To Assess the Effect of Naproxcinod vs. Naproxen and Ibuprofen on Arterial Blood Pressure in Osteoarthritis Patients With Controlled Essential Hypertension - Full Text View

Sponsored by:	NicOx
Information provided by:	NicOx
ClinicalTrials.gov Identifier:	NCT00662896

Purpose

To assess the effect of naproxcinod vs. naproxen and ibuprofen on arterial blood pressure in patients with osteoarthritis and controlled essential hypertension

Condition	Intervention	Phase
Osteoarthritis Hypertension	Drug: naproxcinod, naproxen, ibuprofen	Phase I

MedlinePlus related topics: High Blood Pressure Osteoarthritis

Drug Information available for: Ibuprofen Dexibuprofen Naproxen Naproxen sodium

U.S. FDA Resources

Study Type:	Interventional
Study Design:	Treatment, Randomized, Double Blind (Subject, Investigator), Dose Comparison, Parallel Assignment, Safety/Efficacy Study
Official Title:	A 16-Week, Phase 1, Multicenter, Double-Blind, Randomized, Naproxen and Ibuprofen-Controlled, Parallel-Group Pharmacological Study, to Assess the Effect of Naproxcinod (375mg and750mg, Bid) Compared to Doses of Naproxen (250mg and 500mg, Bid) and to Ibuprofen (600mg, Tid) on Arterial Blood Pressure as Measured by Ambulatory Blood Pressure Monitoring in Osteoarthritis Patients With Controlled Essential Hypertension.

Further study details as provided by NicOx:

Primary Outcome Measures:

To characterize the 24-hour arterial blood pressure profile of naproxcinod, compared to naproxen as measured by ABPM, through assessing the mean change from baseline in patients with OA and controlled essential hypertension. [ Time Frame: 15 weeks ] [ Designated as safety issue: No ]

Secondary Outcome Measures:

To characterize the 24-hour arterial blood pressure profile of naproxcinod compared to ibuprofen as measured by ABPM, through assessing the mean change from baseline in patients with osteoarthritis and controlled essential hypertension. [ Time Frame: 15 weeks ] [ Designated as safety issue: No ]
To assess the general safety and tolerability of naproxcinod compared to naproxen and ibuprofen. [ Time Frame: 15 weeks ] [ Designated as safety issue: Yes ]

Estimated Enrollment:	300
Study Start Date:	March 2008

Arms	Assigned Interventions
naproxcinod: Active Comparator 375mg, 750mg bid	Drug: naproxcinod, naproxen, ibuprofen naproxcinod: 375mg, 750mg, naproxen: 250mg, 500mg, ibuprofen: 600mg
naproxen: Active Comparator 250mg, 500mg bid	Drug: naproxcinod, naproxen, ibuprofen naproxcinod: 375mg, 750mg, naproxen: 250mg, 500mg, ibuprofen: 600mg
ibuprofen: Active Comparator 600mg tid	Drug: naproxcinod, naproxen, ibuprofen naproxcinod: 375mg, 750mg, naproxen: 250mg, 500mg, ibuprofen: 600mg

Detailed Description:

This is a 16-week, randomized, double-blind, multicenter study comparing the effect of naproxcinod, naproxen, and ibuprofen on 24 hour arterial blood pressure profile. Patients will be randomly allocated to naproxcinod 375mg, naproxcinod 750mg, naproxen 250mg, naproxen 500mg, or ibuprofen 600mg in a 1:1:1:1:1 ratio.

Eligibility

Ages Eligible for Study:	40 Years and older
Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	No

Criteria

Inclusion Criteria:

Men/Women, 40 or older, diagnosed with hip or knee osteoarthritis.
Hypertensive Patient with treated and controlled essential hypertension.
Must receive at least one antihypertensive treatment from the following drug classes: Diuretic, Angiotensin-Converting Enzyme (ACE) inhibitor, Angiotensin Receptor Blockers (ARB) or Beta-Blocker (BB).
Must be current chronic user of NSAIDS or acetaminophen.
Must discontinue all analgesic therapy at Screening.

Exclusion Criteria:

More than two different classes of antihypertensive drugs.
Uncontrolled diabetes.
Hepatic or renal impairment.
A history of alcohol/drug abuse.
Diagnosis of gastric or duodenal ulceration and/or history of significant gastro-duodenal bleeding.
History of congestive heart failure.
Clinically relevant abnormal ECG.
Current or history of a medical disease that could interfere with the study objectives or put the patient's safety at risk.
Current or expected use of anticoagulants.
Participation within 30 days prior to pre-screening in another investigational study.

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00662896

Show 61 Study Locations

Sponsors and Collaborators

NicOx

More Information

Nicox web-site This link exits the ClinicalTrials.gov site

Responsible Party:	NicOx. ( NicOx )
Study ID Numbers:	HCT 3012-X-112
Study First Received:	April 16, 2008
Last Updated:	October 23, 2008
ClinicalTrials.gov Identifier:	NCT00662896
Health Authority:	United States: Food and Drug Administration

Study placed in the following topic categories:

Nitric Oxide
Ibuprofen
Naproxen
Musculoskeletal Diseases
Osteoarthritis
Joint Diseases

Arthritis
Vascular Diseases
Naproxen-n-butyl nitrate
Essential hypertension
Rheumatic Diseases
Hypertension

Additional relevant MeSH terms:

Anti-Inflammatory Agents
Molecular Mechanisms of Pharmacological Action
Physiological Effects of Drugs
Cyclooxygenase Inhibitors
Enzyme Inhibitors
Cardiovascular Agents
Gout Suppressants
Pharmacologic Actions
Nitric Oxide Donors

Analgesics, Non-Narcotic
Sensory System Agents
Therapeutic Uses
Cardiovascular Diseases
Anti-Inflammatory Agents, Non-Steroidal
Analgesics
Peripheral Nervous System Agents
Antirheumatic Agents
Central Nervous System Agents

ClinicalTrials.gov processed this record on January 16, 2009