A Study to Assess the Effects of Naproxcinod and Naproxen on Blood Pressure Measurements in Osteoarthritis Patients With Controlled High Blood Pressure

Study Overview
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Brief Summary
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To assess the effect of naproxcinod vs. naproxen on arterial blood pressure patients with osteoarthritis and controlled essential hypertension

Detailed Description
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This is a 12-week, randomized, double-blind, multicenter study comparing the effect of naproxcinod and naproxen on 24 hour arterial blood pressure profile. Patients will be randomly allocated to different naproxcinod or naproxen doses in a 1:1 ratio.

Official Title
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A 12-Week, Phase 1, Multicenter, Double-Blind, Randomized, Dose Ranging, Forced Titration, Naproxen-Controlled, Parallel-Group, Pharmacodynamic Study, to Assess the Effects Different Doses of Naproxcinod and Naproxen on Arterial Blood Pressure as Measured by Ambulatory Blood Pressure Monitoring in Osteoarthritis Patients With Controlled Essential Hypertension

Conditions
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Osteoarthritis, Hypertension

Intervention / Treatment
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* Drug: naproxcinod 375 mg -750 mg -1125 mg bid
* Drug: naproxen 250 mg - 500mg -750 mg bid


Participation Criteria
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Eligibility Criteria
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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 Blocker (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 expected use of anticoagulants. Current or history of any medical disease that could interfere with the study objectives or put the patient's safety at risk. Participation within 30 days prior to pre-screening in another investigational study.

Ages Eligible for Study
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Minimum Age: 40 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: naproxcinod 375 mg - 750 mg -1125 mg bid<br>dose escalating | Drug: naproxcinod 375 mg -750 mg -1125 mg bid<br>* naproxcinod 375 mg -750 mg -1125 mg bid<br>|
| Active Comparator: naproxen 250 mg -500 mg -750 mg bid<br>dose escalating | Drug: naproxen 250 mg - 500mg -750 mg bid<br>* naproxen 250 mg - 500mg -750 mg bid<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| To characterize the 24-hour arterial blood pressure profile of different doses of naproxcinod, as measured by ABPM after each treatment period, compared to different doses of naproxen after three 3-week forced titration. |  | 11 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| To evaluate the general safety and tolerability as well as the PK/PD profile of different doses of naproxcinod compared to different doses of naproxen. |  | 11 weeks |