Full Text View  
  Tabular View  
  Contacts and Locations  
  No Study Results Posted  
  Related Studies  
Proof-of Concept Study of Topical 3%-Diclofenac-Nano-Emulsion Cream for Knee OA Pain
This study is not yet open for participant recruitment.
Verified by Pharmos, June 2007
Sponsored by: Pharmos
Information provided by: Pharmos
ClinicalTrials.gov Identifier: NCT00484120
  Purpose

This study valuates the safety and efficacy of treatment with 3% Diclofenac Nano-Emulsion Cream versus Placebo in subjects with osteoarthritis of the knee.


Condition Intervention Phase
Osteoarthritis of the Knee
Drug: 3%-Diclofenac-Nano-Emulsion Cream
Phase II

MedlinePlus related topics: Osteoarthritis
Drug Information available for: Diclofenac Diclofenac potassium Diclofenac sodium
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Double-Blind, Placebo Control, Parallel Assignment, Safety/Efficacy Study
Official Title: Proof-of Concept Study to Evaluate the Safety and Analgesic Efficacy of Topical 3%-Diclofenac-Nano-Emulsion Cream Versus Placebo for Knee Osteoarthritis

Further study details as provided by Pharmos:

Primary Outcome Measures:
  • Analgesic activity as measured by the WOMAC pain subscale. [ Time Frame: 1 month ]

Secondary Outcome Measures:
  • Patient’s daily pain assessment in the home diary. [ Time Frame: 1 month ]
  • Pain on walking. [ Time Frame: 1 month ]
  • Patient global assessment of treatment. [ Time Frame: 1 month ]
  • Safety and Tolerability. [ Time Frame: 1 month ]

Detailed Description:

This will be a multi-center, double-blind, placebo-controlled, multiple-dose, parallel treatment study. A total of 126 subjects will be randomized to receive either 3%-Diclofenac-NE cream or a placebo cream respectively. Following screening and a washout period from previous treatments subjects will be enrolled and will self-apply the study medication. During the study, subjects will apply 3%-Diclofenac-NE or placebo cream three times daily for 28 days and complete a home-diary. Subjects will visit the clinic at mid-treatment for a follow up examination and again for a final examination at the end of treatment.

  Eligibility

Ages Eligible for Study:   50 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  1. Males and females 50 years of age and above.
  2. Patients with primary osteoarthritis in at least a single knee joint, grade 2 or 3 based on the Kellgren and Lawrence classification system.
  3. Radiographic evidence consistent with OA carried out within the 6 months before screening.
  4. Pain should have been present for at least half of the days in the previous month and for at least 48h prior to the screening visit.
  5. Eligible subjects must have used an oral, topical or rectal NSAID within the past 6 months before screening.
  6. At baseline, after a 1 week withdrawal period of analgesic/anti-inflammatory medications, subjects should have a flare of pain.
  7. Able to read, comprehend, and sign the consent form.
  8. Examined by the authorized physician and medically cleared to participate in the study.
  9. In general good health and have no contraindications to any of the investigational medicinal products.

Exclusion Criteria:

  1. Secondary osteoarthritis.
  2. Presence of a serious or unstable medical condition (e.g., malignancy, severe neurological impairment or uncontrolled hypertension) or poor general health interfering with compliance or assessment at the study physician’s discretion.
  3. OA causing significant pain in any joint other than the knees.
  4. Any other rheumatic or non-rheumatic joint disease or any other painful condition within the past month (e.g. fibromyalgia).
  5. Knee surgery or other knee trauma at any time during the previous year or subjects for whom a treatment is planned within the study period that could alter the degree or nature of pain (e.g. arthroscopic techniques, osteotomy, joint replacement surgery etc.).
  6. Active or history of gastrointestinal ulceration or bleeding within the past 5 years.
  7. Presence of a significant active psychiatric disorder including major depression or subjects receiving anti-psychotic medication.
  8. Existence of any dermatological condition on the knee.
  9. Subjects with disabling congestive heart failure (CHF), angina, pulmonary disease.
  10. Clinically significant abnormal blood results.
  11. Subjects cannot have had an arthrocenthesis prior or during the study.
  12. Concomitant treatment with physical and/or occupational therapy.
  13. Prior use of any type of NSAID or other analgesic before taking the first dose of investigational medicinal product. Rescue treatment will be allowed during the study
  14. Change in sedative or CNS/psychotropic agent within the past month.
  15. Chronic treatment with anticoagulants (e.g. Warfarin).
  16. Subjects under treatment with corticosteroids.
  17. Subjects using topical analgesics including OTC products.
  18. Females who are pregnant, lactating, of child-bearing potential, or post-menopausal for less than 2 years and not using a medically approved method of contraception (i.e., oral, transdermal, or implanted contraceptives, intrauterine device, diaphragm, condom, abstinence, or surgical sterility), or females who test positive on a urine-based pregnancy test.
  19. Active alcoholism or substance abuse.
  20. Has taken an investigational drug or has used an investigational device within the past 30 days.
  21. History of hypersensitivity and/or idiosyncrasy to diclofenac or excipients employed in this study, aspirin or other NSAIDS.
  22. Has previously been entered into this study.
  23. Any condition that in the investigator’s judgement precludes participation in the study.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00484120

Locations
Israel
Rambam Medical Center
Haifa, Israel, 9602
Sourasky Medical Center
Tel Aviv, Israel, 64239
Assaf Harofeh Medical Center
Zerifin, Israel, 70300
Sponsors and Collaborators
Pharmos
Investigators
Principal Investigator: Eisenberg Elon, MD Rambam Health Care Campus
  More Information

Study ID Numbers: PH-2007-2
Study First Received: June 7, 2007
Last Updated: June 7, 2007
ClinicalTrials.gov Identifier: NCT00484120  
Health Authority: Israel: Ministry of Health

Keywords provided by Pharmos:
Osteoarthritis
Diclofenac
Nano-emulsion

Study placed in the following topic categories:
Osteoarthritis, Knee
Musculoskeletal Diseases
Osteoarthritis
Joint Diseases
Arthritis
Diclofenac
Pain
Rheumatic Diseases

Additional relevant MeSH terms:
Anti-Inflammatory Agents
Molecular Mechanisms of Pharmacological Action
Physiological Effects of Drugs
Cyclooxygenase Inhibitors
Enzyme Inhibitors
Pharmacologic Actions
Analgesics, Non-Narcotic
Sensory System Agents
Therapeutic Uses
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