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RN624

Phase 3

Neuralgia, Postherpetic | Small molecule | Pain |Pfizer, Inc.|Trials Updated: Feb 16, 2023

RN624 development status

Highest phase Phase 3 (NCT01127893)
Phase scored for PFEPhase 2
Registered trials 18 across 1 sponsor since Dec 2007

RN624 target and mechanism

ModalitySmall molecule

Also known as RN624 (PF-04383119), tanezumab

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials15
Total Enrollment8,884

FDA Designations

No designations recorded

RN624 clinical trials

RN624 · 15 trials · 15 indications

Phase 3 8Phase 2 6Phase 1 1
NCT02709486Study of the Analgesic Efficacy and Safety of Subcutaneous Tanezumab in Subjects With Osteoarthritis of the Hip or Knee.Osteoarthritis, Hip
COMPLETED849 Analytics
NCT02697773Efficacy and Safety of a Subcutaneous Tanezumab Titration Dosing Regimen in Subjects With Moderate to Severe Osteoarthritis of the Hip or KneeOsteoarthritis, Knee
COMPLETED698 Analytics
NCT02609828Phase 3 Study on the Efficacy and Safety of Tanezumab in Patients With Cancer Pain Due to Bone Metastasis Who Are Taking Background Opioid TherapyBone Metastasis
COMPLETED156 Analytics
NCT02528253A Phase 3 Study of Tanezumab for Chronic Low Back PainLow Back Pain
COMPLETED1,832 Analytics
NCT00863304Tanezumab in Osteoarthritis of the Hip or Knee (2)Osteoarthritis
COMPLETED849 Analytics
NCT00830063Tanezumab In Osteoarthritis Of The Knee (2)Arthritis
COMPLETED832 Analytics
NCT00744471Tanezumab in Osteoarthritis Of The HipArthritis
COMPLETED627 Analytics
NCT00733902Tanezumab in Osteoarthritis of the KneeArthritis
COMPLETED697 Analytics
PHASE3COMPLETED
Study of the Analgesic Efficacy and Safety of Subcutaneous Tanezumab in Subjects With Osteoarthritis of the Hip or Knee.
Osteoarthritis, HipUnlock trial analytics
PHASE3COMPLETED
Efficacy and Safety of a Subcutaneous Tanezumab Titration Dosing Regimen in Subjects With Moderate to Severe Osteoarthritis of the Hip or Knee
Osteoarthritis, KneeUnlock trial analytics
PHASE3COMPLETED
Phase 3 Study on the Efficacy and Safety of Tanezumab in Patients With Cancer Pain Due to Bone Metastasis Who Are Taking Background Opioid Therapy
Bone MetastasisUnlock trial analytics
PHASE3COMPLETED
A Phase 3 Study of Tanezumab for Chronic Low Back Pain
Low Back PainUnlock trial analytics
PHASE3COMPLETED
Tanezumab in Osteoarthritis of the Hip or Knee (2)
OsteoarthritisUnlock trial analytics
PHASE3COMPLETED
Tanezumab In Osteoarthritis Of The Knee (2)
ArthritisUnlock trial analytics
PHASE3COMPLETED
Tanezumab in Osteoarthritis Of The Hip
ArthritisUnlock trial analytics
PHASE3COMPLETED
Tanezumab in Osteoarthritis of the Knee
ArthritisUnlock trial analytics

Study Endpoints

Primary Endpoints

Change From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Pain Subscale at Week 24
Baseline, Week 24

WOMAC: Self-administered, disease-specific questionnaire which assesses clinically important, participant-relevant symptoms for pain, stiffness and physical function in participants with osteoarthritis (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 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 24
Baseline, Week 24

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 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 the Patient's Global Assessment (PGA) of Osteoarthritis at Week 24
Baseline, Week 24

PGA of OA was assessed by asking a question from participants: "Considering all the ways your osteoarthritis in your knee or hip (index joint) affects you, how are you doing today?" Participants responded on a scale ranging from 1-5, 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.

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 osteoarthritis. The WOMAC pain subscale is a 5-item questionnaire used to assess the amount of pain experienced due to osteoarthritis of index joint (knee or hip) during past 48 hours. It was calculated as the mean of scores from 5 individual questions scored on a numerical rating scale (NRS) of 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 osteoarthritis. 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 osteoarthritis in index joint (knee or hip) during past 48 hours. It was calculated as mean of the scores from 17 individual questions scored on a NRS of 0 (minimum 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 osteoarthritis was assessed by asking a question from participants: "Considering all the ways your osteoarthritis in your knee or hip (index joint) affects you, how are you doing today?" Participants responded on a scale ranging from 1-5, 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.

Change From Baseline in the Daily Average Pain Intensity Numerical Rating Score (NRS) in the Index Bone Metastasis Cancer Pain Site at Week 8
Baseline, Week 8

Daily average pain intensity in the index bone metastasis cancer pain site was assessed by participants on an 11 point pain intensity NRS ranging from 0 (no pain) to 10 (worst possible pain), where higher scores signified more severity of pain. The participants recorded their daily average pain at the painful site during the past 24 hours by choosing the appropriate number from 0 to 10 on interactive response technology (IRT) diaries. Baseline daily average pain intensity value was mean of the daily average pain intensity NRS scores during the baseline assessment period prior to randomization. Baseline assessment period was up to 5 days prior to dosing. The Week 8 daily average pain intensity value was the mean of the daily average pain intensity NRS scores recorded for each of the 7 days prior to the Week 8.

Change From Baseline in Average Low Back Pain Intensity (LBPI) Score for Tanezumab Versus (Vs) Placebo at Week 16
Baseline, Week 16

Average low back pain was assessed on an 11-point numeric rating scale (NRS) captured through an interactive response technology (IRT). Participants described their average low back pain during the past 24 hours on a scale ranging from 0 (no pain) to 10 (worst possible pain), where higher scores indicated higher pain.

Change From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Pain Subscale at Week 16: Baseline Observation Carried Forward (BOCF)
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 osteoarthritis of index joint (knee or hip). The WOMAC pain subscale is a 5-item questionnaire used to assess the amount of pain experienced due to osteoarthritis of index joint (knee or hip) during past 48 hours. It was calculated as the mean of scores from 5 individual questions scored on a numerical rating scale (NRS) of 0 (no pain) to 10 (worst possible pain), where higher scores indicated higher pain. Total score range for WOMAC pain subscale score was 0 (no pain) to 10 (worst possible 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 Observation Carried Forward (BOCF)
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 osteoarthritis in index joint (knee or hip). 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 osteoarthritis in index joint (knee or hip) during past 48 hours. It was calculated as mean of the scores from 17 individual questions scored on a NRS of 0 (minimum difficulty) to 10 (maximum difficulty), where higher scores indicated maximum difficulty. Total score range for WOMAC physical function subscale score was 0 (minimum difficulty) to 10 (maximum difficulty), where higher scores indicated worse physical function.

Change From Baseline in Patient Global Assessment (PGA) of Osteoarthritis at Week 16: Baseline Observation Carried Forward (BOCF)
Baseline, Week 16

PGA of osteoarthritis was assessed by asking a question from participants: "Considering all the ways your osteoarthritis in your knee or hip affects you, how are you doing today?" Participants responded on a scale ranging from 1=very good (no symptom and 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 worse condition.

Change From Baseline in Patient Global Assessment of Osteoarthritis at Week 16: Baseline Observation Carried Forward (BOCF)
Baseline, Week 16

Participants answered: "Considering all the ways the osteoarthritis in your index knee affects you, how are you doing today?" Participants responded on the scale ranging from 1 (minimum affected) to 5 (maximum affected), where 1= very good, 2= good, 3= fair, 4= poor and 5= very poor. Higher scores indicate worse condition.

Change From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Pain Subscale Score at Week 16: Baseline Observation Carried Forward (BOCF)
Baseline (Day 1), Week 16

WOMAC: Self-administered, disease-specific questionnaire which assesses clinically important, participant-relevant symptoms for pain, stiffness and physical function in participants with osteoarthritis. WOMAC pain subscale is a 5-item questionnaire used to assess the amount of pain experienced due to osteoarthritis in hip joint during past 48 hours. It was calculated as mean of the scores from 5 individual questions scored on a numerical rating scale (NRS) of 0 (no pain) to 10 (worst possible pain), where higher scores indicated higher pain. Total score range for WOMAC pain subscale score is 0 (no pain) to 10 (worst possible pain), where higher scores indicated higher pain.

Change From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Physical Function Subscale Score at Week 16: Baseline Observation Carried Forward (BOCF)
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 osteoarthritis. WOMAC physical function subscale is a 17-item questionnaire used to assess the degree of difficulty experienced due to osteoarthritis in hip joint during past 48 hours. It is calculated as mean of the scores from 17 individual questions scored on a NRS of 0 to 10, where higher scores indicate worse function. Total score range for WOMAC physical function subscale score is 0 to 10, where higher scores indicate worse function. Physical function refers to participant's ability to move around and perform usual activities of daily living.

Change From Baseline in Daily Average Low Back Pain Intensity (LBPI) Score at Week 16: Baseline Observation Carried Forward (BOCF)
Baseline, Week 16

Daily average back pain was assessed on an 11-point numeric rating scale (NRS) captured through an interactive voice response system (IVRS). The participant described the chronic low back pain (CLBP) during the past 24 hours on a scale ranging from 0 (no pain) to 10 (worst possible pain). Baseline value was calculated as mean of the scores over 5 days prior to randomization (initial pain assessment period). Post-baseline value was calculated as mean of the scores over the 7-day period prior to and including the post-baseline visit. Overall possible score range for daily average LBPI at specified visit was 0= no pain to 10= worst possible pain, where higher scores indicated higher pain intensity.

Change From Baseline in Daily Average Pain Intensity Numeric Rating Scale (NRS) Score at Week 6
Baseline, Week 6

Daily average pain was assessed on an 11-point NRS over the past 24 hours (before each specified visit), where a score of 0 indicated "no pain" and a score of 10 indicated "pain as bad as you can imagine". Lower the score, lesser the pain intensity.

Change From Baseline in Average Daily Pain Score at Week 6
Baseline, Week 6

Participants assessed average chronic prostatitis pain in the last 24 hours on an 11-point numeric rating scale (NRS) ranging from 0 (no chronic prostatitis pain) to 10 (chronic prostatitis pain as bad as you can imagine). The average daily pain score was calculated as the mean of the scores over the last 7 days prior to each assessment time point. Higher score indicated severe pain.

Change From Baseline in Average Daily Pain Numeric Rating Scale (NRS) Score at Week 6
Baseline, Week 6

Participants assessed their average daily pain during the past 24 hours on an 11--point NRS ranging from 0 (no pain) to 10 (worst possible pain) with lower scores indicating less pain. Week 6 score was calculated as the mean of average daily pain NRS scores over the past 7 days. The change from baseline was calculated using difference between Week 6 mean score and Baseline mean score.

Number of Participants With Treatment Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)
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. AEs included both SAEs and non-serious adverse events.

Walking knee pain scores
Day 112
To assess the change in intraepidermal nerve fiber (IENF) density in skin biopsies from proximal thigh and distal leg between baseline and postdose time points after a single SC injection of tanezumab 20 mg SC or placebo in healthy volunteers.
16 weeks
To compare the treatment effect between tanezumab 20 mg SC and placebo on the change in IENF density between baseline and postdose time points in skin biopsies from the proximal thigh and distal leg in healthy volunteers.
16 weeks
To assess the safety, tolerability and immunogenicity of a single dose of tanezumab 20 mg SC in healthy volunteers.
16 weeks

Secondary Endpoints

Change From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Pain Subscale at Weeks 2, 4, 8, 12 and 16
Baseline, Weeks 2, 4, 8, 12 and 16
Change From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Pain Subscale at Week 32
Baseline, Week 32
Change From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Physical Function Subscale at Weeks 2, 4, 8, 12 and 16
Baseline, Weeks 2, 4, 8, 12 and 16
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Low doseEXPERIMENTALInvestigational product
High doseEXPERIMENTALInvestigational product
PlaceboPLACEBO_COMPARATORInvestigational product
Tanezumab 2.5 mgEXPERIMENTALtanezumab 2.5 mg administered subcutaneously at day 0 and week 8
Tanezumab 2.5mg/5mgEXPERIMENTALtanezumab 2.5 mg administered subcutaneously at day 0 and tanezumab 5 mg administered subcutaneously at week 8
Arm 1EXPERIMENTALTanezumab 20 mg subcutaneously
Arm 2PLACEBO_COMPARATORPlacebo matched to active treatment subcutaneously
Placebo to Week 16; tanezumab 5 mg SCPLACEBO_COMPARATOR -
Placebo to Week 16, tanezumab 10 mg SCPLACEBO_COMPARATOR -
Tanezumab 5 mg SCEXPERIMENTAL -
Tanezumab 10 mg SCEXPERIMENTAL -
Tramadol PR oralACTIVE_COMPARATOR -
1EXPERIMENTAL -
2EXPERIMENTAL -
3ACTIVE_COMPARATOR -
4PLACEBO_COMPARATOR -
Tanezumab 10 mgEXPERIMENTALTanezumab 10 mg IV every 8 weeks
Tanezumab 5 mgEXPERIMENTALTanezumab 5mg IV every 8 weeks
Tanezumab 20 mg IVEXPERIMENTAL -
Tanezumab 10 mg IVEXPERIMENTAL -
Tanezumab 5 mg IVEXPERIMENTAL -
NaproxenACTIVE_COMPARATOR -
Tanezumab 10 mg IV + opioidsEXPERIMENTAL -
Placebo + opioidsPLACEBO_COMPARATORSingle IV infusion of placebo for tanezumab on Day 1. Maintained on baseline opioid regimen.
TanezumabEXPERIMENTAL -
5EXPERIMENTAL -

Interventions

NameTypeDescription
TanezumabDRUG2.5 mg
PlaceboDRUGPlacebo
Tanezumab 2.5 mgBIOLOGICALPatient receives one dose of tanezumab 2.5 mg subcutaneously on Day 1 and one dose of tanezumab 2.5 mg subcutaneously at Week 8.
Tanezumab 2.5mg/5mgBIOLOGICALPatient receives one dose of tanezumab 2.5 mg subcutaneously on Day 1 and one dose of tanezumab 5 mg subcutaneously at Week 8.
Placebo to Week 16; tanezumab 5mg SCBIOLOGICALPlacebo SC injection every 8 weeks for 2 injections followed by tanezumab 5 mg injection every 8 weeks for 5 injections
Placebo to Week 16, tanezumab 10 mg SCBIOLOGICALPlacebo SC injection every 8 weeks for 2 injections, followed by tanezumab 10 mg SC injection for 5 injections
Tanezumab 5 mg SCBIOLOGICALTanezumab 5 mg SC
Tanezumab 10 mg SCBIOLOGICALTanezumab 10 mg SC
Tramadol PR oralBIOLOGICALTramadol PR oral
tanezumab 10 mgBIOLOGICALtanezumab 10 mg one dose at weeks 0 and 8
tanezumab 5 mgBIOLOGICALtanezumab 5 mg one dose at weeks 0 and 8
naproxenDRUGnaproxen 1000 mg daily for 16 weeks
Tanezumab 20 mg IVBIOLOGICAL2 IV administrations of tanezumab 20 mg at an 8 week interval
Placebo for naproxenDRUGOral placebo for naproxen twice a day for 16 weeks
Tanezumab 10 mg IVBIOLOGICAL2 IV administrations of tanezumab 10 mg at an 8 week interval
Tanezumab 5 mg IVBIOLOGICAL2 IV administrations of tanezumab 5 mg at an 8 week interval
Placebo for tanezumabBIOLOGICAL2 IV administrations of placebo for tanezumab at an 8 week interval
IV Placebo for tanezumabDRUGSingle IV infusion of placebo for tanezumab on Day 1. Maintained on baseline opioid regimen.
RN624DRUG50 mcg/kg
RN624 (PF-04383119)DRUG50 mcg/kg
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites148

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 at least 2 as diagnosed by the Central Reader * A history of insufficient pain relief from acetaminophen along with a history of insu...

Countries:AustriaBulgariaFinlandFranceGermanyHungaryItalyJapanPolandPortugalRomaniaSlovakiaSpainSwedenUnited KingdomUnited StatesCanadaPuerto RicoArgentinaAustraliaBrazilChileChinaCzechiaIsraelSouth KoreaDenmarkBosnia and HerzegovinaCroatiaIndiaLatviaMexicoPeruSwitzerland
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Frequently asked questions about RN624

What is RN624?

RN624 is an investigational small molecule drug developed by Pfizer, Inc. for pain. It has been studied in Phase 2 clinical trials for postherpetic neuralgia and osteoarthritis, including knee pain. It is not described as approved and remains an investigational agent in clinical development.

What is RN624 used for?

RN624 has been studied for two pain indications: postherpetic neuralgia, which is nerve pain following shingles, and osteoarthritis, including moderate to severe knee pain. Both were evaluated in Phase 2 trials. No approved use has been established for RN624.

Who makes RN624?

Pfizer, Inc. develops RN624. Pfizer trades on the New York Stock Exchange under the ticker PFE. The compound is also referenced as RN624 (PF-04383119).

What phase is RN624 in?

RN624 is in Phase 2 development. Two completed Phase 2 trials are registered, and no active trials are listed. The studies together enrolled 737 participants. RN624 is investigational and has not been described as FDA approved for any indication.

What clinical trials is RN624 in?

Two completed Phase 2 trials studied RN624. NCT00568321 evaluated it for postherpetic neuralgia in 99 participants. NCT00394563 studied moderate to severe osteoarthritis knee pain in 450 participants, and NCT00399490 was an open-label extension study in osteoarthritis and knee pain with 287 participants. All were conducted in the United States.

Is RN624 the same as PF-04383119?

Yes. RN624 is also known as RN624 (PF-04383119). Both names refer to the same investigational small molecule developed by Pfizer, Inc. for pain indications including postherpetic neuralgia and osteoarthritis.