Active Drug Comparative, Multi-center, phase3 Clinical Study to Evaluate the Efficacy and Safety of PG201 in Osteoarthritis Patients
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Purpose
The objective of this study was to to evaluate the efficacy and safety of PG201 in osteoarthritis patients.
This clinical study was designated to be non-inferiority test with level of significance: 95%, α=0.05. Type 2 error (β) was set as 0.2, and the power of the test was set as 80%. Assuming 20% drop-out rate, the number of subjects required for each treatment group was estimated to be 154, while the total number of subjects required for the study 308.
non-inferiority margin: 8mm
| Condition | Intervention | Phase |
|---|---|---|
|
Osteoarthritis of the Knee |
Drug: PG201 tablet Drug: Celebrex capsule |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Investigator) Primary Purpose: Treatment |
| Official Title: | Double Blinded, Randomized, Active Drug Comparative, Multi-center, phase3 Clinical Study to Evaluate the Efficacy and Safety of PG201 in Osteoarthritis Patients |
- 100mm Pain VAS reduction [ Time Frame: Screening, Day1, Day28 ] [ Designated as safety issue: No ]
- Pain VAS total score on the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) [ Time Frame: Screening, Day1, Day28 ] [ Designated as safety issue: No ]
- Sub-scale score and total score on the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) [ Time Frame: Screening, Day1, Day28 ] [ Designated as safety issue: No ]
- The change in the quality of life score [ Time Frame: Day1, Day28 ] [ Designated as safety issue: No ]
- The change in the patient self-assessed & investigator-assessed overall symptom scores [ Time Frame: Screening, Day1, Day28 ] [ Designated as safety issue: No ]
- The responder index (RI) [ Time Frame: screening, Day1, Day28 ] [ Designated as safety issue: No ]
| Enrollment: | 309 |
| Study Start Date: | January 2010 |
| Study Completion Date: | September 2011 |
| Primary Completion Date: | March 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: PG201 tablet |
Drug: PG201 tablet
One PG201 tablet and one celecoxib placebo capsule(after breakfast, in 30minutes), One PG201 tablet and one celecoxib placebo capsule(after dinner, in 30minutes)
Other Name: botanical drug
|
| Active Comparator: Celecoxib capsule |
Drug: Celebrex capsule
One celecoxib capsule and one PG201 placebo tablet(after breakfast, in 30minutes), one celecoxib placebo capsule and one PG201 placebo tablet(after dinner, in 30minutes)
Other Name: chemical drug
|
Detailed Description:
Patients in the PG201 group were prescribed two PG201 tablets per day(BID) and one celecoxib placebo capsule each in the morning and evening per day for 8 weeks.
Patients in the celecoxib group were prescribed celecoxib 200 mg (one 200 mg capsule and one celecoxib placebo capsule) and one PG201 placebo tablet each in the morning and evening per day for 8 weeks.
Eligibility| Ages Eligible for Study: | 40 Years to 80 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Patients ≥40 and ≤ 80years of age.
Patients who meet the American College of Rheumatology clinical plus radiographic classification criteria for idiopathic osteoarthritis of the knee, which are defined as follow:
a patient who had knee pain and radiographically diagnosed osteophytes and met at least one of the followings.
- Age> 50 years.
- Morning stiffness for less than 30 minutes.
- Crepitus during movement of the weight-bearing knee.
- Patients with symptomatic primary osteoarthritis of the knee at least in the last 3 months prior to screening.
- Patients who received Nonsteroidal antiinflammatory drugs (NSAIDs)/Cyclooxygenase-2 inhibitor for the treatment of arthritis of the knee for at least 5 days a week during 4 weeks prior to screening.
- Patients who had a score of 100mm pain VAS ≤80 mm at screening.
- Patients who had a score of 100mm pain VAS ≥50 mm at baseline.
- Patients should be able and willing to provide the written informed consent.
Exclusion Criteria:
- Patients with a history of surgery or arthroscopy of the study joint within the previous 6 months.
- Patients with trauma of study joint within the previous 12 months.
- Patients with symptomatic hip osteoarthritis, other condition that would interfere with study assessments.
- Patients with any other type of arthritis, active malignancies or any active GI, cardiovascular, renal, hepatic, neurologic, or psychiatric disease.
- Patients with a known hypersensitivity or intolerance to Nonsteroidal antiinflammatory drugs (NSAIDs), aspirin or Cyclooxygenase-2 inhibitor.
- Patients with uncontrollable hypertension.
- Patients with any of creatinine, bilirubin, Alanine aminotransferase or Aspartate aminotransferase > 1.5 times the Upper Lange of normal at screening.
- Patients with a history of drug or alcohol abuse.
Contacts and Locations| Korea, Republic of | |
| Seoul National University Hospital | |
| Seoul, Korea, Republic of | |
| Principal Investigator: | Yeong-wook Song, MD | Seoul National University Hospital |
| Principal Investigator: | Wan-Hee Yoo, MD | Chonbuk National University Hospital |
| Principal Investigator: | Sung-Hwan Park, MD | The Catholic University of Korea College of Medicine |
| Principal Investigator: | Han-joo Baek, MD | Gachon University of Medicine and Science |
| Principal Investigator: | Yun Jong Lee, MD | Seoul National University Bundang Hospital |
| Principal Investigator: | Seung Cheol Shim, MD | Eulji University |
| Principal Investigator: | Seong Wook Kang, MD | Chungnam National University School of Medicine |
| Principal Investigator: | Hyun Ah Kim, MD | Hallym University Medical Center |
| Principal Investigator: | Jung Soo Song, MD | Chung-Ang University College of Medicine |
| Principal Investigator: | Chang Hee Suh, MD | Ajou University School of Medicine |
| Principal Investigator: | Sung Jae Choi, MD | Korea University |
| Principal Investigator: | Bo Young Yoon, MD | Inje University |
More Information
No publications provided
| Responsible Party: | PMG Pharm Co., Ltd |
| ClinicalTrials.gov Identifier: | NCT01576419 History of Changes |
| Other Study ID Numbers: | PG201-P3 |
| Study First Received: | April 4, 2012 |
| Last Updated: | April 10, 2012 |
| Health Authority: | South Korea: Korea Food and Drug Administration (KFDA) |
Keywords provided by PMG Pharm Co., Ltd:
|
PG201 Non-inferiority 100mm pain VAS |
Additional relevant MeSH terms:
|
Osteoarthritis Osteoarthritis, Knee Arthritis Joint Diseases Musculoskeletal Diseases Rheumatic Diseases Celecoxib Cyclooxygenase 2 Inhibitors Cyclooxygenase Inhibitors Enzyme Inhibitors Molecular Mechanisms of Pharmacological Action |
Pharmacologic Actions Anti-Inflammatory Agents, Non-Steroidal Analgesics, Non-Narcotic Analgesics Sensory System Agents Peripheral Nervous System Agents Physiological Effects of Drugs Anti-Inflammatory Agents Therapeutic Uses Central Nervous System Agents Antirheumatic Agents |
ClinicalTrials.gov processed this record on May 22, 2013