NCT02193711

Brief Summary

The current clinical trial is designed to test the analgesic and anti-inflammatory efficacy of a topical cream compared to a placebo cream. The study population will be those with mild to moderate osteoarthritis of the knee. The trial will also provide information about potential side effects and verify the safety of this composition. Blood levels will be done to assess inflammation and to determine whether any systemic absorption has occurred. Hypothesis/Purpose

  • Pain scores after active treatment will be significantly reduced in comparison to placebo.
  • There will be an improvement in stiffness and physical function as measured by the WOMAC using the active cream as compared to placebo.
  • There will be a decrease in the level of inflammation assessed at baseline, end of week 3 and end of week 6.
  • The blood concentration of the active ingredient in the topical cream will not exceed the maximum daily dose that will be consumed by participants.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
160

participants targeted

Target at P25-P50 for phase_3

Timeline
Completed

Started Jan 2015

Typical duration for phase_3

Geographic Reach
1 country

2 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

July 16, 2014

Completed
2 days until next milestone

First Posted

Study publicly available on registry

July 18, 2014

Completed
6 months until next milestone

Study Start

First participant enrolled

January 1, 2015

Completed
2.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 1, 2017

Completed
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2017

Completed
Last Updated

February 1, 2018

Status Verified

January 1, 2018

Enrollment Period

2.8 years

First QC Date

July 16, 2014

Last Update Submit

January 30, 2018

Conditions

Outcome Measures

Primary Outcomes (1)

  • Change in mean daily pain diary score from baseline

    The primary outcome measure will consist of change in mean daily pain diary score from baseline (average pain score over 7 days pre-treatment) to the final 3 days of the third treatment week. Therefore, the primary analysis is a between group comparison (placebo versus test product) over 3 weeks.

    three weeks

Secondary Outcomes (4)

  • WOMAC

    Six weeks

  • BPI-SF

    six weeks

  • PGIC

    six weeks

  • PGSS

    six weeks

Study Arms (2)

Topical Arthritis Cream

EXPERIMENTAL

1-1.5 ml applied to the skin over the knee in the morning and at bedtime over the entire study period, for a total of 2-3 ml/day.

Other: Topical Arthritis Cream

Placebo

PLACEBO COMPARATOR

1-1.5 ml applied to the skin over the knee in the morning and at bedtime over the entire study period, for a total of 2-3 ml/day.

Other: Topical Arthritis Cream

Interventions

Also known as: LivRelief Pharmax Rebuild
PlaceboTopical Arthritis Cream

Eligibility Criteria

Age18 Years - 100 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Osteoarthritis of the knee according to American College of Rheumatology criteria: Knee pain with 3:
  • age \>50 years
  • stiffness less than 30 min
  • crepitus,
  • bony tenderness,
  • bony enlargement,
  • no palpable warmth
  • Moderate to severe pain, as defined by an average 7-day pain score of greater than 4.0 on an 11-point numerical rating scale for pain intensity (NRS-PI).
  • All concurrent medications taken for any reason stable for 14 days
  • Ability to follow protocol with reference to cognitive and situational factors (eg. stable housing, ability to attend visits)
  • Ability to read and write English
  • Willing and able to give informed consent

You may not qualify if:

  • Currently taking opioids, NSAIDs, warfarin, other anticoagulants, other topical agents for treatment of pain or inflammation
  • Allergy to tea tree oil, latex, avocado, soy
  • Active conditions such as exzema or psoriasis
  • Presence of significant medical disorder that would compromise the participant's safety to take part in the trial (eg. cancer, immunosuppressed)
  • Individuals with a history or current disease which may affect the outcome of the trial (ie. Inflammatory, infections joint disease).
  • Allergy to plants of the Asteraceae/Compositae/Daisy family.
  • Pregnant and breastfeeding women.
  • Allergy or other contraindication for acetaminophen use.
  • Exercise or transcutaneous electrical nerve stimulation should be excluded prior to and during the trial.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

CDHA - Pain Management Unit

Halifax, Nova Scotia, B3H 2Y9, Canada

Location

Canadian College of Naturopathic Medicine

Toronto, Ontario, M2K 1E2, Canada

Location

MeSH Terms

Conditions

Osteoarthritis

Condition Hierarchy (Ancestors)

ArthritisJoint DiseasesMusculoskeletal DiseasesRheumatic Diseases

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

July 16, 2014

First Posted

July 18, 2014

Study Start

January 1, 2015

Primary Completion

November 1, 2017

Study Completion

December 1, 2017

Last Updated

February 1, 2018

Record last verified: 2018-01

Locations