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NCT00399490

Open-label Extension Study Of RN624

Completed Phase 2 Results posted Last updated 2 February 2021
What this trial tests

Phase 2 trial testing RN624 (PF-04383119) in Osteoarthritis in 287 participants. Completed in 11 February 2008.

Timeline
15 September 2006
Primary endpoint
11 February 2008
11 February 2008

Quick facts

Lead sponsorPfizer
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment287
Start date15 September 2006
Primary completion11 February 2008
Estimated completion11 February 2008
Sites36 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Pfizer — full company profile →

Who can join

Adults 40 to 75, any sex, with Osteoarthritis or OA Knee Pain. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Number of Participants With Treatment Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs) Primary · Baseline up to 12 weeks after last dose of study drug

AE: any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. SAE: an AE resulting in any of following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent are events between first dose of study drug and up to 12 weeks after last dose that were absent before treatment in this study or that worsened relative to pretreatment state. A

AEs
GroupValue95% CI
Tanezumab 50 mcg/kg168
SAEs
GroupValue95% CI
Tanezumab 50 mcg/kg8
Change From A4091008 (NCT00394563) Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Pain Subscale Score at Week 0, 4, 8, 16, 24, 32, 40, 48, 56, 64 and 72 Secondary · A4091008: Baseline, A4091009: Week 0, 4, 8, 16, 24, 32, 40, 48, 56, 64, 72

The WOMAC pain subscale is a 5-item questionnaire used to assess the amount of pain experienced due to osteoarthritis in index knee during past 48 hours. It is calculated as mean of the scores from the five individual questions scored on a visual analog scale (VAS) of 0 to 100, where higher scores indicate higher pain. Total score range for WOMAC pain subscale score is 0 to 100, where higher scores indicate higher pain.

Baseline
GroupValue95% CI
Tanezumab 50 mcg/kg (Previous Tanezumab Treatment)67.4± 12.44
Tanezumab 50 mcg/kg (Previous Placebo Treatment)67.4± 11.04
Change at Week 0
GroupValue95% CI
Tanezumab 50 mcg/kg (Previous Tanezumab Treatment)-25.3± 25.68
Tanezumab 50 mcg/kg (Previous Placebo Treatment)-16.6± 24.21
Change at Week 4
GroupValue95% CI
Tanezumab 50 mcg/kg (Previous Tanezumab Treatment)-38.0± 24.54
Tanezumab 50 mcg/kg (Previous Placebo Treatment)-39.1± 21.93
Change at Week 8
GroupValue95% CI
Tanezumab 50 mcg/kg (Previous Tanezumab Treatment)-35.9± 24.68
Tanezumab 50 mcg/kg (Previous Placebo Treatment)-34.1± 24.04
Change at Week 16
GroupValue95% CI
Tanezumab 50 mcg/kg (Previous Tanezumab Treatment)-33.5± 25.47
Tanezumab 50 mcg/kg (Previous Placebo Treatment)-37.3± 21.42
Change at Week 24
GroupValue95% CI
Tanezumab 50 mcg/kg (Previous Tanezumab Treatment)-30.6± 26.31
Tanezumab 50 mcg/kg (Previous Placebo Treatment)-34.0± 22.36
Change at Week 32
GroupValue95% CI
Tanezumab 50 mcg/kg (Previous Tanezumab Treatment)-35.4± 24.25
Tanezumab 50 mcg/kg (Previous Placebo Treatment)-27.8± 23.12
Change at Week 40
GroupValue95% CI
Tanezumab 50 mcg/kg (Previous Tanezumab Treatment)-27.9± 25.10
Tanezumab 50 mcg/kg (Previous Placebo Treatment)-28.5± 24.91
Change From A4091008 (NCT00394563) Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Stiffness Subscale Score at Week 0, 4, 8, 16, 24, 32, 40, 48, 56, 64 and 72 Secondary · A4091008: Baseline, A4091009: Week 0, 4, 8, 16, 24, 32, 40, 48, 56, 64, 72

The WOMAC stiffness subscale is a 2-item questionnaire used to assess the amount of stiffness experienced due to osteoarthritis in index joint during past 48 hours. It is calculated as mean of the scores from the 2 individual questions scored on VAS of 0 to 100, where higher scores indicate worse function. Total score range for WOMAC stiffness subscale score is 0 to 100, where higher scores indicate worse function. Stiffness is defined as a sensation of decreased ease in movement of knee.

Baseline
GroupValue95% CI
Tanezumab 50 mcg/kg (Previous Tanezumab Treatment)71.9± 15.21
Tanezumab 50 mcg/kg (Previous Placebo Treatment)71.6± 13.65
Change at Week 0
GroupValue95% CI
Tanezumab 50 mcg/kg (Previous Tanezumab Treatment)-25.0± 27.92
Tanezumab 50 mcg/kg (Previous Placebo Treatment)-17.4± 24.27
Change at Week 4
GroupValue95% CI
Tanezumab 50 mcg/kg (Previous Tanezumab Treatment)-40.8± 26.19
Tanezumab 50 mcg/kg (Previous Placebo Treatment)-42.2± 21.35
Change at Week 8
GroupValue95% CI
Tanezumab 50 mcg/kg (Previous Tanezumab Treatment)-38.9± 27.50
Tanezumab 50 mcg/kg (Previous Placebo Treatment)-36.6± 25.45
Change at Week 16
GroupValue95% CI
Tanezumab 50 mcg/kg (Previous Tanezumab Treatment)-34.0± 27.61
Tanezumab 50 mcg/kg (Previous Placebo Treatment)-39.7± 23.93
Change at Week 24
GroupValue95% CI
Tanezumab 50 mcg/kg (Previous Tanezumab Treatment)-33.2± 28.97
Tanezumab 50 mcg/kg (Previous Placebo Treatment)-34.7± 24.47
Change at Week 32
GroupValue95% CI
Tanezumab 50 mcg/kg (Previous Tanezumab Treatment)-38.1± 26.20
Tanezumab 50 mcg/kg (Previous Placebo Treatment)-26.6± 24.27
Change at Week 40
GroupValue95% CI
Tanezumab 50 mcg/kg (Previous Tanezumab Treatment)-27.7± 30.94
Tanezumab 50 mcg/kg (Previous Placebo Treatment)-33.0± 26.57
Change From A4091008 (NCT00394563) Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Physical Function Subscale Score at Week 0, 4, 8, 16, 24, 32, 40, 48, 56, 64 and 72 Secondary · A4091008: Baseline, A4091009: Week 0, 4, 8, 16, 24, 32, 40, 48, 56, 64, 72

The WOMAC physical function subscale is a 17-item questionnaire used to assess the degree of difficulty experienced due to osteoarthritis in index joint during past 48 hours. It is calculated as the mean of the scores from the 17 individual questions scored on VAS of 0 to 100, where higher scores indicate worse function. Total score range for WOMAC physical function subscale score is 0 to 100, where higher scores indicate worse function.

Baseline
GroupValue95% CI
Tanezumab 50 mcg/kg (Previous Tanezumab Treatment)66.7± 13.79
Tanezumab 50 mcg/kg (Previous Placebo Treatment)67.6± 13.30
Change at Week 0
GroupValue95% CI
Tanezumab 50 mcg/kg (Previous Tanezumab Treatment)-24.3± 25.04
Tanezumab 50 mcg/kg (Previous Placebo Treatment)-15.9± 22.04
Change at Week 4
GroupValue95% CI
Tanezumab 50 mcg/kg (Previous Tanezumab Treatment)-37.9± 23.94
Tanezumab 50 mcg/kg (Previous Placebo Treatment)-40.2± 20.28
Change at Week 8
GroupValue95% CI
Tanezumab 50 mcg/kg (Previous Tanezumab Treatment)-35.4± 24.18
Tanezumab 50 mcg/kg (Previous Placebo Treatment)-34.9± 23.10
Change at Week 16
GroupValue95% CI
Tanezumab 50 mcg/kg (Previous Tanezumab Treatment)-32.5± 24.57
Tanezumab 50 mcg/kg (Previous Placebo Treatment)-38.1± 23.72
Change at Week 24
GroupValue95% CI
Tanezumab 50 mcg/kg (Previous Tanezumab Treatment)-29.1± 24.62
Tanezumab 50 mcg/kg (Previous Placebo Treatment)-33.0± 23.45
Change at Week 32
GroupValue95% CI
Tanezumab 50 mcg/kg (Previous Tanezumab Treatment)-33.3± 24.29
Tanezumab 50 mcg/kg (Previous Placebo Treatment)-27.1± 23.95
Change at Week 40
GroupValue95% CI
Tanezumab 50 mcg/kg (Previous Tanezumab Treatment)-26.8± 26.05
Tanezumab 50 mcg/kg (Previous Placebo Treatment)-30.3± 22.71
Change From A4091008 (NCT00394563) Baseline Visual Analog Scale (VAS) for Pain Intensity in the Index Knee at Week 0, 4, 8, 16, 24, 32, 40, 48, 56, 64 and 72 Secondary · A4091008: Baseline, A4091009: Week 0, 4, 8, 16, 24, 32, 40, 48, 56, 64, 72

Participants answered: "In the past 24 hours, how much pain have you had in your index knee caused by your osteoarthritis?" Participants responded by using a VAS of 0 to 100, where 0 = no pain and 100 = extreme pain, higher scores indicated more pain.

Baseline
GroupValue95% CI
Tanezumab 50 mcg/kg (Previous Tanezumab Treatment)69.8± 10.13
Tanezumab 50 mcg/kg (Previous Placebo Treatment)68.5± 9.65
Change at Week 0
GroupValue95% CI
Tanezumab 50 mcg/kg (Previous Tanezumab Treatment)-22.0± 27.46
Tanezumab 50 mcg/kg (Previous Placebo Treatment)-13.0± 26.84
Change at Week 4
GroupValue95% CI
Tanezumab 50 mcg/kg (Previous Tanezumab Treatment)-36.5± 25.59
Tanezumab 50 mcg/kg (Previous Placebo Treatment)-39.6± 22.31
Change at Week 8
GroupValue95% CI
Tanezumab 50 mcg/kg (Previous Tanezumab Treatment)-34.5± 27.93
Tanezumab 50 mcg/kg (Previous Placebo Treatment)-31.8± 27.06
Change at Week 16
GroupValue95% CI
Tanezumab 50 mcg/kg (Previous Tanezumab Treatment)-30.2± 28.43
Tanezumab 50 mcg/kg (Previous Placebo Treatment)-36.9± 24.88
Change at Week 24
GroupValue95% CI
Tanezumab 50 mcg/kg (Previous Tanezumab Treatment)-28.5± 29.77
Tanezumab 50 mcg/kg (Previous Placebo Treatment)-29.6± 27.95
Change at Week 32
GroupValue95% CI
Tanezumab 50 mcg/kg (Previous Tanezumab Treatment)-32.2± 29.29
Tanezumab 50 mcg/kg (Previous Placebo Treatment)-21.2± 28.05
Change at Week 40
GroupValue95% CI
Tanezumab 50 mcg/kg (Previous Tanezumab Treatment)-26.6± 30.78
Tanezumab 50 mcg/kg (Previous Placebo Treatment)-27.1± 25.13
Change From A4091008 (NCT00394563) Baseline in Participant Global Assessment Score at Week 0, 4, 8, 16, 24, 32, 40, 48, 56, 64 and 72 Secondary · A4091008: Baseline, A4091009: Week 0, 4, 8, 16, 24, 32, 40, 48, 56, 64, 72

Participants answered: "Considering all the ways your arthritis affects you, how are you feeling today?" Participants responded by using a VAS of 0 to 100, where 0 = very poor and 100 = very good, where higher scores indicated better health condition.

Baseline
GroupValue95% CI
Tanezumab 50 mcg/kg (Previous Tanezumab Treatment)53.3± 19.79
Tanezumab 50 mcg/kg (Previous Placebo Treatment)50.5± 19.63
Change at Week 0
GroupValue95% CI
Tanezumab 50 mcg/kg (Previous Tanezumab Treatment)10.4± 26.33
Tanezumab 50 mcg/kg (Previous Placebo Treatment)8.4± 20.32
Change at Week 4
GroupValue95% CI
Tanezumab 50 mcg/kg (Previous Tanezumab Treatment)20.3± 29.16
Tanezumab 50 mcg/kg (Previous Placebo Treatment)25.9± 24.54
Change at Week 8
GroupValue95% CI
Tanezumab 50 mcg/kg (Previous Tanezumab Treatment)18.5± 28.28
Tanezumab 50 mcg/kg (Previous Placebo Treatment)21.7± 26.28
Change at Week 16
GroupValue95% CI
Tanezumab 50 mcg/kg (Previous Tanezumab Treatment)15.7± 28.66
Tanezumab 50 mcg/kg (Previous Placebo Treatment)18.2± 31.85
Change at Week 24
GroupValue95% CI
Tanezumab 50 mcg/kg (Previous Tanezumab Treatment)11.1± 30.83
Tanezumab 50 mcg/kg (Previous Placebo Treatment)10.9± 33.93
Change at Week 32
GroupValue95% CI
Tanezumab 50 mcg/kg (Previous Tanezumab Treatment)15.9± 30.33
Tanezumab 50 mcg/kg (Previous Placebo Treatment)6.5± 28.76
Change at Week 40
GroupValue95% CI
Tanezumab 50 mcg/kg (Previous Tanezumab Treatment)11.1± 31.18
Tanezumab 50 mcg/kg (Previous Placebo Treatment)4.2± 29.16
Number of Participants With Response to Participant Satisfaction Questionnaire Secondary · A4091009: Baseline, Week 4, 8, 16, 24, 32, 40, 48, 56, 64, 72

Participants answered: "Overall, how satisfied are you with the study drug treatment you received as part of this study?" Participants responded by selecting the most appropriate among the following responses: not at all satisfied, a little satisfied, somewhat satisfied, and very satisfied.

Baseline: Very Satisfied
GroupValue95% CI
Tanezumab 50 mcg/kg191
Baseline: Somewhat Satisfied
GroupValue95% CI
Tanezumab 50 mcg/kg36
Baseline: A Little Satisfied
GroupValue95% CI
Tanezumab 50 mcg/kg14
Baseline: Not at all Satisfied
GroupValue95% CI
Tanezumab 50 mcg/kg26
Week 4: Very Satisfied
GroupValue95% CI
Tanezumab 50 mcg/kg189
Week 4: Somewhat Satisfied
GroupValue95% CI
Tanezumab 50 mcg/kg57
Week 4: A Little Satisfied
GroupValue95% CI
Tanezumab 50 mcg/kg11
Week 4: Not at all Satisfied
GroupValue95% CI
Tanezumab 50 mcg/kg2
Change From A4091009 (NCT00399490) Baseline in 36-Item Short-Form Health Survey (SF-36) at Week 4, 8, 16, 24, 32, 40, 48, 56, 64 and 72 Secondary · A4091009: Baseline, Week 4, 8, 16, 24, 32, 40, 48, 56, 64, 72

SF-36 is a standardized survey evaluating 8 aspects of functional health and well-being: physical and social functioning, physical and emotional role limitations, bodily pain, general health, vitality, mental health. These 8 aspects can also be summarized as physical and mental component scores (CS). The total score for each section and 2 component scores are an average of the individual question scores, which are scaled from 0 to 100, where 0=lowest level of functioning and 100=highest level of functioning, higher scores indicated better functioning .

Baseline: General Health
GroupValue95% CI
Tanezumab 50 mcg/kg75.9± 16.97
Baseline: Physical Function
GroupValue95% CI
Tanezumab 50 mcg/kg45.4± 21.40
Baseline: Role Physical
GroupValue95% CI
Tanezumab 50 mcg/kg63.3± 23.61
Baseline: Bodily Pain
GroupValue95% CI
Tanezumab 50 mcg/kg50.4± 19.86
Baseline: Vitality
GroupValue95% CI
Tanezumab 50 mcg/kg63.2± 18.24
Baseline: Social Functioning
GroupValue95% CI
Tanezumab 50 mcg/kg83.9± 19.88
Baseline: Role Emotional
GroupValue95% CI
Tanezumab 50 mcg/kg81.3± 22.54
Baseline: Mental Health
GroupValue95% CI
Tanezumab 50 mcg/kg82.8± 13.45
Percentage of Participants Who Discontinued the Study Secondary · A4091009: Baseline up to 12 weeks after last dose of study drug
GroupValue95% CI
Tanezumab 50 mcg/kg34.9
Median Time in Study A4091009 Secondary · A4091009: Baseline up to 12 weeks after last dose of study drug

Median time of participation in the study for all the participants was evaluated.

GroupValue95% CI
Tanezumab 50 mcg/kg1981.0 – 484.0
Change From A4091009 (NCT00399490) Baseline in Hopkins Verbal Learning Test-Revised (HVLT-R) Score at Week 4, 8, 16, 24, 32, 40, 48, 56, 64, 72, and End of Study Secondary · A4091009: Baseline, Week 4, 8, 16, 24, 32, 40, 48, 56, 64, 72, End of Study (12 weeks after the last dose of study drug)

HVLT-R: instrument consisting of 12 noun list, used to measure verbal learning and memory (recognition and recall). List was read to participant, who then attempted to recall as many words as possible. The examiner recorded each response. Task was repeated 2 more times, for total of 3 learning trials. After delay interval of 20-25 minutes, delayed recall trial was administered. Total score (TS) = sum of 3 learning trial scores of 12 word each, ranged: 0 (no memory) to 36 (best memory), where higher scores indicated better memory. Delayed recall (DR) = number of words recalled in delayed recall

Baseline: TS
GroupValue95% CI
Tanezumab 50 mcg/kg31.5± 3.75
Baseline: DR
GroupValue95% CI
Tanezumab 50 mcg/kg11.2± 1.44
Change at Week 4: TS
GroupValue95% CI
Tanezumab 50 mcg/kg-0.0± 3.44
Change at Week 4: DR
GroupValue95% CI
Tanezumab 50 mcg/kg-0.0± 1.16
Change at Week 8: TS
GroupValue95% CI
Tanezumab 50 mcg/kg-0.2± 3.43
Change at Week 8: DR
GroupValue95% CI
Tanezumab 50 mcg/kg0.1± 1.45
Change at Week 16: TS
GroupValue95% CI
Tanezumab 50 mcg/kg0.1± 3.20
Change at Week 16: DR
GroupValue95% CI
Tanezumab 50 mcg/kg0.1± 1.33

Adverse events — posted to ClinicalTrials.gov

Reporting threshold: 2%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Tanezumab 50 mcg/kg
Serious: 8/281 (3%)
Deaths:

Serious adverse events (10 terms)

ReactionSystemTanezumab 50 mcg/kg
Myocardial infarctionCardiac disorders
Upper gastrointestinal haemorrhageGastrointestinal disorders
Joint dislocationInjury, poisoning and procedural complications
Radius fractureInjury, poisoning and procedural complications
Upper limb fractureInjury, poisoning and procedural complications
Intervertebral disc protrusionMusculoskeletal and connective tissue disorders
Malignant melanomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Multiple myelomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)
MigraineNervous system disorders
Spinal cord ischaemiaNervous system disorders
Other adverse events (19 terms — click to expand)

ReactionSystemTanezumab 50 mcg/kg
ArthralgiaMusculoskeletal and connective tissue disorders
Back painMusculoskeletal and connective tissue disorders
HeadacheNervous system disorders
Upper respiratory tract infectionInfections and infestations
Joint effusionMusculoskeletal and connective tissue disorders
NasopharyngitisInfections and infestations
Urinary tract infectionInfections and infestations
Joint swellingMusculoskeletal and connective tissue disorders
Oedema peripheralGeneral disorders
SinusitisInfections and infestations
HypoaesthesiaNervous system disorders
OsteoarthritisMusculoskeletal and connective tissue disorders
Synovial cystMusculoskeletal and connective tissue disorders
DizzinessNervous system disorders
ContusionInjury, poisoning and procedural complications
Pain in extremityMusculoskeletal and connective tissue disorders
ParaesthesiaNervous system disorders
FallInjury, poisoning and procedural complications
Musculoskeletal painMusculoskeletal and connective tissue disorders

Most-reported serious reactions: Myocardial infarction, Upper gastrointestinal haemorrhage, Joint dislocation, Radius fracture, Upper limb fracture, Intervertebral disc protrusion, Malignant melanoma, Multiple myeloma.

Data from ClinicalTrials.gov NCT00399490 adverse events section.

Sponsor's own description

Study RN624-CL007 is planned to be an open-label protocol to enroll subjects who have previously participated in Study No. RN624-CL006. In this study, subjects will receive RN624 on an open-label basis.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Long-term open-label study of tanezumab for moderate to severe osteoarthritic knee pain.
    Schnitzer TJ, Lane NE, Birbara C, Smith MD, et al · · 2011 · cited 85× · PMID 21251985 · DOI 10.1016/j.joca.2011.01.009

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