Status:
UNKNOWN
Study to Evaluate Intra-articular Resiniferatoxin to Treat Moderate to Severe Pain From Knee Osteoarthritis
Lead Sponsor:
Sorrento Therapeutics, Inc.
Conditions:
Osteoarthritis, Knee
Knee Osteoarthritis
Eligibility:
All Genders
18+ years
Phase:
PHASE2
Brief Summary
This study evaluates the efficacy and safety of a single IA injection of various RTX doses, Zilretta or placebo for the treatment of pain due to moderate to severe osteoarthritis knee pain..
Detailed Description
This study is a multi-center, Phase 2, randomized, dose ranging, assessor-blinded, active and placebo-controlled, parallel-group prospective study evaluating the efficacy and safety of a single IA inj...
Eligibility Criteria
Inclusion
- BMI \< 50 kg/m
- Have moderate-to-severe pain in the index knee due to osteoarthritis (OA) as assessed by the investigator, based on American College of Rheumatology criteria
- Have had OA pain duration in the index knee ≥ 6 months prior to Screening
- Reports worst daily average pain with walking of ≥ 4 on the 0 to 10 NRS for pain intensity during the week prior to Screening
- Have a knee x-ray or MRI scan with KL grade ≥ 2 in the index knee based upon radiographic images obtained within 3 months prior to Screening (image must be available for review)
- Have had treatment failure with at least two prior analgesic agents (at least one NSAID) defined as discontinuation due to side effects or inadequate response to treatment
- Willing to abstain from other IA injections or knee surgery for at least 6 months after study treatment unless elects early discontinuation from the study
- Able to comply with the study procedures and give informed consent
- If on any analgesic medications, have been taking a stable dose for at least one month prior to screening with no increase in dose leading up to study treatment. Note that if the subject is on "as needed" or PRN analgesic medications, these may be continued during the study
- Willing to follow contraception guidelines
Exclusion
- Have a history of a hemorrhagic event that is CTCAEv5 Grade 2 or higher within the 6 months prior to screening
- Have evidence of or history of a serious coagulopathy or hemostasis problem at Screening or Baseline
- Have had an IA injection in the index knee within one month prior to screening (3 months if prior IA injection with Zilretta)
- Have undergone arthroscopic or open surgery or replacement surgery to the index knee within 6 months of screening
- Have surgical hardware or other foreign bodies within the index knee joint
- Have current instability/misalignment in the index knee post repair
- Have a sensory peripheral neuropathy that is CTCAEv5 Grade 2 or higher involving the index leg at Screening
- Have significant pain in other joints or body locations that make it difficult to assess pain in the index knee
- If on opioid analgesics to treat knee OA, have an upper limit of 30 mg/day as converted to an oral morphine equivalent dose
- Have a history of substance abuse
- Have an allergy or hypersensitivity to capsaicin, chili peppers, lidocaine or resiniferatoxin
- Pregnant at Screening or planning on becoming pregnant or currently breastfeeding
- Have had a non-study related minor surgical procedure ≤ 3 days or major surgical procedure ≤ 14 days prior to Screening and must be sufficiently recovered and stable prior to study treatment
- Have any medical condition or medical comorbidities that, in the Investigator's opinion, could adversely impact study participation or safety, conduct of the study, or interfere with pain assessments
Key Trial Info
Start Date :
November 15 2021
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
November 1 2023
Estimated Enrollment :
124 Patients enrolled
Trial Details
Trial ID
NCT04885972
Start Date
November 15 2021
End Date
November 1 2023
Last Update
January 17 2023
Active Locations (6)
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1
Horizon Clinical Research
La Mesa, California, United States, 91942
2
Lotus Clinical Research
Pasadena, California, United States, 91105
3
Affinity Health
Oak Brook, Illinois, United States, 60523
4
Advance Pain
Edgewood, Kentucky, United States, 41017