Clinical trial • Musculoskeletal

Capsaicin for Digital osteoarthritis | Finger osteoarthritis

Clinical trial of Capsaicin for Digital osteoarthritis | Finger osteoarthritis.

Overview

Trial Therapeutic Area
Musculoskeletal
Trial Disease
Digital osteoarthritis | Finger osteoarthritis
Drug Modality
Small molecule

Key dates

Initial CTIS Submission Date
07-02-2024
First CTIS Authorization Date
23-05-2024

Trial design

Randomised, control arm: patch placebo capsaïcine 0.04% (transdermal patch). experimental arm: patch of capsaïcine 8% applied for 30 minutes (qutenza 179 mg cutaneous patch referenced). trial across 4 sites in France.

Randomised
Yes
Comparator
Control arm: patch placebo capsaïcine 0.04% (transdermal patch). Experimental arm: patch of capsaïcine 8% applied for 30 minutes (Qutenza 179 mg cutaneous patch referenced).
Target Sample Size
120
Trial Duration For Participant
112

Eligibility

Recruits 120 No vulnerable populations selected. Participants must be ≥18 years, able to read and understand study information and provide signed informed consent. No assent or minor consent procedures are described..

Pregnancy Exclusion
pregnant or breastfeeding woman; (a urine pregnancy test will be carried out in women of childbearing age before any transdermal patch placement)
Vulnerable Population
No vulnerable populations selected. Participants must be ≥18 years, able to read and understand study information and provide signed informed consent. No assent or minor consent procedures are described.

Inclusion criteria

  • {"criterion_text":"- age greater than or equal to 18 years\n- diagnosis of digital osteoarthritis according to the criteria of the American College of Rheumatology\n- presence of finger pain of intensity ≥ 40 mm on a VAS;\n- presence of finger pain with a neuropathic painful component (DN4 score ≥ 4/10\n- inadequate response, adverse effects and/or contraindication to traditional analgesics and NSAIDs;\n- able to read and understand study information\n- signed informed consent\n- affiliation to a social security scheme.\n- Women of childbearing age must use effective contraception (pill, contraceptive implant, IUD, condoms or tubal ligation) for the entire duration of the trial"}

Exclusion criteria

  • {"criterion_text":"- patient with isolated rhizarthrosis\n- patient with fibromyalgia according to the opinion of the investigating doctor;\n- pregnant or breastfeeding woman; (a urine pregnancy test will be carried out in women of childbearing age before any transdermal patch placement)\n- patient under guardianship or curatorship or deprived of liberty.\n- patient with another joint disease affecting the fingers (gout, chondrocalcinosis, RA, spondyloarthritis, psoriatic arthritis);  patient with upper limb pain syndrome which could interfere with the assessment of finger pain\n- patient with another pathology responsible for neuropathic hand pain (carpal tunnel syndrome, diabetic neuropathy, Guyon's canal syndrome, cervico-brachial neuralgia, brachial plexitis)\n- patient with skin lesions on the fingers (psoriasis, wounds, chronic ulcers, eczema, shingles, dermatitis)\n- patient with poorly controlled arterial hypertension\n- patient with hypersensitivity to capsaicin\n- patient having had an 8% capsaicin patch applied in the year before the study\n- patient having received intramuscular, intra-articular or intravenous corticosteroid therapy, another basic anti-rheumatic treatment (methotrexate, salazopyrine) or an intra-articular injection into the finger joints in the previous three months\n- patient wearing wrist or finger orthoses in the previous month"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Finger pain intensity at eight weeks (W8) measured on a VAS ranging from 0 to 100 mm.","definition_or_measurement_approach":"Measured using a visual analogue scale (VAS) ranging from 0 to 100 mm at week 8."}

Recruitment

Planned Sample Size
120
Recruitment Window Months
41
Consent Approach
Participants must be able to read and understand study information and provide signed informed consent. Women of childbearing potential must use effective contraception for the trial duration and a urine pregnancy test will be performed in women of childbearing age prior to any patch placement. No assent process for minors is described (trial enrols adults ≥18).

Geography

Total Number Of Sites
4
Total Number Of Participants
120

France

Earliest CTIS Part Ii Submission Date
18-04-2024
Latest Decision Or Authorization Date
23-05-2024
Processing Time Days
35
Number Of Sites
4
Number Of Participants
120

Sites

Site Name
Centre Hospitalier Universitaire De Saint Etienne
Department Name
Service de Rhumatologie
Contact Person Name
Thierry Thomas
Site Name
University Hospital Of Clermont-Ferrand
Department Name
Service de Rhumatologie
Contact Person Name
Sylvain MATHIEU
Site Name
Hopital Saint Antoine
Department Name
Service de Rhumatologie
Contact Person Name
Jérémie Sellam
Contact Person Email
jeremie.sellam@aphp.fr
Site Name
Hospital Edouard Herriot
Department Name
Service de Rhumatologie
Contact Person Name
Roland Chapurlat
Contact Person Email
roland.chapurlat@chu-lyon.fr

Sponsor

Primary sponsor

Full Name
University Hospital Of Clermont-Ferrand
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
France

Third parties

  • {"country":"","full_name":"DGOS","duties_or_roles":"Source of monetary support","organisation_type":""}

Investigational products

Investigational Product Name
Qutenza 179 mg cutaneous patch
Active Substance
Capsaicin
Modality
Small molecule
Routes Of Administration
Cutaneous (transdermal)
Route
Cutaneous
Authorisation Status
Authorised (EU marketing authorisation EU/1/09/524/001)
Maximum Dose
25600 mg/m2
Investigational Product Name
capsaïcine 0.04 %
Active Substance
Capsaicin (low-dose control)
Modality
Small molecule
Routes Of Administration
Cutaneous (transdermal)
Route
Cutaneous

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