A Multiple Dose Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of JNJ-39439335 in Patients With Osteoarthritis

Study Overview
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Brief Summary
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The purpose of this study is to evaluate the safety of multiple oral doses of JNJ-39439335 and to assess how JNJ-39439335 is absorbed (taken in), distributed, metabolized (broken down), and eliminated from the body (referred to as pharmacokinetics) in osteoarthritis patients. This study will also assess the effectiveness of JNJ-39439335 on pain.

Detailed Description
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This will be a double-blind (patient and study staff will not know the identity of assigned treatment), randomized (assignment to 1 to 3 treatment groups will be by chance, like flipping a coin), placebo-controlled, multiple dose study conducted at up to two clinical sites. Up to 42 patients with osteoarthritis of the knee will be enrolled in 3 cohorts (Cohort 1 to 3). Additional cohorts (up to 14 patients per cohort) may be added after completion of Cohort 3. The study consists of eligibility screening, a treatment phase, and 4 follow-up visits. The study duration for each patient will be approximately 10 weeks. Patients safety will be closely monitored during the study by review of adverse events, electrocardiograms, vital signs (including oral temperature), clinical laboratory tests, and physical examinations. During specified study visits, blood samples will be collected for pharmacokinetics, pharmacodynamics (inpatient patients), and pharmacogenomic (optional) evaluations of JNJ-39439335. The effectiveness of JNJ-39439335 will be evaluated by assessing pain using an 11-point numerical rating scale and by the Western Ontario and McMaster Osteoarthritis Index. In Cohort 1 and 2, all patients will take their study medication orally, twice a day for 21 days. The treatment groups for Cohort 1 are JNJ-39439335 10 mg, naproxen 500 mg every 12 hours, and placebo. The treatment groups for Cohort 2 are JNJ-39439335 25 mg, naproxen 500 mg every 12 hours, and placebo. The treatment groups for Cohort 3 will be determined based on the results of Cohort 1 and 2.

Official Title
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A Double-Blind, Randomized, Placebo-and Active-Controlled, Multiple Dose Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of JNJ-39439335 in Subjects With Osteoarthritis

Conditions
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Osteoarthritis, Knee

Intervention / Treatment
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* Drug: Placebo
* Drug: JNJ-39439335
* Drug: Naproxen
* Drug: JNJ-39439335


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Nonsmoker >= 6 months prior to first dose body mass index (BMI) <= 36 kg/m2 Meet American College of Rheumatology (ACR) clinical classification criteria for osteoarthritis of knee by meeting at least 3 of the following: age > 50, morning stiffness < 30 minutes, crepitus on active motion, bony tenderness, bony enlargement, no palpable warmth of synovium Has Functional Class I-III osteoarthritis (OA) of knee with continuing OA-knee joint pain >= 5 days/week x 3 months prior to screening, and has been taking a non-opioid analgesic for OA knee pain daily for >=5 days prior to screening with benefit Otherwise healthy based on physical exam, medical history, vital signs, 12-lead electrocardiogram (ECG), can clinical laboratory tests Women must be postmenopausal or surgically sterile. Exclusion Criteria: Oral temperature >37.5 deg C at Screening or Day -1 Failure of burn prevention measures quiz at Screening patients with occupations or hobbies in which they are routinely exposed to situations in which they could sustain burns orthopedic and/or prosthetic device on target knee joint Significant pain outside the target knee, including significant hip or back pain (bilateral knee OA is permitted) Unable to discontinue prior analgesic medications/non-steroidal antiinflammatory drugs (NSAIDS) other than paracetamol during the study Surgical intervention for any pain within 3 months prior to screening or has plans for surgical intervention while in the study History of prior diagnosis of inflammatory arthritis (including rheumatoid arthritis) Treatment with local corticosteroid injections or viscosupplementation in target joint, or use of oral or intramuscular corticosteroids, within 3 months prior to Screening History of active peptic ulceration, active dyspepsia, gastrointestinal bleeding, Crohn's disease, ulcerative colitis, chronic diarrhea esophageal, and gastric or duodenal ulcer within 3 months prior to screening or any other condition, which in the Investigator's opinion, precludes use of an NSAID.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 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: 001<br>JNJ-39439335 2 x 5 mg tablets once daily for 21 days | Drug: JNJ-39439335<br>* 2 x 5 mg tablets once daily for 21 days<br>|
| Experimental: 002<br>JNJ-39439335 2 x 25 mg tablets once daily for 21 days | Drug: JNJ-39439335<br>* 2 x 25 mg tablets once daily for 21 days<br>|
| Other: 003<br>Naproxen 500 mg capsule every 12 hours for 21 days | Drug: Naproxen<br>* 500 mg capsule every 12 hours for 21 days<br>|
| Placebo Comparator: 004<br>Placebo Placebo tablet/capsule every 12 hours for 21 days | Drug: Placebo<br>* Placebo tablet/capsule every 12 hours for 21 days<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of participants with adverse events as a measure of safety and tolerability |  | From screening up to final follow up visit. | 
| Change from baseline in vital signs, including oral body temperature |  | From Day -1 up to final follow up visit | 
| Change from baseline in ECG |  | From Day -1 up to final follow up visit | 
| Change from baseline in clinical laboratory tests |  | From Day -1 up to final follow up visit | 
| Concentaton of JNJ-39439335 in blood and urine samples |  | From Day 1 up to final follow up visit | 
| Concentration of JNJ-39439335 in blood and urine samples |  | From Day 1 up to final follow up visit | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change from baseline in pain numerical rating scale |  | From Day 2 up to final follow up visit | 
| Change from baseline in Western Ontario and McMaster Osteoarthritis Index (WOMAC) |  | From Day -1 up to final follow up visit | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Osteoarthritis, knee, knee pain, pain measurement