NCT03429049

Brief Summary

This is a phase 3, randomized, double-blind, placebo-controlled, single injection, 52-week study to evaluate the analgesic efficacy and safety of a single intra-articular (IA) CNTX-4975-05 (capsaicin), compared to IA placebo, in subjects with chronic, moderate-to-severe osteoarthritis (OA) knee pain.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
332

participants targeted

Target at P50-P75 for phase_3

Timeline
Completed

Started Jan 2018

Geographic Reach
1 country

33 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

Study Start

First participant enrolled

January 24, 2018

Completed
7 days until next milestone

First Submitted

Initial submission to the registry

January 31, 2018

Completed
12 days until next milestone

First Posted

Study publicly available on registry

February 12, 2018

Completed
1.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 22, 2019

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

November 22, 2019

Completed
2.4 years until next milestone

Results Posted

Study results publicly available

April 8, 2022

Completed
Last Updated

July 26, 2022

Status Verified

July 1, 2022

Enrollment Period

1.8 years

First QC Date

January 31, 2018

Results QC Date

March 16, 2022

Last Update Submit

July 18, 2022

Conditions

Keywords

analgesicnon-opioidcapsaicinintra-articularosteoarthritispainknee pain

Outcome Measures

Primary Outcomes (1)

  • Change From Baseline in Average Weekly Pain With Walking (NPRS 0-10) in the Index Knee

    Average daily OA pain in the index knee while walking was evaluated using a 0 to 10 Numerical Pain Rating Scale (NPRS) (0 = no pain and 10 = worst possible pain). 0 was the best score and 10 was the worst score. Subjects used an ePRO at bedtime (9:00 PM ± 3 hours) to record on a daily basis their average daily OA knee pain score with walking during the previous 24 hours.

    Baseline, Week 12

Secondary Outcomes (3)

  • Mean Change From Baseline in WOMAC A (Pain) Dimension Total Score

    Baseline, Week 12

  • Mean Change From Baseline WOMAC B (Stiffness) Dimension Total Score

    Baseline, Week 12

  • Mean Change From Baseline in WOMAC C (Physical Function) Dimension Total Score

    Baseline, Week 12

Study Arms (2)

Placebo

PLACEBO COMPARATOR

Matching placebo of 2.0 mL for IA injection

Drug: Placebo

CNTX-4975-05

EXPERIMENTAL

Pre-filled glass syringes administered as a single 2.0 mL IA injection

Drug: CNTX-4975-05

Interventions

Receiving CNTX-4975-05 injection

CNTX-4975-05

Receiving Placebo injection

Placebo

Eligibility Criteria

Age40 Years - 95 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Male or female subjects between 40 and 95 years of age (inclusive) at the time of the Screening Visit with the ability to comply with answering the electronic diary using the study-provided tablet computers.
  • Confirmation of osteoarthritis (OA) of the knee.
  • Confirmation of OA of the index knee.
  • Moderate to severe pain in the index knee associated with OA must be stable for a minimum of 6 months prior to Screening, as assessed by the investigator.
  • BMI ≤45 kg/m\^2.
  • Must have failed 2 or more prior therapies.
  • Females not of childbearing potential, defined as post-menopausal for at least 1 year, or surgically sterile, or practicing one of the following medically acceptable methods of birth control throughout the study period.
  • Subject agrees to stay on their current pain medication (including over the counter (OTC) medications) from the time of Screening through Week 12. The current pain medication must be taken only for pain in the index knee, and not for another pain indication.
  • Subject agrees to take only the allowed rescue medications for OA knee pain of the index knee from the time of Screening through study completion and agrees to use no topical medications for OA knee pain during the trial.

You may not qualify if:

  • Joint replacement surgery of the index knee at any time, or open surgery of the index knee in the past 24 months.
  • Prior arthroscopic surgery of the index knee within 6 months of Screening.
  • Any painful conditions of the index knee due to joint disease other than OA.
  • Periarticular pain from any cause.
  • Pain in the non-index knee that is \>3 on a numeric pain rating scale (NPRS) (0-10) when walking or at rest.
  • Other chronic pain anywhere in the body that requires the use of analgesic medications.
  • Instability of the index knee.
  • Misalignment (\>10 degrees varus or valgus) of the index knee on standing.
  • Documented history of neuropathic arthropathy or finding of bony fragmentation in the index knee with imaging.
  • Physical/ occupational/ chiropractic therapy for the lower extremities or acupuncture for the lower extremities within 30 days of Screening, or need for such therapy during the study.
  • Plans to have surgery, other invasive procedures, or IA injections while participating in the study.
  • Has used topical capsaicin on the index knee within 90 days of Screening.
  • Current use of opioids for any condition other than for OA of the index knee.
  • Corticosteroid injection into the index knee within 90 days of Screening.
  • Received IA viscosupplementation (eg, Synvisc®, Hyalgan®) within 90 days of Screening.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (33)

Alabama Orthopaedic Center - Research

Birmingham, Alabama, 35209, United States

Location

Cahaba Research, Inc

Birmingham, Alabama, 35242, United States

Location

Coastal Clinical Research, Inc

Mobile, Alabama, 36608, United States

Location

Noble Clinical Research, LLC

Tucson, Arizona, 85704, United States

Location

Orange County Research Institute

Anaheim, California, 92801, United States

Location

Core Healthcare Group

Cerritos, California, 90703, United States

Location

Biosolutions Clinical Research Center

La Mesa, California, 91942, United States

Location

Providence Clinical Research

North Hollywood, California, 91606, United States

Location

Medical Associates Research Group

San Diego, California, 92123, United States

Location

Encompass Clinical Research

Spring Valley, California, 91978, United States

Location

Tampa Bay Medical Research, Inc

Clearwater, Florida, 33761, United States

Location

Avail Clinical Research, LLC

DeLand, Florida, 32720, United States

Location

M&M Medical Center, Inc

Miami, Florida, 33185, United States

Location

Sensible Healthcare, LLC

Ocoee, Florida, 34761, United States

Location

Jewett Orthopaedic

Orlando, Florida, 32822, United States

Location

Clinical Research of West Florida, Inc.

Tampa, Florida, 33603, United States

Location

Drug Studies America

Marietta, Georgia, 30060, United States

Location

Georgia Institute for Clinical Research, LLC

Marietta, Georgia, 30060, United States

Location

Atlanta Orthopaedic Institute, LLC

Stockbridge, Georgia, 30281, United States

Location

MediSphere Medical Research Center, LLC

Evansville, Indiana, 47714, United States

Location

Mid America PolyClinic

Overland Park, Kansas, 66210, United States

Location

Tufts Medical Center

Boston, Massachusetts, 02111, United States

Location

Tristan Medical Enterprises PC, dba

North Attleboro, Massachusetts, 02760, United States

Location

Medical Research Associates, Inc

Traverse City, Michigan, 49686, United States

Location

Sundance Clinical Research, LLC

St Louis, Missouri, 63141, United States

Location

Clinical Research Consortium

Las Vegas, Nevada, 89119, United States

Location

Hassman Research Institute

Berlin, New Jersey, 08009, United States

Location

Bone Joint & Spine Surgeons, Inc

Toledo, Ohio, 43623, United States

Location

Tekton Research, Inc

Austin, Texas, 78745, United States

Location

Metroplex Clinical Research Center

Dallas, Texas, 75231, United States

Location

Clinical Investigations of Texas

Plano, Texas, 75075, United States

Location

Ortho Virginia

Arlington, Virginia, 22205, United States

Location

Charlottesville Medical Research Center, LLC

Charlottesville, Virginia, 22911, United States

Location

MeSH Terms

Conditions

Osteoarthritis, KneeOsteoarthritisPain

Condition Hierarchy (Ancestors)

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

Results Point of Contact

Title
Director of Clinical Operations
Organization
Centrexion Therapeutics, Inc.

Study Officials

  • Randall M. Stevens, MD

    Centrexion Therapeutics

    STUDY CHAIR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
Yes

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 31, 2018

First Posted

February 12, 2018

Study Start

January 24, 2018

Primary Completion

November 22, 2019

Study Completion

November 22, 2019

Last Updated

July 26, 2022

Results First Posted

April 8, 2022

Record last verified: 2022-07

Locations