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
- Contact Person Email
- thierry.thomas@chu-st-etienne.fr
- Site Name
- University Hospital Of Clermont-Ferrand
- Department Name
- Service de Rhumatologie
- Contact Person Name
- Sylvain MATHIEU
- Contact Person Email
- smathieu@chu-clermontferrand.fr
- 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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