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NSAID

Phase 3

Chronic Pain | Small molecule | Musculoskeletal |Pfizer, Inc.|Last Updated: Jan 10, 2020

Success Probability

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLEDDMC
Total Trials1
Total Enrollment3,021

FDA Designations

No designations recorded

Clinical trial landscape

NSAID · 1 trial · 3 indications

Phase 3 1
NCT02528188Long Term Safety and Efficacy Study of Tanezumab in Subjects With Osteoarthritis of the Hip or KneeChronic Pain
COMPLETED3,021 Analytics
PHASE3COMPLETED
Long Term Safety and Efficacy Study of Tanezumab in Subjects With Osteoarthritis of the Hip or Knee
Chronic PainUnlock trial analytics

Study Endpoints

Primary Endpoints

Percentage of Participants With Adjudicated Primary Composite Joint Safety Outcome
Baseline up to Week 80

Any participant with incidence of an adjudicated outcome of primary osteonecrosis, rapidly progressive osteoarthritis (OA) type 1 or type 2, subchondral insufficiency fracture, or pathological fracture. Rapidly progressive OA type 1 events were those that the Adjudication Committee considered to have significant loss of joint space width (JSW) (greater than or equal to \[\>=\] 2 millimeters \[mm\]) within approximately 1 year without gross structural failure. Rapidly progressive OA type 2 events were those considered to have abnormal loss/destruction of bone including limited or total collapse of at least one subchondral surface (e.g., medial femoral condyle) that is not normally present in conventional end-stage OA.

Observation Time-Adjusted Event Rate of Participants With Adjudicated Primary Composite Joint Safety Outcome
Baseline up to Week 80

Observation time was defined as the start day of first SC study medication until either the (i) date of completion of or withdrawal from study, if a participant did not have the event, or (ii) date of the event (earliest event within each participant in the case of multiple events). Primary joint safety outcome included participants with adjudicated outcome of primary osteonecrosis, rapidly progressive OA type 1 or type 2, subchondral insufficiency fracture, or pathological fracture. Event rate was calculated as the number of events per 1000 participant-years at risk.

Change From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Pain Subscale at Week 16
Baseline, Week 16

WOMAC: Self-administered, disease-specific questionnaire which assesses clinically important, participant-relevant symptoms for pain, stiffness and physical function in participants with OA. The WOMAC pain subscale is a 5-item questionnaire used to assess the amount of pain experienced due to OA of index joint (knee or hip) during past 48 hours. It was calculated as the mean of scores from 5 individual questions, which may not be a whole (integer) number, scored on a numerical rating scale (NRS). Scores for each question and WOMAC Pain subscale score on NRS ranged from 0 (no pain) to 10 (extreme pain), where higher scores indicated higher pain.

Change From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Physical Function Subscale at Week 16
Baseline, Week 16

WOMAC: Self-administered, disease-specific questionnaire which assesses clinically important, participant-relevant symptoms for pain, stiffness and physical function in participants with OA. Physical function refers to participant's ability to move around and perform usual activities of daily living. The WOMAC physical function subscale is a 17-item questionnaire used to assess the degree of difficulty experienced due to OA in index joint (knee or hip) during past 48 hours. It was calculated as mean of the scores from 17 individual questions, which may not be a whole (integer) number, scored on a NRS. Scores for each question and WOMAC physical function subscale score on NRS ranged from 0 (no difficulty) to 10 (extreme difficulty), where higher scores indicated extreme difficulty/worse physical function.

Change From Baseline in Patient's Global Assessment (PGA) of Osteoarthritis at Week 16
Baseline, Week 16

PGA of OA was assessed by asking a question from participants: "Considering all the ways your OA in your knee or hip (index joint) affects you, how are you doing today?" Participants responded on a scale ranging from 1-5, using Interactive Response Technology (IRT), where 1=very good (no symptom and no limitation of normal activities), 2= good (mild symptoms and no limitation of normal activities), 3= fair (moderate symptoms and limitation of some normal activities), 4= poor (severe symptoms and inability to carry out most normal activities), and 5= very poor (very severe symptoms and inability to carry out all normal activities). Higher scores indicated worsening of condition.

Secondary Endpoints

Percentage of Participants With Adjudicated Secondary Composite Joint Safety Outcome
Baseline up to Week 80
Observation Time-Adjusted Event Rate of Participants With Adjudicated Secondary Composite Joint Safety Outcome
Baseline up to Week 80
Percentage of Participants With Individual Adjudicated Joint Safety Outcome
Baseline up to Week 80
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
NSAIDACTIVE_COMPARATORSubcutaneous injection of placebo for tanezumab every 8 weeks plus oral NSAID (naproxen 500 mg, celecoxib 100 mg or diclofenac 75 mg) twice daily for 56 weeks
Tanezumab 2.5 mgEXPERIMENTALSubcutaneous injection of tanezumab 2.5 mg every 8 weeks plus oral placebo for NSAID (naproxen, celecoxib or diclofenac ER) twice daily for 56 weeks
Tanezumab 5 mgEXPERIMENTALSubcutaneous injection of tanezumab 5 mg every 8 weeks plus oral placebo for NSAID (naproxen, celecoxib or diclofenac) twice daily for 56 weeks

Interventions

NameTypeDescription
NSAIDDRUGOrally administered NSAID (naproxen 500 mg, celecoxib 100 mg or diclofenac 75 mg) twice daily for 56 weeks
Tanezumab 2.5 mgBIOLOGICALSubcutaneous injection of tanezumab 2.5 mg every 8 weeks for 56 weeks
Tanezumab 5 mgBIOLOGICALSubcutaneous injection of tanezumab 5 mg every 8 weeks for 56 weeks
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites507

Inclusion Criteria: * A diagnosis of osteoarthritis of the index hip or knee based on American College of Rheumatology criteria with Kellgren Lawrence X ray Grade of 2 as diagnosed by the Central Reader * Currently receiving a stable dose regimen of oral NSAID (naproxen, celecoxib, diclofenac, acec...

Countries:United StatesAustraliaBrazilBulgariaColombiaCroatiaJapanLithuaniaMexicoNew ZealandPeruPhilippinesRussiaSerbiaSlovakiaSouth KoreaTaiwanUkraine
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Frequently asked questions about NSAID

What is NSAID used for?

NSAID is an investigational small molecule being developed for chronic pain, specifically in the context of osteoarthritis of the hip or knee. It is intended to address musculoskeletal pain conditions. The drug is currently in Phase 3 clinical development and is not yet approved for any use.

Who makes NSAID?

NSAID is being developed by Pfizer, Inc., a biopharmaceutical company traded on the New York Stock Exchange under the ticker symbol PFE. Pfizer is conducting the clinical development program for this investigational drug candidate.

What phase is NSAID in?

NSAID is currently in Phase 3 clinical development. It has completed one Phase 3 trial, which was a long-term safety and efficacy study in patients with osteoarthritis of the hip or knee. The drug remains investigational and is not yet approved.

What clinical trials is NSAID in?

NSAID has been studied in one completed Phase 3 clinical trial, identified as NCT02528188. This trial, titled "Long Term Safety and Efficacy Study of Tanezumab in Subjects With Osteoarthritis of the Hip or Knee," enrolled 3,021 participants across multiple countries including the United States, Australia, and Japan.

Is NSAID the same as Tanezumab?

Yes, NSAID is the same as Tanezumab. The completed Phase 3 clinical trial for NSAID, NCT02528188, is a study of Tanezumab in subjects with osteoarthritis of the hip or knee. The drug is being developed by Pfizer for chronic pain associated with these conditions.