NCT02336698

Brief Summary

The purpose of this study is to demonstrate the efficacy, safety, and tolerability of fulranumab as Monotherapy compared with placebo in participants with signs and symptoms of osteoarthritis of the hip or knee that are not adequately controlled by current pain therapy.

Trial Health

90
On Track

Trial Health Score

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

Enrollment
18

participants targeted

Target at below P25 for phase_3

Timeline
Completed

Started Jul 2015

Shorter than P25 for phase_3

Geographic Reach
4 countries

32 active sites

Status
completed

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

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

January 8, 2015

Completed
5 days until next milestone

First Posted

Study publicly available on registry

January 13, 2015

Completed
6 months until next milestone

Study Start

First participant enrolled

July 13, 2015

Completed
1.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 15, 2016

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

September 15, 2016

Completed
Last Updated

October 2, 2017

Status Verified

September 1, 2017

Enrollment Period

1.2 years

First QC Date

January 8, 2015

Last Update Submit

September 25, 2017

Conditions

Keywords

OsteoarthritisPainFulranumabJNJ-42160443MonotherapyHipKneeJoint replacement surgery

Outcome Measures

Primary Outcomes (3)

  • Change from baseline to the end of Week 16 in Western Ontario and McMaster University Arthritis Index (WOMAC) pain subscale score

    The WOMAC 3.1 is a multi-dimensional, osteoarthritis (OA) specific self-administered questionnaire using 24 questions with a 48-hour recall that are grouped into 3 subscales (pain, stiffness, and physical function) associated with hip or knee OA. Pain, stiffness, and physical function is rated on a scale of 0-10 (0 = less severe up to 10 = more severe).

    Baseline, Week 16

  • Change from baseline to the end of Week 16 in Western Ontario and McMaster University Arthritis Index (WOMAC) physical function subscale score

    See WOMAC 3.1 described above.

    Baseline, Week 16

  • Change from baseline to the end of Week 16 in Patient Global Assessment (PGA) score

    The PGA is part of a comprehensive assessment of the impact of treatment for osteoarthritis that also includes pain and physical function. The PGA included in the present study indicates the perception of osteoarthritis in the study joint at the current time. Ratings are provided on an 11-point numerical rating scale from 0 ("Very Good") to 10 ("Very Bad").

    Baseline, Week 16

Secondary Outcomes (9)

  • Change from baseline to the end of Week 16 in Patient Global Assessment (PGA) score

    Baseline, Week 16

  • Change from baseline to the end of Week 16 in WOMAC Stiffness subscale score

    Baseline, Week 16

  • Change from baseline to the end of Week 16 in daily numerical rating scale (NRS) score

    Baseline, Week 16

  • Change from baseline to the end of Week 16 in Medical Outcomes Study (MOS) Sleep subscale scores

    Baseline, Week 16

  • Change from baseline to the end of Week 16 in Short-Form-36 (SF-36) subscale scores

    Baseline, Week 16

  • +4 more secondary outcomes

Study Arms (3)

Placebo

PLACEBO COMPARATOR

Participants will receive 4 subcutaneous (SC) injections (one injection every 4 weeks).

Drug: Placebo

Fulranumab 1 mg

EXPERIMENTAL

Participants will receive 4 subcutaneous (SC) injections (one injection every 4 weeks).

Drug: Fulranumab 1 mg

Fulranumab 3 mg

EXPERIMENTAL

Participants will receive 4 subcutaneous (SC) injections (one injection every 4 weeks).

Drug: Fulranumab 3 mg

Interventions

Placebo will be administered once every 4 weeks for 16 weeks by subcutaneous (SC) injection (injection under the skin) into the thigh or abdomen.

Placebo

Fulranumab will be administered once every 4 weeks for up to 16 weeks by SC injection into the thigh or abdomen.

Fulranumab 1 mg

Fulranumab will be administered once every 4 weeks for up to 16 weeks by SC injection into the thigh or abdomen.

Fulranumab 3 mg

Eligibility Criteria

Age18 Years - 99 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Clinical diagnosis of osteoarthritis (OA) of hip or knee based on criteria defined by the American College of Rheumatology and radiographic evidence of OA (Kellgren-Lawrence class ≥2) of the study joint
  • Scheduled joint replacement or planning to undergo a joint replacement surgery for the study joint
  • Must have an unsatisfactory response (inadequate efficacy or poor tolerability) that includes all 3 classes of analgesic medications (acetaminophen/paracetamol, NSAID, and an opioid); For participants in the USA and Canada: Must have an unsatisfactory response (inadequate efficacy or poor tolerability) that includes all 3 classes of analgesic medications (acetaminophen/paracetamol, NSAIDs, and opioids other than codeine or codeine combination products)
  • Moderate to severe pain and functional impairment based on the NRS, WOMAC pain and physical function subscales, and PGA
  • During treatment and within 24 weeks after the last injection of study drug: if female of childbearing potential, is not pregnant, breast-feeding, or planning to become pregnant, or if male, will not father a child

You may not qualify if:

  • Increased risk of osteonecrosis (ON) or rapidly progressive osteoarthritis (RPOA)
  • Unstable or progressive neurologic disorders

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (32)

Unknown Facility

Phoenix, Arizona, United States

Location

Unknown Facility

Costa Mesa, California, United States

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Unknown Facility

Laguna Hills, California, United States

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Lakewood, California, United States

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Northridge, California, United States

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Unknown Facility

Santa Clarita, California, United States

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Unknown Facility

Thousand Oaks, California, United States

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Unknown Facility

Boynton Beach, Florida, United States

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Unknown Facility

Lake Clarke Shores, Florida, United States

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Miami, Florida, United States

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Atlanta, Georgia, United States

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Chicago, Illinois, United States

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Wichita, Kansas, United States

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Bay City, Michigan, United States

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Caro, Michigan, United States

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Grand Rapids, Michigan, United States

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Somerset, New Jersey, United States

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Greenville, North Carolina, United States

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Charleston, South Carolina, United States

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Memphis, Tennessee, United States

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Bedford, Texas, United States

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Cypress, Texas, United States

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Houston, Texas, United States

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Waxahachie, Texas, United States

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Riverton, Utah, United States

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Norfolk, Virginia, United States

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Unknown Facility

Elblag, Poland

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Unknown Facility

A Coruña, Spain

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Unknown Facility

Barcelona, Spain

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Unknown Facility

Mérida, Spain

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Unknown Facility

Santiago de Compostela, Spain

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Unknown Facility

Stourton, United Kingdom

Location

Related Publications (1)

  • Kelly KM, Sanga P, Zaki N, Wang S, Haeussler J, Louie J, Thipphawong J. Safety and efficacy of fulranumab in osteoarthritis of the hip and knee: results from four early terminated phase III randomized studies. Curr Med Res Opin. 2019 Dec;35(12):2117-2127. doi: 10.1080/03007995.2019.1653068. Epub 2019 Sep 13.

MeSH Terms

Conditions

OsteoarthritisPain

Interventions

fulranumab

Condition Hierarchy (Ancestors)

ArthritisJoint DiseasesMusculoskeletal DiseasesRheumatic DiseasesNeurologic ManifestationsSigns and SymptomsPathological Conditions, Signs and Symptoms

Study Officials

  • Janssen Research & Development, LLC Clinical Trial

    Janssen Research & Development, LLC

    STUDY DIRECTOR

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

January 8, 2015

First Posted

January 13, 2015

Study Start

July 13, 2015

Primary Completion

September 15, 2016

Study Completion

September 15, 2016

Last Updated

October 2, 2017

Record last verified: 2017-09

Locations