NCT03949673

Brief Summary

The objective of this exploratory study is to evaluate the cellular and connective tissue composition of joints from patients with Osteoarthritis (OA) who have been treated with fasinumab, compared with those treated with placebo or Non-steroidal anti-inflammatory drugs (NSAIDs).

Trial Health

60
Monitor

Trial Health Score

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

Enrollment
23

participants targeted

Target at below P25 for phase_2

Timeline
Completed

Started Apr 2019

Shorter than P25 for phase_2

Geographic Reach
3 countries

15 active sites

Status
terminated

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

April 5, 2019

Completed
3 days until next milestone

Study Start

First participant enrolled

April 8, 2019

Completed
1 month until next milestone

First Posted

Study publicly available on registry

May 14, 2019

Completed
1.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 25, 2020

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

August 25, 2020

Completed
3.1 years until next milestone

Results Posted

Study results publicly available

October 17, 2023

Completed
Last Updated

October 17, 2023

Status Verified

September 1, 2023

Enrollment Period

1.4 years

First QC Date

April 5, 2019

Results QC Date

August 15, 2023

Last Update Submit

September 25, 2023

Conditions

Outcome Measures

Primary Outcomes (3)

  • Number of Participants by Degree of Synovial Lymphocytic Inflammation

    Inflammatory cells including lymphocytes, mast cells, neutrophils, and eosinophils were scored by presence and degree (None present, Slight/Mild, Moderate, Marked/Band).

    Up to 24 weeks from the last dose of study drug in the parent study, an average of approximately 3 months

  • Number of Participants by Degree of Cartilage Loss

    Microscopic articular features including degree of cartilage were evaluated and scored (Superficial Fibrillation, Deep fissuring, Loss to Tide Mark, Loss to Exposed Bone).

    Up to 24 weeks from the last dose of study drug in the parent study, an average of approximately 3 months

  • Number of Participants by Degree of Bony Changes

    Microscopic articular features including degree of bony changes were evaluated and scored (Normal, Sclerosis \[Lamellar/Mixed\], Subarticular Fracture/Collapse).

    Up to 24 weeks from the last dose of study drug in the parent study, an average of approximately 3 months

Study Arms (1)

Knee or Hip Joint Arthroplasty

OTHER

Patients with OA of the knee or hip who are participating in an ongoing fasinumab phase 3 parent study

Drug: FasinumabDrug: NaproxenDrug: DiclofenacDrug: CelecoxibDrug: Placebo

Interventions

Study drug will be administered in the parent study. Samples will be collected for participants who voluntarily elect to have knee or hip joint arthroplasty during the parent study

Also known as: REGN475
Knee or Hip Joint Arthroplasty

Naproxen will be administered in the parent study. Samples will be collected for participants who voluntarily elect to have knee or hip joint arthroplasty during the parent study

Knee or Hip Joint Arthroplasty

Diclofenac will be administered in the parent study. Samples will be collected for participants who voluntarily elect to have knee or hip joint arthroplasty during the parent study

Also known as: ZORVOLEX
Knee or Hip Joint Arthroplasty

Celecoxib will be administered in the parent study. Samples will be collected for participants who voluntarily elect to have knee or hip joint arthroplasty during the parent study

Also known as: CELEBREX
Knee or Hip Joint Arthroplasty

Matching Placebo will be administered in the parent study. Samples will be collected for participants who voluntarily elect to have knee or hip joint arthroplasty during the parent study

Knee or Hip Joint Arthroplasty

Eligibility Criteria

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

You may qualify if:

  • Previously randomized to R475-PN-1523 (NCT02683239), R475-OA-1611 (NCT03161093), or R475-OA-1688 (NCT03304379) and received at least 1 dose of study drug
  • Notified the site that they are planning a knee or hip arthroplasty during the parent study between randomization and 24 weeks after the last dose of subcutaneous (SC) study drug
  • Patient's surgeon/pathologist is willing to coordinate with the site regarding preparation, storage, and shipping of joint tissue samples collected during arthroplasty surgery

You may not qualify if:

  • None

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (15)

Regeneron Research Site

Phoenix, Arizona, 85020, United States

Location

Regeneron Research Site

Littleton, Colorado, 80127, United States

Location

Regeneron Research Site

Jacksonville, Florida, 32256, United States

Location

Regeneron Research Site

Chicago, Illinois, 60611, United States

Location

Regeneron Research Site

Brooklyn, New York, 11230, United States

Location

Regeneron Research Site

New York, New York, 10036, United States

Location

Regeneron Recruting SIte

Bialystok, 15-879, Poland

Location

Regeneron Research Site

Reading, Berkshire, RG2 0TG, United Kingdom

Location

Regeneron Research Site

Glasgow, Lanarkshire, G20-0SP, United Kingdom

Location

Regeneron Research Site

Romford, London City, RM1 3PJ, United Kingdom

Location

Regeneron Research Site

Northwood, Middlesex, HA6 2RN, United Kingdom

Location

Regeneron Research Site

Hexham, Northumberland, NE46 1QJ, United Kingdom

Location

Regeneron Research Site

Yaxley, Peterborough, PE7 3JL, United Kingdom

Location

Regeneron Research Site

Kenilworth, Warwickshire, CV8 1JD, United Kingdom

Location

Regeneron Research Site

Liverpool, L22 0LG, United Kingdom

Location

MeSH Terms

Conditions

Osteoarthritis, KneeOsteoarthritis, Hip

Interventions

fasinumabNaproxenDiclofenacCelecoxib

Condition Hierarchy (Ancestors)

OsteoarthritisArthritisJoint DiseasesMusculoskeletal DiseasesRheumatic Diseases

Intervention Hierarchy (Ancestors)

Naphthaleneacetic AcidsNaphthalenesPolycyclic Aromatic HydrocarbonsHydrocarbons, AromaticHydrocarbons, CyclicHydrocarbonsOrganic ChemicalsPolycyclic CompoundsPhenylacetatesAcids, CarbocyclicCarboxylic AcidsBenzenesulfonamidesSulfonamidesAmidesBenzene DerivativesSulfonesSulfur CompoundsPyrazolesAzolesHeterocyclic Compounds, 1-RingHeterocyclic Compounds

Limitations and Caveats

The study was anticipated to close in Feb 2021, but ended prematurely on 25 Aug 2020 (date of global last arthroplasty surgery for last subject enrolled) due to lack of enrollment.

Results Point of Contact

Title
Clinical Trials Administrator
Organization
Regeneron Pharmaceuticals, Inc

Study Officials

  • Clinical Trial Management

    Regeneron Pharmaceuticals

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 2
Allocation
NA
Masking
NONE
Purpose
DIAGNOSTIC
Intervention Model
SINGLE GROUP
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

April 5, 2019

First Posted

May 14, 2019

Study Start

April 8, 2019

Primary Completion

August 25, 2020

Study Completion

August 25, 2020

Last Updated

October 17, 2023

Results First Posted

October 17, 2023

Record last verified: 2023-09

Data Sharing

IPD Sharing
Will share

All IPD that underlie publicly available results will be considered for sharing.

Shared Documents
STUDY PROTOCOL, SAP, ICF, CSR, ANALYTIC CODE
Time Frame
Individual anonymized participant data will be considered for sharing once the indication has been approved by a regulatory body, if there is legal authority to share the data and there is not a reasonable likelihood of participant re-identification.
Access Criteria
Qualified researchers may request access to anonymized patient level data or aggregate study data when Regeneron has received marketing authorization from major health authorities (e.g., FDA, EMA, PMDA, etc) for the product and indication, has the legal authority to share the data, and has made the study results publicly available (eg, scientific publication, scientific conference, clinical trial registry).
More information

Locations