Pilot Study of Lidocaine 5% Patch Versus Placebo in Patients With Osteoarthritis Pain of the Knee

Overview[ - collapse ][ - ]

Purpose Patients with unilateral or bilateral osteoarthritis (OA) of the knee participated in a Phase II clinical trial to assess the efficacy of lidocaine 5% patch compared with placebo in the treatment of pain from OA of the knee.
ConditionOsteoarthritis, Knee
InterventionDrug: Lidoderm
Drug: Placebo patch
PhasePhase 2
SponsorEndo Pharmaceuticals
Responsible PartyEndo Pharmaceuticals
ClinicalTrials.gov IdentifierNCT00904462
First ReceivedMay 15, 2009
Last UpdatedFebruary 9, 2010
Last verifiedFebruary 2010

Tracking Information[ + expand ][ + ]

First Received DateMay 15, 2009
Last Updated DateFebruary 9, 2010
Start DateAugust 2004
Estimated Primary Completion DateNot Provided
Current Primary Outcome Measures
  • Western Ontario and McMaster Universities (WOMAC) OA Index [Time Frame: Visit: V2(Day 0), V3(Day 14), V4(Day 28), V5(Day 42), V6(Day 56), V7/EOS(Day 84)] [Designated as safety issue: No]
  • Pain intensity and pain relief (BPI Questions 3, 4, 5, 6, and 8) [Time Frame: Visit: V2(Day 0), V3(Day 14), V4(Day 28), V5(Day 42), V6(Day 56), V7/EOS(Day 84)] [Designated as safety issue: No]
  • Pain Quality Assessment Scale (PQAS) [Time Frame: Visit: V2(Day 0), V3(Day 14), V4(Day 28), V5(Day 42), V6(Day 56), V7/EOS(Day 84)] [Designated as safety issue: No]
  • Patient-rated and Investigator-rated Global Impression of Change in OA pain (categorical scale) [Time Frame: Visit: V2(Day 0), V3(Day 14), V4(Day 28), V5(Day 42), V6(Day 56), V7/EOS(Day 84)] [Designated as safety issue: No]
  • Patient-rated and Investigator-rated Global Assessment of Treatment Satisfaction (categorical scale) [Time Frame: Visit: V2(Day 0), V3(Day 14), V4(Day 28), V5(Day 42), V6(Day 56), V7/EOS(Day 84)] [Designated as safety issue: No]
Current Secondary Outcome Measures
  • QoL: Pain interference on activities of daily living using Question 9 of the BPI [Time Frame: Visit: V2(Day 0), V3(Day 14), V4(Day 28), V5(Day 42), V6(Day 56), V7/EOS(Day 84)] [Designated as safety issue: No]
  • QoL: Beck Depression Inventory (BDI) [Time Frame: Visit: V2(Day 0), V3(Day 14), V4(Day 28), V5(Day 42), V6(Day 56), V7/EOS(Day 84)] [Designated as safety issue: No]
  • Quality of Sleep (QOS) [Time Frame: Visit: V2(Day 0), V3(Day 14), V4(Day 28), V5(Day 42), V6(Day 56), V7/EOS(Day 84)] [Designated as safety issue: No]
  • Safety assessments included AEs, dermal assessments, clinical laboratory tests (including urinalysis), vital sign measurements, physical examination results, and plasma lidocaine concentrations [Time Frame: Visit: V2(Day 0), V3(Day 14), V4(Day 28), V5(Day 42), V6(Day 56), V7/EOS(Day 84)] [Designated as safety issue: Yes]

Descriptive Information[ + expand ][ + ]

Brief TitlePilot Study of Lidocaine 5% Patch Versus Placebo in Patients With Osteoarthritis Pain of the Knee
Official TitleA Randomized, Double-Blind, Pilot Study Comparing the Efficacy and Safety of Lidocaine 5% Patch With Placebo in Patients With Pain From Osteoarthritis of the Knee
Brief Summary
Patients with unilateral or bilateral osteoarthritis (OA) of the knee participated in a
Phase II clinical trial to assess the efficacy of lidocaine 5% patch compared with placebo
in the treatment of pain from OA of the knee.
Detailed DescriptionNot Provided
Study TypeInterventional
Study PhasePhase 2
Study DesignAllocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Investigator), Primary Purpose: Treatment
ConditionOsteoarthritis, Knee
InterventionDrug: Lidoderm
Eligible patients were randomly allocated to receive one of two treatments for 12 weeks: lidocaine 5% patch or matching placebo patch.
Other Names:
Lidocaine 5% patchDrug: Placebo patch
Eligible patients were randomly allocated to receive one of two treatments for 12 weeks: lidocaine 5% patch or matching placebo patch.
Study Arm (s)
  • Experimental: Lidocaine 5% patch
    Lidocaine 5% patch (Lidoderm®, Endo Pharmaceuticals Inc.), 1⅓ patches applied on each affected knee once every 24 hours
  • Placebo Comparator: Placebo patch
    Matching placebo patch, 1⅓ patches applied on each affected knee once every 24 hours

Recruitment Information[ + expand ][ + ]

Recruitment StatusCompleted
Estimated Enrollment224
Estimated Completion DateNot Provided
Estimated Primary Completion DateSeptember 2005
Eligibility Criteria
Key Inclusion Criteria:

1. Had unilateral or bilateral OA of the knee diagnosed according to the American
College of Rheumatology (ACR) criteria based on clinical and radiographic evidence
(presence of osteophytes on x-ray and written evaluation) of OA

2. Had functional capacity class rating of I, II, or III according to ACR classification

3. Had normal 12-lead electrocardiogram (ECG) without any clinically significant
abnormalities in heart rate, rhythm, or conduction

4. Had discontinued use of all analgesic medications (including over-the-counter [OTC]
analgesics) prior to randomization (patients were allowed limited use of analgesic
medications for non study pain

5. At baseline visit, patients were randomized to double-blind treatment if they had an
average pain intensity rating for the index joint of 6 or greater (on a 0 to 10
scale) for at least 3 days out of the 5 consecutive days immediately prior to the
baseline visit; 0 is defined as "no pain" and 10 is defined as "pain as bad as ever
imagined" as measured by Question 5 of the BPI and recorded in a diary

6. At baseline visit, patients were randomized to double-blind treatment if they had, at
the baseline visit, an OA severity score for the index joint of 7 or greater on a
composite scale of 0 to 24 as measured by the Index of Severity for Osteoarthrosis of
the Knee

Key Exclusion Criteria:

1. Had been diagnosed with inflammatory arthritis, gout, pseudo-gout or Paget's disease
that in the investigator's opinion would have interfered with the assessment of pain
and other symptoms of OA

2. Had serious medical conditions requiring daily medications, such as anticonvulsants
and tricyclic antidepressants, that could have confounded study results

3. Had any other clinically significant joint disease or prior joint replacement surgery
at the index joint

4. Had severe renal insufficiency (creatinine clearance of <30 mL/min)

5. Had moderate or greater hepatic impairment

6. Were taking analgesic medications, glucosamine, or chondroitin that could not be
discontinued during the study. Patients taking these medications prior to the study
were required to discontinue use for the duration of the study. Patients using opioid
analgesics at study entry were required to taper off these medications.

7. Were taking long-acting opioids or opioids that could not be discontinued over the
first 5 days of the placebo run-in period.

8. Were using lidocaine-containing product that could not be discontinued during the
study

9. Had previously failed treatment with Lidoderm analgesic patch for OA

10. Had recently received either a corticosteroid injection (within 8 weeks) or
hyaluronic acid (within 6 months) of study entry

11. Were unable to discontinue use of topical drugs applied to the knee

12. Were taking class I anti-arrhythmic drugs (e.g. mexiletine, tocainide)
GenderBoth
Ages18 Years
Accepts Healthy VolunteersNo
ContactsNot Provided
Location CountriesUnited States

Administrative Information[ + expand ][ + ]

NCT Number NCT00904462
Other Study ID NumbersEN3260-001
Has Data Monitoring CommitteeNot Provided
Information Provided ByEndo Pharmaceuticals
Study SponsorEndo Pharmaceuticals
CollaboratorsNot Provided
Investigators Study Director: Study Director Endo Pharmaceuticals
Verification DateFebruary 2010

Locations[ + expand ][ + ]

United States, Alabama
Birmingham, Alabama, United States
United States, Alabama
Hueytown, Alabama, United States
United States, Alabama
Tallassee, Alabama, United States
United States, Arizona
Phoenix, Arizona, United States
United States, Colorado
Boulder, Colorado, United States
United States, Florida
Deland, Florida, United States
United States, Florida
Largo, Florida, United States
United States, Florida
Palm Harbor, Florida, United States
United States, Florida
St. Petersburg, Florida, United States
United States, Illinois
Chicago, Illinois, United States
United States, Illinois
Springfield, Illinois, United States
United States, Maryland
Wheaton, Maryland, United States
United States, Massachusetts
Peabody, Massachusetts, United States
United States, Michigan
Bingham Farms, Michigan, United States
United States, Nevada
Reno, Nevada, United States
United States, New Jersey
Berlin, New Jersey, United States
United States, Ohio
Dayton, Ohio, United States
United States, Oklahoma
Oklahoma City, Oklahoma, United States
United States, Pennsylvania
Duncansville, Pennsylvania, United States
United States, Pennsylvania
Philadelphia, Pennsylvania, United States
United States, South Carolina
Charleston, South Carolina, United States
United States, Tennessee
Bartlett, Tennessee, United States
United States, Tennessee
Cordova, Tennessee, United States
United States, Tennessee
Memphis, Tennessee, United States