056, A4091057 or A4091058.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
154
Inclusion Criteria
  • Personally signed and dated informed consent document.
  • Randomized and treated with subcutaneous investigational product in a tanezumab study and has completed the study or been withdrawn from the study.
  • Actual or planned total knee, hip or shoulder replacement surgery during the tanezumab study.
  • Willing and able to comply with scheduled visits and other study procedures.
Exclusion Criteria
  • None.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Cohort 1Investigational Medical Product (IMP) administered in parent studylong-term observational study of subjects from tanezumab parent study
Primary Outcome Measures
NameTimeMethod
Number of Participants With Surgeon's Assessment of Procedural DifficultyDay 1

Following the TJR surgery on Day 1, the orthopedic surgeon was asked to answer the following question: "taking into consideration the participant's medical history and physical condition prior to surgery would you classify the operative procedure as Uneventful, Minor complications or Major complications." Participants were reported based on these categories for knee, hip and shoulder joint. Participants may have been counted more than once if they had TJR surgery in more than one joint.

Number of Participants With Overall Satisfaction With Surgery as Assessed by the Self-Administered Patient Satisfaction (SAPS) Scale at Week 24Week 24

SAPS contained four questions; How satisfied are you with the 1) results of your surgery 2) results of surgery for improving pain 3) results of surgery for improving ability to do home or yard work, and 4) results of surgery for improving your ability to do recreational activities. Items scored on a 4-point Likert scale with response of 'very satisfied' (100 points), 'somewhat satisfied' (75 points), 'somewhat dissatisfied' (50 points), and 'very dissatisfied' (25 points). The scale score calculated as mean of the scores of individual items, ranging from 25 to 100, with higher scores indicating greater satisfaction. Here, number of participants are summarized as, satisfied (very satisfied and somewhat satisfied categories combined) and dissatisfied (somewhat dissatisfied and very dissatisfied categories combined). Participants may have been counted more than once if they had TJR surgery in more than one joint.

Number of Participants With Post-Surgical Complications Upto Week 24Baseline up to Week 24

Post-surgical complications are adverse events occurring after TJR surgery that were considered clinically significant as assessed by investigator and attributable to the total joint replacement procedure. Participants may have been counted more than once if they had TJR surgery in more than one joint.

Number of Participants With Additional or Corrective Procedures Related to Total Joint Replacement Upto Week 24Baseline up to Week 24

Participants were asked whether they had been told by their orthopedic surgeon that additional or corrective procedures were necessary for their total joint replacement. Participants, who responded as yes have been reported here. Participants may have been counted more than once if they had TJR surgery in more than one joint.

Number of Participants Who Participated in Physical Rehabilitation Activities Related to Total Joint Replacement Upto Week 24Baseline up to Week 24

Participants responded with a yes or no to the following question ''are you participating in physical rehabilitation activities related to your replaced joint''. Participants responded with a yes, have been reported here. Participants may have been counted more than once if they had TJR surgery in more than one joint.

Change From Baseline in Average Pain Score in to be Replaced or Replaced Joints at Week 24Baseline, Week 24

Participants assessed their average pain in to be replaced (pre-surgery) knee/ hip joint or in the replaced joint (post-surgery) in the past 24 hours using an 11-point numerical rating scale (NRS), ranging from 0 (no pain) to 10 (worst possible pain). Higher scores indicated higher pain. Change from baseline was calculated using the difference between post-baseline weekly mean and the baseline mean score. Participants may have been counted more than once if they had TJR surgery in more than one joint.

Change From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Pain Subscale at Week 24Baseline, Week 24

WOMAC: Self-administered, disease-specific questionnaire, which assesses clinically important, participant-relevant symptoms for pain, stiffness and physical function in participants with osteoarthritis (OA). The WOMAC pain subscale is a 5-item questionnaire used to assess the amount of pain experienced due to OA of to be replaced/replaced index joint (knee or hip) during past 48 hours. It was calculated as the mean of scores from 5 individual questions. Scores for each question and WOMAC Pain subscale score on NRS ranged from 0 (no pain) to 10 (extreme pain), where higher scores indicated higher pain. Change from baseline was calculated using the difference between post-baseline weekly mean and the baseline mean score. Participants may have been counted more than once if they had TJR surgery in more than one joint.

Change From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Stiffness Subscale at Week 24Baseline, Week 24

WOMAC: self-administered, disease-specific questionnaire, which assesses clinically important, participant-relevant symptoms for pain, stiffness and physical function in participants with OA. Stiffness was defined as a sensation of decreased ease of movement in the index joint (knee or hip). The WOMAC stiffness subscale is a 2-item questionnaire used to assess the amount of stiffness experienced due to OA in the replaced/to be replaced index joint (knee or hip) during the past 48 hours. It was calculated as the mean of scores from 2 individual questions scored on NRS. Scores for each question and WOMAC stiffness subscale score on NRS ranged from 0 (no stiffness) to 10 (extreme stiffness), where higher scores indicated higher stiffness. Change from baseline was calculated using the difference between post-baseline weekly mean and the baseline mean score. Participants may have been counted more than once if they had TJR surgery in more than one joint.

Change From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Physical Function Subscale at Week 24Baseline, Week 24

WOMAC: Self-administered, disease-specific questionnaire, which assesses clinically important, participant-relevant symptoms for pain, stiffness and physical function in participants with OA. Physical function refers to participant's ability to move around and perform usual activities of daily living. The WOMAC physical function subscale is a 17-item questionnaire used to assess the degree of difficulty experienced due to OA in replaced/ to be replaced index joint (knee or hip) during past 48 hours. It was calculated as mean of the scores from 17 individual questions, which may not be a whole (integer) number, scored on a NRS. Scores for each question and WOMAC physical function subscale score on NRS ranged from 0 (no difficulty) to 10 (extreme difficulty), where higher scores indicated extreme difficulty/worse physical function. Participants may have been counted more than once if they had TJR surgery in more than one joint.

Change From Baseline in Shoulder Pain and Disability Index (SPADI) Score at Week 24Baseline, Week 24

SPADI: self-administered questionnaire to measure pain and disability associated with shoulder pathology in participants with shoulder pain. It consists of two dimensions pain and function. Pain dimension:5 questions regarding severity of pain, scores ranged from 0=no pain to 10=worst pain imaginable, higher scores indicated extreme pain. Functional activities:8 questions to measure degree of difficulty with various activities of daily living that require upper extremity use, scores ranged from 0=no difficulty to 10=so difficult it requires help, higher scores=extreme difficulty. Pain and disability dimension score was calculated as the sum of non-missing scores divided by the maximum possible score (50 \[for pain\] and 80 \[for disability\]) multiplied by 100. A total score was calculated as the mean of two dimensions, ranged from 0=best to 100=worst, higher scores indicated worsening of condition.

Number of Participants Who Used Concomitant Analgesic MedicationsBaseline up to Week 24
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (79)

George Stanley Walker, MD

🇺🇸

New Orleans, Louisiana, United States

Tolna Megyei Balassa Janos Korhaz, Ortopediai Osztaly

🇭🇺

Szekszard, Hungary

Nakajo Orthopedic Clinic

🇯🇵

Sendai, Miyagi, Japan

Osaka University Hospital

🇯🇵

Suita, Osaka, Japan

Medical Technologies Ltd.

🇷🇺

Saint-Petersburg, Russian Federation

Stamford Therapeutics Consortium

🇺🇸

Stamford, Connecticut, United States

Injury Care Research

🇺🇸

Boise, Idaho, United States

CITrials

🇺🇸

Santa Ana, California, United States

Physician Research Collaboration, LLC

🇺🇸

Lincoln, Nebraska, United States

Marvel Clinical Research, LLC

🇺🇸

Huntington Beach, California, United States

Clinical Trials Research

🇺🇸

Sacramento, California, United States

JEM Research Institute

🇺🇸

Atlantis, Florida, United States

Orthopedic Research Institute

🇺🇸

Boynton Beach, Florida, United States

Orthopaedic Associates of West Florida

🇺🇸

Clearwater, Florida, United States

Clinical Neuroscience Solutions, Inc.

🇺🇸

Jacksonville, Florida, United States

Renstar Medical Research

🇺🇸

Ocala, Florida, United States

Clintex Research Group

🇺🇸

Miami, Florida, United States

American Family Medical

🇺🇸

Ocala, Florida, United States

Sunshine Research Center

🇺🇸

Opa-locka, Florida, United States

Gulfcoast Research Institute, LLC

🇺🇸

Sarasota, Florida, United States

Kennedy White Orthopaedic Center

🇺🇸

Sarasota, Florida, United States

Stedman Clinical Trials

🇺🇸

Tampa, Florida, United States

Masters of Clinical Research, Inc.

🇺🇸

Augusta, Georgia, United States

North Georgia Clinical Research

🇺🇸

Woodstock, Georgia, United States

Chicago Clinical Research Institute, Inc.

🇺🇸

Chicago, Illinois, United States

North Georgia Internal Medicine

🇺🇸

Woodstock, Georgia, United States

Northwestern University

🇺🇸

Chicago, Illinois, United States

Best Clinical Trials, LLC

🇺🇸

New Orleans, Louisiana, United States

Great Lakes Research Group, Incorporated

🇺🇸

Bay City, Michigan, United States

Orthopaedic Associates of Michigan, PC

🇺🇸

Grand Rapids, Michigan, United States

Optimed Research LTD

🇺🇸

Columbus, Ohio, United States

Drug Trials America

🇺🇸

Hartsdale, New York, United States

Remington-Davis, Incorporated

🇺🇸

Columbus, Ohio, United States

AC Clinical Research

🇺🇸

Tiffin, Ohio, United States

Founders Research Corporation

🇺🇸

Philadelphia, Pennsylvania, United States

Abigail R. Neiman, MD, PA

🇺🇸

Houston, Texas, United States

Advances In Health

🇺🇸

Houston, Texas, United States

Mercury Clinical Research, Inc.

🇺🇸

Houston, Texas, United States

BI Research Center

🇺🇸

Houston, Texas, United States

Mercury Clinical Research

🇺🇸

Webster, Texas, United States

ClinRx Research

🇺🇸

Richardson, Texas, United States

Spectrum Medical, Inc.

🇺🇸

Danville, Virginia, United States

Centre de recherche Saint-Louis

🇨🇦

Quebec, Canada

Hospital Conde de Bertiandos

🇵🇹

Ponte de Lima, Viana DO Castelo, Portugal

Central Alabama Research

🇺🇸

Birmingham, Alabama, United States

Alabama Clinical Therapeutics, LLC

🇺🇸

Birmingham, Alabama, United States

DCT - Stone Oak, LLC dba Discovery Clinical Trials

🇺🇸

San Antonio, Texas, United States

Azienda Ospedaliero-Universitaria E Policlinico Umberto I

🇮🇹

Rome, Italy

Advanced Research Center, Inc.

🇺🇸

Anaheim, California, United States

Cahaba Research Inc.

🇺🇸

Birmingham, Alabama, United States

Hope Clinical Research

🇺🇸

Canoga Park, California, United States

Alabama Orthopaedic Surgeons

🇺🇸

Birmingham, Alabama, United States

CMAX Clinical Research Pty Ltd

🇦🇺

Adelaide, South Australia, Australia

Recherche Clinique Sigma inc

🇨🇦

Quebec, Canada

California Research Foundation

🇺🇸

San Diego, California, United States

Omuro Orthopedic Clinic

🇯🇵

Himeji, Hyogo, Japan

Marunouchi Hospital

🇯🇵

Matsumoto, Nagano, Japan

Saules seimos medicinos centras

🇱🇹

Kaunas, Lithuania

South Pacific Clinical Trials

🇳🇿

Auckland, New Zealand

Instituto de Ciencias Medicas

🇪🇸

Alicante, Spain

Clinical Horizons NZ Ltd

🇳🇿

Tauranga, New Zealand

Rebecca Medical Associates

🇨🇦

Oakville, Ontario, Canada

Ladulaas Kliniska Studier

🇸🇪

Boras, Sweden, Sweden

National Hospital Organization Osaka Minami Medical Center

🇯🇵

Kawachinagano, Osaka, Japan

Institute of Rheumatology

🇷🇸

Belgrade, Serbia

Kompan, s.r.o.

🇸🇰

Dolny Kubin, Slovakia

Star Unit, North Shore Hospital, Waitemata District Health Board

🇳🇿

Auckland, New Zealand

Rheumazentrum Prof. Dr. med Gunther Neeck

🇩🇪

Bad Doberan, Germany

Southern Clinical Trials- Waitemata Ltd

🇳🇿

Auckland, New Zealand

Slovak Research Center Team Member, MUDr. Viliam Cibik, PhD, s.r.o.

🇸🇰

Pruske, Slovakia

ProbarE I Lund AB

🇸🇪

Lund, Sweden

ProbarE i Stockholm AB

🇸🇪

Stockholm, Sweden

Advances in Medicine

🇺🇸

Palm Desert, California, United States

Hospital del Mar

🇪🇸

Barcelona, Spain

Noble Clinical Research

🇺🇸

Tucson, Arizona, United States

Professional Research Network of Kansas, LLC

🇺🇸

Wichita, Kansas, United States

Baptist Health Center for Clinical Research

🇺🇸

Little Rock, Arkansas, United States

Northwest Clinical Research Center

🇺🇸

Bellevue, Washington, United States

Dawson Road Medical Centre

🇨🇦

Guelph, Ontario, Canada

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