Status:

TERMINATED

A Study Assessing the Efficacy and Safety of Lodotra® Compared to Prednisone IR in Subjects Suffering From PMR

Lead Sponsor:

Mundipharma Research Limited

Conditions:

Polymyalgia Rheumatica

Eligibility:

All Genders

50+ years

Phase:

PHASE3

Brief Summary

The study compares the efficacy and safety of modified release prednisone versus immediate release prednisone in patients suffering from polymyalgia rheumatica.

Detailed Description

The study consists of a screening phase, followed by a 4 week double-blind phase. During the double-blind phase, the patients will be randomised in a 1:1 ratio to either Lodotra® or immediate release ...

Eligibility Criteria

Inclusion

  • Males or females, 50 years of age or older who provided written informed consent.
  • Females less than one year post-menopausal must have a negative serum or urine pregnancy test recorded prior to the first dose of study medication, be non-lactating, and willing to use adequate and highly effective methods of contraception throughout the study. A highly effective method of birth control is defined as those which result in a low failure rate (i.e. less than 1% per year) when used consistently and correctly such as sterilisation, implants, injectables, combined oral contraceptives, some IUDs (Intrauterine Device, hormonal), sexual abstinence or vasectomised partner).
  • Subjects newly diagnosed with polymyalgia rheumatica and previously untreated with glucocorticoids for PMR. The diagnosis of polymyalgia rheumatica must be confirmed by all of the following criteria:
  • New onset bilateral shoulder pain or new onset bilateral shoulder and hip girdle pain.
  • PMR VAS score over the last 24 hours before the Screening Visit ≥ 50 (on a 0 - 100 scale).
  • Morning stiffness duration of ≥ 45 min on the day before the Screening Visit.
  • Acute phase response shown by elevated C-reactive protein (CRP; ≥ 2 times ULN).
  • Subjects willing and able to participate in all aspects of the study and comply with the use of study medication.

Exclusion

  • Females who are pregnant (positive β-hCG test) or lactating.
  • Subjects with any contraindication/history of hypersensitivity to predniso(lo)ne or other ingredients.
  • Significant renal impairment (serume creatinine \> 150 µmol/L).
  • Significant hepatic impairment (ALT, AST and GGT \> 2.5 ULN).
  • Subjects suffering from another disease which requires glucocorticosteroid treatment. Topical glucocorticosteroids, e.g. intra-nasal or inhaled glucocorticosteroids are allowed but should be kept at a stable dose throughout the study.
  • Continued use of systemic glucocorticoids within 4 weeks prior to the Screening Visit.
  • Joint injections with glucocorticoids within 6 weeks prior to the Screening Visit.
  • Subjects who require treatment with non-permitted concomitant therapies.
  • Evidence of clinically significant cardiovascular, renal, hepatic, gastrointestinal or psychiatric disease at the time of screening, as determined by medical history, clinical laboratory tests, ECG results, and physical examination, that would place the subject at risk upon exposure to the study medication or that may confound the analysis and/or interpretation of the study results.
  • Active alcohol or drug abuse.
  • Subjects suffering from giant cell arteritis, late onset rheumatoid arthritis or other inflammatory rheumatoid diseases.
  • Subjects suffering from drug-induced myalgia.
  • Subjects suffering from fibromyalgia
  • Subjects suffering from systemic lupus erythemathosus.
  • Subjects suffering from neurological conditions, e.g. Parkinson's disease.
  • Subjects suffering from active cancer.
  • Subjects suffering from an active infection.
  • Subjects who participated in a clinical research study involving a new chemical entity or an experimental drug within 30 days prior to the Screening Visit.

Key Trial Info

Start Date :

March 1 2013

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

April 1 2014

Estimated Enrollment :

62 Patients enrolled

Trial Details

Trial ID

NCT01821040

Start Date

March 1 2013

End Date

April 1 2014

Last Update

October 24 2018

Active Locations (1)

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1

Southend University Hospital

Westcliff-on-Sea, United Kingdom, SS9 9RY