Not provided
| ID | Type | Description | Link |
|---|---|---|---|
| AF219004 | Other Identifier | Afferent Pharmaceuticals |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
The purpose of this study is to assess the efficacy of a single dose level of gefapixant (AF-219/MK-7264) in subjects with moderate to severe pain associated with osteoarthritis (OA) of the knee compared with placebo after 4 weeks of treatment.
The study will also assess the safety and tolerability, changes in physical function, stiffness, treatment response and health outcomes.
Subjects who satisfy entry criteria at Screening will enter the Washout Phase, discontinuing their current nonsteroidal anti-inflammatory drug (NSAID) therapy.
Up to 220 subjects who fulfill flare (and other entry) criteria will be randomized to gefapixant or placebo.
Subjects will complete Treatment Visits 1, 2, 3, and 4 weeks after starting study drug. At each Treatment Visit, subjects will undergo efficacy assessments and safety procedures. During the Washout and Treatment Phases subjects will complete the 'average pain' Numeric Pain Rating Scale (NPRS) and count of rescue medication used for the preceding 24 hours.
Subjects will return 2 weeks after their last Treatment Visit (for a Follow-Up Visit).
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Sugar pill | Placebo Comparator |
| |
| Gefapixant | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Gefapixant | Drug | BID |
|
|
| Measure | Description | Time Frame |
|---|---|---|
| The Primary Efficacy Endpoint of This Study is the Weekly Average Daily NPRS (Average Pain) | Subjects were instructed to select a number on a scale that best described their knee arthritis pain during the past 24 hours. The scale was between 0 and 10 where 0 was no pain and 10 was the worst possible pain. The scale was completed by telephone (an interactive voice response system [IVRS]) every evening before bedtime. | 2 Weeks |
| Measure | Description | Time Frame |
|---|---|---|
| WOMAC Scores | This is the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). This is a questionnaire that asks subjects to evaluate their pain, stiffness, and physical activities affecting their knee over the past 48 hours. Subjects evaluate their pain, stiffness and physical activities by selecting a number between 0 and 10 where 0 is no pain/no stiffness/no difficulty doing physical activities and 10 is extreme pain/extreme stiffness/extreme difficulty doing physical activities. The questionnaire was administered at Screening, Baseline and at the end of Week 4 by telephone (an interactive voice response system [IVRS]) before bedtime. The scores for each category are totaled (range is 0-100). A lower total score means less pain and a higher total score means greater pain. |
Not provided
Inclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Afferent Investigative Site | Phoenix | Arizona | 85018 | United States | ||
| Afferent Investigative Site |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| ID | Title | Description |
|---|---|---|
| FG000 | Sugar Pill | Sugar Pill: Placebo Subjects in the trial received one tablet twice daily for 4 weeks. |
| FG001 | Gefapixant | Gefapixant: BID Subjects received one tablet twice daily for 4 weeks. |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Sugar Pill | Drug | Placebo |
|
| 4 Weeks |
| SF-36 | The SF-36 (acute version 2) was a 36 question survey administered at Baseline and at the end of study or early termination (Week 4). The questionnaire contained numerous domain scores to evaluate physical function, mental function, general health, bodily pain, social functioning and vitality. The question of interest for the analysis was question #1 regarding walking pain. Scores range from 0 - 100. A lower score means decreased pain while walking and a higher score means increased pain while walking. | 4 Weeks |
| Phoenix |
| Arizona |
| 85027 |
| United States |
| Afferent Investigative Site | San Diego | California | 92108 | United States |
| Afferent Investigative Site | Clearwater | Florida | 33756 | United States |
| Afferent Investigative Site | Orlando | Florida | 32806 | United States |
| Afferent Investigative Site | Pinellas Park | Florida | 33781 | United States |
| Afferent Investigative Site | Atlanta | Georgia | 30329 | United States |
| Afferent Investigative Site | Wichita | Kansas | 67203 | United States |
| Afferent Investigative Site | New Bedford | Massachusetts | 02740 | United States |
| Afferent Investigative Site | Watertown | Massachusetts | 02472 | United States |
| Afferent Investigative Site | Troy | Michigan | 48098 | United States |
| Afferent Investigative Site | Olive Branch | Mississippi | 38654 | United States |
| Afferent Investigative Site | Hazelwood | Missouri | 63042 | United States |
| Afferent Investigative Site | St Louis | Missouri | 63141 | United States |
| Afferent Investigative Site | Albuquerque | New Mexico | 87102 | United States |
| Afferent Investigative Site | Asheville | North Carolina | 28803 | United States |
| Afferent Investigative Site | Greensboro | North Carolina | 27408 | United States |
| Afferent Investigative Site | Winston-Salem | North Carolina | 27103 | United States |
| Afferent Investigative Site | Cincinnati | Ohio | 45219 | United States |
| Afferent Investigative Site | Toledo | Ohio | 43623 | United States |
| Afferent Investigative Site | Medford | Oregon | 97504 | United States |
| Afferent Investigative Site | Duncansville | Pennsylvania | 16635 | United States |
| Afferent Investigative Site | Warwick | Rhode Island | 02886 | United States |
| Afferent Investigative Site | Greer | South Carolina | 29650 | United States |
| Afferent Investigative Site | Mt. Pleasant | South Carolina | 29464 | United States |
| Afferent Investigative Site | Austin | Texas | 78705 | United States |
| Afferent Investigative Site | Dallas | Texas | 75231 | United States |
| Afferent Investigative Site | Houston | Texas | 77062 | United States |
| Afferent Investigative Site | San Antonio | Texas | 78209 | United States |
| Afferent Investigative Site | San Antonio | Texas | 78229 | United States |
| Afferent Investigative Site | Clinton | Utah | 84015 | United States |
| Afferent Investigative Site | Roanoke | Virginia | 24018 | United States |
| Afferent Investigative Site | Renton | Washington | 98057 | United States |
| Afferent Investigative Site | Kenosha | Wisconsin | 53142 | United States |
| COMPLETED |
|
| NOT COMPLETED |
|
|
Not provided
| ID | Title | Description |
|---|---|---|
| BG000 | Sugar Pill | Sugar Pill: Placebo |
| BG001 | Gefapixant | Gefapixant: BID Subjects received one tablet twice daily for 4 weeks. |
| BG002 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants | Participants |
| ||||||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
| ||||||||||||||||||
| Race (NIH/OMB) | Count of Participants | Participants |
| ||||||||||||||||||
| Region of Enrollment | Number | participants |
| ||||||||||||||||||
| Numeric Pain Rating Scale (NPRS) | Subjects were instructed to select a number between 0 and 10 where 0 is no pain and 10 is the worst possible pain. The scale was completed by telephone (an interactive voice response system [IVRS]) every evening before bedtime. | Mean | Full Range | units on a scale |
|
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | The Primary Efficacy Endpoint of This Study is the Weekly Average Daily NPRS (Average Pain) | Subjects were instructed to select a number on a scale that best described their knee arthritis pain during the past 24 hours. The scale was between 0 and 10 where 0 was no pain and 10 was the worst possible pain. The scale was completed by telephone (an interactive voice response system [IVRS]) every evening before bedtime. | Per protocol population defined as subjects who received at least 1 dose of drug, had at least 1 post-baseline efficacy measure, complied with protocol and did not have major protocol deviations. Compliance with the protocol defined as having (in the last week of the study) a weekly average NPRS score w/ at least 50% non-missing dairy NPRS scores. | Posted | Mean | Full Range | units on a scale | 2 Weeks |
|
|
| ||||||||||||||||||||||||||||
| Secondary | WOMAC Scores | This is the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). This is a questionnaire that asks subjects to evaluate their pain, stiffness, and physical activities affecting their knee over the past 48 hours. Subjects evaluate their pain, stiffness and physical activities by selecting a number between 0 and 10 where 0 is no pain/no stiffness/no difficulty doing physical activities and 10 is extreme pain/extreme stiffness/extreme difficulty doing physical activities. The questionnaire was administered at Screening, Baseline and at the end of Week 4 by telephone (an interactive voice response system [IVRS]) before bedtime. The scores for each category are totaled (range is 0-100). A lower total score means less pain and a higher total score means greater pain. | Per protocol population defined as subjects who received at least 1 dose of drug, had at least 1 post-baseline efficacy measure, complied with protocol and did not have major protocol deviations. Compliance with the protocol defined as having (in the last week of the study) a weekly average NPRS score w/ at least 50% non-missing dairy NPRS scores. | Posted | Mean | Standard Deviation | units on a scale | 4 Weeks |
| ||||||||||||||||||||||||||||||
| Secondary | SF-36 | The SF-36 (acute version 2) was a 36 question survey administered at Baseline and at the end of study or early termination (Week 4). The questionnaire contained numerous domain scores to evaluate physical function, mental function, general health, bodily pain, social functioning and vitality. The question of interest for the analysis was question #1 regarding walking pain. Scores range from 0 - 100. A lower score means decreased pain while walking and a higher score means increased pain while walking. | Per protocol population defined as subjects who received at least 1 dose of drug, had at least 1 post-baseline efficacy measure, complied with protocol and did not have major protocol deviations. Compliance with the protocol defined as having (in the last week of the study) a weekly average NPRS score w/ at least 50% non-missing dairy NPRS scores. | Posted | Mean | Standard Deviation | units on a scale | 4 Weeks |
|
|
Not provided
Not provided
Not provided
| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Sugar Pill | Sugar Pill: Placebo Subjects in the trial received one tablet twice daily for 4 weeks. | 1 | 86 | 17 | 86 | ||
| EG001 | Gefapixant | Gefapixant: BID Subjects received one tablet twice daily for 4 weeks. | 0 | 85 | 75 | 85 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Bronchitis | Infections and infestations |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Dysgeusia | Nervous system disorders |
| |||
| Ageusia | Nervous system disorders |
| |||
| headache | Nervous system disorders |
| |||
| hypogeusia | Nervous system disorders |
| |||
| dizziness | Nervous system disorders |
|
60 days prior to the submission of any results, the PI shall submit to SPONSOR any proposed PUBLICATION, which period may be extended for an additional 30 days if requested by SPONSOR. If any Confidential Information should be redacted or patent applications relating to an Invention should be filed prior to PUBLICATION, then PUBLICATION will be delayed until patent application has been filed. Delay of a PUBLICATION shall not exceed 24 months from the date of such notice to the PI.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Clinical Development | Afferent Pharmaceuticals | 650-286-1276 | info@afferentpharma.com |
| ID | Term |
|---|---|
| D020370 | Osteoarthritis, Knee |
| ID | Term |
|---|---|
| D010003 | Osteoarthritis |
| D001168 | Arthritis |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
| D012216 | Rheumatic Diseases |
Not provided
Not provided
| ID | Term |
|---|---|
| C000597312 | Gefapixant |
| D000073893 | Sugars |
| ID | Term |
|---|---|
| D002241 | Carbohydrates |
Not provided
Not provided
| >=65 years |
|
| Male |
|
| Asian |
|
| Native Hawaiian or Other Pacific Islander |
|
| Black or African American |
|
| White |
|
| More than one race |
|
| Unknown or Not Reported |
|
| Units | Counts |
|---|---|
| Participants |
|
|
|
|