A Study to Determine the Safety and the Efficacy of Fasinumab Compared to Placebo and Naproxen

Trial Details

A Phase 3 Randomized, Double-blind, Multi-dose, Placebo and Naproxen-Controlled Study to Evaluate the Efficacy and Safety of Fasinumab in Patients With Pain Due to Osteoarthritis of the Knee or Hip

The primary objective of the study is to evaluate the efficacy of fasinumab compared with placebo, when administered for up to 16 weeks in patients with osteoarthritis (OA) of the knee or hip.

The secondary objectives of the study are:

1. To evaluate the efficacy of fasinumab compared with naproxen, when administered for up to 16 weeks in patients with OA of the knee or hip

2. To evaluate the efficacy of fasinumab compared with placebo, when administered for up to 52 weeks in patients with OA of the knee or hip

3. To assess the safety and tolerability of fasinumab compared with naproxen, when administered for up to 16 weeks in patients with OA of the knee or hip

4. To assess the safety and tolerability of fasinumab compared with naproxen, when administered for up to 52 weeks in patients with OA of the knee or hip

5. To evaluate the pharmacokinetic (PK) profile of fasinumab administered to patients for up to 52 weeks

6. To evaluate the immunogenicity of fasinumab administered to patients for up to 52 weeks

Inclusion Criteria

• Male and female patients, at least 18 years of age, at screening

• A clinical diagnosis of OA of the knee or hip based on the American College of Rheumatology criteria with radiologic evidence of OA (K-L score ≥2 for the index joint) at the screening visit

• Moderate to severe pain in the index joint defined at both the screening and randomization visits

• Willing to discontinue current pain medications and to adhere to study requirements for rescue treatments (acetaminophen/paracetamol) to be taken as needed with a maximum daily dose of 2500 mg (countries where 500 mg strength tablets/capsules are available) or 2600 mg (countries where 325 mg strength tablets/capsules are available)

• A history of at least 12 weeks of analgesics use for pain due to OA of the knee or hip, as defined by:

  • Inadequate pain relief from acetaminophen/paracetamol AND

  • Intolerance to or inadequate pain relief from opioid or tramadol therapy, unwillingness to take opioid or tramadol therapy for a medically acceptable reason, or lack of access to an opioid or to tramadol

• Currently using a stable dose of NSAID.

• Willing to discontinue glucosamine sulfate and chondroitin sulfate treatments during the initial 16 weeks of treatment

• Stable treatment with glucosamine sulfate and chondroitin sulfate treatments must be stopped during the pre-randomization period

• Consent to allow all radiographs and medical/surgical/hospitalization records of care received elsewhere prior to and during the study period to be shared with the investigator

• Willing to maintain current activity and exercise levels throughout the study

• Willing and able to comply with clinic visits and study-related procedures and willing to provide follow-up information related to any JR surgery that occurs within the period of time covered by their intended participation in the study

• Able to understand and complete study-related questionnaires

Exclusion Criteria

Exclusion Criteria include, but are not limited to, the following:

• Non-compliance with the Numeric Rating Scale (NRS) recording during the pre-randomization period

• History or presence at the screening visit of non-OA inflammatory joint disease, Paget's disease of the spine, pelvis or femur, neuropathic disorders, multiple sclerosis, fibromyalgia, tumors or infections of the spinal cord, or renal osteodystrophy

• History or presence on imaging of arthropathy, neuropathic joint arthropathy, hip or knee dislocation, extensive subchondral cysts, significant bone collapse or bone loss, or pathologic fractures

• Trauma to the index joint within 3 months prior to the screening visit

• Signs or symptoms of carpal tunnel syndrome within 6 months of screening

• Patient is not a candidate for MRI

• Is scheduled for a JR surgery to be performed during the study period or who would be unwilling or unable to undergo JR surgery if needed

• History or presence at the screening visit of autonomic or diabetic neuropathy, or other peripheral neuropathy, including reflex sympathetic dystrophy

• History or diagnosis of chronic autonomic failure syndrome including pure autonomic failure, multiple system atrophy

• History of naproxen intolerance, or existence of a medical condition that is high risk for naproxen-associated complications

• Resting heart rate of <50 beats per minute (bpm) or >100 bpm at the screening or randomization visits

• History or presence of 2nd or 3rd degree heart block, 1st degree heart block with abnormal Complex of Q, R, and S waves on an electrocardiogram (QRS) complex, or bifascicular block by ECG assessment at the screening visit

• History or presence of orthostatic hypotension at the screening, prerandomization, or randomization visits

• History of poorly controlled hypertension

• Use of systemic corticosteroid within 30 days prior to the screening visit. Intra-articular corticosteroids in the index joint within 12 weeks prior to the screening visit, or to any other joint within 30 days prior to the screening visit

• Exposure to an anti-Nerve growth factor (NGF) antibody prior to the screening visit or known sensitivity or intolerance to anti-NGF antibodies

*Other protocol-defined inclusion/exclusion criteria may apply

View Trial on ClinicalTrials.gov website: CAIN457K2340