Page last updated: 2024-10-26

diclofenac and Osteoarthritis of Knee

diclofenac has been researched along with Osteoarthritis of Knee in 163 studies

Diclofenac: A non-steroidal anti-inflammatory agent (NSAID) with antipyretic and analgesic actions. It is primarily available as the sodium salt.
diclofenac : A monocarboxylic acid consisting of phenylacetic acid having a (2,6-dichlorophenyl)amino group at the 2-position.

Research Excerpts

ExcerptRelevanceReference
"To evaluate the efficacy and safety of intra-articular injection of diclofenac etalhyaluronate (DF-HA) in patients with osteoarthritis (OA) of the hip, ankle, shoulder, or elbow."9.51Diclofenac-hyaluronate conjugate (diclofenac etalhyaluronate) intra-articular injection for hip, ankle, shoulder, and elbow osteoarthritis: a randomized controlled trial. ( Ikegami, H; Kano, K; Kubo, T; Kumai, T; Nishii, M; Seo, T, 2022)
"To compare the efficacy and safety of ketoprofen plasters and diclofenac plasters after 3 weeks of administration in patients with osteoarthritis-related knee pain."9.41Comparison of the Efficacy and Safety of Ketoprofen Plaster and Diclofenac Plaster for Osteoarthritis-Related Knee Pain: A Multicenter, Randomized, Active-Controlled, Open-Label, Parallel-Group, Phase III Clinical Trial. ( Cha, JE; Ershova, O; Hyun, BJ; Kastanayan, A; Krechikova, D; Nikulenkova, N; Polyakova, S; Shvarts, Y; Vinogradova, I; Yakushin, S, 2021)
"Joint pain decreased after 2 weeks of therapy in all patients during treatment with Voltaren Emulgel 2% (diclofenac diethylamine 2%) in both groups."8.02[Evaluation of topical therapy of patients with osteoarthritis of small joints of the hands with Voltaren® Emulgel® 2% (diclofenac diethylamine 2%)]. ( Gromova, MA; Tsurko, VV, 2021)
"To evaluate the safety of topical diclofenac sodium 1% gel (DSG) for knee and hand osteoarthritis (OA) in older and younger patients and in patients with versus without comorbid hypertension, type 2 diabetes, or cerebrovascular or cardiovascular disease."7.78Tolerability of topical diclofenac sodium 1% gel for osteoarthritis in seniors and patients with comorbidities. ( Baraf, HS; Gold, MS; Petruschke, RA; Wieman, MS, 2012)
"5% dimethyl sulfoxide (TDiclo) for the treatment of knee or hand osteoarthritis in persons aged 75 years or older."7.78Pooled safety analysis of diclofenac sodium topical solution 1.5% (w/w) in the treatment of osteoarthritis in patients aged 75 years or older. ( Fuller, P; Roth, SH, 2012)
" The chronic use of diclofenac sodium can lead to adverse gastrointestinal problems."6.43The use of topical diclofenac for pain in osteoarthritis of the knee: a review. ( Banning, M, 2006)
"Dry needling on latent and active MTrPs combined with stretching and oral diclofenac combined with stretching can effectively relieve pain, improve function, and restore knee ROM affected by KOA."5.69Dry needling on latent and active myofascial trigger points versus oral diclofenac in patients with knee osteoarthritis: a randomized controlled trial. ( Dong, YL; Huang, QM; Ma, YT; Wang, B; Xie, WP; Zheng, YJ, 2023)
"Non-inferiority of SFPP to diclofenac gel was demonstrated in the efficacy for pain on rising from a chair."5.51Efficacy and safety of S-flurbiprofen plaster in knee osteoarthritis patients: A 2-week randomized controlled Phase III clinical trial compared to diclofenac gel. ( Fuady, A; Matsumoto, H; Tomatsu, K; Yasuda, S, 2022)
"To evaluate the efficacy and safety of intra-articular injection of diclofenac etalhyaluronate (DF-HA) in patients with osteoarthritis (OA) of the hip, ankle, shoulder, or elbow."5.51Diclofenac-hyaluronate conjugate (diclofenac etalhyaluronate) intra-articular injection for hip, ankle, shoulder, and elbow osteoarthritis: a randomized controlled trial. ( Ikegami, H; Kano, K; Kubo, T; Kumai, T; Nishii, M; Seo, T, 2022)
"To compare the efficacy and safety of ketoprofen plasters and diclofenac plasters after 3 weeks of administration in patients with osteoarthritis-related knee pain."5.41Comparison of the Efficacy and Safety of Ketoprofen Plaster and Diclofenac Plaster for Osteoarthritis-Related Knee Pain: A Multicenter, Randomized, Active-Controlled, Open-Label, Parallel-Group, Phase III Clinical Trial. ( Cha, JE; Ershova, O; Hyun, BJ; Kastanayan, A; Krechikova, D; Nikulenkova, N; Polyakova, S; Shvarts, Y; Vinogradova, I; Yakushin, S, 2021)
"osteoarthritis of knee compared to 1% diclofenac gel as an active control."5.24A Comparative of Ginger Extract in Nanostructure Lipid Carrier (NLC) and 1% Diclofenac Gel for Treatment of Knee Osteoarthritis (OA). ( Amorndoljai, P; Niempoog, S; Nimmannit, U; Taneepanichskul, S, 2017)
"A phase II, 4 week, randomized, double-blind, parallel-group, two-arm, vehicle-controlled study compared pain relief with diclofenac sodium 2% topical solution versus control (vehicle only) in patients aged 40 to 85 years with radiographically confirmed primary OA of the knee."5.22Efficacy and safety of diclofenac sodium 2% topical solution for osteoarthritis of the knee: a randomized, double-blind, vehicle-controlled, 4 week study. ( Holt, RJ; Kent, JD; Wadsworth, LT, 2016)
"Patients with knee OA (n = 35) were compared on QST responses to a demographically-matched pain-free control group (n = 39), after which patients completed a month-long treatment study of diclofenac sodium topical gel (1 %), applied up to 4 times daily."5.22Variability in conditioned pain modulation predicts response to NSAID treatment in patients with knee osteoarthritis. ( Cornelius, M; Dolman, AJ; Edwards, RR; Finan, PH; Lazaridou, A; Martel, MO; Wasan, AD, 2016)
"To evaluate the effects of mesotherapy with diclofenac for anserine bursitis associated with knee osteoarthritis."5.20Pes Anserine Bursitis in Symptomatic Osteoarthritis Patients: A Mesotherapy Treatment Study. ( Bellomo, RG; Di Stefano, A; Dodaj, I; Saggini, R; Scarcello, L, 2015)
"Hyaluronic acid alone and in combination with sodium clodronate or diclofenac sodium produced a significant improvement in mean VAS pain score at 3 and 6-month follow-up."5.17Preliminary study of highly cross-linked hyaluronic acid-based combination therapy for management of knee osteoarthritis-related pain. ( Iannitti, T; Palmieri, B; Rottigni, V, 2013)
" The meta-analysis indicated that celecoxib reduced pain more effectively than diclofenac sodium in patients with KOA, as evaluated by the VAS score."5.12Meta-analysis Comparing Celecoxib with Diclofenac Sodium in Patients with Knee Osteoarthritis. ( Hou, S; Huang, H; Liang, G; Liang, H; Liu, J; Luo, M; Pan, J; Yang, W; Zeng, L; Zhao, J, 2021)
"Topical diclofenac and ketoprofen are the most rigorously studied topical NSAIDs in the treatment of knee OA and have demonstrated the most significant reduction in pain and improvement of function."5.12Topical nonsteroidal anti-inflammatory drugs in the treatment of knee osteoarthritis: a systematic review and meta-analysis. ( Brown, SM; Christophersen, C; Mulcahey, MK; Wolff, DG, 2021)
" In the first few weeks of treatment, the mean changes in some variables (VAS, which assessed walking pain, standing pain and stiffness, as well as Lequesne's functional index) of the DJW group were significantly lower than those of the diclofenac group."5.11Chinese herbal recipe versus diclofenac in symptomatic treatment of osteoarthritis of the knee: a randomized controlled trial [ISRCTN70292892]. ( Kunanusorn, P; Lhieochaiphunt, S; Pojchamarnwiputh, S; Pruksakorn, S; Rojanasthien, N; Sananpanich, K; Teekachunhatean, S, 2004)
"The topical diclofenac group had a significantly greater mean change in score (final minus baseline) compared to the vehicle control group for pain (-5."5.11Treatment of osteoarthritis of the knee with a topical diclofenac solution: a randomised controlled, 6-week trial [ISRCTN53366886]. ( Baer, PA; Shainhouse, Z; Thomas, LM, 2005)
"To analyse the efficacy of acupuncture as a complementary therapy to the pharmacological treatment of osteoarthritis of the knee, with respect to pain relief, reduction of stiffness, and increased physical function during treatment; modifications in the consumption of diclofenac during treatment; and changes in the patient's quality of life."5.11Acupuncture as a complementary therapy to the pharmacological treatment of osteoarthritis of the knee: randomised controlled trial. ( Aguilar, I; Borge, MA; Gaspar, O; Jurado, R; León, JM; Méndez, C; Panadero, MD; Perea-Milla, E; Sánchez-Rodríguez, F; Vas, J; Vega, E, 2004)
"The nonsteroidal anti-inflammatory drug (NSAID) diclofenac epolamine (DHEP) formulated as a topical patch has demonstrated efficacy and safety in the localized treatment of acute pain from minor strains, sprains and contusions, and for epicondylitis and knee osteoarthritis."5.01Rationale and evidence for the incorporation of heparin into the diclofenac epolamine medicated plaster. ( Jones, C; Nencioni, A; Rainsford, KD; Roberts, MS, 2019)
" All treatments except acetaminophen showed clinically significant improvement from baseline pain."4.91Comparative effectiveness of pharmacologic interventions for knee osteoarthritis: a systematic review and network meta-analysis. ( Bannuru, RR; Kent, DM; McAlindon, TE; Schmid, CH; Vaysbrot, EE; Wong, JB, 2015)
" In patients with neuropathic pain, topical forms of both capsaicin and lidocaine have been shown to be useful in the treatment of postherpetic neuralgia and diabetic peripheral neuropathic pain."4.89Topical therapies in the management of chronic pain. ( Galluzzi, KE; Stanos, SP, 2013)
"Joint pain decreased after 2 weeks of therapy in all patients during treatment with Voltaren Emulgel 2% (diclofenac diethylamine 2%) in both groups."4.02[Evaluation of topical therapy of patients with osteoarthritis of small joints of the hands with Voltaren® Emulgel® 2% (diclofenac diethylamine 2%)]. ( Gromova, MA; Tsurko, VV, 2021)
"5% dimethyl sulfoxide (TDiclo) for the treatment of knee or hand osteoarthritis in persons aged 75 years or older."3.78Pooled safety analysis of diclofenac sodium topical solution 1.5% (w/w) in the treatment of osteoarthritis in patients aged 75 years or older. ( Fuller, P; Roth, SH, 2012)
"To evaluate the safety of topical diclofenac sodium 1% gel (DSG) for knee and hand osteoarthritis (OA) in older and younger patients and in patients with versus without comorbid hypertension, type 2 diabetes, or cerebrovascular or cardiovascular disease."3.78Tolerability of topical diclofenac sodium 1% gel for osteoarthritis in seniors and patients with comorbidities. ( Baraf, HS; Gold, MS; Petruschke, RA; Wieman, MS, 2012)
" Adverse events (AEs) were similar between patients treated with tanezumab 2."3.01Long-Term Safety and Efficacy of Subcutaneous Tanezumab Versus Nonsteroidal Antiinflammatory Drugs for Hip or Knee Osteoarthritis: A Randomized Trial. ( Brown, MT; Carrino, JA; Fountaine, RJ; Guermazi, A; Hickman, A; Hochberg, MC; Nakajo, S; Pixton, G; Schnitzer, TJ; Verburg, KM; Viktrup, L; Walsh, DA; West, CR; White, A, 2021)
" Safety was evaluated by adverse event monitoring."3.01Efficacy and Safety of Diclofenac-Hyaluronate Conjugate (Diclofenac Etalhyaluronate) for Knee Osteoarthritis: A Randomized Phase III Trial in Japan. ( Kano, K; Nishida, Y; Nobuoka, Y; Seo, T, 2021)
" Observation indicators included: the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Hospital for Special Surgery Knee Score (HSS), liver and kidney function, adverse reactions, and so on."3.01Efficacy and safety of Biqi capsule in the treatment of knee osteoarthritis: A protocol of a randomized controlled trial. ( Huang, H; Jia, M; Tian, K; Wang, W; Zhou, Y, 2021)
" Safety after treatment was evaluated by recording adverse events and laboratory investigations."2.94Efficacy and safety of combination of curcuminoid complex and diclofenac versus diclofenac in knee osteoarthritis: A randomized trial. ( Gade, P; Karad, S; Khanwelkar, C; Shep, D, 2020)
"Pelubiprofen was considered non-inferior to aceclofenac if the upper limit of the one-sided 97."2.94Efficacy and safety of short-term use of a pelubiprofen CR and aceclofenac in patients with symptomatic knee osteoarthritis: A double-blinded, randomized, multicenter, active drug comparative, parallel-group, phase IV, non-inferiority clinical trial. ( Chang, MJ; Han, SB; Kang, SB; Kim, KI; Kim, MK; Kim, SH; Lee, HJ; Lee, S; Moon, YW; Park, HG; Shin, JY; Yoo, JD, 2020)
"Curcumin has similar efficacy to diclofenac but demonstrated better tolerance among patients with knee OA."2.90Safety and efficacy of curcumin versus diclofenac in knee osteoarthritis: a randomized open-label parallel-arm study. ( Gade, P; Karad, S; Khanwelkar, C; Shep, D, 2019)
" No difference in adverse events was observed between the two groups."2.87Efficacy and safety of adalimumab by intra-articular injection for moderate to severe knee osteoarthritis: An open-label randomized controlled trial. ( Wang, J, 2018)
" In addition, the rate of adverse reaction of research group was also lower than that of control group, P<0."2.87Clinical therapeutic effect and safety of celecoxib in treating knee osteoarthritis. ( Bi, J; Yu, C; Yu, X; Yu, Z; Zhao, L, 2018)
"Knee osteoarthritis is a common form of arthritis in elderly patients that is characterised by pain and functional limitation."2.84Moxibustion versus diclofenac sodium gel for the treatment of knee osteoarthritis: a study protocol for a double-blinded, double-placebo, randomised controlled trial. ( Luo, L; Lv, P; Peng, JX; Tang, Y; Wu, Q; Yin, HY; Yu, SG; Zhang, CS; Zhou, JY; Zhu, LL, 2017)
" The recommended dosing regimens have generally ranged from 3 to 5 injections."2.82Efficacy of a Single Intra-Articular Injection of 2% Sodium Hyaluronate Plus 0.5% Mannitol in Patients with Symptomatic Osteoarthritis of the Knee: A Preliminary Report. ( Lamsam, C; Lertwanich, P, 2016)
" Any observed adverse effects were also scrutinized."2.82Efficacy and short-term safety of topical Dwarf Elder (Sambucus ebulus L.) versus diclofenac for knee osteoarthritis: A randomized, double-blind, active-controlled trial. ( Emtiazy, M; Hashempur, MH; Jabbari, M; Kamalinejad, M; Razavi, SZ; Shahraki, HR, 2016)
" The test group (n = 41) was given Compound DCR with the dosage of 1."2.80[Controlled clinical study on compound Decumbent Corydalis Rhizome and diclofenac in treatment of knee osteoarthritis]. ( Cen, XM; Xie, QB; Yin, G; Zuo, C, 2015)
"Diclofenac is used for the treatment of osteoarthritis (OA); however, like other nonsteroidal anti-inflammatory drugs (NSAIDs) it can be associated with serious dose-related adverse events (AEs)."2.80Low-dose SoluMatrix diclofenac in the treatment of osteoarthritis: A 1-year, open-label, Phase III safety study. ( Altman, RD; Cryer, B; Gibofsky, A; Hochberg, MC; Hopkins, WE; Imasogie, O; Kivitz, A; Markenson, JA; Nezzer, J; Strand, V; Young, CL, 2015)
"Knee osteoarthritis is one of the most prevalent chronic disorders."2.80Comparative effectiveness of B and e vitamins with diclofenac in reducing pain due to osteoarthritis of the knee. ( Dehghan, M, 2015)
"NSAIDs, such as diclofenac, are the most commonly used medications to treat osteoarthritis (OA), but they are associated with dose-related adverse events (AEs)."2.79Efficacy and safety of low-dose submicron diclofenac for the treatment of osteoarthritis pain: a 12 week, phase 3 study. ( Gibofsky, A; Hochberg, MC; Jaros, MJ; Young, CL, 2014)
" The incidence of adverse events of abnormal peripheral sensation was lower than in previous tanezumab trials."2.79Efficacy and safety of tanezumab added on to diclofenac sustained release in patients with knee or hip osteoarthritis: a double-blind, placebo-controlled, parallel-group, multicentre phase III randomised clinical trial. ( Balanescu, AR; Brown, MT; Davignon, I; Feist, E; Smith, MD; West, CR; Wolfram, G, 2014)
"Aceclofenac was better tolerated in terms of incidence and severity of GI AEs and GPA requirement and was as efficacious as diclofenac."2.78Comparison of gastrointestinal safety and tolerability of aceclofenac with diclofenac: a multicenter, randomized, double-blind study in patients with knee osteoarthritis. ( Chandurkar, N; Pareek, A, 2013)
"Osteoarthritis of the knee is one of the most common public health problems in Thailand and throughout the world."2.77Phase II clinical trial of Ayurved Siriraj Wattana Recipe for symptomatic relief in patients with osteoarthritis of the knee. ( Akarasereenont, P; Charoencholvanich, K; Chatsiricharoenkul, S; Pengkhum, T, 2012)
"Aceclofenac-CR treated patients took fewer acetaminophen and ranitidine tablets during the treatment period as compared to conventional aceclofenac treated patients."2.76Efficacy and safety of aceclofenac-cr and aceclofenac in the treatment of knee osteoarthritis: a 6-week, comparative, randomized, multicentric, double-blind study. ( Chandurkar, N; Dalal, B; Gupta, A; Jesalpura, B; Mehrotra, A; Mukherjee, A; Pareek, A; Sirsikar, A, 2011)
" Both the study medications were well tolerated with no incidence of serious adverse events."2.76Zaltoprofen, a noninferior alternative to diclofenac for the treatment of primary knee osteoarthritis -- a comparative evaluation of efficacy and safety in a 4-week, multicentric, randomized, double-blind, double-dummy trial. ( Ambade, RE; Chandurkar, NB; Gupta, AK; Jesalpura, BH; Pareek, A; Sirsikar, AD; Swamy, AP, 2011)
" Safety was evaluated through adverse event (AE) reporting, physical examination, and laboratory investigations."2.76An open-label, long-term safety and tolerability trial of diclofenac sodium 1% gel in patients with knee osteoarthritis. ( Alwine, LK; Gold, MS; Peniston, JH, 2011)
" Treatment-related adverse events (AEs) were infrequent (DSG, 7."2.75Safety and efficacy of topical diclofenac sodium 1% gel in knee osteoarthritis: a randomized controlled trial. ( Altman, RD; Baraf, HS; Clark, MB; Gold, MS, 2010)
"To observe the curative effect of Chinese drugs-paste separated moxibustion combined with electroacupuncture (EA) for knee osteoarthritis (KOA)."2.75[Clinical observation on the therapeutic effect of drugs-paste separated moxibustion combined with electroacupunture for knee osteoarthritis patients of cold-damp type]. ( Chen, RL; Ji, L; Miao, FR; Zhu, Y, 2010)
" The commonest adverse event associated with TDiclo was dry skin (18."2.74Efficacy and safety of topical diclofenac containing dimethyl sulfoxide (DMSO) compared with those of topical placebo, DMSO vehicle and oral diclofenac for knee osteoarthritis. ( Bookman, AAM; Grierson, LM; Naseer, Z; Shainhouse, ZJ; Simon, LS, 2009)
"The incidence of gastrointestinal disorders was 5."2.74Randomized controlled trial of diclofenac sodium gel in knee osteoarthritis. ( Altman, RD; Barthel, HR; Gold, MS; Haselwood, D; Longley, S, 2009)
" Moreover, erythrocyte sedimentation rate (ESR), blood C-reactive protein (CRP), blood and urinary routine tests, liver and kidney function examination, and the adverse reaction that occurred during the treatment period were observed."2.74Clinical efficacy and safety of Gubitong Recipe () in treating osteoarthritis of knee joint. ( Jin, DE; Tao, QW; Xu, Y; Yan, XP, 2009)
"Celecoxib was not significantly different from placebo in this analysis (P = 0."2.72First-dose analgesic effect of the cyclo-oxygenase-2 selective inhibitor lumiracoxib in osteoarthritis of the knee: a randomized, double-blind, placebo-controlled comparison with celecoxib [NCT00267215]. ( Burger, KJ; Fashola, TO; Krehan, G; Maeumbaed, R; Runge, H; Schell, E; Schlüter, P; Thurston, HJ; Trechsel, U; Wittenberg, RH, 2006)
" The incidences of related adverse events were 35."2.72Evaluation of efficacy and safety of diacerein in knee osteoarthritis in Chinese patients. ( Huang, F; Li, J; Li, ZG; Liang, DF; Ma, L; Su, Y; Tang, FL; Wu, DH; Xu, H; Zhang, FC; Zhang, JL; Zheng, WJ; Zhou, HQ; Zhou, YX, 2006)
" Efficacy assessments included overall joint pain intensity and Western Ontario and McMaster Universities Osteoarthritis Index subscales; tolerability was evaluated by adverse event and physician reporting."2.71Efficacy and safety of four doses of lumiracoxib versus diclofenac in patients with knee or hip primary osteoarthritis: a phase II, four-week, multicenter, randomized, double-blind, placebo-controlled trial. ( Beier, J; Geusens, P; Gitton, X; Hasler, P; Moore, A; Patel, SK; Poór, G; Schnitzer, TJ; Senftleber, I; Sloan, VS, 2004)
" A topical NSAID formulation may provide symptom relief with fewer adverse effects."2.71Efficacy and safety of a topical diclofenac solution (pennsaid) in the treatment of primary osteoarthritis of the knee: a randomized, double-blind, vehicle-controlled clinical trial. ( Roth, SH; Shainhouse, JZ, 2004)
"Diclofenac gel was effective and safe for relief of symptoms of OA of the knee over 3 weeks of dosing."2.71Efficacy of topical diclofenac diethylamine gel in osteoarthritis of the knee. ( Albrecht, HH; Elkik, F; Gold, MS; Liu, JM; Niethard, FU; Solomon, GS; Unkauf, M, 2005)
"Diclofenac-treated patients experienced statistically significant elevations in mean hepatic transaminases and serum creatinine and reductions in haemoglobin concentration when compared to placebo, events not observed with celecoxib."2.70Celecoxib versus diclofenac in the management of osteoarthritis of the knee. ( Borenstein, D; Geis, GS; Lefkowith, JB; McKenna, F; Wallemark, C; Wendt, H, 2001)
"Acetaminophen was associated with fewer adverse events."2.70A randomized, double-blind, crossover clinical trial of diclofenac plus misoprostol versus acetaminophen in patients with osteoarthritis of the hip or knee. ( Abramson, SB; Caldwell, JR; Callahan, LF; Cummins, P; Fort, J; Harrell, RA; Jordan, JM; Koch, GG; Kremer, JM; Lautzenheiser, RL; Lefkowith, J; Luta, G; Markenson, JA; Morant, S; Pincus, T; Schnitzer, TJ; Schwartz, T; Sokka, T; Wang, X; Weaver, A; Wilson, A; Wolfe, F, 2001)
" However, compliance is limited by the different dosing regimens of misoprostol and NSAID and GI symptoms associated with misoprostol at its recommended q."2.69Diclofenac/misoprostol compared with diclofenac in the treatment of osteoarthritis of the knee or hip: a randomized, placebo controlled trial. Arthrotec Osteoarthritis Study Group. ( Ball, JA; Bocanegra, TS; Fort, JG; Geis, GS; Sikes, DH; Tindall, EA; Wallemark, CB; Weaver, AL, 1998)
"diclofenac (n = 131) were assessed in a multicentre, randomised, double-blind study of a mixed population of patients with osteoarthritis of the knee and/or hip."2.69Oxaceprol is a well-tolerated therapy for osteoarthritis with efficacy equivalent to diclofenac. ( Dirschedl, H; Fürst, M; Gimbel, W; Herrmann, G; Hildebrandt, HD; Jungmichel, D; Klasser, M; Parnham, MJ; Rohde, H; Steeger, D; Venbrocks, R; Wirbitzky, J, 2000)
"Rofecoxib was well tolerated and provided efficacy that was clinically comparable, according to predefined statistical criteria, to that of 150 mg of diclofenac per day in this 1-year study."2.69Rofecoxib, a specific inhibitor of cyclooxygenase 2, with clinical efficacy comparable with that of diclofenac sodium: results of a one-year, randomized, clinical trial in patients with osteoarthritis of the knee and hip. Rofecoxib Phase III Protocol 035 ( Bolognese, J; Caldwell, JR; Cannon, GW; Daniels, B; Ehrich, E; Holt, P; McLean, B; Mukhopadhyay, S; Seidenberg, B, 2000)
"Celecoxib is a selective non-steroidal anti-inflammatory drug (NSAID)."2.55Celecoxib for osteoarthritis. ( Marin, A; Markotic, F; Puljak, L; Tugwell, P; Utrobicic, A; Vrdoljak, D, 2017)
"Diclofenac is a commonly used non-steroidal anti-inflammatory drug (NSAID) for symptom control in osteoarthritis (OA) of the knee and soft tissue injuries."2.44Topical diclofenac: clinical effectiveness and current uses in osteoarthritis of the knee and soft tissue injuries. ( Banning, M, 2008)
" The chronic use of diclofenac sodium can lead to adverse gastrointestinal problems."2.43The use of topical diclofenac for pain in osteoarthritis of the knee: a review. ( Banning, M, 2006)
"To investigate the effects of different nonsteroidal anti-inflammatory drugs combined with platelet-rich plasma on inflammatory factor levels in patients with osteoarthritis."1.72Effects of Different Nonsteroidal Anti-Inflammatory Drugs Combined with Platelet-Rich Plasma on Inflammatory Factor Levels in Patients with Osteoarthritis. ( Cheng, Y; Huang, Y; Jiang, W; Zhang, Y, 2022)
"NSAIDs used for the treatment of osteoarthritis (OA) have dose-related risks for gastrointestinal, cardiovascular and renal adverse events (AEs), particularly in elderly patients."1.37Safety and efficacy of topical diclofenac sodium gel for knee osteoarthritis in elderly and younger patients: pooled data from three randomized, double-blind, parallel-group, placebo-controlled, multicentre trials. ( Altman, RD; Baraf, HS; Barthel, HR; Gloth, FM; Gold, MS, 2011)
"The diclofenac therapy was discontinued."1.32[Pulmonary infiltrates with blood eosinophilia in a 62-year-old patient]. ( Geiger, D; Häussinger, K; Kohlhäufl, M; Morresi-Hauf, A; Raith, H; Weber, N, 2003)

Research

Studies (163)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's6 (3.68)18.2507
2000's63 (38.65)29.6817
2010's63 (38.65)24.3611
2020's31 (19.02)2.80

Authors

AuthorsStudies
Yakushin, S1
Polyakova, S1
Shvarts, Y1
Kastanayan, A1
Krechikova, D1
Ershova, O1
Nikulenkova, N1
Vinogradova, I1
Hyun, BJ1
Cha, JE1
Azadbakht, Z1
Sajedi, F1
Mahboobian, MM1
Mohammadi, M1
Ataei, S1
Tomatsu, K1
Yasuda, S1
Fuady, A1
Matsumoto, H1
Jiang, W1
Zhang, Y2
Huang, Y1
Cheng, Y1
Wang, W2
Yu, S3
Long, Z1
Liu, Y1
Yan, Y1
Sun, T1
Liu, Z1
Kubo, T1
Kumai, T1
Ikegami, H1
Kano, K4
Nishii, M1
Seo, T4
Chobpenthai, T1
Arunwatthanangkul, P1
Mahikul, W1
Wen-Yue, W1
Ying-Peng, X1
Quan-Mao, D1
Li-Min, X1
De-Zhi, W1
Yang, B1
Li-Su, W1
Yu-Bin, L1
Zhi-Jun, N1
Yan-Xu, M1
Wu-Zhong, C1
Li-Qun, B1
Yang, L2
Li-Kun, J1
Li, T1
Guo, M1
Zhang, W1
Zhang, D2
Song, S1
Bian, Z1
Huang, Z1
Tsurko, VV1
Gromova, MA1
Arai, T1
Suzuki-Narita, M1
Takeuchi, J1
Tajiri, I1
Inage, K1
Kawarai, Y1
Eguchi, Y1
Shiga, Y1
Hozumi, T1
Kim, G1
Tsuchiya, R1
Otagiri, T1
Mukaihata, T1
Hishiya, T1
Toshi, N1
Okuyama, K1
Tokeshi, S1
Furuya, T1
Maki, S1
Matsuura, Y1
Suzuki, T1
Nakamura, J1
Hagiwara, S1
Ohtori, S1
Orita, S1
Ma, YT1
Dong, YL1
Wang, B2
Xie, WP1
Huang, QM1
Zheng, YJ1
Yao, Y1
Wei, G1
Ding, J1
Cui, W1
Yin, S1
Chang, Y1
Yan, X1
Feng, X1
Wu, N1
Osnovina, IP1
Alekseeva, NV1
Ivanov, AV1
Sekirin, AB1
Askari, A1
Ravansalar, SA1
Naghizadeh, MM1
Mosavat, SH1
Khodadoost, M1
Jazani, AM1
Hashempur, MH2
Huang, H3
Pan, J2
Yang, W2
Chen, H1
Liang, G2
Zeng, L2
Liu, J2
Pan, B1
Shep, D2
Khanwelkar, C2
Gade, P2
Karad, S2
Luo, M1
Liang, H1
Hou, S1
Zhao, J2
Shin, JY1
Chang, MJ1
Kim, MK1
Kang, SB1
Kim, KI1
Park, HG1
Lee, S1
Kim, SH1
Han, SB1
Lee, HJ1
Moon, YW1
Yoo, JD1
Nishida, Y3
Nobuoka, Y2
Bihlet, AR1
Byrjalsen, I1
Simon, LS2
Carrara, D1
Delpy, L1
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Ling, T1
Li, JJ1
Xu, RJ1
Ge, WH1
Hochberg, MC3
Carrino, JA1
Schnitzer, TJ3
Guermazi, A1
Walsh, DA1
White, A1
Nakajo, S1
Fountaine, RJ1
Hickman, A1
Pixton, G1
Viktrup, L1
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Verburg, KM1
Wolff, DG1
Christophersen, C1
Brown, SM1
Mulcahey, MK1
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Zhou, Y1
Tian, K1
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Kramers, CK1
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van den Bemt, BJF1
Zhou, JY1
Luo, L1
Zhu, LL1
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Zhang, CS1
Lv, P1
Tang, Y2
Yu, SG1
Sivordova, LE1
Zavodovsky, BV1
Polyakova, JV1
Akhverdyan, YR1
Puljak, L1
Marin, A1
Vrdoljak, D1
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Tugwell, P1
Wang, J1
Adeyemi, WJ1
Olayaki, LA1
Gu, LJ2
Zhang, B1
Li, WH1
Dong, FH2
Amorndoljai, P1
Taneepanichskul, S1
Niempoog, S3
Nimmannit, U1
Wang, Q1
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Shi, X1
Qi, Q1
Zheng, H1
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Takamatsu, H1
Yu, Z1
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Bi, J1
Yu, X1
Rainsford, KD1
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Varvanina, GG1
Roth, SH2
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Kasahara, Y1
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Sagnak, E1
Roessler, PP1
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Gottesdiener, K1
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Reginster, JY1
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Adami, S1
Navarro, F1
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Gimona, A1
Haffner, S1
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Akhtar, NM1
Naseer, R1
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Nazir, M1
Bookman, AA1
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Beier, J1
Geusens, P1
Hasler, P1
Patel, SK1
Senftleber, I1
Gitton, X1
Sloan, VS4
Moore, RA1
Tugwell, PS1
Wells, GA1
Vas, J1
Méndez, C1
Perea-Milla, E1
Vega, E1
Panadero, MD1
León, JM1
Borge, MA1
Gaspar, O1
Sánchez-Rodríguez, F1
Aguilar, I1
Jurado, R1
Stiefelhagen, P1
Teekachunhatean, S2
Kunanusorn, P1
Rojanasthien, N1
Sananpanich, K2
Pojchamarnwiputh, S2
Lhieochaiphunt, S1
Pruksakorn, S1
McAlister, VC1
Pincus, T2
Wang, X2
Chung, C1
Sokka, T2
Koch, GG2
Sheldon, E2
Beaulieu, A1
Paster, Z1
Dutta, D2
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Thomas, S1
Lehmann, R1
Brzosko, M1
Kopsa, P1
Nischik, R1
Kreisse, A1
Thurston, H1
Litschig, S1
Baer, PA1
Thomas, LM1
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Fleischmann, R1
Maldonado-Cocco, J1
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Clinical Trials (33)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Electroacupuncture vs Topical Diclofenac Sodium Gel for Patients With Hand Osteoarthritis: Study Protocol for a Randomized Controlled Trial[NCT04402047]108 participants (Anticipated)Interventional2020-09-01Recruiting
A PHASE 3 RANDOMIZED, DOUBLE-BLIND, ACTIVE-CONTROLLED, MULTICENTER STUDY OF THE LONG-TERM SAFETY AND EFFICACY OF SUBCUTANEOUS ADMINISTRATION OF TANEZUMAB IN SUBJECTS WITH OSTEOARTHRITIS OF THE HIP OR KNEE[NCT02528188]Phase 33,021 participants (Actual)Interventional2015-07-21Completed
The Effectiveness of Moxibustion Treatment for Osteoarthritis of the Knee : a Double-blinded, Double-dummy, Randomized Controlled Trial[NCT02769572]Phase 3144 participants (Actual)Interventional2016-05-31Completed
EN20-01: A 24 Week Study to Evaluate the Safety and Efficacy of CNTX-6970 in Subjects With Moderate to Severe Knee Osteoarthritis Pain.[NCT05025787]Phase 277 participants (Anticipated)Interventional2021-10-25Recruiting
A PHASE 3, RANDOMIZED, DOUBLE BLIND, CONTROLLED, MULTI CENTER STUDY OF THE ANALGESIC EFFICACY AND SAFETY OF TANEZUMAB ADDED ON TO DICLOFENAC SR IN PATIENTS WITH OSTEOARTHRITIS OF THE KNEE OR HIP[NCT00864097]Phase 3607 participants (Actual)Interventional2009-08-11Terminated (stopped due to See termination reason in detailed description.)
Effect of Combination of Curcuminoid Standardized Turmeric Extract With Acupressure on Inflammatory Markers, Endorphins and Quality of Life in Elderly People With Osteoarthritis Genu[NCT06105840]Phase 1/Phase 270 participants (Anticipated)Interventional2023-08-27Enrolling by invitation
EFFECTS OF NSAIDs ON CLINICAL OUTCOMES, SYNOVIAL FLUID CYTOKINE CONCENTRATION AND SIGNAL TRANSDUCTION PATHWAYS IN KNEE OSTEOARTHRITIS[NCT01860833]Phase 490 participants (Actual)Interventional2010-04-30Completed
Trial Evaluating multimOdal toPical Cream In CompArison to pLacebo (TOPICAL)[NCT03199417]Phase 2/Phase 350 participants (Actual)Interventional2017-05-01Terminated (stopped due to Terminated prematurely due to feasibility issues with rate of recruitment)
A Phase 3, Multicenter, Randomized, Double-Blind, Placebo-Controlled, Fixed-Dose, Parallel-Group, Efficacy and Safety Study of Diclofenac [Test] Capsules in Subjects With Osteoarthritis of the Knee or Hip[NCT01461369]Phase 3305 participants (Actual)Interventional2011-10-31Completed
Pilot, Open Non-controled Trial to Assess the Feasibility of Implementing Objective Parameters as Primary Endpoints in a Clinical Trial With Patients Affected by Knee Osteoarthritis[NCT03421054]8 participants (Actual)Interventional2018-03-19Completed
Double Blind, Placebo Controlled Trial to Evaluate the Effects of a Nutraceutical Containing High-Molecular-Weight Hyaluronic Acid (HA) and Acetyl-11-Keto-Beta-Boswellic Acid (AKBA) in Patients Affected by Knee Osteoarthritis[NCT03612986]72 participants (Actual)Interventional2018-08-22Completed
A Multicenter, Open-Label, Safety Study of Diclofenac [Test] Capsules in Subjects With Osteoarthritis of the Knee or Hip[NCT01510912]Phase 3602 participants (Actual)Interventional2012-01-31Completed
A Phase 2, Randomized, Double-Blind, Vehicle-Controlled, Parallel Group Clinical Study to Evaluate the Safety and Efficacy of PENNSAID Gel in the Symptomatic Treatment of Osteoarthritis of the Knee[NCT01119898]Phase 2260 participants (Actual)Interventional2010-08-02Completed
Randomised Controlled Trial on the Efficacy of Cabbage Leaf Wraps in Symptomatic Primary Osteoarthritis of the Knee[NCT02027792]81 participants (Actual)Interventional2014-01-31Completed
Investigating Brain Abnormalities in People With Knee Osteoarthritis Using MRI: a Nociplastic Pain Mechanism Based Assessment[NCT05986513]66 participants (Anticipated)Interventional2023-09-01Not yet recruiting
The Efficacy of Diclofenac Gel for Breakthrough Pain and the Neuropathic Components of Pain in Knee Osteoarthritis[NCT01383954]Phase 452 participants (Actual)Interventional2011-06-30Completed
The Effect of St. John's Wort Oil on Pain Intensity and Physical Functions in People With Knee Osteoarthritis: a Qualitative and Randomized Placebo-controlled Trial[NCT05663996]60 participants (Actual)Interventional2017-12-25Completed
Efficacy of PENNSAID® for Pain Management in the Emergency Department[NCT01350622]0 participants (Actual)Interventional2011-12-31Withdrawn (stopped due to Study never initiated)
Efficacy and Safety of Diclofenac Sodium Gel in Knee Osteoarthritis[NCT00171678]Phase 3480 participants Interventional2004-10-31Completed
Efficacy and Safety of Diclofenac Sodium Gel in Knee Osteoarthritis[NCT00171626]Phase 3480 participants Interventional2004-08-31Completed
A 12-Week, Randomized, Double-Blind, Multi-Center, Vehicle-Controlled, Parallel Group Study to Assess the Efficacy and Safety of the Diclofenac Sodium Gel 1% for the Relief of Signs and Symptoms in Patients With Osteoarthritis of the Knee.[NCT00426621]Phase 3420 participants (Actual)Interventional2006-11-30Completed
Safety of Diclofenac Sodium Gel in Knee Osteoarthritis[NCT00171691]Phase 3450 participants Interventional2004-10-31Completed
A Placebo-Controlled, Parallel-Group, Double-Blind Study to Assess Safety and to Define the Clinically Effective Dose Range of MK0663 in Patients With Osteoarthritis of the Knee, Followed by a Double-Blind, Active-Comparator-Controlled Extension.[NCT00242489]Phase 21,167 participants (Actual)Interventional1998-06-30Completed
Aminotransferase Trends During Prolonged Therapeutic Acetaminophen Dosing[NCT00743093]Phase 4398 participants (Actual)Interventional2008-08-31Completed
Single and Repeated Leech Therapy for the Treatment of Late Stage Knee Osteoarthritis. A Randomized, Placebo Controlled Comparative Trial[NCT00435773]Phase 2118 participants Interventional2004-02-29Completed
A Randomized, Double-Blind Study to Evaluate the Safety and Efficacy of Etoricoxib 60 mg and Diclofenac Sodium 150 mg in Patient With Osteoarthritis of the Knee or Hip[NCT00542087]Phase 3516 participants (Actual)Interventional2002-03-22Completed
Effect of a Menthol Gel (Biofreeze) on the Symptoms Associated With Knee Osteoarthritis: a Double-blind Randomized Control Trial.[NCT04351594]Phase 2/Phase 3100 participants (Anticipated)Interventional2020-11-01Recruiting
Double-blind Randomized Clinical Study on Topical Diclofenac Efficacy in Symptomatic Relief of Temporomandibular Degenerative Joint Disease in Women.[NCT00471393]28 participants (Actual)Interventional2006-05-31Completed
Randomized, Double-Blind, Placebo-Controlled Trial, Parallel Design Used To Evaluate Pain, Endocrinologic Variations, Life Quality And Medication Use, After Electro-Acupuncture Treatment In Patients With Osteoarthritis Of The Knee[NCT02299713]160 participants (Actual)Interventional2015-01-31Completed
The Use of Cannabinoid Patch for Knee Osteoarthritis[NCT04412837]Phase 20 participants (Actual)Interventional2022-10-31Withdrawn (stopped due to Inadequate funding)
Comparison of Topical 1% Diclofenac and Topical 2.5% Hydrocortisone for TMJ Arthralgia[NCT05816226]Phase 390 participants (Anticipated)Interventional2023-06-01Recruiting
A One-week Multicenter, Multiple-dose, Randomized, Double-blind, Double-dummy, Parallel-group Comparison of the Analgesic Efficacy and Safety of Lumiracoxib (COX189), Celecoxib, and Placebo in the Treatment of Osteoarthritis of the Knee[NCT00267215]Phase 3330 participants Interventional2000-11-30Completed
Hypoalgesic Effect of Median Nerve Neural Mobilization Versus Ibuprofen Pharmacologic Treatment in Patients With Cervicobrachial Pain[NCT02593721]Phase 2/Phase 350 participants (Actual)Interventional2015-07-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Change From Baseline in Patient's Global Assessment (PGA) of Osteoarthritis at 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." (NCT02528188)
Timeframe: Baseline, Week 16

Interventionunits on a scale (Least Squares Mean)
Tanezumab 2.5 mg-0.96
Tanezumab 5 mg-0.97
NSAID-0.94

Change From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Pain Subscale at 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. (NCT02528188)
Timeframe: Baseline, Week 16

Interventionunits on a scale (Least Squares Mean)
Tanezumab 2.5 mg-3.22
Tanezumab 5 mg-3.33
NSAID-3.07

Change From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Physical Function Subscale at 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. (NCT02528188)
Timeframe: Baseline, Week 16

Interventionunits on a scale (Least Squares Mean)
Tanezumab 2.5 mg-3.27
Tanezumab 5 mg-3.39
NSAID-3.08

Number of Days of Rescue Medication Used During Week 64

In case of inadequate pain relief, after week 16, acetaminophen/paracetamol up to 3000 mg per day up to 7 days in a week could be taken as rescue medication and use was reported weekly via diary. Number of days the participants used the rescue medication during Week 64 were summarized. (NCT02528188)
Timeframe: Week 64

Interventiondays (Mean)
Tanezumab 2.5 mg2.0
Tanezumab 5 mg2.3
NSAID1.7

Number of Participants Who Took Rescue Medication During Week 64

In case of inadequate pain relief, after Week 16, acetaminophen/paracetamol up to 3000 mg per day up to 7 days in a week could be taken as rescue medication and use was reported weekly via diary. Number of participants with any use of rescue medication during Week 64 were summarized. (NCT02528188)
Timeframe: Week 64

InterventionParticipants (Count of Participants)
Tanezumab 2.5 mg251
Tanezumab 5 mg268
NSAID215

Number of Participants Who Withdrew Due to Lack of Efficacy

Number of participants who withdrew from treatment due to lack of efficacy have been reported here. (NCT02528188)
Timeframe: Baseline up to Week 56

InterventionParticipants (Count of Participants)
Tanezumab 2.5 mg60
Tanezumab 5 mg63
NSAID91

Number of Participants With Laboratory Test Abnormalities With Regard to Abnormal Baseline

Primary Abnormality criteria: hemoglobin; hematocrit; RBC count < 0.8*LLN; Ery. mean corpuscular volume/ hemoglobin/ HGB concentration, erythrocytes distribution width <0.9*LLN, >1.1*ULN; platelets <0.5*LLN,>1.75*upper limit of normal (ULN); white blood cell count<0.6*LLN, >1.5*ULN; Lymphocytes, Lymphocytes/Leukocytes, Neutrophils, Neutrophils/Leukocytes <0.8*LLN, >1.2*ULN; Basophils, Eosinophils, Monocytes >1.2*ULN; total bilirubin>1.5*ULN; aspartate aminotransferase, alanine aminotransferase, gamma GT,LDH, alkaline phosphatase >3.0*ULN; total protein; albumin<0.8*LLN, >1.2*ULN; blood urea nitrogen, creatinine, Cholesterol, triglycerides >1.3*ULN; Urate >1.2*ULN; sodium <0.95*LLN,>1.05*ULN; potassium, chloride, calcium, magnesium, bicarbonate <0.9*LLN, >1.1*ULN; phosphate <0.8*LLN, >1.2*ULN; glucose <0.6*LLN, >1.5*ULN; Hemoglobin A1C >1.3*ULN; creatine kinase >2.0*ULN; specific gravity<1.003, >1.030; Urine erythrocytes,Leukocytes>=20; Hyaline Casts>=1. (NCT02528188)
Timeframe: Baseline up to Week 80

InterventionParticipants (Count of Participants)
Tanezumab 2.5 mg78
Tanezumab 5 mg61
NSAID84

Number of Participants With Laboratory Test Abnormalities With Regard to Normal Baseline

Primary Abnormality criteria: HGB, hematocrit, RBC count <0.8* lower limit of normal(LLN); Ery. mean corpuscular volume/hemoglobin/ HGB concentration, RBCs distribution width <0.9*LLN, >1.1*upper limit of normal(ULN); platelets <0.5*LLN,>1.75*ULN; Leukocytes <0.6*LLN, >1.5*ULN; Lymphocytes, Neutrophils <0.8*LLN, >1.2*ULN; Basophils,Eosinophils,Monocytes>1.2*ULN; Prothrombin time/Intl. normalized ratio>1.1*ULN; total bilirubin>1.5*ULN; aspartate aminotransferase,alanine aminotransferase,gamma GT,LDH,alkaline phosphatase >3.0*ULN; total protein; albumin<0.8*LLN, >1.2*ULN; blood urea nitrogen,creatinine,Cholesterol,triglycerides >1.3*ULN; Urate>1.2*ULN; sodium<0.95*LLN,>1.05*ULN; potassium,chloride,calcium,magnesium,bicarbonate <0.9*LLN, >1.1*ULN; phosphate<0.8*LLN, >1.2*ULN; glucose<0.6*LLN, >1.5*ULN; HGB A1C >1.3*ULN; creatine kinase>2.0*ULN, specific gravity<1.003, >1.030; pH<4.5, >8;Urine erythrocytes,Leukocytes>=20. (NCT02528188)
Timeframe: Baseline up to Week 80

InterventionParticipants (Count of Participants)
Tanezumab 2.5 mg109
Tanezumab 5 mg102
NSAID121

Observation Time-Adjusted Event Rate of Participants With Adjudicated Primary Composite Joint Safety Outcome

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. (NCT02528188)
Timeframe: Baseline up to Week 80

Interventionevents per 1000 participant-years (Number)
Tanezumab 2.5 mg38.3
Tanezumab 5 mg71.5
NSAID14.8

Observation Time-Adjusted Event Rate of Participants With Adjudicated Secondary Composite Joint Safety Outcome

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). Secondary joint safety outcome included primary osteonecrosis, rapidly progressive OA (type-2), subchondral insufficiency fracture, or pathological fracture. Event rate was calculated as the number of events per 1000 participant-years at risk. (NCT02528188)
Timeframe: Baseline up to Week 80

Interventionevents per 1000 participant-years (Number)
Tanezumab 2.5 mg9.7
Tanezumab 5 mg21.8
NSAID4.9

Observation Time-Adjusted Event Rate of Participants With Total Joint Replacement or Adjudicated Primary Composite Joint Safety Outcome

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). Adjudicated primary composite joint safety outcomes included 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. (NCT02528188)
Timeframe: Baseline up to Week 80

Interventionevents per 1000 participant-years (Number)
Tanezumab 2.5 mg84.9
Tanezumab 5 mg132.5
NSAID36.7

Percentage of Participants With Adjudicated Primary Composite Joint Safety Outcome

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. (NCT02528188)
Timeframe: Baseline up to Week 80

Interventionpercentage of participants (Number)
Tanezumab 2.5 mg3.9
Tanezumab 5 mg7.1
NSAID1.5

Percentage of Participants With Adjudicated Secondary Composite Joint Safety Outcome

Any participant with incidence of an adjudicated outcome of primary osteonecrosis, rapidly progressive OA type 2, subchondral insufficiency fracture, or pathological fracture. 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. (NCT02528188)
Timeframe: Baseline up to Week 80

Interventionpercentage of participants (Number)
Tanezumab 2.5 mg1.0
Tanezumab 5 mg2.2
NSAID0.5

Percentage of Participants With Total Joint Replacement or Adjudicated Primary Composite Joint Safety Outcome

Percentage of participants with total joint replacement (hip, knee or shoulder) or adjudicated primary composite joint safety outcomes were reported. Adjudicated primary composite joint safety outcomes included primary osteonecrosis, rapidly progressive OA type 1 or type 2, subchondral insufficiency fracture, or pathological fracture. (NCT02528188)
Timeframe: Baseline up to Week 80

Interventionpercentage of participants (Number)
Tanezumab 2.5 mg8.6
Tanezumab 5 mg13.1
NSAID3.7

Time to Discontinuation Due to Lack of Efficacy

Time to discontinuation due to lack of efficacy was defined as the time interval from the date of first study drug administration up to the date of discontinuation of participant from treatment due to lack of efficacy. (NCT02528188)
Timeframe: Baseline up to Week 56

Interventiondays (Median)
Tanezumab 2.5 mgNA
Tanezumab 5 mgNA
NSAIDNA

Amount of Rescue Medication Used During Weeks 2, 4, 8 and 16

In case of inadequate pain relief, acetaminophen/paracetamol up to 3000 mg per day up to 3 days in a week could be taken as rescue medication. The total dosage of acetaminophen in milligrams used during the specified week were summarized. (NCT02528188)
Timeframe: Weeks 2, 4, 8 and 16

,,
Interventionmilligrams (Least Squares Mean)
Week 2Week 4Week 8Week 16
NSAID3310.52814.12839.72320.0
Tanezumab 2.5 mg2880.32107.81995.61696.4
Tanezumab 5 mg2898.71946.51628.81581.6

Change From Baseline in Average Daily Minutes of Bouted (Sustained) Moderate to Vigorous Physical Activity at Weeks 16 and 56

"An average daily physical activity count was measured using actigraphy which was then sorted into three intensity thresholds: light (100 - <1,500 counts) moderate (1,500 - <6,500 counts), and vigorous (>=6,500 counts). Participants continuously wore the accelerometer (apart for water activities) in the morning until going to bed at night for 7 or 14 consecutive days while going about their usual daily activities. Participants maintained a log (electronic or written) to record when the accelerometer was put on in the morning and removed at night (or if removed for any other purpose).A bout of moderate to vigorous activity was defined as 10 or more consecutive minutes above the moderate physical activity level threshold, with allowance for interruptions of 1 or 2 minutes below the threshold." (NCT02528188)
Timeframe: Baseline, Weeks 16 and 56

,,
Interventionminutes (Median)
BaselineChange at Week 16Change at Week 56
NSAID0.00.00.0
Tanezumab 2.5 mg0.00.00.0
Tanezumab 5 mg0.00.0-1.4

Change From Baseline in Average Daily Minutes of Moderate to Vigorous Physical Activity at Weeks 16 and 56

An average daily physical activity count was measured using actigraphy which was then sorted into three intensity thresholds: light (100 - less than {<1500} counts moderate (1,500 - <6500 counts), and vigorous (>=6500 counts). Participants continuously wore the accelerometer (apart for water activities) in the morning until going to bed at night for 7 or 14 consecutive days while going about their usual daily activities. Participants maintained a log (electronic or written) to record when the accelerometer was put on in the morning and removed at night (or if removed for any other purpose). (NCT02528188)
Timeframe: Baseline, Weeks 16 and 56

,,
Interventionminutes (Median)
BaselineChange at Week 16Change at Week 56
NSAID41.9-0.17.4
Tanezumab 2.5 mg41.20.7-3.8
Tanezumab 5 mg53.1-1.62.7

Change From Baseline in Average Daily Minutes of Physical Activity at Weeks 16 and 56

Participant activity level was assessed using actigraphy. Participants continuously wore the accelerometer (apart for water activities) in the morning until going to bed at night for 7 or 14 consecutive days while going about their usual daily activities. Participants maintained a log (electronic or written) to record when the accelerometer was put on in the morning and removed at night (or if removed for any other purpose). (NCT02528188)
Timeframe: Baseline, Weeks 16 and 56

,,
Interventionminutes (Median)
BaselineChange at Week 16Change at Week 56
NSAID99.2-4.23.9
Tanezumab 2.5 mg97.03.9-8.9
Tanezumab 5 mg107.12.9-10.1

Change From Baseline in Average Daily Physical Activity Counts at Weeks 16 and 56

An average daily physical activity count was measured using actigraphy. Participants continuously wore the accelerometer (apart for water activities) in the morning until going to bed at night for 7 or 14 consecutive days while going about their usual daily activities. Participants maintained a log (electronic or written) to record when the accelerometer was put on in the morning and removed at night (or if removed for any other purpose). (NCT02528188)
Timeframe: Baseline, Weeks 16 and 56

,,
Interventionphysical activity counts (Median)
BaselineChange at Week 16Change at Week 56
NSAID744141202.94414.3
Tanezumab 2.5 mg75244-470.0-14552
Tanezumab 5 mg95911-2261-8313

Change From Baseline in Average Daily Step Count at Weeks 16 and 56

Average daily step count was measured using actigraphy. Participants continuously wore the accelerometer (apart for water activities) in the morning until going to bed at night for 7 or 14 consecutive days while going about their usual daily activities. Participants maintained a log (electronic or written) to record when the accelerometer was put on in the morning and removed at night (or if removed for any other purpose). (NCT02528188)
Timeframe: Baseline, Weeks 16 and 56

,,
Interventionstep count (Median)
BaselineChange at Week 16Change at Week 56
NSAID4779.0-705.7242.6
Tanezumab 2.5 mg4851.0350.9-1938
Tanezumab 5 mg5834.887.8-543.2

Change From Baseline in Average Pain Score in the Index Joint at Week 64

Participants assessed their average pain in the index hip/knee in the past 24 hours using NRS, with a scale ranging from 0 (no pain) to 10 (worst possible pain). Higher scores indicated higher pain. Data represents averages of the values reported during the 4-week interval up to and including Week 64. Change from baseline was calculated using the difference between each post-baseline weekly mean and the baseline mean score. (NCT02528188)
Timeframe: Baseline, Week 64

,,
Interventionunits on a scale (Mean)
BaselineChange at Week 64
NSAID6.76-3.24
Tanezumab 2.5 mg6.76-3.01
Tanezumab 5 mg6.77-2.81

Change From Baseline in Average Pain Score in the Index Joint at Weeks 1, 2, 3, 4, 6, 8, 10, 12, 16, 20, 24, 32, 40, 48 and 56

Participants assessed their average pain in the index hip/knee in the past 24 hours using NRS, with a scale ranging from 0 (no pain) to 10 (worst possible pain). Higher scores indicated higher pain. Data for Weeks 20 through 56 represents averages of the values reported during the 4-week interval up to and including the given week. Change from baseline was calculated using the difference between each post-baseline weekly mean and the baseline mean score. (NCT02528188)
Timeframe: Baseline, Weeks 1, 2, 3, 4, 6, 8, 10, 12, 16, 20, 24, 32, 40, 48 and 56

,,
Interventionunits on a scale (Least Squares Mean)
Change at Week 1Change at Week 2Change at Week 3Change at Week 4Change at Week 6Change at Week 8Change at Week 10Change at Week 12Change at Week 16Change at Week 20Change at Week 24Change at Week 32Change at Week 40Change at Week 48Change at Week 56
NSAID-0.56-0.91-1.23-1.32-1.49-1.59-1.98-2.10-2.17-2.27-2.11-2.06-2.07-2.03-2.04
Tanezumab 2.5 mg-0.47-1.02-1.40-1.62-1.85-1.83-2.35-2.48-2.41-2.56-2.35-2.27-2.25-2.20-2.17
Tanezumab 5 mg-0.56-0.97-1.30-1.65-1.97-2.04-2.46-2.55-2.52-2.60-2.41-2.26-2.20-2.10-2.03

Change From Baseline in Blood Pressure (BP) at Weeks 2, 4, 8, 16, 24, 32, 40, 48, 56, 64 and 80

Measurement of BP included sitting systolic blood pressure (SBP) and diastolic blood pressure (DBP). (NCT02528188)
Timeframe: Baseline, Weeks 2, 4, 8, 16, 24, 32, 40, 48, 56, 64 and 80

,,
Interventionmillimeters of mercury (mmHg) (Mean)
SBP: BaselineSBP: Change at Week 2SBP: Change at Week 4SBP: Change at Week 8SBP: Change at Week 16SBP: Change at Week 24SBP: Change at Week 32SBP: Change at Week 40SBP: Change at Week 48SBP: Change at Week 56SBP: Change at Week 64SBP: Change at Week 80DBP: BaselineDBP: Change at Week 2DBP: Change at Week 4DBP: Change at Week 8DBP: Change at Week 16DBP: Change at Week 24DBP: Change at Week 32DBP: Change at Week 40DBP: Change at Week 48DBP: Change at Week 56DBP: Change at Week 64DBP: Change at Week 80
NSAID128.8-1.2-1.8-1.8-1.3-1.7-1.7-2.3-2.2-2.2-2.8-2.379.3-1.1-1.4-1.1-1.1-1.4-1.2-1.1-1.5-1.2-1.7-1.2
Tanezumab 2.5 mg128.9-2.7-4.0-2.9-3.0-3.0-2.8-2.5-2.7-3.1-2.1-1.079.3-1.3-2.2-1.1-1.3-1.3-1.3-1.2-0.9-1.8-0.8-0.6
Tanezumab 5 mg129.3-4.2-4.9-3.8-3.7-3.1-3.3-3.8-3.0-3.4-2.1-1.379.1-2.1-2.5-1.7-1.8-1.7-1.4-2.0-1.8-1.9-0.8-0.6

Change From Baseline in Electrocardiogram (ECG) Parameters at Weeks 56 and 80

A 12-lead ECG was recorded after participants had rested for at least 5 minutes in the supine position in a quiet environment. All standard intervals (PR, QRS, QT, QTcF, QTcB, RR intervals) were collected. ECG abnormalities included: 1) QT interval, QT interval corrected using Bazett's formula (QTcB) and QT interval corrected using Fridericia's formula (QTcF): increase from baseline greater than (>) 30 millisecond (ms) or 60 ms; absolute value > 450 ms, >480 ms and > 500 ms; 2) heart rate (HR) : absolute value <=50 bpm and decrease from baseline >=20 bpm; absolute value >=120 beats per minute (bpm) and increase from baseline >=20 bpm; 3) PR interval: absolute value >=220 ms and increase from baseline >=20 ms; 4) QRS interval: absolute value >= 120 ms. (NCT02528188)
Timeframe: Baseline, Weeks 56 and 80

,,
Interventionmilliseconds (Mean)
RR Interval: BaselineRR Interval:Change at Week 56RR Interval:Change at Week 80PR Interval: BaselinePR Interval:Change at Week 56PR Interval:Change at Week 80QRS Interval: BaselineQRS Interval:Change at Week 56QRS Interval:Change at Week 80QT Interval: BaselineQT Interval:Change at Week 56QT Interval:Change at Week 80QTCB Interval: BaselineQTCB Interval:Change at Week 56QTCB Interval:Change at Week 80QTCF Interval: BaselineQTCF Interval:Change at Week 56QTCF Interval:Change at Week 80
NSAID936.1-14.9-34.3163.91.70.694.3-0.4-0.1404.3-2.9-6.0419.70.21.7414.3-0.8-1.0
Tanezumab 2.5 mg940.5-26.3-33.6165.01.70.394.90.2-0.2405.0-3.5-6.2419.32.31.5414.20.3-1.2
Tanezumab 5 mg940.1-22.6-32.4165.90.6-0.894.60.41.0403.8-4.5-6.8418.50.50.2413.3-1.2-2.1

Change From Baseline in Heart Rate (as Assessed by ECG) at Weeks 56 and 80

Heart rate was measured at sitting position. (NCT02528188)
Timeframe: Baseline, Weeks 56 and 80

,,
Interventionbeats per minute (Mean)
BaselineChange at Week 56Change at Week 80
NSAID65.61.02.5
Tanezumab 2.5 mg65.22.02.7
Tanezumab 5 mg65.41.72.3

Change From Baseline in Heart Rate at Weeks 2, 4, 8, 16, 24, 32, 40, 48, 56, 64 and 80

Heart rate (pulse rate) was measured at sitting position. (NCT02528188)
Timeframe: Baseline, Weeks 2, 4, 8, 16, 24, 32, 40, 48, 56, 64 and 80

,,
Interventionbeats per minute (Mean)
BaselineChange at Week 2Change at Week 4Change at Week 8Change at Week 16Change at Week 24Change at Week 32Change at Week 40Change at Week 48Change at Week 56Change at Week 64Change at Week 80
NSAID70.61.11.20.10.80.81.71.41.3-0.00.50.9
Tanezumab 2.5 mg70.81.81.60.70.50.41.21.20.60.21.50.9
Tanezumab 5 mg70.52.02.00.80.50.71.61.61.00.11.50.6

Change From Baseline in Joint Space Width of the Index Hip (Kellgren-Lawrence Grade 2 or 3) at Weeks 56 and 80

Change from baseline in JSW was defined as narrowing in JSW compared to baseline in participants with Kellgren-Lawrence grade 2 or 3 over the course of the study. It was measured radiographically in the index hip in participants with OA. Kellgren-Lawrence grade system was a method of classifying the severity of hip OA using five grades i.e. 0 (no radiographic features of OA), 1 (doubtful JSN and possible osteophytic lipping), 2 (definite osteophytes and possible JSN on anteroposterior weight-bearing radiograph), 3 (multiple osteophytes, definite JSN, sclerosis, possible bony deformity), 4 (large osteophytes, marked JSN, severe sclerosis and definite bony deformity). Higher grade indicating worse hip function. (NCT02528188)
Timeframe: Baseline, Weeks 56 and 80

,,
Interventionmillimeter (Least Squares Mean)
Change at Week 56Change at Week 80
NSAID-0.21-0.28
Tanezumab 2.5 mg-0.35-0.46
Tanezumab 5 mg-0.40-0.35

Change From Baseline in Medial or Lateral Joint Space Width of the Index Knee (Kellgren-Lawrence Grade 2 or 3) at Weeks 56 and 80

Change from baseline in JSW was defined as change in JSW compared to baseline in participants with Kellgren-Lawrence grade 2 or 3 over the course of the study. It was measured radiographically in the medial and lateral tibiofemoral of knee in participants with OA. Kellgren-Lawrence grade system was a method of classifying the severity of knee OA using five grades i.e. 0 [no radiographic features of OA], 1 [doubtful joint space narrowing (JSN) and possible osteophytic lipping], 2 [definite osteophytes and possible JSN on anteroposterior weight-bearing radiograph], 3 [multiple osteophytes, definite JSN, sclerosis, possible bony deformity], 4 [large osteophytes, marked JSN, severe sclerosis and definite bony deformity]. Higher grade indicating worse knee function. The number of participants with progression of OA in the index knee are summarized separately by the compartment of OA at baseline (medial or lateral). (NCT02528188)
Timeframe: Baseline, Weeks 56 and 80

,,
Interventionmillimeter (Least Squares Mean)
Change in Medial JSW at Week 56Change in Medial JSW at Week 80Change in Lateral JSW at Week 56Change in Lateral JSW at Week 80
NSAID-0.19-0.25-0.27-0.37
Tanezumab 2.5 mg-0.25-0.33-0.26-0.46
Tanezumab 5 mg-0.34-0.37-0.32-0.32

Change From Baseline in Neuropathy Impairment Score (NIS) at Weeks 2, 4, 8, 16, 24, 32, 40, 48, 56, 64 and 80

NIS is a standardized instrument used to evaluate participant for signs of peripheral neuropathy. NIS is the sum of scores of 37 items, from both the left and right side, where 24 items scored from 0 (normal) to 4 (paralysis), higher score indicated higher abnormality/impairment and 13 items scored from 0 (normal), 1 (decreased) and 2 (absent), higher score indicated higher impairment. NIS possible overall score ranged from 0 (no impairment) to 244 (maximum impairment), higher scores indicated increased impairment. (NCT02528188)
Timeframe: Baseline, Weeks 2, 4, 8, 16, 24, 32, 40, 48, 56, 64 and 80

,,
Interventionunits on a scale (Mean)
BaselineChange at Week 2Change at Week 4Change at Week 8Change at Week 16Change at Week 24Change at Week 32Change at Week 40Change at Week 48Change at Week 56Change at Week 64Change at Week 80
NSAID1.87-0.15-0.19-0.36-0.47-0.49-0.53-0.53-0.55-0.58-0.57-0.62
Tanezumab 2.5 mg1.85-0.22-0.16-0.27-0.27-0.32-0.37-0.35-0.37-0.35-0.32-0.35
Tanezumab 5 mg1.70-0.13-0.17-0.22-0.31-0.35-0.40-0.43-0.49-0.52-0.47-0.47

Change From Baseline in Patient's Global Assessment (PGA) of Osteoarthritis at Week 64

"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 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." (NCT02528188)
Timeframe: Baseline, Week 64

,,
Interventionunits on a scale (Mean)
BaselineChange at Week 64
NSAID3.44-0.95
Tanezumab 2.5 mg3.49-0.79
Tanezumab 5 mg3.46-0.64

Change From Baseline in Patient's Global Assessment (PGA) of Osteoarthritis at Weeks 2, 4, 8, 24, 32, 40, 48 and 56

"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 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." (NCT02528188)
Timeframe: Baseline, Weeks 2, 4, 8, 24, 32, 40, 48 and 56

,,
Interventionunits on a scale (Least Squares Mean)
Change at Week 2Change at Week 4Change at Week 8Change at Week 24Change at Week 32Change at Week 40Change at Week 48Change at Week 56
NSAID-0.63-0.69-0.76-0.74-0.72-0.69-0.67-0.66
Tanezumab 2.5 mg-0.67-0.81-0.77-0.74-0.72-0.70-0.70-0.65
Tanezumab 5 mg-0.67-0.84-0.85-0.79-0.71-0.69-0.66-0.60

Change From Baseline in Survey of Autonomic Symptom (SAS) Scores at Weeks 24, 56 and 80

The SAS is a 12 item (11 for females) questionnaire, from which the total number of symptoms (0-12 for males and 0-11 for females) is calculated. Each positive symptom is rated from 1 (not at all) to 5 (a lot). The total impact score was the sum of all symptom rating scores, with 0 assigned where the participant did not have the particular symptom. The range for the total impact score is 0-60 for males and 0-55 for females, higher scores indicating higher impact. (NCT02528188)
Timeframe: Baseline, Weeks 24, 56 and 80

,,
Interventionunits on a scale (Mean)
Number of symptoms reported: BaselineNumber of symptoms reported: Change at Week 24Number of symptoms reported: Change at Week 56Number of symptoms reported: Change at Week 80Total symptom impact score: BaselineTotal symptom impact score: Change at Week 24Total symptom impact score: Change at Week 56Total symptom impact score: Change at Week 80
NSAID0.490.110.220.741.130.330.820.89
Tanezumab 2.5 mg0.470.210.280.891.100.660.971.33
Tanezumab 5 mg0.530.180.330.941.230.521.211.31

Change From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Average Score at Week 64

WOMAC: self-administered, disease-specific questionnaire which assesses clinically important, participant-relevant symptoms for pain, stiffness and physical function in participants with OA of index joint (knee or hip). WOMAC pain subscale assess amount of pain experienced (score: 0 [no pain] to 10 [extreme pain], higher score = more pain), WOMAC physical function subscale assess degree of difficulty experienced (score: 0 [no difficulty] to 10 [extreme difficulty], higher score = worse physical function) and WOMAC stiffness subscale assess the amount of stiffness experienced (score: 0 [no stiffness] to 10 [extreme stiffness], higher score = higher stiffness). WOMAC average score was the mean of WOMAC pain, physical function and stiffness subscale scores and ranges from 0 to 10, where higher scores indicated worse response. (NCT02528188)
Timeframe: Baseline, Week 64

,,
Interventionunits on a scale (Mean)
BaselineChange at Week 64
NSAID7.01-3.77
Tanezumab 2.5 mg7.09-3.40
Tanezumab 5 mg7.10-3.09

Change From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Average Score at Weeks 2, 4, 8, 16, 24, 32, 40, 48 and 56

WOMAC: self-administered, disease-specific questionnaire which assesses clinically important, participant-relevant symptoms for pain, stiffness and physical function in participants with OA of index joint (knee or hip). WOMAC pain subscale assess amount of pain experienced (score: 0 [no pain] to 10 [extreme pain], higher score = more pain), WOMAC physical function subscale assess degree of difficulty experienced (score: 0 [no difficulty] to 10 [extreme difficulty], higher score = worse physical function) and WOMAC stiffness subscale assess the amount of stiffness experienced (score: 0 [no stiffness] to 10 [extreme stiffness], higher score = higher stiffness). WOMAC average score was the mean of WOMAC pain, physical function and stiffness subscale scores and ranges from 0 to 10, where higher scores indicated worse response. (NCT02528188)
Timeframe: Baseline, Weeks 2, 4, 8, 16, 24, 32, 40, 48 and 56

,,
Interventionunits on a scale (Least Squares Mean)
Change at Week 2Change at Week 4Change at Week 8Change at Week 16Change at Week 24Change at Week 32Change at Week 40Change at Week 48Change at Week 56
NSAID-1.52-1.95-2.23-3.07-2.64-2.54-2.49-2.44-2.40
Tanezumab 2.5 mg-1.73-2.28-2.44-3.26-2.74-2.65-2.57-2.56-2.45
Tanezumab 5 mg-1.61-2.34-2.71-3.41-2.88-2.69-2.58-2.48-2.38

Change From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Pain Subscale Item: Pain When Going Up or Down Stairs at Week 64

"WOMAC: self-administered, disease-specific questionnaire which assesses clinically important, participant-relevant symptoms for pain, stiffness and physical function in participants with OA in index joint (knee or hip). Participants answered a question: How much pain have you had when going up or down the stairs? Participants responded about the amount of pain they experienced when going up or down stairs by using a NRS of 0 (no pain) to 10 (extreme pain), where higher scores indicated higher pain." (NCT02528188)
Timeframe: Baseline, Week 64

,,
Interventionunits on a scale (Mean)
BaselineChange at Week 64
NSAID7.83-3.70
Tanezumab 2.5 mg7.89-3.28
Tanezumab 5 mg7.88-2.97

Change From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Pain Subscale Item: Pain When Going Up or Down Stairs at Weeks 2, 4, 8, 16, 24, 32, 40, 48 and 56

"WOMAC: self-administered, disease-specific questionnaire which assesses clinically important, participant-relevant symptoms for pain, stiffness and physical function in participants with OA in index joint (knee or hip). Participants answered a question: How much pain have you had when going up or down the stairs? Participants responded about the amount of pain they experienced when going up or down stairs by using a NRS of 0 (no pain) to 10 (extreme pain), where higher scores indicated higher pain." (NCT02528188)
Timeframe: Baseline, Weeks 2, 4, 8, 16, 24, 32, 40, 48 and 56

,,
Interventionunits on a scale (Least Squares Mean)
Change at Week 2Change at Week 4Change at Week 8Change at Week 16Change at Week 24Change at Week 32Change at Week 40Change at Week 48Change at Week 56
NSAID-1.66-2.08-2.40-3.18-2.83-2.74-2.70-2.67-2.55
Tanezumab 2.5 mg-1.81-2.34-2.48-3.34-2.89-2.76-2.69-2.70-2.55
Tanezumab 5 mg-1.66-2.43-2.81-3.50-3.03-2.84-2.74-2.63-2.47

Change From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Pain Subscale Item: Pain When Walking on a Flat Surface at Week 64

"WOMAC: self-administered, disease-specific questionnaire which assesses clinically important, participant-relevant symptoms for pain, stiffness and physical function in participants with OA in index joint (knee or hip). Participants answered a question: How much pain have you had when walking on a flat surface?. Participants responded about the amount of pain they experienced when walking on a flat surface by using a NRS of 0 (no pain) to 10 (extreme pain), where higher scores indicated higher pain." (NCT02528188)
Timeframe: Baseline, Week 64

,,
Interventionunits on a scale (Mean)
BaselineChange at Week 64
NSAID6.86-3.67
Tanezumab 2.5 mg6.86-3.20
Tanezumab 5 mg6.90-2.69

Change From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Pain Subscale Item: Pain When Walking on a Flat Surface at Weeks 2, 4, 8, 16, 24, 32, 40, 48 and 56

"WOMAC: self-administered, disease-specific questionnaire which assesses clinically important, participant-relevant symptoms for pain, stiffness and physical function in participants with OA in index joint (knee or hip). Participants answered a question: How much pain have you had when walking on a flat surface?. Participants responded about the amount of pain they experienced when walking on a flat surface by using a NRS of 0 (no pain) to 10 (extreme pain), where higher scores indicated higher pain." (NCT02528188)
Timeframe: Baseline, Weeks 2, 4, 8, 16, 24, 32, 40, 48 and 56

,,
Interventionunits on a scale (Least Squares Mean)
Change at Week 2Change at Week 4Change at Week 8Change at Week 16Change at Week 24Change at Week 32Change at Week 40Change at Week 48Change at Week 56
NSAID-1.46-1.91-2.22-2.95-2.60-2.52-2.48-2.42-2.39
Tanezumab 2.5 mg-1.54-2.14-2.26-3.01-2.64-2.54-2.48-2.45-2.37
Tanezumab 5 mg-1.39-2.15-2.47-3.13-2.76-2.54-2.42-2.34-2.21

Change From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Stiffness Subscale at Week 64

WOMAC: self-administered, disease-specific questionnaire which assesses clinically important, participant-relevant symptoms for pain, stiffness and physical function in participants with OA. Stiffness was defined as a sensation of decreased ease of movement in the index joint (knee or hip). The WOMAC stiffness subscale is a 2-item questionnaire used to assess the amount of stiffness experienced due to OA in the index joint (knee or hip) during the past 48 hours. It was calculated as the mean of scores from 2 individual questions scored on NRS. Scores for each question and WOMAC stiffness subscale score on NRS ranged from 0 (no stiffness) to 10 (extreme stiffness), where higher scores indicated higher stiffness. (NCT02528188)
Timeframe: Baseline, Week 64

,,
Interventionunits on a scale (Mean)
BaselineChange at Week 64
NSAID7.09-3.66
Tanezumab 2.5 mg7.15-3.31
Tanezumab 5 mg7.20-3.04

Change From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Stiffness Subscale at Weeks 2, 4, 8, 16, 24, 32, 40, 48 and 56

WOMAC: self-administered, disease-specific questionnaire which assesses clinically important, participant-relevant symptoms for pain, stiffness and physical function in participants with OA. Stiffness was defined as a sensation of decreased ease of movement in the index joint (knee or hip). The WOMAC stiffness subscale is a 2-item questionnaire used to assess the amount of stiffness experienced due to OA in the index joint (knee or hip) during the past 48 hours. It was calculated as the mean of scores from 2 individual questions scored on NRS. Scores for each question and WOMAC stiffness subscale score on NRS ranged from 0 (no stiffness) to 10 (extreme stiffness), where higher scores indicated higher stiffness. (NCT02528188)
Timeframe: Baseline, Weeks 2, 4, 8, 16, 24, 32, 40, 48 and 56

,,
Interventionunits on a scale (Least Squares Mean)
Change at Week 2Change at Week 4Change at Week 8Change at Week 16Change at Week 24Change at Week 32Change at Week 40Change at Week 48Change at Week 56
NSAID-1.48-1.95-2.16-3.10-2.63-2.52-2.46-2.44-2.42
Tanezumab 2.5 mg-1.79-2.32-2.46-3.32-2.77-2.68-2.58-2.60-2.46
Tanezumab 5 mg-1.70-2.43-2.79-3.54-2.95-2.74-2.64-2.54-2.46

Change From Baseline in WOMAC Pain Subscale at Week 64

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 scored on a NRS, which may not be a whole (integer) number. 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. (NCT02528188)
Timeframe: Baseline, Week 64

,,
Interventionunits on a scale (Mean)
BaselineChange at Week 64
NSAID6.96-3.85
Tanezumab 2.5 mg7.01-3.47
Tanezumab 5 mg7.02-3.12

Change From Baseline in WOMAC Pain Subscale at Weeks 2, 4, 8, 24, 32, 40, 48 and 56

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 scored on a NRS, which may not be a whole (integer) number. 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. (NCT02528188)
Timeframe: Baseline, Weeks 2, 4, 8, 24, 32, 40, 48 and 56

,,
Interventionunits on scale (Least Squares Mean)
Change at Week 2Change at Week 4Change at Week 8Change at Week 24Change at Week 32Change at Week 40Change at Week 48Change at Week 56
NSAID-1.55-1.98-2.27-2.67-2.57-2.52-2.47-2.42
Tanezumab 2.5 mg-1.65-2.25-2.41-2.73-2.64-2.56-2.54-2.44
Tanezumab 5 mg-1.49-2.29-2.65-2.86-2.68-2.57-2.48-2.37

Change From Baseline in WOMAC Physical Function Subscale at Week 64

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. (NCT02528188)
Timeframe: Baseline, Week 64

,,
Interventionunits on a scale (Mean)
BaselineChange at Week 64
NSAID6.99-3.81
Tanezumab 2.5 mg7.09-3.42
Tanezumab 5 mg7.08-3.12

Change From Baseline in WOMAC Physical Function Subscale at Weeks 2, 4, 8, 24, 32, 40, 48 and 56

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. (NCT02528188)
Timeframe: Baseline, Weeks 2, 4, 8, 24, 32, 40, 48 and 56

,,
Interventionunits on a scale (Least Squares Mean)
Change at Week 2Change at Week 4Change at Week 8Change at Week 24Change at Week 32Change at Week 40Change at Week 48Change at Week 56
NSAID-1.55-1.96-2.27-2.66-2.55-2.50-2.45-2.41
Tanezumab 2.5 mg-1.76-2.29-2.46-2.78-2.66-2.56-2.56-2.45
Tanezumab 5 mg-1.64-2.31-2.69-2.88-2.67-2.57-2.49-2.36

Change From Baseline in Work Productivity and Activity Impairment Questionnaire for Osteoarthritis (WPAI:OA) Scores at Week 64

WPAI is 6-question participant rated questionnaire to determine the impact of OA on absenteeism, presenteeism, work productivity, and daily activity impairment for a period of 7 days prior to a visit. It yields 4 sub-scores: work time missed (absenteeism), impairment while working (presenteeism), overall work impairment (work productivity) and activity impairment (daily activity impairment). These sub-scores are expressed as an impairment percentage (range from 0 to 100), with higher numbers indicating greater impairment and less productivity. (NCT02528188)
Timeframe: Baseline, Week 64

,,
Interventionunits on a scale (Mean)
Baseline: Percent Work Time MissedBaseline: Percent Impairment While WorkingBaseline: Percent Overall Work ImpairmentBaseline: Percent Activity ImpairmentChange at Week 64: Percent Work Time MissedChange at Week 64:Percent Impairment While WorkingChange at Week 64: Percent Overall Work ImpairmentChange at Week 64: Percent Activity Impairment
NSAID5.259.360.666.7-2.1-26.5-27.0-32.1
Tanezumab 2.5 mg6.160.562.168.3-1.8-24.2-24.5-28.7
Tanezumab 5 mg6.058.360.067.94.1-20.7-19.2-24.1

Change From Baseline in Work Productivity and Activity Impairment Questionnaire for Osteoarthritis (WPAI:OA) Scores at Weeks 16, 24 and 56

WPAI is 6-question participant rated questionnaire to determine the impact of OA on absenteeism, presenteeism, work productivity, and daily activity impairment for a period of 7 days prior to a visit. It yields 4 sub-scores: work time missed (absenteeism), impairment while working (presenteeism), overall work impairment (work productivity) and activity impairment (daily activity impairment). These sub-scores are expressed as an impairment percentage (range from 0 to 100), with higher numbers indicating greater impairment and less productivity. (NCT02528188)
Timeframe: Weeks 16, 24 and 56

,,
Interventionunits on a scale (Least Squares Mean)
Change at Week 16: Percent Work Time MissedChange at Week 16:Percent Impairment While WorkingChange at Week 16: Percent Overall Work ImpairmentChange at Week 16: Percent Activity ImpairmentChange at Week 24: Percent Work Time MissedChange at Week 24:Percent Impairment While WorkingChange at Week 24: Percent Overall Work ImpairmentChange at Week 24: Percent Activity ImpairmentChange at Week 56: Percent Work Time MissedChange at Week 56:Percent Impairment While WorkingChange at Week 56: Percent Overall Work ImpairmentChange at Week 56: Percent Activity Impairment
NSAID-2.92-26.59-27.04-29.38-2.73-25.15-25.90-29.76-0.81-34.59-34.26-36.17
Tanezumab 2.5 mg-2.33-28.07-28.67-30.59-2.70-25.34-26.05-29.88-0.12-31.49-31.21-34.47
Tanezumab 5 mg-3.35-26.94-27.51-31.36-2.19-26.66-27.33-30.53-1.84-29.92-29.29-32.91

European Quality of Life-5 Dimensions-5 Levels (EQ-5D-5L) Overall Health Utility Score/Index Value

EQ-5D-5L: standardized participant completed questionnaire that measures health-related quality of life and translates that score into an index value or utility score. EQ-5D-5L consists of two components: a health state profile and an optional VAS. EQ-5D health state profile comprises of 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 levels: 1=no problems, 2=slight problems, 3=moderate problems, 4=severe problems, and 5=extreme problems. Responses from the five domains were used to calculate a single utility index (the Overall health utility score) where values are less than or equal to (<=) 1. The Overall health utility score for a participant with no problems in all 5 items is 1 for all countries (except for Zimbabwe where it is 0.9), and is reduced where a participant reports greater levels of problems across the five dimensions. (NCT02528188)
Timeframe: Baseline, Weeks 8, 16, 24, 40, 56 and 64

,,
Interventionunits on a scale (Mean)
BaselineWeek 8Week 16Week 24Week 40Week 56Week 64
NSAID0.620.740.770.770.800.790.75
Tanezumab 2.5 mg0.610.740.770.760.790.780.72
Tanezumab 5 mg0.610.750.780.760.780.770.69

Health Care Resource Utilization (HCRU): Duration Since Quitting Job Due to Osteoarthritis

OA HCRU assessed healthcare usage during the last 3 months (for Baseline and Week 80) and past 8 weeks (for Week 64). Domain evaluated was duration since quitting job due to OA. (NCT02528188)
Timeframe: Baseline, Weeks 64 and 80

,,
Interventionyears (Median)
BaselineWeek 64Week 80
NSAID2.44.01.8
Tanezumab 2.5 mg2.02.42.0
Tanezumab 5 mg1.81.82.0

Health Care Resource Utilization (HCRU): Number of Nights Stayed in the Hospital Due to Osteoarthritis

OA HCRU assessed healthcare usage during the last 3 months (for Baseline and Week 80) and past 8 weeks (for Week 64). Domain evaluated was number of nights stayed in the hospital due to OA. (NCT02528188)
Timeframe: Baseline, Weeks 64 and 80

Interventionnights (Median)
BaselineWeek 64
NSAID11.02.0

Health Care Resource Utilization (HCRU): Number of Nights Stayed in the Hospital Due to Osteoarthritis

OA HCRU assessed healthcare usage during the last 3 months (for Baseline and Week 80) and past 8 weeks (for Week 64). Domain evaluated was number of nights stayed in the hospital due to OA. (NCT02528188)
Timeframe: Baseline, Weeks 64 and 80

,
Interventionnights (Median)
BaselineWeek 64Week 80
Tanezumab 2.5 mg12.02.02.0
Tanezumab 5 mg9.02.02.0

Health Care Resource Utilization (HCRU): Number of Participants Hospitalized Due to Osteoarthritis

OA HCRU assessed healthcare usage during the last 3 months (for Baseline and Week 80) and past 8 weeks (for Week 64). Domain evaluated was number of participants who were hospitalized due to OA. (NCT02528188)
Timeframe: Baseline, Weeks 64 and 80

,,
InterventionParticipants (Count of Participants)
BaselineWeek 64Week 80
NSAID160
Tanezumab 2.5 mg1158
Tanezumab 5 mg61112

Health Care Resource Utilization (HCRU): Number of Participants Who Quit Job Due to Osteoarthritis

OA HCRU assessed healthcare usage during the last 3 months (for Baseline and Week 80) and past 8 weeks (for Week 64). Domain evaluated was number of participants who quit job due to OA. (NCT02528188)
Timeframe: Baseline, Weeks 64 and 80

,,
InterventionParticipants (Count of Participants)
BaselineWeek 64Week 80
NSAID65266
Tanezumab 2.5 mg472812
Tanezumab 5 mg553518

Health Care Resource Utilization (HCRU): Number of Participants Who Visited the Emergency Room Due to Osteoarthritis

OA HCRU assessed healthcare usage during the last 3 months (for Baseline and Week 80) and past 8 weeks (for Week 64). Domain evaluated was number of participants who visited the emergency room due to OA. (NCT02528188)
Timeframe: Baseline, Weeks 64 and 80

,,
InterventionParticipants (Count of Participants)
BaselineWeek 64Week 80
NSAID1152
Tanezumab 2.5 mg15104
Tanezumab 5 mg23155

Health Care Resource Utilization (HCRU): Number of Visits of Services Directly Related to Osteoarthritis

OA HCRU assessed healthcare usage during the last 3 months (for Baseline and Week 80) and past 8 weeks (for Week 64). Visits of services directly related to OA evaluated were: visits to primary care physician, neurologist, rheumatologist, physician assistant or nurse practitioner, pain specialist, orthopedist, physical therapist, chiropractor, alternative medicine or therapy, podiatrist, nutritionist/dietitian, radiologist, home healthcare services and other practitioner. (NCT02528188)
Timeframe: Baseline, Weeks 64 and 80

,,
Interventionvisits (Median)
Baseline: Primary Care PhysicianBaseline: NeurologistBaseline: RheumatologistBaseline:Physician Assistant or Nurse PractitionerBaseline: Pain SpecialistBaseline: OrthopedistBaseline: Physical TherapistBaseline: ChiropractorBaseline: Alternative Medicine or TherapyBaseline: PodiatristBaseline: Nutritionist/DietitianBaseline: RadiologistBaseline: Home Healthcare ServicesBaseline: Other PractitionerWeek 64: Primary Care PhysicianWeek 64: NeurologistWeek 64: RheumatologistWeek 64: Physician Assistant Or Nurse PractitionerWeek 64: Pain SpecialistWeek 64: OrthopedistWeek 64: Physical TherapistWeek 64: ChiropractorWeek 64: Alternative Medicine or TherapyWeek 64: PodiatristWeek 64: Nutritionist/DietitianWeek 64: RadiologistWeek 64: Home Healthcare ServicesWeek 64: Other PractitionerWeek 80: Primary Care PhysicianWeek 80: NeurologistWeek 80: RheumatologistWeek 80: Physician Assistant or Nurse PractitionerWeek 80: Pain SpecialistWeek 80: OrthopedistWeek 80: Physical TherapistWeek 80: ChiropractorWeek 80: Alternative Medicine or TherapyWeek 80: PodiatristWeek 80: Nutritionist/DietitianWeek 80: RadiologistWeek 80: Home Healthcare ServicesWeek 80: Other Practitioner
NSAID1.01.02.01.01.02.03.03.02.01.01.01.03.02.01.01.01.02.01.01.03.03.02.01.01.01.05.01.01.01.01.01.01.01.03.03.02.03.01.01.01.01.0
Tanezumab 2.5 mg1.01.01.01.01.02.04.03.02.01.01.01.02.02.01.01.01.01.01.01.04.03.01.01.02.01.04.01.01.01.01.01.01.51.58.03.03.51.01.01.02.51.0
Tanezumab 5 mg1.01.02.01.02.01.03.03.02.01.01.01.01.02.01.01.01.01.01.01.04.52.02.01.01.01.04.01.01.01.01.01.02.01.05.54.51.01.01.51.04.01.0

Health Care Resource Utilization (HCRU): Number of Visits to the Emergency Room Due to Osteoarthritis

Osteoarthritis HCRU assessed healthcare usage during the last 3 months (for Baseline and Week 80) and past 8 weeks (for Week 64). Domain evaluated was number of visits to the emergency room due to OA. (NCT02528188)
Timeframe: Baseline, Weeks 64 and 80

,,
Interventionvisits (Median)
BaselineWeek 64Week 80
NSAID1.01.01.0
Tanezumab 2.5 mg1.01.01.0
Tanezumab 5 mg1.01.03.0

Number of Days of Rescue Medication Used During Weeks 2, 4, 8, 16, 24, 32, 40, 48 and 56

In case of inadequate pain relief during the treatment period, acetaminophen/paracetamol up to 3000 mg per day and up to 3 days in a week between baseline and Week 16, and 3000 mg per day and up to 7 days per week between Week 16 and 64 could be taken as rescue medication. Number of days the participants used the rescue medication during the particular study weeks were summarized. (NCT02528188)
Timeframe: Weeks 2, 4, 8, 16, 24, 32, 40, 48 and 56

,,
Interventiondays (Least Squares Mean)
Week 2Week 4Week 8Week 16Week 24Week 32Week 40Week 48Week 56
NSAID2.261.861.651.391.651.781.761.741.74
Tanezumab 2.5 mg2.311.801.651.291.561.671.701.681.73
Tanezumab 5 mg2.291.701.421.251.561.661.711.761.85

Number of Participants Who Took Rescue Medication During Weeks 2, 4, 8, 16, 24, 32, 40, 48 and 56

In case of inadequate pain relief, acetaminophen/paracetamol up to 3000 mg per day and up to 3 days in a week between baseline and Week 16, and 3000 mg per day and up to 7 days per week between Week 16 and 64 could be taken as rescue medication. Number of participants with any use of rescue medication during the particular study week were summarized. (NCT02528188)
Timeframe: Weeks 2, 4, 8, 16, 24, 32, 40, 48 and 56

,,
InterventionParticipants (Count of Participants)
Week 2Week 4Week 8Week 16Week 24Week 32Week 40Week 48Week 56
NSAID527469418352384390388389397
Tanezumab 2.5 mg567481433353372391391391391
Tanezumab 5 mg548437377330358380388393408

Number of Participants With Anti-Tanezumab Antibodies

Human serum anti-drug antibody (ADA) samples were analyzed for the presence or absence of anti-tanezumab antibodies by using a semi quantitative enzyme linked immunosorbent assay (ELISA). (NCT02528188)
Timeframe: Baseline, Weeks 8, 16, 32, 48, 56, 64 and 80

,
InterventionParticipants (Count of Participants)
BaselineWeek 8Week 16Week 32Week 48Week 56Week 64Week 80
Tanezumab 2.5 mg1161209810896826950
Tanezumab 5 mg8393838178666042

Number of Participants With Confirmed Orthostatic Hypotension

Orthostatic hypotension was defined as postural change (supine to standing) that met the following criteria: For systolic BP <=150 mmHg (mean supine): Reduction in systolic BP>=20 mmHg or reduction in diastolic BP>=10 mmHg at the 1 and/or 3 minute standing BP measurements. For systolic BP >150 mmHg (mean supine): Reduction in systolic BP>=30 mmHg or reduction in diastolic BP>=15 mmHg at the 1 and/or 3 minute standing BP measurements. If the 1 minute or 3 minute standing BP in a sequence met the orthostatic hypotension criteria, then that sequence was considered positive. If 2 of 2 or 2 of 3 sequences were positive, then orthostatic hypotension was considered confirmed. (NCT02528188)
Timeframe: Baseline, Weeks 2, 4, 8, 16, 24, 32, 40, 48, 56, 64 and 80

,,
InterventionParticipants (Count of Participants)
BaselineWeek 2Week 4Week 8Week 16Week 24Week 32Week 40Week 48Week 56Week 64Week 80
NSAID122101010130
Tanezumab 2.5 mg021010212100
Tanezumab 5 mg341211212111

Number of Participants With Progression of Osteoarthritis in the Index Hip (Kellgren-Lawrence Grade 2 or 3) According to Bland and Altman Method at Weeks 56 and 80

Progression of OA according to Bland-Altman methodology as defined by a decrease in JSW >=1.96 times within-participant standard deviation of the change in JSW in the index hip. The number of participants with progression of OA in the index hip per Bland-Altman methodology are reported. Kellgren-Lawrence grade system was a method of classifying the severity of hip OA using five grades i.e. 0 (no radiographic features of OA), 1 (doubtful JSN and possible osteophytic lipping), 2 (definite osteophytes and possible JSN on anteroposterior weight-bearing radiograph), 3 (multiple osteophytes, definite JSN, sclerosis, possible bony deformity), 4 (large osteophytes, marked JSN, severe sclerosis and definite bony deformity). Higher grade indicating worse hip function. (NCT02528188)
Timeframe: Weeks 56 and 80

,,
InterventionParticipants (Count of Participants)
Week 56Week 80
NSAID33
Tanezumab 2.5 mg109
Tanezumab 5 mg109

Number of Participants With Progression of Osteoarthritis in the Index Knee (Kellgren-Lawrence Grade 2 or 3) According to Bland and Altman Method at Weeks 56 and 80

Progression of OA according to Bland-Altman as defined by a decrease JSW >=1.96 times within-participant standard deviation of change in JSW. The number of participants with progression of OA in the index knee are summarized separately by the compartment of OA at baseline (medial or lateral). Kellgren-Lawrence grade system was a method of classifying the severity of knee OA using five grades i.e. 0 [no radiographic features of OA], 1 [doubtful joint space narrowing (JSN) and possible osteophytic lipping], 2 [definite osteophytes and possible JSN on anteroposterior weight-bearing radiograph], 3 [multiple osteophytes, definite JSN, sclerosis, possible bony deformity], 4 [large osteophytes, marked JSN, severe sclerosis and definite bony deformity]. Higher grade indicating worse knee function. (NCT02528188)
Timeframe: Weeks 56 and 80

,,
InterventionParticipants (Count of Participants)
Decreased medial JSW at Week 56Decreased medial JSW at Week 80Decreased lateral JSW at Week 56Decreased lateral JSW at Week 80
NSAID201697
Tanezumab 2.5 mg332959
Tanezumab 5 mg433884

Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)

An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. SAE was an AE resulting in any of the 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 were events between first dose of study drug and up to Week 80 that were absent before treatment or that worsened relative to pre-treatment state. AEs included both serious and non-serious AEs. Clinically significant physical examination abnormalities were reported as AEs. (NCT02528188)
Timeframe: Baseline up to Week 80

,,
InterventionParticipants (Count of Participants)
AEsSAEs
NSAID66666
Tanezumab 2.5 mg68178
Tanezumab 5 mg744110

Number of Participants With Treatment-Related Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)

Treatment-related AE was any untoward medical occurrence attributed to study drug in a participant who received study drug. SAE was an AE resulting in any of the 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 were events between first dose of study drug and up to Week 80 that were absent before treatment or that worsened relative to pre-treatment state. Relatedness to study drug was assessed by the investigator. (NCT02528188)
Timeframe: Baseline up to Week 80

,,
InterventionParticipants (Count of Participants)
Treatment Related AEsTreatment Related SAEs
NSAID1797
Tanezumab 2.5 mg1907
Tanezumab 5 mg25020

Observation Time-Adjusted Event Rate of Participants With Individual Adjudicated Joint Safety Outcome

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). Individual joint safety outcome included rapidly progressive OA (type-1 only), rapidly progressive OA (type-2 only), rapidly progressive OA (type-1 or type-2 combined), subchondral insufficiency fracture, primary osteonecrosis, and pathological fracture. Event rate was calculated as the number of events per 1000 participant-years at risk. (NCT02528188)
Timeframe: Baseline up to Week 80

,,
Interventionevents per 1000 participant-years (Number)
Rapidly Progressive OA Type 1 or 2Rapidly Progressive OA Type 1Rapidly Progressive OA Type 2Primary OsteonecrosisPathological FractureSubchondral Insufficiency Fracture
NSAID11.910.91.0003.9
Tanezumab 2.5 mg31.428.42.91.005.8
Tanezumab 5 mg63.349.113.91.006.9

Percentage of Participants Achieving Improvement of >=2 Points in Patient's Global Assessment (PGA) of Osteoarthritis at Weeks 2, 4, 8, 16, 24, 32, 40, 48, 56 and 64

"PGA of OA was assessed by asking a question from participants: Considering all the ways your OA in your knee or hip 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 worse condition. Percentage of participants with improvement of at least 2 points from baseline in PGA of OA were reported. Missing data was imputed using mixed BOCF/LOCF." (NCT02528188)
Timeframe: Weeks 2, 4, 8, 16, 24, 32, 40, 48, 56 and 64

,,
Interventionpercentage of participants (Number)
Week 2Week 4Week 8Week 16Week 24Week 32Week 40Week 48Week 56Week 64
NSAID11.615.919.028.223.723.621.021.120.825.8
Tanezumab 2.5 mg14.621.421.929.123.423.721.722.021.021.1
Tanezumab 5 mg15.622.423.730.324.822.321.721.719.717.4

Percentage of Participants Achieving Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Pain Subscale Reduction >=30 Percent (%), >=50%, >=70% and >=90% Response at Weeks 2, 4, 8, 16, 24, 32, 40, 48, 56 and 64

Percentage of participants with reduction in WOMAC pain intensity of >= 30%, 50%, 70% and 90% at Weeks 2, 4, 8, 16, 24, 32, 40, 48, 56 and 64 compared to baseline were classified as responders to WOMAC pain subscale and are reported here. 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 scored on a 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. Missing data was imputed using mixed BOCF/LOCF. (NCT02528188)
Timeframe: Weeks 2, 4, 8, 16, 24, 32, 40, 48, 56 and 64

,,
Interventionpercentage of participants (Number)
Week 2: At least 30% reductionWeek 2: At least 50% reductionWeek 2: At least 70% reductionWeek 2: At least 90% reductionWeek 4: At least 30% reductionWeek 4: At least 50% reductionWeek 4: At least 70% reductionWeek 4: At least 90% reductionWeek 8: At least 30% reductionWeek 8: At least 50% reductionWeek 8: At least 70% reductionWeek 8: At least 90% reductionWeek 16: At least 30% reductionWeek 16: At least 50% reductionWeek 16: At least 70% reductionWeek 16: At least 90% reductionWeek 24: At least 30% reductionWeek 24: At least 50% reductionWeek 24: At least 70% reductionWeek 24: At least 90% reductionWeek 32: At least 30% reductionWeek 32: At least 50% reductionWeek 32: At least 70% reductionWeek 32: At least 90% reductionWeek 40: At least 30% reductionWeek 40: At least 50% reductionWeek 40: At least 70% reductionWeek 40: At least 90% reductionWeek 48: At least 30% reductionWeek 48: At least 50% reductionWeek 48: At least 70% reductionWeek 48: At least 90% reductionWeek 56: At least 30% reductionWeek 56: At least 50% reductionWeek 56: At least 70% reductionWeek 56: At least 90% reductionWeek 64: At least 30% reductionWeek 64: At least 50% reductionWeek 64: At least 70% reductionWeek 64: At least 90% reduction
NSAID32.414.76.21.844.424.911.93.154.132.615.94.268.951.528.88.559.447.529.011.556.346.327.410.054.846.029.310.454.244.428.510.652.743.527.510.181.360.234.212.6
Tanezumab 2.5 mg34.817.87.72.450.230.414.54.355.936.819.34.771.854.928.910.359.449.330.810.356.847.431.210.355.747.230.010.854.646.229.610.353.144.328.210.173.055.431.19.6
Tanezumab 5 mg30.516.57.12.549.530.516.44.959.039.322.46.672.956.535.012.761.149.433.813.355.745.831.512.954.645.230.412.052.943.229.411.451.241.527.010.569.047.324.37.9

Percentage of Participants Achieving Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Physical Function Subscale Reduction of >=30%, >=50%, >=70% and >=90% Response at Weeks 2, 4, 8, 16, 24, 32, 40, 48, 56 and 64

Percentage of participants with reduction in WOMAC physical function of >=(30%,50%,70%,90%) at Weeks 2,4,8,16,24,32,40,48,56 and 64 compared to baseline were classified as responders to WOMAC physical function subscale. 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:Participant's ability to move around and perform usual activities of daily living. WOMAC physical function subscale17-item questionnaire used to assess the degree of difficulty experienced due to OA in index joint (knee/hip) during past 48 hours, calculated as mean of the scores from 17 individual questions scored on a NRS. Scores for each question and WOMAC physical subscale on NRS ranged from 0 (no difficulty) to 10 (extreme difficulty), where higher scores indicated extreme difficulty/worse physical function. Missing data was imputed using mixed BOCF/LOCF. (NCT02528188)
Timeframe: Weeks 2, 4, 8, 16, 24, 32, 40, 48, 56 and 64

,,
Interventionpercentage of participants (Number)
Week 2: At least 30% reductionWeek 2: At least 50% reductionWeek 2: At least 70% reductionWeek 2: At least 90% reductionWeek 4: At least 30% reductionWeek 4: At least 50% reductionWeek 4: At least 70% reductionWeek 4: At least 90% reductionWeek 8: At least 30% reductionWeek 8: At least 50% reductionWeek 8: At least 70% reductionWeek 8: At least 90% reductionWeek 16: At least 30% reductionWeek 16: At least 50% reductionWeek 16: At least 70% reductionWeek 16: At least 90% reductionWeek 24: At least 30% reductionWeek 24: At least 50% reductionWeek 24: At least 70% reductionWeek 24: At least 90% reductionWeek 32: At least 30% reductionWeek 32: At least 50% reductionWeek 32: At least 70% reductionWeek 32: At least 90% reductionWeek 40: At least 30% reductionWeek 40: At least 50% reductionWeek 40: At least 70% reductionWeek 40: At least 90% reductionWeek 48: At least 30% reductionWeek 48: At least 50% reductionWeek 48: At least 70% reductionWeek 48: At least 90% reductionWeek 56: At least 30% reductionWeek 56: At least 50% reductionWeek 56: At least 70% reductionWeek 56: At least 90% reductionWeek 64: At least 30% reductionWeek 64: At least 50% reductionWeek 64: At least 70% reductionWeek 64: At least 90% reduction
NSAID31.715.45.81.743.223.111.22.655.031.414.14.468.150.127.99.759.046.827.89.855.944.726.89.454.945.027.69.554.643.426.19.452.942.526.09.078.258.933.913.3
Tanezumab 2.5 mg35.820.08.32.149.031.115.54.656.036.618.75.871.653.129.910.759.549.930.411.056.747.229.711.055.545.529.510.354.545.329.110.252.044.126.99.371.452.931.49.4
Tanezumab 5 mg32.117.08.23.249.131.315.85.459.540.021.37.171.855.834.313.461.348.232.713.056.645.730.213.155.545.029.113.253.343.527.912.051.141.326.410.568.044.622.97.9

Percentage of Participants Meeting Outcome Measures in Arthritis Clinical Trials-Osteoarthritis Research Society International (OMERACT-OARSI) Responder Index at Weeks 2, 4, 8, 16, 24, 32, 40, 48, 56 and 64

Participants were considered as OMERACT-OARSI responders: if the change (improvement) from baseline to week of interest was >=50 percent and >= 2 units in either WOMAC pain subscale or physical function subscale score; if change (improvement) from baseline to week of interest was >=20 percent and >=1 unit in at least 2 of the following: 1) WOMAC pain subscale score, 2) WOMAC physical function subscale score, 3) PGA of OA. WOMAC pain subscale assess amount of pain experienced (score: 0 [no pain] to 10 [extreme pain], higher score = more pain), WOMAC physical function subscale assess degree of difficulty experienced (score: 0 [no difficulty] to 10 [extreme difficulty], higher score = worse physical function) and PGA of OA (score: 1 [very good] to 5 [very poor], higher score = worse condition). Missing data was imputed using mixed baseline/last observation carried forward (BOCF/LOCF). (NCT02528188)
Timeframe: Weeks 2, 4, 8, 16, 24, 32, 40, 48, 56 and 64

,,
Interventionpercentage of participants (Number)
Week 2Week 4Week 8Week 16Week 24Week 32Week 40Week 48Week 56Week 64
NSAID44.856.464.475.161.358.658.257.356.086.5
Tanezumab 2.5 mg46.762.667.578.262.459.258.457.456.579.2
Tanezumab 5 mg43.762.770.378.364.859.958.756.254.575.2

Percentage of Participants With Cumulative Percent Change From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Pain Subscale at Weeks 16, 24 and 56

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 during past 48 hours. It was calculated as the mean of scores from 5 individual questions scored on a 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. Percentage of participants with cumulative reduction (as percent) (greater than [>] 0% ; >= 10, 20, 30, 40, 50, 60, 70, 80 and 90%; = 100 %) in WOMAC pain subscale from Baseline to Weeks 16, 24 and 56 were reported, participants (%) are reported more than once in categories specified. Missing data was imputed using mixed BOCF/LOCF. (NCT02528188)
Timeframe: Baseline, Weeks 16, 24 and 56

,,
Interventionpercentage of participants (Number)
Week 16: >0%Week 16: >=10%Week 16: >=20%Week 16: >=30%Week 16: >=40%Week 16: >=50%Week 16: >=60%Week 16: >=70%Week 16: >=80%Week 16: >=90%Week 16: =100%Week 24: >0%Week 24: >=10%Week 24: >=20%Week 24: >=30%Week 24: >=40%Week 24: >=50%Week 24: >=60%Week 24: >=70%Week 24: >=80%Week 24: >=90%Week 24: =100%Week 56: >0%Week 56: >=10%Week 56: >=20%Week 56: >=30%Week 56: >=40%Week 56: >=50%Week 56: >=60%Week 56: >=70%Week 56: >=80%Week 56: >=90%Week 56: =100%
NSAID87.182.875.868.959.951.538.828.818.88.53.364.863.462.159.454.747.538.129.020.211.53.459.758.156.352.748.643.536.327.518.610.14.1
Tanezumab 2.5 mg89.585.078.171.863.754.940.928.919.410.34.466.764.962.259.455.249.340.730.820.610.33.960.859.155.953.148.644.337.028.218.910.14.5
Tanezumab 5 mg87.682.878.372.963.556.544.835.023.912.73.968.266.465.261.155.749.441.233.824.013.34.559.157.054.851.246.841.533.827.019.110.55.3

Percentage of Participants With Cumulative Percent Change From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Physical Function Subscale at Weeks 16, 24 and 56

Percentage of participants with cumulative reduction (as percent) (> 0 %; >= 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80% and 90%; =100%) in WOMAC physical function subscale from baseline to Weeks 16, 24 and 56 were reported. 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: participant's ability to move around and perform usual activities of daily living. WOMAC physical function subscale:17-item questionnaire to assess the degree of difficulty experienced due to OA in index joint (knee or hip) during past 48 hours, calculated as mean of the scores from 17 individual questions scored on a NRS. Scores for each question and WOMAC Pain subscale on NRS ranged from 0 (no difficulty) to 10 (extreme difficulty), higher scores indicate extreme difficulty/worse physical function. Missing data was imputed using mixed BOCF/LOCF. (NCT02528188)
Timeframe: Baseline, Weeks 16, 24 and 56

,,
Interventionpercentage of participants (Number)
Week 16: >0%Week 16: >=10%Week 16: >=20%Week 16: >=30%Week 16: >=40%Week 16: >=50%Week 16: >=60%Week 16: >=70%Week 16: >=80%Week 16: >=90%Week 16: =100%Week 24: >0%Week 24: >=10%Week 24: >=20%Week 24: >=30%Week 24: >=40%Week 24: >=50%Week 24: >=60%Week 24: >=70%Week 24: >=80%Week 24: >=90%Week 24: =100%Week 56: >0%Week 56: >=10%Week 56: >=20%Week 56: >=30%Week 56: >=40%Week 56: >=50%Week 56: >=60%Week 56: >=70%Week 56: >=80%Week 56: >=90%Week 56: =100%
NSAID87.481.473.768.161.050.139.827.917.99.72.065.063.360.859.053.946.837.727.818.99.82.760.157.855.452.948.942.534.826.017.49.03.3
Tanezumab 2.5 mg90.085.078.471.663.753.141.429.920.810.72.966.765.062.659.554.949.941.330.419.911.03.061.159.356.152.048.544.136.726.917.19.32.9
Tanezumab 5 mg88.883.977.371.864.155.844.734.324.413.43.368.666.664.261.356.048.242.032.722.613.03.259.557.354.351.146.341.334.626.417.110.53.6

Percentage of Participants With Individual Adjudicated Joint Safety Outcome

Any participant with incidence of an adjudicated outcome of rapidly progressive OA (type-1 only), rapidly progressive OA (type-2 only), rapidly progressive OA (type-1 or type-2 combined), subchondral insufficiency fracture, primary osteonecrosis, and pathological fracture. Rapidly progressive OA type 1 events were those that the Adjudication Committee considered to have significant loss of JSW >=2 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. (NCT02528188)
Timeframe: Baseline up to Week 80

,,
Interventionpercentage of participants (Number)
Rapidly Progressive OA Type 1 or 2Rapidly Progressive OA type 1Rapidly Progressive OA type 2Primary OsteonecrosisPathological FractureSubchondral Insufficiency Fracture
NSAID1.21.10.1000.4
Tanezumab 2.5 mg3.22.90.30.100.6
Tanezumab 5 mg6.34.91.40.100.7

Treatment Satisfaction Questionnaire Medicine Version II (TSQM v.II) Score With Effectiveness, Side Effects, Convenience, and Overall Satisfaction Responses

TSQM v.II is a self-administered 11-item validated scale that quantified participant's level of satisfaction with study medication (scored on a 7-point Likert scale [1= extremely dissatisfied, 2=very dissatisfied, 3=dissatisfied, 4=somewhat satisfied, 5=satisfied, 6=very satisfied, 7=extremely satisfied]) and dissatisfaction with side effects (3 questions scored on 5 point Likert scale [1= extremely dissatisfied, 2=very dissatisfied, 3=somewhat dissatisfied, 4=slightly dissatisfied, 5=not at all dissatisfied] and 1 question on 2 point scale [0 =No, 1=Yes]). Participants were asked to assess their level of satisfaction taking all things into account. The 11 questions of the TSQM were used to calculate the 4 endpoints of effectiveness, side Effects, convenience and global satisfaction, each scored on a 0-100 scale with 100 being the best level of satisfaction. (NCT02528188)
Timeframe: Weeks 16 and 56

,,
Interventionunits on a scale (Least Squares Mean)
Week 16: EffectivenessWeek 16: Side EffectsWeek 16: ConvenienceWeek 16: Global SatisfactionWeek 56: EffectivenessWeek 56: Side EffectsWeek 56: ConvenienceWeek 56: Global Satisfaction
NSAID61.6171.0373.7067.1367.6471.3476.1873.37
Tanezumab 2.5 mg64.2668.6175.5070.3269.7978.6278.0375.31
Tanezumab 5 mg66.2773.3275.7870.6967.9162.0077.6773.37

Health Care Resource Utilization (HCRU): Number of Participants Who Used Any Aids/Devices for Doing Things Due to Osteoarthritis

OA HCRU assessed healthcare usage during the last 3 months (for Baseline and Week 80) and past 8 weeks (for Week 64). Domain evaluated was number of participants who used any aids/devices for doing things. Aids such as walking aid, wheelchair, device or utensil for dress/bathe/eat and any other aids/devices. (NCT02528188)
Timeframe: Baseline, Weeks 64 and 80

InterventionParticipants (Count of Participants)
Baseline: Walking Aid Use72578291Baseline: Walking Aid Use72578290Baseline: Walking Aid Use72578289Baseline: Wheelchair Use72578291Baseline: Wheelchair Use72578289Baseline: Wheelchair Use72578290Baseline: Device/Utensil to Dress Bathe Eat72578289Baseline: Device/Utensil to Dress Bathe Eat72578291Baseline: Device/Utensil to Dress Bathe Eat72578290Baseline: Other Aids Or Devices72578289Baseline: Other Aids Or Devices72578290Baseline: Other Aids Or Devices72578291Week 64: Walking Aid Use72578290Week 64: Walking Aid Use72578289Week 64: Walking Aid Use72578291Week 64: Wheelchair Use72578291Week 64: Wheelchair Use72578290Week 64: Wheelchair Use72578289Week 64: Device/Utensil to Dress Bathe Eat72578291Week 64: Device/Utensil to Dress Bathe Eat72578289Week 64: Device/Utensil to Dress Bathe Eat72578290Week 64: Other Aids Or Devices72578289Week 64: Other Aids Or Devices72578291Week 64: Other Aids Or Devices72578290Week 80: Walking Aid Use72578289Week 80: Walking Aid Use72578291Week 80: Walking Aid Use72578290Week 80: Wheelchair Use72578291Week 80: Wheelchair Use72578289Week 80: Wheelchair Use72578290Week 80: Device/Utensil to Dress Bathe Eat72578290Week 80: Device/Utensil to Dress Bathe Eat72578289Week 80: Device/Utensil to Dress Bathe Eat72578291Week 80: Other Aids Or Devices72578291Week 80: Other Aids Or Devices72578289Week 80: Other Aids Or Devices72578290
NeverRarelySometimesAlwaysOften
Tanezumab 2.5 mg852
Tanezumab 5 mg838
NSAID851
Tanezumab 5 mg18
NSAID24
Tanezumab 2.5 mg71
Tanezumab 5 mg69
NSAID75
Tanezumab 2.5 mg32
Tanezumab 5 mg43
NSAID26
Tanezumab 5 mg29
NSAID19
Tanezumab 2.5 mg992
Tanezumab 5 mg989
NSAID988
NSAID1
Tanezumab 2.5 mg970
Tanezumab 5 mg976
NSAID977
NSAID0
Tanezumab 2.5 mg7
NSAID6
Tanezumab 2.5 mg16
NSAID7
Tanezumab 2.5 mg6
NSAID5
Tanezumab 2.5 mg932
Tanezumab 5 mg935
NSAID921
NSAID9
Tanezumab 2.5 mg27
NSAID41
NSAID14
NSAID10
Tanezumab 2.5 mg662
Tanezumab 5 mg662
NSAID714
Tanezumab 2.5 mg21
Tanezumab 5 mg9
NSAID12
Tanezumab 2.5 mg48
Tanezumab 5 mg47
NSAID37
Tanezumab 2.5 mg20
Tanezumab 5 mg30
NSAID17
Tanezumab 2.5 mg22
Tanezumab 5 mg34
Tanezumab 2.5 mg765
Tanezumab 5 mg776
NSAID794
Tanezumab 2.5 mg760
Tanezumab 5 mg768
NSAID792
NSAID2
Tanezumab 2.5 mg733
Tanezumab 5 mg720
NSAID771
NSAID11
Tanezumab 2.5 mg19
Tanezumab 5 mg26
NSAID8
Tanezumab 5 mg20
Tanezumab 5 mg7
NSAID3
Tanezumab 2.5 mg373
Tanezumab 5 mg322
NSAID386
Tanezumab 2.5 mg12
Tanezumab 5 mg10
Tanezumab 2.5 mg25
Tanezumab 5 mg25
Tanezumab 2.5 mg14
Tanezumab 5 mg17
Tanezumab 2.5 mg8
Tanezumab 5 mg22
Tanezumab 2.5 mg430
Tanezumab 5 mg389
NSAID421
Tanezumab 2.5 mg0
Tanezumab 2.5 mg1
Tanezumab 5 mg1
Tanezumab 2.5 mg425
Tanezumab 5 mg383
NSAID422
Tanezumab 5 mg0
Tanezumab 5 mg6
Tanezumab 2.5 mg3
Tanezumab 5 mg5
Tanezumab 5 mg2
Tanezumab 2.5 mg416
Tanezumab 5 mg375
NSAID410
Tanezumab 2.5 mg4
NSAID4
Tanezumab 5 mg11
Tanezumab 2.5 mg5
Tanezumab 5 mg4
Tanezumab 2.5 mg2
Tanezumab 5 mg3

Number of Participants With Categorical Change From Baseline in Lower Extremity Activity Scale (LEAS) at Weeks 4, 8, 16, 24, 56 and 80

The LEAS is a self-administered scale to assess activity level in participants having total knee arthroplasty. The LEAS scale reflected four levels of lower-extremity activity (1)housebound(unable to walk or a minimal ability to walk) (2)more ordinary walking about the house (3)walking about the community (4)walking about the community as well as substantial work or exercise. It consisted of 12 questions resulting in 18-level scale that allowed participants to select a single description that most represented his or her self-perceived activity level. The final score was simply the number of the descriptor selected by the participant as being most representative of his or her activity level. The minimum possible score was 1(entirely bedbound) and the maximum possible score was 18(currently competitive athlete). Higher score indicated increased activity. Categorical changes from baseline were reported in terms of improvement (Change >0), No change and worsening (Change less than [<] 0). (NCT02528188)
Timeframe: Baseline, Weeks 4, 8, 16, 24, 56 and 80

InterventionParticipants (Count of Participants)
Change at Week 472578289Change at Week 472578291Change at Week 472578290Change at Week 872578290Change at Week 872578291Change at Week 872578289Change at Week 1672578290Change at Week 1672578291Change at Week 1672578289Change at Week 2472578289Change at Week 2472578290Change at Week 2472578291Change at Week 5672578289Change at Week 5672578291Change at Week 5672578290Change at Week 8072578289Change at Week 8072578290Change at Week 8072578291
ImprovementNo ChangeWorsening
Tanezumab 2.5 mg423
Tanezumab 5 mg421
NSAID411
Tanezumab 2.5 mg370
Tanezumab 5 mg394
NSAID369
Tanezumab 2.5 mg207
Tanezumab 5 mg180
NSAID214
Tanezumab 2.5 mg454
Tanezumab 5 mg443
NSAID445
Tanezumab 2.5 mg325
Tanezumab 5 mg362
NSAID348
Tanezumab 2.5 mg221
Tanezumab 5 mg190
NSAID201
Tanezumab 2.5 mg488
Tanezumab 5 mg470
NSAID477
Tanezumab 2.5 mg288
Tanezumab 5 mg312
NSAID312
Tanezumab 2.5 mg224
Tanezumab 5 mg213
NSAID205
Tanezumab 2.5 mg478
Tanezumab 5 mg458
NSAID467
Tanezumab 2.5 mg277
Tanezumab 5 mg302
NSAID291
Tanezumab 2.5 mg245
Tanezumab 5 mg235
NSAID236
Tanezumab 2.5 mg486
Tanezumab 5 mg429
NSAID461
Tanezumab 2.5 mg270
Tanezumab 5 mg314
NSAID300
Tanezumab 2.5 mg244
Tanezumab 5 mg252
NSAID233
Tanezumab 2.5 mg220
Tanezumab 5 mg196
NSAID227
Tanezumab 2.5 mg105
Tanezumab 5 mg97
NSAID125
Tanezumab 2.5 mg113
Tanezumab 5 mg115
NSAID80

Number of Participants With Responses to European Quality of Life-5 Dimensions-5 Levels (EQ-5D-5L): Anxiety/ Depression Domain

Number of participants with anxiety/ depression domain responses of EQ-5D-5L were provided. EQ-5D-5L is a standardized participant completed questionnaire that measures health-related quality of life and translates that score into an index value or utility score. EQ-5D-5L consists of two components: a health state profile and an optional visual analogue scale (VAS). EQ-5D health state profile is comprised of 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 levels: 1=no problems, 2=slight problems, 3=moderate problems, 4=severe problems, and 5=extreme problems. Higher scores indicated greater levels of problems across the five dimensions. (NCT02528188)
Timeframe: Baseline, Weeks 8, 16, 24, 40, 56 and 64

InterventionParticipants (Count of Participants)
Baseline72578289Baseline72578290Baseline72578291Week 872578290Week 872578291Week 872578289Week 1672578289Week 1672578290Week 1672578291Week 2472578291Week 2472578289Week 2472578290Week 4072578289Week 4072578290Week 4072578291Week 5672578289Week 5672578290Week 5672578291Week 6472578289Week 6472578290Week 6472578291
Severely anxious or depressedExtremely anxious or depressedNot anxious or depressedSlightly anxious or depressedModerately anxious or depressed
Tanezumab 2.5 mg560
Tanezumab 5 mg570
NSAID585
Tanezumab 2.5 mg252
Tanezumab 5 mg235
NSAID236
Tanezumab 2.5 mg155
Tanezumab 5 mg151
NSAID144
Tanezumab 2.5 mg28
Tanezumab 5 mg37
NSAID26
Tanezumab 2.5 mg5
NSAID3
Tanezumab 2.5 mg693
Tanezumab 5 mg703
NSAID664
Tanezumab 2.5 mg189
Tanezumab 5 mg180
NSAID206
Tanezumab 2.5 mg64
Tanezumab 5 mg71
NSAID75
Tanezumab 2.5 mg9
Tanezumab 5 mg7
NSAID9
Tanezumab 5 mg5
Tanezumab 2.5 mg680
Tanezumab 5 mg701
NSAID701
Tanezumab 2.5 mg170
Tanezumab 5 mg147
NSAID151
Tanezumab 2.5 mg53
Tanezumab 5 mg62
NSAID53
NSAID8
Tanezumab 2.5 mg2
Tanezumab 5 mg4
NSAID2
Tanezumab 2.5 mg611
Tanezumab 5 mg606
NSAID599
Tanezumab 2.5 mg147
Tanezumab 5 mg131
Tanezumab 2.5 mg52
Tanezumab 5 mg66
NSAID58
Tanezumab 2.5 mg7
Tanezumab 5 mg10
NSAID11
Tanezumab 2.5 mg0
Tanezumab 5 mg3
NSAID1
Tanezumab 2.5 mg442
Tanezumab 5 mg429
NSAID400
Tanezumab 2.5 mg92
Tanezumab 5 mg82
NSAID107
Tanezumab 2.5 mg24
Tanezumab 5 mg35
NSAID21
Tanezumab 2.5 mg3
Tanezumab 5 mg6
NSAID7
Tanezumab 5 mg1
NSAID0
Tanezumab 2.5 mg351
Tanezumab 5 mg330
NSAID338
Tanezumab 2.5 mg88
Tanezumab 5 mg90
NSAID86
Tanezumab 2.5 mg18
Tanezumab 5 mg33
NSAID34
Tanezumab 2.5 mg1
Tanezumab 5 mg2
Tanezumab 2.5 mg308
Tanezumab 5 mg275
NSAID315
Tanezumab 2.5 mg104
Tanezumab 5 mg96
NSAID100
Tanezumab 2.5 mg29
Tanezumab 5 mg46
Tanezumab 2.5 mg8
Tanezumab 5 mg9
NSAID5

Number of Participants With Responses to European Quality of Life-5 Dimensions-5 Levels (EQ-5D-5L): Mobility Domain

Number of participants with mobility domain responses of EQ-5D-5L were provided. EQ-5D-5L is a standardized participant completed questionnaire that measures health-related quality of life and translates that score into an index value or utility score. EQ-5D-5L consists of two components: a health state profile and an optional visual analogue scale (VAS). EQ-5D health state profile is comprised of 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 levels: 1=no problems, 2=slight problems, 3=moderate problems, 4=severe problems, and 5=extreme problems. Higher scores indicated greater levels of problems across the five dimensions. (NCT02528188)
Timeframe: Baseline, Weeks 8, 16, 24, 40, 56 and 64

InterventionParticipants (Count of Participants)
Baseline72578290Baseline72578289Baseline72578291Week 872578290Week 872578291Week 872578289Week 1672578289Week 1672578290Week 1672578291Week 2472578289Week 2472578290Week 2472578291Week 4072578289Week 4072578290Week 4072578291Week 5672578289Week 5672578290Week 5672578291Week 6472578289Week 6472578290Week 6472578291
Severe problem in walkingModerate problem in walkingNo problem in walkingSlight problem in walkingUnable to walk
Tanezumab 2.5 mg26
Tanezumab 5 mg20
NSAID23
Tanezumab 2.5 mg203
Tanezumab 5 mg192
NSAID194
Tanezumab 2.5 mg567
Tanezumab 5 mg579
NSAID588
Tanezumab 2.5 mg204
Tanezumab 5 mg202
Tanezumab 2.5 mg0
Tanezumab 2.5 mg223
Tanezumab 5 mg241
NSAID216
Tanezumab 2.5 mg374
Tanezumab 5 mg411
NSAID392
Tanezumab 2.5 mg318
Tanezumab 5 mg266
NSAID301
Tanezumab 2.5 mg41
Tanezumab 5 mg48
NSAID44
Tanezumab 5 mg0
NSAID3
Tanezumab 2.5 mg299
Tanezumab 5 mg319
NSAID292
Tanezumab 2.5 mg388
Tanezumab 5 mg371
NSAID412
Tanezumab 2.5 mg199
Tanezumab 5 mg196
NSAID185
Tanezumab 2.5 mg27
Tanezumab 5 mg34
NSAID26
Tanezumab 2.5 mg259
Tanezumab 5 mg261
NSAID260
Tanezumab 2.5 mg308
Tanezumab 5 mg310
NSAID337
Tanezumab 2.5 mg216
Tanezumab 5 mg200
NSAID186
Tanezumab 2.5 mg34
Tanezumab 5 mg43
NSAID29
Tanezumab 5 mg2
NSAID1
Tanezumab 2.5 mg217
Tanezumab 5 mg211
NSAID218
Tanezumab 2.5 mg215
Tanezumab 5 mg209
NSAID217
Tanezumab 2.5 mg110
Tanezumab 5 mg106
Tanezumab 5 mg27
Tanezumab 2.5 mg157
Tanezumab 5 mg147
NSAID170
Tanezumab 2.5 mg205
Tanezumab 5 mg166
NSAID189
Tanezumab 2.5 mg77
Tanezumab 5 mg120
NSAID91
Tanezumab 2.5 mg19
Tanezumab 5 mg24
NSAID9
Tanezumab 2.5 mg98
Tanezumab 5 mg66
NSAID107
Tanezumab 2.5 mg156
Tanezumab 5 mg156
NSAID205
Tanezumab 2.5 mg150
Tanezumab 5 mg151
NSAID121
Tanezumab 2.5 mg45
Tanezumab 5 mg54
NSAID21
Tanezumab 2.5 mg1
Tanezumab 5 mg1
NSAID0

Number of Participants With Responses to European Quality of Life-5 Dimensions-5 Levels (EQ-5D-5L): Pain/Discomfort Domain

Number of participants with pain/discomfort domain responses of EQ-5D-5L were provided. EQ-5D-5L is a standardized participant completed questionnaire that measures health-related quality of life and translates that score into an index value or utility score. EQ-5D-5L consists of two components: a health state profile and an optional visual analogue scale (VAS). EQ-5D health state profile is comprised of 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 levels: 1=no problems, 2=slight problems, 3=moderate problems, 4=severe problems, and 5=extreme problems. Higher scores indicated greater levels of problems across the five dimensions. (NCT02528188)
Timeframe: Baseline, Weeks 8, 16, 24, 40, 56 and 64

InterventionParticipants (Count of Participants)
Baseline72578289Baseline72578290Baseline72578291Week 872578291Week 872578290Week 872578289Week 1672578290Week 1672578289Week 1672578291Week 2472578289Week 2472578290Week 2472578291Week 4072578290Week 4072578289Week 4072578291Week 5672578289Week 5672578290Week 5672578291Week 6472578289Week 6472578290Week 6472578291
Slight pain or discomfortModerate pain or discomfortSevere pain or discomfortExtreme pain or discomfortNo pain or discomfort
Tanezumab 2.5 mg6
NSAID5
Tanezumab 2.5 mg81
Tanezumab 5 mg75
NSAID86
Tanezumab 2.5 mg548
Tanezumab 5 mg574
NSAID588
Tanezumab 2.5 mg334
Tanezumab 5 mg314
NSAID295
Tanezumab 2.5 mg31
Tanezumab 5 mg28
NSAID20
Tanezumab 2.5 mg82
Tanezumab 5 mg102
NSAID83
Tanezumab 2.5 mg433
Tanezumab 5 mg465
NSAID434
Tanezumab 2.5 mg369
Tanezumab 5 mg327
NSAID365
Tanezumab 2.5 mg68
Tanezumab 5 mg68
NSAID71
NSAID3
Tanezumab 2.5 mg128
Tanezumab 5 mg163
NSAID131
Tanezumab 2.5 mg508
Tanezumab 5 mg482
NSAID515
Tanezumab 2.5 mg235
Tanezumab 5 mg225
NSAID217
Tanezumab 2.5 mg39
Tanezumab 5 mg44
NSAID46
Tanezumab 2.5 mg3
Tanezumab 5 mg6
NSAID6
Tanezumab 2.5 mg117
Tanezumab 5 mg148
NSAID130
Tanezumab 2.5 mg413
Tanezumab 5 mg384
NSAID413
Tanezumab 2.5 mg213
Tanezumab 5 mg218
NSAID215
Tanezumab 2.5 mg70
Tanezumab 5 mg62
NSAID51
Tanezumab 2.5 mg4
Tanezumab 5 mg4
NSAID4
Tanezumab 2.5 mg97
Tanezumab 5 mg122
NSAID110
Tanezumab 2.5 mg298
Tanezumab 5 mg264
NSAID308
Tanezumab 2.5 mg139
Tanezumab 5 mg130
NSAID104
Tanezumab 2.5 mg25
Tanezumab 5 mg30
NSAID13
Tanezumab 2.5 mg2
Tanezumab 5 mg7
NSAID0
Tanezumab 2.5 mg76
Tanezumab 5 mg90
NSAID85
Tanezumab 2.5 mg248
Tanezumab 5 mg211
NSAID259
Tanezumab 2.5 mg111
Tanezumab 5 mg128
NSAID103
Tanezumab 2.5 mg23
Tanezumab 5 mg26
NSAID9
Tanezumab 2.5 mg0
Tanezumab 5 mg3
Tanezumab 2.5 mg45
Tanezumab 5 mg35
NSAID62
Tanezumab 2.5 mg169
Tanezumab 5 mg115
NSAID191
Tanezumab 2.5 mg165
Tanezumab 5 mg191
NSAID171
Tanezumab 2.5 mg66
Tanezumab 5 mg76
NSAID29
Tanezumab 2.5 mg5
Tanezumab 5 mg11
NSAID1

Number of Participants With Responses to European Quality of Life-5 Dimensions-5 Levels (EQ-5D-5L): Self-Care Domain

Number of participants with self-care domain responses of EQ-5D-5L were provided. EQ-5D-5L is a standardized participant completed questionnaire that measures health-related quality of life and translates that score into an index value or utility score. EQ-5D-5L consists of two components: a health state profile and an optional visual analogue scale (VAS). EQ-5D health state profile is comprised of 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 levels: 1=no problems, 2=slight problems, 3=moderate problems, 4=severe problems, and 5=extreme problems. Higher scores indicated greater levels of problems across the five dimensions. (NCT02528188)
Timeframe: Baseline, Weeks 8, 16, 24, 40, 56 and 64

InterventionParticipants (Count of Participants)
Baseline72578289Baseline72578290Baseline72578291Week 872578289Week 872578290Week 872578291Week 1672578289Week 1672578290Week 1672578291Week 2472578289Week 2472578290Week 2472578291Week 4072578289Week 4072578290Week 4072578291Week 5672578289Week 5672578290Week 5672578291Week 6472578289Week 6472578290Week 6472578291
Unable to wash or dressSlight problems washing or dressingModerate problems washing or dressingSevere problems washing or dressingNo problems washing or dressing
Tanezumab 2.5 mg251
Tanezumab 5 mg242
NSAID270
Tanezumab 2.5 mg315
Tanezumab 5 mg295
NSAID319
Tanezumab 2.5 mg361
Tanezumab 5 mg389
NSAID350
Tanezumab 2.5 mg73
Tanezumab 5 mg69
NSAID55
Tanezumab 2.5 mg551
Tanezumab 5 mg569
NSAID542
Tanezumab 2.5 mg270
Tanezumab 5 mg261
NSAID276
Tanezumab 2.5 mg126
Tanezumab 5 mg128
NSAID134
Tanezumab 2.5 mg8
Tanezumab 5 mg8
NSAID3
Tanezumab 2.5 mg1
Tanezumab 2.5 mg610
Tanezumab 5 mg597
NSAID583
Tanezumab 2.5 mg216
Tanezumab 5 mg231
NSAID246
Tanezumab 2.5 mg81
Tanezumab 5 mg87
NSAID77
Tanezumab 2.5 mg6
Tanezumab 5 mg5
NSAID9
Tanezumab 2.5 mg0
Tanezumab 2.5 mg504
Tanezumab 5 mg504
NSAID527
Tanezumab 2.5 mg214
Tanezumab 5 mg200
NSAID192
Tanezumab 2.5 mg91
Tanezumab 5 mg102
NSAID86
Tanezumab 2.5 mg7
Tanezumab 5 mg9
NSAID8
Tanezumab 5 mg1
Tanezumab 2.5 mg377
Tanezumab 5 mg359
NSAID371
Tanezumab 2.5 mg140
NSAID125
Tanezumab 5 mg54
NSAID38
Tanezumab 5 mg4
NSAID0
Tanezumab 2.5 mg305
Tanezumab 5 mg294
NSAID291
Tanezumab 2.5 mg107
Tanezumab 5 mg115
NSAID122
Tanezumab 2.5 mg42
Tanezumab 5 mg47
NSAID40
Tanezumab 2.5 mg3
Tanezumab 5 mg2
NSAID5
NSAID1
Tanezumab 2.5 mg233
Tanezumab 5 mg192
NSAID264
Tanezumab 2.5 mg142
Tanezumab 5 mg136
NSAID131
Tanezumab 2.5 mg66
Tanezumab 5 mg89
NSAID57
Tanezumab 5 mg11
NSAID2
Tanezumab 5 mg0

Number of Participants With Responses to European Quality of Life-5 Dimensions-5 Levels (EQ-5D-5L): Usual Activities Domain

Number of participants with usual activities domain responses of EQ-5D-5L were provided. EQ-5D-5L is a standardized participant completed questionnaire that measures health-related quality of life and translates that score into an index value or utility score. EQ-5D-5L consists of two components: a health state profile and an optional visual analogue scale (VAS). EQ-5D health state profile is comprised of 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 levels: 1=no problems, 2=slight problems, 3=moderate problems, 4=severe problems, and 5=extreme problems. Higher scores indicated greater levels of problems across the five dimensions. (NCT02528188)
Timeframe: Baseline, Weeks 8, 16, 24, 40, 56 and 64

InterventionParticipants (Count of Participants)
Baseline72578290Baseline72578289Baseline72578291Week 872578289Week 872578291Week 872578290Week 1672578290Week 1672578289Week 1672578291Week 2472578289Week 2472578290Week 2472578291Week 4072578289Week 4072578290Week 4072578291Week 5672578289Week 5672578290Week 5672578291Week 6472578290Week 6472578289Week 6472578291
No problems doing usual activitiesSlight problems doing usual activitiesModerate problems doing usual activitiesSevere problems doing usual activitiesUnable to do usual activities
Tanezumab 2.5 mg22
Tanezumab 5 mg24
NSAID38
Tanezumab 5 mg218
NSAID225
Tanezumab 2.5 mg538
Tanezumab 5 mg551
NSAID561
Tanezumab 2.5 mg208
Tanezumab 5 mg201
NSAID169
Tanezumab 2.5 mg3
Tanezumab 5 mg1
Tanezumab 2.5 mg229
Tanezumab 5 mg266
NSAID221
Tanezumab 5 mg411
NSAID426
Tanezumab 2.5 mg292
Tanezumab 5 mg256
NSAID274
Tanezumab 2.5 mg33
Tanezumab 5 mg31
NSAID35
Tanezumab 2.5 mg0
NSAID0
Tanezumab 2.5 mg302
Tanezumab 5 mg333
NSAID310
Tanezumab 2.5 mg402
Tanezumab 5 mg382
NSAID408
Tanezumab 2.5 mg184
Tanezumab 5 mg182
NSAID172
Tanezumab 2.5 mg24
Tanezumab 5 mg21
NSAID24
Tanezumab 2.5 mg1
Tanezumab 5 mg2
Tanezumab 2.5 mg262
Tanezumab 5 mg290
NSAID273
Tanezumab 2.5 mg353
Tanezumab 5 mg315
NSAID344
Tanezumab 2.5 mg174
NSAID166
Tanezumab 2.5 mg27
Tanezumab 5 mg27
NSAID29
Tanezumab 2.5 mg225
Tanezumab 5 mg221
NSAID218
Tanezumab 2.5 mg239
Tanezumab 5 mg213
NSAID233
Tanezumab 2.5 mg85
Tanezumab 5 mg97
NSAID74
Tanezumab 2.5 mg12
Tanezumab 5 mg20
NSAID10
Tanezumab 2.5 mg155
Tanezumab 5 mg170
NSAID182
Tanezumab 2.5 mg211
Tanezumab 5 mg179
NSAID199
Tanezumab 2.5 mg79
Tanezumab 5 mg86
NSAID69
Tanezumab 2.5 mg13
Tanezumab 5 mg22
NSAID9
Tanezumab 2.5 mg101
Tanezumab 5 mg69
NSAID129
Tanezumab 2.5 mg173
Tanezumab 5 mg163
NSAID197
Tanezumab 2.5 mg138
Tanezumab 5 mg155
NSAID115
Tanezumab 2.5 mg37
Tanezumab 5 mg37
NSAID12
Tanezumab 5 mg4
NSAID1

Patient Reported Treatment Impact Assessment-Modified (mPRTI) Score at Weeks 16 and 56: Participant Global Preference Assessment- Overall, do You Prefer the Drug That You Received in This Study to Previous Treatment?

The mPRTI is a self-administered questionnaire containing participant global preference assessment (to assess previous treatment and preference to continue using the investigational product) and participant willingness to use drug again assessment. To assess preference to continue using the investigational product, participants responded using IRT on a 5 point Likert scale from 1-5, where, 1= yes, I definitely prefer the drug that I am receiving now, 2= I have a slight preference for the drug that I am receiving now, 3= I have no preference either way, 4= I have a slight preference for my previous treatment, 5= No, I definitely prefer my previous treatment. Higher scores indicate lesser preference to use the investigational product. Number of participants who responded for the specified question were reported. (NCT02528188)
Timeframe: Weeks 16 and 56

InterventionParticipants (Count of Participants)
Week 1672578291Week 1672578290Week 1672578289Week 5672578289Week 5672578291Week 5672578290
Yes, definitely prefer the study drugSlight preference for the study drugNo preference either waySlight preference for my previous treatmentNo, definitely prefer my previous treatment
Tanezumab 2.5 mg577
Tanezumab 5 mg597
NSAID531
Tanezumab 2.5 mg141
Tanezumab 5 mg169
NSAID158
Tanezumab 2.5 mg149
Tanezumab 5 mg114
NSAID164
Tanezumab 2.5 mg28
Tanezumab 5 mg34
NSAID36
Tanezumab 2.5 mg44
Tanezumab 5 mg40
NSAID47
Tanezumab 2.5 mg342
Tanezumab 5 mg323
NSAID302
Tanezumab 2.5 mg70
Tanezumab 5 mg75
NSAID89
Tanezumab 2.5 mg61
Tanezumab 5 mg65
NSAID71
Tanezumab 2.5 mg16
Tanezumab 5 mg16
NSAID13
Tanezumab 2.5 mg9
Tanezumab 5 mg8
NSAID14

Patient Reported Treatment Impact Assessment-Modified (mPRTI) Score at Weeks 16 and 56: Participant Willingness to Use Drug Again Assessment- Willing to Use the Same Drug That You Have Received in This Study for Your Osteoarthritis Pain?

The mPRTI is a self-administered questionnaire containing participant global preference assessment (to assess previous treatment and preference to continue using the investigational product) and participant willingness to use drug again assessment. To assess participant willingness to use drug again, participants responded using IRT on a 5 point likert scale from 1-5, where, 1= yes, I would definitely want to use the same drug again, 2= I might want to use the same drug again, 3= I am not sure, 4= I might not want to use the same drug again, 5= no, I definitely would not want to use the same drug again. Higher scores indicate lesser willingness to use the investigational product. Number of participants who responded for the specified question were reported. (NCT02528188)
Timeframe: Weeks 16 and 56

InterventionParticipants (Count of Participants)
Week 1672578289Week 1672578291Week 1672578290Week 5672578289Week 5672578290Week 5672578291
Yes, definitely want to use the same drug againMight want to use the same drug againI am not sureMight not want to use the same drug againNo:definitely wouldn't want to use same drug again
Tanezumab 2.5 mg627
Tanezumab 5 mg641
NSAID560
Tanezumab 2.5 mg138
Tanezumab 5 mg154
NSAID169
Tanezumab 2.5 mg108
Tanezumab 5 mg96
NSAID134
Tanezumab 2.5 mg19
Tanezumab 5 mg21
NSAID23
Tanezumab 2.5 mg47
Tanezumab 5 mg42
NSAID50
Tanezumab 2.5 mg352
Tanezumab 5 mg341
NSAID310
Tanezumab 2.5 mg78
Tanezumab 5 mg75
NSAID97
Tanezumab 2.5 mg54
Tanezumab 5 mg46
NSAID58
Tanezumab 2.5 mg4
Tanezumab 5 mg11
Tanezumab 2.5 mg10
Tanezumab 5 mg14
NSAID12

Patient-Reported Treatment Impact Assessment- Modified (mPRTI) Score at Weeks 16 and 56: Participant Global Preference Assessment- What is The Current or Most Recent Treatment You Were Receiving for Osteoarthritis Pain Before Enrolling?

The mPRTI is a self-administered questionnaire containing participant's global preference assessment (to assess previous treatment and preference to continue using the investigational product) and participant's willingness to use drug again assessment. To assess current or most recent treatment, participants responded for, 1=injectable prescription medicines, 2=prescription medicines taken by mouth, 3=surgery, 4=prescription medicines and surgery and 5=no treatment. Number of participants who responded for the specified question were reported. (NCT02528188)
Timeframe: Weeks 16 and 56

InterventionParticipants (Count of Participants)
Week 1672578289Week 1672578291Week 1672578290Week 5672578289Week 5672578290Week 5672578291
SurgeryPrescription medicines and surgeryInjectable prescription medicinesPrescription medicines taken by mouthNo treatment
Tanezumab 2.5 mg99
Tanezumab 5 mg98
NSAID82
Tanezumab 2.5 mg611
Tanezumab 5 mg633
NSAID647
Tanezumab 2.5 mg7
Tanezumab 5 mg7
NSAID9
Tanezumab 2.5 mg33
Tanezumab 5 mg28
NSAID27
Tanezumab 2.5 mg189
Tanezumab 5 mg188
NSAID171
Tanezumab 2.5 mg44
Tanezumab 5 mg47
NSAID40
Tanezumab 2.5 mg307
Tanezumab 5 mg296
NSAID324
Tanezumab 2.5 mg8
Tanezumab 5 mg4
NSAID2
Tanezumab 2.5 mg20
Tanezumab 5 mg18
NSAID20
Tanezumab 2.5 mg119
Tanezumab 5 mg122
NSAID103

Number of Participants Who Discontinued Due to Lack of Efficacy

Number of participants who discontinued due to lack of efficacy were reported. (NCT00864097)
Timeframe: Baseline up to end of study (Week 32)

InterventionParticipants (Count of Participants)
Placebo + Diclofenac9
Tanezumab 2.5 mg + Diclofenac3
Tanezumab 5 mg + Diclofenac7
Tanezumab 10 mg + Diclofenac2

Change From Baseline in 36-Item Short-Form Health Survey Version 2 (SF-36v2) Domain Scores at Week 12 and 24

SF-36v2 was a standardized survey evaluating 8 aspects of functional health and well-being: physical and social functioning, physical and role limitations due to emotional problems, bodily pain, general health, vitality, and mental health. The total score and the score for a section was an average of the individual question scores, which were scaled 0-100. Higher scores reflected better participant status and positive change indicated an improvement. (NCT00864097)
Timeframe: Baseline, Week 12, and 24

,,,
Interventionunits on a scale (Mean)
Baseline: General HealthBaseline: Physical FunctionBaseline: Role PhysicalBaseline: Bodily PainBaseline: VitalityBaseline: Social FunctionBaseline: Role EmotionalBaseline: Mental HealthChange at Week 12: General HealthChange at Week 12: Physical FunctionChange at Week 12: Role PhysicalChange at Week 12: Bodily PainChange at Week 12: VitalityChange at Week 12: Social FunctionChange at Week 12: Role EmotionalChange at Week 12: Mental HealthChange at Week 24: General HealthChange at Week 24: Physical FunctionChange at Week 24: Role PhysicalChange at Week 24: Bodily PainChange at Week 24: VitalityChange at Week 24: Social FunctionChange at Week 24: Role EmotionalChange at Week 24: Mental Health
Placebo + Diclofenac46.3733.5146.6732.9949.0861.0268.1562.804.677.367.618.763.805.021.923.132.416.215.179.141.664.36-0.551.27
Tanezumab 10 mg + Diclofenac49.3136.5247.4635.0651.2966.5569.7765.484.969.908.4912.765.344.22-1.261.663.088.505.9111.522.761.38-1.950.45
Tanezumab 2.5 mg + Diclofenac49.4136.2247.4435.6652.2267.6368.9666.575.2910.968.8112.514.236.252.241.554.518.788.4112.542.434.090.692.06
Tanezumab 5 mg + Diclofenac47.0034.7048.5033.9553.0065.8368.4464.636.5512.837.7115.183.794.172.172.204.9410.506.9613.272.583.67-1.331.63

Change From Baseline in 36-Item Short-Form Health Survey Version 2 (SF-36v2) Physical and Mental Component Scores at Week 12 and 24

SF-36v2: standardized survey evaluating 8 aspects of functional health and wellbeing (physical and social functioning, role limitations due to physical and emotional problems, bodily pain, general health, vitality, mental health). Total score for each aspect were scaled 0-100. Higher scores reflect better participant status and positive change indicated an improvement. For obtaining physical and mental component scores, z-score for each scale=(observed score - mean score for general 1990 United States [US] population)/corresponding standard deviation. The 2 component scores were obtained by multiplying each aspect z-score by physical or mental factor score coefficient (1990 general US population) and summing the eight products. Component scores indicated how many standard deviations higher (in case of positive z-score [better functioning])/lower (in case of negative z-score [worse functioning]) participant's value was relative to the mean of the reference population. (NCT00864097)
Timeframe: Baseline, Week 12 and 24

,,,
Interventionz-score (Mean)
Baseline: Physical Component ScoreBaseline: Mental Component ScoreChange at Week 12: Physical Component ScoreChange at Week 12: Mental Component ScoreChange at Week 24: Physical Component ScoreChange at Week 24: Mental Component Score
Placebo + Diclofenac-1.84-0.300.350.080.32-0.03
Tanezumab 10 mg + Diclofenac-1.76-0.150.51-0.060.43-0.14
Tanezumab 2.5 mg + Diclofenac-1.76-0.110.500.010.45-0.03
Tanezumab 5 mg + Diclofenac-1.80-0.170.56-0.030.50-0.10

Change From Baseline in Average Pain Score in the Index Knee or Hip at Weeks 1, 2, 3, 4, 6, 8, 10, 12, 16, 20, and 24

Participants were asked to assess index joint (knee/hip) pain during the past 24 hours on an 0-10 point integer scale ranging from 0 (no pain) to 10 (worst possible pain). Baseline score was calculated as the mean of the scores in the index joint over the 3 days days in the initial pain assessment period and a weekly mean was calculated using the daily pain scores in the index joint within each study week. The change from Baseline was calculated using the difference between each post-baseline weekly mean and the baseline mean score, where negative change indicated an improvement. (NCT00864097)
Timeframe: Baseline, Weeks 1, 2, 3, 4, 6, 8, 10, 12, 16, 20, and 24

,,,
Interventionunits on a scale (Mean)
BaselineChange at Week 1Change at Week 2Change at Week 3Change at Week 4Change at Week 6Change at Week 8Change at Week 10Change at Week 12Change at Week 16Change at Week 20Change at Week 24
Placebo + Diclofenac6.31-0.55-0.95-1.19-1.28-1.38-1.41-1.41-1.49-1.53-1.61-1.65
Tanezumab 10 mg + Diclofenac6.34-0.96-1.03-1.08-1.44-1.69-1.80-2.06-2.06-2.15-2.15-2.03
Tanezumab 2.5 mg + Diclofenac6.29-0.74-0.91-1.19-1.45-1.57-1.62-1.79-1.91-1.87-1.95-1.84
Tanezumab 5 mg + Diclofenac6.38-1.22-1.28-1.40-1.77-1.88-1.84-2.09-2.06-2.07-2.19-2.07

Change From Baseline in European Quality of Life - 5 Dimension (EQ-5D) Index Score at Week 24

EQ-5D was a standardized, participant-administered measure of health outcome. It provides a descriptive profile for 5 dimensions (mobility, self-care, usual activities, pain/discomfort, anxiety/depression), using 3 levels (no, moderate, or extreme dysfunction) and a single index value characterizing current health status using a visual analog scale with score ranging from 0 (worst) to 100 (best). EQ-5D summary index was obtained with a formula that weights each level of the dimensions. The index-based score was interpreted along a continuum of 0 (death) to 1 (perfect health). Negative change from baseline represented worsening. (NCT00864097)
Timeframe: Baseline, Week 24

,,,
Interventionunits on a scale (Mean)
Baseline: Index ScoreChange at Week 24: Index Score
Placebo + Diclofenac0.450.11
Tanezumab 10 mg + Diclofenac0.470.16
Tanezumab 2.5 mg + Diclofenac0.480.15
Tanezumab 5 mg + Diclofenac0.470.14

Change From Baseline in Patient Global Assessment (PGA) of Osteoarthritis Score at Week 16

"Participants answered: Considering all the ways your osteoarthritis in your index joint (knee/hip) affects you, how are you doing today? Participants responded by using a 5-point Likert scale, where 1 = very good (asymptomatic 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 which are intolerable and inability to carry out all normal activities). Higher score indicated worst condition." (NCT00864097)
Timeframe: Baseline, Week 16

,,,
Interventionunits on a scale (Mean)
BaselineChange at Week 16
Placebo + Diclofenac3.39-0.41
Tanezumab 10 mg + Diclofenac3.37-0.63
Tanezumab 2.5 mg + Diclofenac3.28-0.49
Tanezumab 5 mg + Diclofenac3.43-0.61

Change From Baseline in Patient Global Assessment (PGA) of Osteoarthritis Score at Weeks 2, 4, 8, 12, and 24

"Participants answered: Considering all the ways your osteoarthritis in your index joint (knee/hip) affects you, how are you doing today? Participants responded by using a 5-point Likert scale, where 1 = very good (asymptomatic 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 which are intolerable and inability to carry out all normal activities). Higher score indicated worst condition." (NCT00864097)
Timeframe: Baseline, Weeks 2, 4, 8, 12, and 24

,,,
Interventionunits on a scale (Mean)
Change at Week 2Change at Week 4Change at Week 8Change at Week 12Change at Week 24
Placebo + Diclofenac-0.36-0.40-0.37-0.45-0.45
Tanezumab 10 mg + Diclofenac-0.28-0.54-0.66-0.61-0.57
Tanezumab 2.5 mg + Diclofenac-0.37-0.45-0.44-0.52-0.46
Tanezumab 5 mg + Diclofenac-0.40-0.65-0.71-0.69-0.57

Change From Baseline in the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Pain Subscale Score at Weeks 2, 4, 8, 12 and 24

WOMAC: Self-administered, disease-specific questionnaire which assesses clinically important, participant-relevant symptoms for pain, stiffness and physical function in participants with OA. WOMAC pain subscale is a 5-item questionnaire used to assess the amount of pain experienced due to osteoarthritis in index knee or hip during past 48 hours. It is calculated as mean of the scores from 5 individual questions, each scored on a numerical rating scale (NRS) of 0 (no pain) to 10 (extreme pain), where higher scores indicate higher pain. Total score range for WOMAC pain subscale score is 0 (no pain) to 10 (extreme pain), where higher scores indicate higher pain. (NCT00864097)
Timeframe: Baseline, Weeks 2, 4, 8, 12, and 24

,,,
Interventionunits on a scale (Mean)
Change at Week 2Change at Week 4Change at Week 8Change at Week 12Change at Week 24
Placebo + Diclofenac-1.30-1.51-1.63-1.81-1.81
Tanezumab 10 mg + Diclofenac-0.86-1.93-2.34-2.42-2.19
Tanezumab 2.5 mg + Diclofenac-1.22-1.76-1.88-2.23-2.11
Tanezumab 5 mg + Diclofenac-1.21-2.12-2.22-2.50-2.24

Change From Baseline in the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Physical Function Subscale Score at Weeks 2, 4, 8, 12, and 24

WOMAC: Self-administered, disease-specific questionnaire which assesses clinically important, participant-relevant symptoms for pain, stiffness and physical function in participants with OA. WOMAC physical function is a 17-item questionnaire used to assess the degree of difficulty experienced due to osteoarthritis in index knee or hip during past 48 hours. It is calculated as mean of the scores from 17 individual questions, each scored on a NRS of 0 (no difficulty) to 10 (extreme difficulty), where higher scores indicate worse function. Total score range for WOMAC physical function subscale score is 0 (no difficulty) to 10 (extreme difficulty), where higher scores indicate worse function. Physical function refers to participant's ability to move around and perform usual activities of daily living. (NCT00864097)
Timeframe: Baseline, Weeks 2, 4, 8, 12, and 24

,,,
Interventionunits on a scale (Mean)
Change at Week 2Change at Week 4Change at Week 8Change at Week 12Change at Week 24
Placebo + Diclofenac-1.31-1.46-1.59-1.75-1.70
Tanezumab 10 mg + Diclofenac-1.06-1.81-2.13-2.28-2.08
Tanezumab 2.5 mg + Diclofenac-1.18-1.58-1.76-2.13-1.99
Tanezumab 5 mg + Diclofenac-1.30-2.09-2.22-2.43-2.17

Change From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Average Score at Weeks 2, 4, 8, 12, 16, and 24

WOMAC Index: self-administered, disease-specific 24 item questionnaire which assesses clinically important, participant-relevant symptoms for pain (5 items), stiffness (2 items), and physical function (17 items) in participants with osteoarthritis of the hip and/or knee. WOMAC average score is the mean of the WOMAC pain, physical function and stiffness subscale scores and ranges from 0 to 10, with higher score indicating worse response. Greater reduction in WOMAC average score indicated greater improvement. (NCT00864097)
Timeframe: Baseline, Weeks 2, 4, 8, 12, 16, and 24

,,,
Interventionunits on a scale (Mean)
BaselineChange at Week 2Change at Week 4Change at Week 8Change at Week 12Change at Week 16Change at Week 24
Placebo + Diclofenac6.05-1.31-1.45-1.59-1.74-1.80-1.74
Tanezumab 10 mg + Diclofenac5.80-1.06-1.92-2.27-2.42-2.43-2.17
Tanezumab 2.5 mg + Diclofenac5.75-1.23-1.68-1.83-2.24-2.19-2.05
Tanezumab 5 mg + Diclofenac5.72-1.30-2.14-2.21-2.45-2.22-2.16

Change From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Pain Subscale Item: Pain When Going Up or Downstairs at Weeks 2, 4, 8, 12, 16, and 24

"Participants answered the question: How much pain have you had when going up or down the stairs? Participants responded by using an 11-point scale, where 0 = no pain and 10 = extreme pain. Where 0 is the best response and negative change indicated an improvement." (NCT00864097)
Timeframe: Baseline, Weeks 2, 4, 8, 12, 16, and 24

,,,
Interventionunits on a scale (Mean)
BaselineChange at Week 2Change at Week 4Change at Week 8Change at Week 12Change at Week 16Change at Week 24
Placebo + Diclofenac7.24-1.38-1.58-1.78-2.03-2.00-1.95
Tanezumab 10 mg + Diclofenac7.06-1.21-2.10-2.64-2.77-2.79-2.56
Tanezumab 2.5 mg + Diclofenac7.04-1.49-2.10-2.15-2.54-2.54-2.44
Tanezumab 5 mg + Diclofenac7.05-1.55-2.39-2.51-2.86-2.53-2.53

Change From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Pain Subscale Item: Pain When Walking on a Flat Surface at Weeks 2, 4, 8, 12, 16, and 24

"Participants answered the question: How much pain have you had when walking on a flat surface? Participants responded by using an 11-point scale where 0 = no pain and 10 = extreme pain. Where 0 is the best response and negative change indicated an improvement." (NCT00864097)
Timeframe: Baseline, Week 2, 4, 8, 12, 16, 24

,,,
Interventionunits on a scale (Mean)
BaselineChange at Week 2Change at Week 4Change at Week 8Change at Week 12Change at Week 16Change at Week 24
Placebo + Diclofenac6.12-1.34-1.47-1.62-1.83-1.95-1.84
Tanezumab 10 mg + Diclofenac5.99-0.89-1.87-2.25-2.41-2.34-2.10
Tanezumab 2.5 mg + Diclofenac5.91-1.23-1.75-1.81-2.15-2.14-2.08
Tanezumab 5 mg + Diclofenac5.81-1.07-2.01-2.05-2.35-2.09-2.09

Change From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Pain Subscale Score at 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 (OA). WOMAC pain subscale is a 5-item questionnaire used to assess the amount of pain experienced due to osteoarthritis in index knee or hip during past 48 hours. It is calculated as mean of the scores from 5 individual questions, each scored on a numerical rating scale (NRS) of 0 (no pain) to 10 (extreme pain), where higher scores indicate higher pain. Total score range for WOMAC pain subscale score is 0 (no pain) to 10 (extreme pain), where higher scores indicate higher pain. (NCT00864097)
Timeframe: Baseline, Week 16

,,,
Interventionunits on a scale (Mean)
BaselineChange at Week 16
Placebo + Diclofenac6.06-1.91
Tanezumab 10 mg + Diclofenac5.87-2.42
Tanezumab 2.5 mg + Diclofenac5.78-2.18
Tanezumab 5 mg + Diclofenac5.76-2.28

Change From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Physical Function Subscale Score at 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. WOMAC physical function is a 17-item questionnaire used to assess the degree of difficulty experienced due to osteoarthritis in index knee or hip during past 48 hours. It is calculated as mean of the scores from 17 individual questions, each scored on a NRS of 0 (no difficulty) to 10 (extreme difficulty), where higher scores indicate worse function. Total score range for WOMAC physical function subscale score is 0 (no difficulty) to 10 (extreme difficulty), where higher scores indicate worse function. Physical function refers to participant's ability to move around and perform usual activities of daily living. (NCT00864097)
Timeframe: Baseline, Week 16

,,,
Interventionunits on a scale (Mean)
BaselineChange at Week 16
Placebo + Diclofenac6.24-1.76
Tanezumab 10 mg + Diclofenac5.91-2.35
Tanezumab 2.5 mg + Diclofenac5.86-2.11
Tanezumab 5 mg + Diclofenac5.90-2.23

Change From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Stiffness Subscale Score at Weeks 2, 4, 8, 12, 16, and 24

WOMAC: Self-administered, disease-specific questionnaire which assesses clinically important, participant-relevant symptoms for pain, stiffness and physical function in participants with OA. WOMAC stiffness subscale is a 2-item questionnaire used to assess the amount of stiffness experienced due to osteoarthritis in index knee or hip during past 48 hours. It is calculated as mean of the scores from 2 individual questions scored on NRS of (no stiffness) to 10 (extreme stiffness), with higher scores indicate higher stiffness. Total score range for WOMAC stiffness subscale score is (no stiffness) to 10 (extreme stiffness), where higher scores indicate higher stiffness. Stiffness is defined as a sensation of decreased ease in movement of knee/hip. Negative change indicated an improvement. (NCT00864097)
Timeframe: Baseline, Weeks 2, 4, 8, 12, 16, and 24

,,,
Interventionunits on a scale (Mean)
BaselineChange at Week 2Change at Week 4Change at Week 8Change at Week 12Change at Week 16Change at Week 24
Placebo + Diclofenac5.84-1.31-1.37-1.56-1.66-1.72-1.70
Tanezumab 10 mg + Diclofenac5.60-1.27-2.01-2.34-2.55-2.53-2.22
Tanezumab 2.5 mg + Diclofenac5.61-1.29-1.71-1.86-2.36-2.27-2.06
Tanezumab 5 mg + Diclofenac5.51-1.38-2.21-2.20-2.42-2.15-2.08

Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)

An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. An SAE was an AE resulting in any of the 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 112 days after last dose that were absent before treatment or that worsened relative to pretreatment state. AEs included SAEs as well as non-serious AEs which occurred during the trial. (NCT00864097)
Timeframe: Baseline up to 112 days after last intravenous dose (up to Week 32)

,,,
InterventionParticipants (Count of Participants)
AEsSAEs
Placebo + Diclofenac538
Tanezumab 10 mg + Diclofenac7210
Tanezumab 2.5 mg + Diclofenac7112
Tanezumab 5 mg + Diclofenac738

Number of Participants With Change From Baseline in European Quality of Life - 5 Dimension (EQ-5D) Individual Health State Profile at Week 24

"EQ-5D was a standardized, participant-administered measure of health outcome. It provides a descriptive profile for 5 dimensions (mobility, self-care, usual activities, pain/discomfort, anxiety/depression), using 3 levels (no, moderate, or extreme dysfunction) and a single index value characterizing current health status using a visual analog scale with score ranging from 0 (worst) to 100 (best). Baseline EQ-5D individual health state profile was determined as number of participants no dysfunction, moderate or some dysfunction and extreme dysfunction and change from baseline in EQ-5D individual health state profile was determined as number of participants improved, no change or worsened." (NCT00864097)
Timeframe: Baseline, Week 24

,,,
InterventionParticipants (Count of Participants)
Baseline: Mobility-No DysfunctionBaseline: Mobility-Moderate DysfunctionBaseline: Mobility-Extreme DysfunctionBaseline: Self Care-No DysfunctionBaseline: Self Care-Moderate DysfunctionBaseline: Self Care-Extreme DysfunctionBaseline: Usual Activities-No DysfunctionBaseline: Usual Activities-Moderate DysfunctionBaseline: Usual Activities-Extreme DysfunctionBaseline: Pain/Discomfort-No DysfunctionBaseline: Pain/Discomfort-Moderate DysfunctionBaseline: Pain/Discomfort-Extreme DysfunctionBaseline: Anxiety/Depression-No DysfunctionBaseline: Anxiety/Depression-Moderate DysfunctionBaseline: Anxiety/Depression-Extreme DysfunctionChange at Week 24: Mobility-ImprovedChange at Week 24: Mobility-No ChangeChange at Week 24: Mobility-WorsenedChange at Week 24: Self Care-ImprovedChange at Week 24: Self Care-No ChangeChange at Week 24: Self Care-WorsenedChange at Week 24: Usual Activities-ImprovedChange at Week 24: Usual Activities-No ChangeChange at Week 24: Usual Activities-WorsenedChange at Week 24: Pain/Discomfort-ImprovedChange at Week 24: Pain/Discomfort-No ChangeChange at Week 24: Pain/Discomfort-WorsenedChange at Week 24: Anxiety/Depression-ImprovedChange at Week 24: Anxiety/Depression-No ChangeChange at Week 24: Anxiety/Depression-Worsened
Placebo + Diclofenac8143165870251161101143874726211274191181516125112811682710619
Tanezumab 10 mg + Diclofenac101350529211812341111337366625120030104112711173310571910719
Tanezumab 2.5 mg + Diclofenac71481619231314120125318272225129233112112712542912522611119
Tanezumab 5 mg + Diclofenac141360539612012642115337075530114632110831106133410972810913

Number of Participants With Intravenous Doses of Study Medication

Number of participants were reported based on the maximum number of intravenous (IV) doses of either tanezumab or placebo received. (NCT00864097)
Timeframe: Day 1 up to Week 16

,,,
InterventionParticipants (Count of Participants)
Number of IV Doses: 1Number of IV Doses: 2Number of IV Doses: 3
Placebo + Diclofenac1438100
Tanezumab 10 mg + Diclofenac1331101
Tanezumab 2.5 mg + Diclofenac934114
Tanezumab 5 mg + Diclofenac1526109

Percentage of Participants With At Least 30%, 50%, 70% and 90% Reduction From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Pain Subscale Score; LOCF

WOMAC: Self-administered, disease-specific questionnaire which assesses clinically important, participant-relevant symptoms for pain, stiffness and physical function in participants with osteoarthritis (OA). WOMAC pain subscale is a 5-item questionnaire used to assess the amount of pain experienced due to osteoarthritis in index knee or hip during past 48 hours. It is calculated as mean of the scores from 5 individual questions, each scored on a numerical rating scale (NRS) of 0 (no pain) to 10 (extreme pain), where higher scores indicate higher pain. Total score range for WOMAC pain subscale score is 0 (no pain) to 10 (extreme pain), where higher scores indicate higher pain. Greater percentage reduction indicates greater improvement. Percentage of participants with reduction in WOMAC pain intensity of at least (>=) 30%, 50%, 70% and 90% at Weeks 2, 4, 8, 12, 16, 24 and 32 compared to baseline were classified as responders to WOMAC pain subscale and are reported here. (NCT00864097)
Timeframe: Baseline, Weeks 2, 4, 8, 12, 16, and 24

,,,
Interventionpercentage of participants (Number)
Week 2: At least 30% reductionWeek 2: At least 50% reductionWeek 2: At least 70% reductionWeek 2: At least 90% reductionWeek 4: At least 30% reductionWeek 4: At least 50% reductionWeek 4: At least 70% reductionWeek 4: At least 90% reductionWeek 8: At least 30% reductionWeek 8: At least 50% reductionWeek 8: At least 70% reductionWeek 8: At least 90% reductionWeek 12: At least 30% reductionWeek 12: At least 50% reductionWeek 12: At least 70% reductionWeek 12: At least 90% reductionWeek 16: At least 30% reductionWeek 16: At least 50% reductionWeek 16: At least 70% reductionWeek 16: At least 90% reductionWeek 24: At least 30% reductionWeek 24: At least 50% reductionWeek 24: At least 70% reductionWeek 24: At least 90% reduction
Placebo + Diclofenac30.313.84.62.042.117.15.92.043.425.03.92.048.727.07.22.050.030.913.22.048.028.312.53.9
Tanezumab 10 mg + Diclofenac24.19.02.80.750.330.311.72.163.438.619.36.263.442.824.84.866.249.019.36.959.342.121.48.3
Tanezumab 2.5 mg + Diclofenac28.816.06.41.351.926.910.31.951.927.69.65.157.136.516.76.454.535.917.35.858.338.518.68.3
Tanezumab 5 mg + Diclofenac32.016.77.31.357.334.012.76.057.338.017.34.764.046.724.08.761.340.020.06.759.340.022.78.0

Percentage of Participants With Cumulative Reduction From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Pain Subscale Score at Week 16 and 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). WOMAC pain subscale is a 5-item questionnaire used to assess the amount of pain experienced due to osteoarthritis in index knee or hip during past 48 hours. It is calculated as mean of the scores from 5 individual questions, each scored on a numerical rating scale (NRS) of 0 (no pain) to 10 (extreme pain), where higher scores indicate higher pain. Total score range for WOMAC pain subscale score is 0 (no pain) to 10 (extreme pain), where higher scores indicate higher pain. Greater percentage reduction indicates greater improvement. Percentage of participants with cumulative reduction (as percent) (greater than 0%; >= 10, 20, 30, 40, 50, 60, 70, 80 and 90%; = 100 %) in WOMAC pain subscale from Baseline to Weeks 16 and 24 were reported. (NCT00864097)
Timeframe: Baseline, Week 16 and 24

,,,
Interventionpercentage of participants (Number)
Week 16: Greater than 0% reductionWeek 16: >=10% reductionWeek 16: >=20% reductionWeek 16: >=30% reductionWeek 16: >=40% reductionWeek 16: >=50% reductionWeek 16: >=60% reductionWeek 16: >=70% reductionWeek 16: >=80% reductionWeek 16: >=90% reductionWeek 16: 100% reductionWeek 24: Greater than 0% reductionWeek 24: >=10% reductionWeek 24: >=20% reductionWeek 24: >=30% reductionWeek 24: >=40% reductionWeek 24: >=50% reductionWeek 24: >=60% reductionWeek 24: >=70% reductionWeek 24: >=80% reductionWeek 24: >=90% reductionWeek 24: 100% reduction
Placebo + Diclofenac84.273.761.850.038.830.921.713.25.92.00.781.672.460.548.035.528.320.412.56.63.90.7
Tanezumab 10 mg + Diclofenac84.177.975.266.260.749.031.719.313.86.92.884.875.269.759.351.042.131.721.413.88.32.8
Tanezumab 2.5 mg + Diclofenac88.582.769.954.548.735.926.317.39.05.82.682.776.967.358.347.438.526.318.611.58.33.8
Tanezumab 5 mg + Diclofenac88.776.768.761.350.740.028.720.010.76.72.082.074.765.359.347.340.034.022.714.78.03.3

Percentage of Participants With Improvement of at Least 2 Points in Patient Global Assessment (PGA) of Osteoarthritis; Baseline Observation Carried Forward (BOCF)

"Participants answered: Considering all the ways your osteoarthritis in your index joint (knee/hip) affects you, how are you doing today? Participants responded by using a 5-point Likert scale, where 1 = very good (asymptomatic 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 which are intolerable and inability to carry out all normal activities). Higher score indicated worst condition. A decrease of at least 2 points on the 5-point scale relative to baseline value indicates improvement." (NCT00864097)
Timeframe: Weeks 2, 4, 8, 12, 16, and 24

,,,
Interventionpercentage of participants (Number)
Week 2Week 4Week 8Week 12Week 16Week 24
Placebo + Diclofenac5.96.65.36.64.65.3
Tanezumab 10 mg + Diclofenac5.511.713.810.314.59.7
Tanezumab 2.5 mg + Diclofenac5.83.26.46.45.84.5
Tanezumab 5 mg + Diclofenac4.714.717.313.314.010.0

Percentage of Participants With Improvement of at Least 2 Points in Patient Global Assessment (PGA) of Osteoarthritis; LOCF

"Participants answered: Considering all the ways your osteoarthritis in your index joint (knee/hip) affects you, how are you doing today? Participants responded by using a 5-point Likert scale, where 1 = very good (asymptomatic 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 which are intolerable and inability to carry out all normal activities). Higher score indicated worst condition. A decrease of at least 2 points on the 5-point scale relative to baseline value indicated improvement." (NCT00864097)
Timeframe: Weeks 2, 4, 8, 12, 16, and 24

,,,
Interventionpercentage of participants (Number)
Week 2Week 4Week 8Week 12Week 16Week 24
Placebo + Diclofenac5.96.65.36.64.65.9
Tanezumab 10 mg + Diclofenac5.512.414.512.416.612.4
Tanezumab 2.5 mg + Diclofenac5.83.26.46.45.85.8
Tanezumab 5 mg + Diclofenac4.714.718.014.014.712.7

Percentage of Participants With Outcome Measures in Rheumatology - Osteoarthritis Research Society International (OMERACT-OARSI) Response; LOCF

OMERACT-OARSI responder: participant has >=50 percent (%) change and >=2 absolute change from Baseline in either WOMAC pain or physical function subscale scores or at least 2 of the following being true: >=20% change and >=1 absolute change from Baseline in WOMAC pain subscale; >=20% change and >=1 absolute change from Baseline in the WOMAC physical function subscale; >=20% change and >=1 absolute change from Baseline in PGA of osteoarthritis. WOMAC pain and physical function score: 0 to 10 with higher score = worse response. PGA score: 1 = very good and 5 = very poor. (NCT00864097)
Timeframe: Weeks 2, 4, 8, 12, 16, and 24

,,,
Interventionpercentage of participants (Number)
Week 2Week 4Week 8Week 12Week 16Week 24
Placebo + Diclofenac44.751.357.260.557.955.3
Tanezumab 10 mg + Diclofenac34.559.369.773.172.467.6
Tanezumab 2.5 mg + Diclofenac37.257.158.367.366.765.4
Tanezumab 5 mg + Diclofenac43.365.368.073.366.764.7

Time to Discontinuation (TTD) Due to Lack of Efficacy

Median time to discontinuation due to lack of efficacy was estimated using Kaplan-Meier method. (NCT00864097)
Timeframe: Baseline up to Week 16 and 24

,,,
Interventiondays (Median)
Week 16Week 24
Placebo + DiclofenacNANA
Tanezumab 10 mg + DiclofenacNANA
Tanezumab 2.5 mg + DiclofenacNANA
Tanezumab 5 mg + DiclofenacNANA

Change From Baseline to the Average of Weeks 2, 6, and 12 After Trial Entry in Osteoarthritis Pain Measured on the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Pain Subscale Score.

"The pain in subjects with osteoarthritis was measured using the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) pain subscale score. The WOMAC pain subscale score is calculated as the average of the visual analogue scale (VAS) scores from 5 pain subscale questions. Subjects mark the VAS, which is a horizontal line 100 mm in length, with a single vertical line to indicate their pain level over the last 24 hours, with 0 mm representing No Pain and 100 mm representing Extreme Pain.~The WOMAC pain subscale score difference was calculated as the WOMAC pain subscale score assessed at Weeks 2, 6, and 12 minus the average of the WOMAC pain subscale score assessed at baseline." (NCT01461369)
Timeframe: Baseline to Week 12/Early Termination

Interventionmm (Least Squares Mean)
Diclofenac 35 mg Two Times Daily-35.62
Diclofenac 35 mg Three Times Daily-41.38
Placebo-28.14

Change From Baseline to the Average of Weeks 2, 6, and 12 After Trial Entry in Osteoarthritis Pain, Stiffness, and Function Measured Using the Total (Composite) Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Score.

"Pain, stiffness, and function in subjects with osteoarthritis were measured using the Western Ontario and McMaster Universities (WOMAC) Index, which is a 24-item questionnaire. The total (composite) WOMAC score is calculated as the average of the mean visual analogue scale (VAS) scores from the questions in the pain, stiffness, and function subscales. Subjects mark the VAS, which is a horizontal line 100 mm in length, with a single vertical line to indicate their response to each of the questions, with 0 mm representing No Pain, Stiffness, or Difficulty and 100 mm representing Extreme Pain, Stiffness, and Difficulty.~The total (composite) WOMAC score difference was calculated as the total (composite) WOMAC score assessed at Weeks 2, 6, and 12 minus the total (composite) WOMAC score assessed at baseline." (NCT01461369)
Timeframe: Baseline to Week 12/Early Termination

Interventionmm (Least Squares Mean)
Diclofenac 35 mg Two Times Daily-30.25
Diclofenac 35 mg Three Times Daily-35.86
Placebo-23.22

Change From Baseline to the Average of Weeks 2, 6, and 12 After Trial Entry in Pain Intensity Difference Measured Using the 100-mm Visual Analogue Scale.

"The pain intensity is assessed using a visual analogue scale (VAS), which is a horizontal line 100 mm in length. Subjects mark the VAS with a single vertical line to indicate their current pain level, with 0 mm representing No Pain and 100 mm representing Worst Pain Imaginable.~The VAS pain intensity difference is calculated as the average of the VAS pain intensity scores at Weeks 2, 6, and 12 minus the VAS pain intensity at baseline." (NCT01461369)
Timeframe: Baseline to Week 12/Early Termination

Interventionmm (Least Squares Mean)
Diclofenac 35 mg Two Times Daily-36.41
Diclofenac 35 mg Three Times Daily-41.33
Placebo-30.95

Change From Baseline to Week 12 After Trial Entry in Osteoarthritis Pain Measured on the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Pain Subscale Score.

"The pain in subjects with osteoarthritis was measured using the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) pain subscale score. The WOMAC pain subscale score is calculated as the average of the visual analogue scale (VAS) scores from 5 pain subscale questions. Subjects mark the VAS, which is a horizontal line 100 mm in length, with a single vertical line to indicate their pain level over the last 24 hours, with 0 mm representing No Pain and 100 mm representing Extreme Pain.~The WOMAC pain subscale score difference is calculated as the WOMAC pain subscale score assessed at Week 12 minus the WOMAC pain subscale score assessed at baseline." (NCT01461369)
Timeframe: Baseline to Week 12/Early Termination

Interventionmm (Least Squares Mean)
Diclofenac 35 mg Two Times Daily-39.04
Diclofenac 35 mg Three Times Daily-44.14
Placebo-32.46

Change From Baseline to Week 2 After Trial Entry in Osteoarthritis Pain Measured on the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Pain Subscale Score.

"The pain in subjects with osteoarthritis was measured using the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) pain subscale score. The WOMAC pain subscale score is calculated as the average of the visual analogue scale (VAS) scores from 5 pain subscale questions. Subjects mark the VAS, which is a horizontal line 100 mm in length, with a single vertical line to indicate their pain level over the last 24 hours, with 0 mm representing No Pain and 100 mm representing Extreme Pain.~The WOMAC pain subscale score difference was calculated as the WOMAC pain subscale score assessed at Week 2 minus the WOMAC pain subscale score assessed at baseline." (NCT01461369)
Timeframe: Baseline to Week 2

Interventionmm (Least Squares Mean)
Diclofenac 35 mg Two Times Daily-31.40
Diclofenac 35 mg Three Times Daily-37.42
Placebo-21.60

Change From Baseline to Week 6 After Trial Entry in Osteoarthritis Pain Measured on the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Pain Subscale Score.

"The pain in subjects with osteoarthritis was measured using the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) pain subscale score. The WOMAC pain subscale score is calculated as the average of the visual analogue scale (VAS) scores from 5 pain subscale questions. Subjects mark the VAS, which is a horizontal line 100 mm in length, with a single vertical line to indicate their pain level over the last 24 hours, with 0 mm representing No Pain and 100 mm representing Extreme Pain.~The WOMAC pain subscale score difference was calculated as the WOMAC pain subscale score assessed at Week 6 minus the WOMAC pain subscale score assessed at baseline." (NCT01461369)
Timeframe: Baseline to Week 6

Interventionmm (Least Squares Mean)
Diclofenac 35 mg Two Times Daily-36.64
Diclofenac 35 mg Three Times Daily-43.51
Placebo-31.08

Mean Short Form-36 Mental Component Summary Scores at Week 52/Early Termination (ET) and Change From Baseline to Week 52/ET

The Short Form-36 is a validated 11-item health survey that assesses subject views about his/her functional health and well-being. The survey consists of 36 questions concerning daily or recent health-related activities and assesses 8 health domains using scaled scores. The mental component score is composed of a subset of the 8 health domains. Each scale is directly transformed into a 0 to 100 scale on the assumption that each question carries equal weight. A score of 0 is equal to maximum disability, and a score of 100 is equivalent to no disability. (NCT01510912)
Timeframe: Baseline to Week 52/Early Termination

Interventionunits on a scale (Mean)
Mean score at Week 52/early termination (ET)Change from baseline to Week 52/ET
Diclofenac 35 mg Capsules52.30.1

Mean Short Form-36 Physical Component Summary Scores at Week 52/Early Termination (ET) and Change From Baseline to Week 52/ET

The Short Form-36 is a validated 11-item health survey that assesses subject views about his/her functional health and well-being. The survey consists of 36 questions concerning daily or recent health-related activities and assesses 8 health domains using scaled scores. The physical component score is composed of a subset of the 8 health domains. Each scale is directly transformed into a 0 to 100 scale on the assumption that each question carries equal weight. A score of 0 is equal to maximum disability, and a score of 100 is equivalent to no disability. (NCT01510912)
Timeframe: Baseline to Week 52/Early Termination

Interventionunits on a scale (Mean)
Mean score at Week 52/early termination (ET)Mean change from baseline to Week 52/ET
Diclofenac 35 mg Capsules44.24.5

Safety of Diclofenac 35 mg Capsules as Assessed by the Incidence of Adverse Events From Baseline to Week 52 or Early Termination

The safety of Diclofenac 35 mg capsules was assessed by the number of subjects with treatment-emergent adverse events (TEAEs), severe TEAEs, and serious adverse events. (NCT01510912)
Timeframe: Baseline to Week 52/Early Termination

Interventionparticipants (Number)
Subjects with at least 1 TEAESubjects with at least 1 severe TEAESubjects with at least 1 serious adverse event
Diclofenac 35 mg Capsules4514142

Percent Change From Baseline in Pain Score During Week 1

Participants assessed their knee pain using a visual analog scale (VAS) where 0=no pain and 100=worst possible pain. Pain scores were recorded in an electronic diary prior to and 4 hours after the first daily application of diclofenac gel for breakthrough pain. The daily percent change in pain scores over the 7 days prior to Week 1 were averaged. Percent change from Baseline (average pain score 7 days prior to first treatment) was calculated as (value at baseline - value at post-baseline visit) / (value at baseline) x 100. A positive change from Baseline indicates improvement. (NCT01383954)
Timeframe: Baseline and Week 1

Interventionpercent change (Mean)
Diclofenac Gel33.3

Percent Change From Baseline in Pain Score During Week 2

Participants assessed their knee pain using a visual analog scale (VAS) where 0=no pain and 100=worst possible pain. Pain scores were recorded in an electronic diary prior to and 4 hours after the first daily application of diclofenac gel for breakthrough pain. The daily percent change in pain scores over the 7 days prior to Week 2 were averaged. Percent change from baseline (average pain score 7 days prior to first treatment) was calculated as (value at baseline - value at post-baseline visit)/ (value at baseline) x 100. A positive change from baseline indicates improvement. (NCT01383954)
Timeframe: Baseline and Week 2

Interventionpercent change (Mean)
Diclofenac Gel33.3

The Proportion of Subjects Treated With Long-term Acetaminophen (4 g/Day) That Develops Persistent ALT Elevations.

ALT was measured on Day 0 and 16 for all study participants. Subjects with an elevated ALT at Day 16 continued dosing with study drug and continued to have their ALT measured every three days until the ALT elevation resolved or until Day 40. Persistent ALT elevation was defined as any subject with an unresolved ALT elevation at study Day 40. (NCT00743093)
Timeframe: serial samples for 16-40 days

,
Interventionparticipants (Number)
Subjects without persisitent ALT elevationSubjects with persistent ALT elevation
Acetaminophen Arm2041
Placebo Arm470

The Proportion of Subjects With Detectable Serum Acetaminophen-cysteine Adduct (APAP-cys) Concentrations 1, 2, and 3 Days After Starting the Maximal Recommended Dosing of Acetaminophen (4 g/Day).

(NCT00743093)
Timeframe: Days 1-3

,
Interventionparticipants (Number)
Day 1-No. Subjects with Detectable APAP-cysDay 2-No. Subjects with Detectable APAP-cysDay 3-No. Subjects with Detectable APAP-cys
Acetaminophen Arm75759
Placebo Arm111

Reviews

13 reviews available for diclofenac and Osteoarthritis of Knee

ArticleYear
Meta-analysis Comparing Celecoxib with Diclofenac Sodium in Patients with Knee Osteoarthritis.
    Pain medicine (Malden, Mass.), 2021, 02-23, Volume: 22, Issue:2

    Topics: Celecoxib; Diclofenac; Humans; Osteoarthritis, Knee; Pain; Treatment Outcome

2021
Topical Diclofenac Solution for Osteoarthritis of the Knee: An Updated Meta-Analysis of Randomized Controlled Trials.
    BioMed research international, 2020, Volume: 2020

    Topics: Administration, Topical; Diclofenac; Humans; Osteoarthritis, Knee; Publication Bias; Randomized Cont

2020
Topical nonsteroidal anti-inflammatory drugs in the treatment of knee osteoarthritis: a systematic review and meta-analysis.
    The Physician and sportsmedicine, 2021, Volume: 49, Issue:4

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Diclofenac; Humans; Knee Joint; Osteoarthritis, Knee; Pain

2021
Celecoxib for osteoarthritis.
    The Cochrane database of systematic reviews, 2017, 05-22, Volume: 5

    Topics: Adult; Anti-Inflammatory Agents, Non-Steroidal; Celecoxib; Diclofenac; Female; Humans; Male; Middle

2017
Rationale and evidence for the incorporation of heparin into the diclofenac epolamine medicated plaster.
    Current medical research and opinion, 2019, Volume: 35, Issue:6

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Diclofenac; Heparin; Humans; Inflammation; Osteoarthritis,

2019
Topical therapies in the management of chronic pain.
    Postgraduate medicine, 2013, Volume: 125, Issue:4 Suppl 1

    Topics: Administration, Cutaneous; Anesthetics, Local; Anti-Inflammatory Agents, Non-Steroidal; Capsaicin; C

2013
Comparative effectiveness of pharmacologic interventions for knee osteoarthritis: a systematic review and network meta-analysis.
    Annals of internal medicine, 2015, Jan-06, Volume: 162, Issue:1

    Topics: Acetaminophen; Adrenal Cortex Hormones; Analgesics, Non-Narcotic; Anti-Inflammatory Agents, Non-Ster

2015
Comparative effectiveness of pharmacologic interventions for knee osteoarthritis: a systematic review and network meta-analysis.
    Annals of internal medicine, 2015, Jan-06, Volume: 162, Issue:1

    Topics: Acetaminophen; Adrenal Cortex Hormones; Analgesics, Non-Narcotic; Anti-Inflammatory Agents, Non-Ster

2015
Comparative effectiveness of pharmacologic interventions for knee osteoarthritis: a systematic review and network meta-analysis.
    Annals of internal medicine, 2015, Jan-06, Volume: 162, Issue:1

    Topics: Acetaminophen; Adrenal Cortex Hormones; Analgesics, Non-Narcotic; Anti-Inflammatory Agents, Non-Ster

2015
Comparative effectiveness of pharmacologic interventions for knee osteoarthritis: a systematic review and network meta-analysis.
    Annals of internal medicine, 2015, Jan-06, Volume: 162, Issue:1

    Topics: Acetaminophen; Adrenal Cortex Hormones; Analgesics, Non-Narcotic; Anti-Inflammatory Agents, Non-Ster

2015
An alternative topical treatment of osteoarthritis of the knee with cutaneous diclofenac solution.
    Expert opinion on pharmacotherapy, 2008, Volume: 9, Issue:10

    Topics: Administration, Cutaneous; Anti-Inflammatory Agents, Non-Steroidal; Biological Availability; Clinica

2008
Topical diclofenac: clinical effectiveness and current uses in osteoarthritis of the knee and soft tissue injuries.
    Expert opinion on pharmacotherapy, 2008, Volume: 9, Issue:16

    Topics: Animals; Anti-Inflammatory Agents, Non-Steroidal; Diclofenac; Drug Tolerance; Humans; Osteoarthritis

2008
Topical therapy for osteoarthritis: clinical and pharmacologic perspectives.
    Postgraduate medicine, 2009, Volume: 121, Issue:2

    Topics: Administration, Cutaneous; Anti-Inflammatory Agents, Non-Steroidal; Capsaicin; Diclofenac; Drug-Rela

2009
[Which drug interactions the general practitioner should know].
    Medizinische Klinik (Munich, Germany : 1983), 2004, Mar-15, Volume: 99, Issue:3

    Topics: Aged; Anti-Inflammatory Agents, Non-Steroidal; Antihypertensive Agents; Diclofenac; Drug Interaction

2004
Pennsaid therapy for osteoarthritis of the knee: a systematic review and metaanalysis of randomized controlled trials.
    The Journal of rheumatology, 2006, Volume: 33, Issue:3

    Topics: Administration, Topical; Anti-Inflammatory Agents, Non-Steroidal; Diclofenac; Disability Evaluation;

2006
Pennsaid therapy for osteoarthritis of the knee: a systematic review and metaanalysis of randomized controlled trials.
    The Journal of rheumatology, 2006, Volume: 33, Issue:3

    Topics: Administration, Topical; Anti-Inflammatory Agents, Non-Steroidal; Diclofenac; Disability Evaluation;

2006
Pennsaid therapy for osteoarthritis of the knee: a systematic review and metaanalysis of randomized controlled trials.
    The Journal of rheumatology, 2006, Volume: 33, Issue:3

    Topics: Administration, Topical; Anti-Inflammatory Agents, Non-Steroidal; Diclofenac; Disability Evaluation;

2006
Pennsaid therapy for osteoarthritis of the knee: a systematic review and metaanalysis of randomized controlled trials.
    The Journal of rheumatology, 2006, Volume: 33, Issue:3

    Topics: Administration, Topical; Anti-Inflammatory Agents, Non-Steroidal; Diclofenac; Disability Evaluation;

2006
The use of topical diclofenac for pain in osteoarthritis of the knee: a review.
    British journal of community nursing, 2006, Volume: 11, Issue:11

    Topics: Administration, Cutaneous; Administration, Oral; Anti-Inflammatory Agents, Non-Steroidal; Chemistry,

2006

Trials

107 trials available for diclofenac and Osteoarthritis of Knee

ArticleYear
Comparison of the Efficacy and Safety of Ketoprofen Plaster and Diclofenac Plaster for Osteoarthritis-Related Knee Pain: A Multicenter, Randomized, Active-Controlled, Open-Label, Parallel-Group, Phase III Clinical Trial.
    Clinical therapeutics, 2021, Volume: 43, Issue:10

    Topics: Adult; Anti-Inflammatory Agents, Non-Steroidal; Diclofenac; Double-Blind Method; Humans; Ketoprofen;

2021
Analgesic effect of curcumin topical formulation in knee osteoarthritis patients: a clinical trial.
    Journal of basic and clinical physiology and pharmacology, 2023, Jan-01, Volume: 34, Issue:1

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Curcumin; Diclofenac; Humans; Ointments; Osteoarthritis, Kn

2023
Efficacy and safety of S-flurbiprofen plaster in knee osteoarthritis patients: A 2-week randomized controlled Phase III clinical trial compared to diclofenac gel.
    International journal of rheumatic diseases, 2022, Volume: 25, Issue:5

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Diclofenac; Double-Blind Method; Flurbiprofen; Humans; Oste

2022
Electroacupuncture vs topical diclofenac sodium gel for patients with hand osteoarthritis: study protocol for a randomized controlled trial.
    Journal of orthopaedic surgery and research, 2022, Apr-12, Volume: 17, Issue:1

    Topics: Diclofenac; Electroacupuncture; Humans; Osteoarthritis, Knee; Randomized Controlled Trials as Topic;

2022
Diclofenac-hyaluronate conjugate (diclofenac etalhyaluronate) intra-articular injection for hip, ankle, shoulder, and elbow osteoarthritis: a randomized controlled trial.
    BMC musculoskeletal disorders, 2022, Apr-20, Volume: 23, Issue:1

    Topics: Ankle; Diclofenac; Double-Blind Method; Elbow; Humans; Hyaluronic Acid; Injections, Intra-Articular;

2022
Efficacy of Cabbage Leaf versus Cooling Gel Pad or Diclofenac Gel for Patients with Knee Osteoarthritis: A Randomized Open-Labeled Controlled Clinical Trial.
    Pain research & management, 2022, Volume: 2022

    Topics: Aged; Brassica; Diclofenac; Humans; Osteoarthritis, Knee; Pain; Plant Leaves; Quality of Life; Treat

2022
A randomized, parallel control and multicenter clinical trial of evidence-based traditional Chinese medicine massage treatment VS External Diclofenac Diethylamine Emulgel for the treatment of knee osteoarthritis.
    Trials, 2022, Jul-08, Volume: 23, Issue:1

    Topics: Diclofenac; Diethylamines; Humans; Massage; Medicine, Chinese Traditional; Osteoarthritis, Knee; Tre

2022
Clinical Effect of Catgut Embedding plus Warm Needle Moxibustion on Improving Inflammation and Quality of Life of Knee Osteoarthritis Patients.
    Computational and mathematical methods in medicine, 2022, Volume: 2022

    Topics: Acupuncture Points; Catgut; Delayed-Action Preparations; Diclofenac; Humans; Inflammation; Moxibusti

2022
Dry needling on latent and active myofascial trigger points versus oral diclofenac in patients with knee osteoarthritis: a randomized controlled trial.
    BMC musculoskeletal disorders, 2023, Jan-18, Volume: 24, Issue:1

    Topics: Diclofenac; Dry Needling; Humans; Myofascial Pain Syndromes; Osteoarthritis, Knee; Pain; Trigger Poi

2023
Effect of acupuncture for patients with knee osteoarthritis: study protocol for a double-dummy randomized controlled trial.
    Journal of orthopaedic surgery and research, 2023, Oct-17, Volume: 18, Issue:1

    Topics: Acupuncture Therapy; China; Diclofenac; Humans; Osteoarthritis, Knee; Randomized Controlled Trials a

2023
[Evaluation of the efficiency of magnetophoresis transdermal diclofenac delivery in patients with knee osteoarthritis].
    Voprosy kurortologii, fizioterapii, i lechebnoi fizicheskoi kultury, 2019, Volume: 96, Issue:5

    Topics: Administration, Cutaneous; Anti-Inflammatory Agents, Non-Steroidal; Diclofenac; Drug Delivery System

2019
The efficacy of topical sesame oil in patients with knee osteoarthritis: A randomized double-blinded active-controlled non-inferiority clinical trial.
    Complementary therapies in medicine, 2019, Volume: 47

    Topics: Administration, Topical; Adult; Aged; Anti-Inflammatory Agents, Non-Steroidal; Diclofenac; Double-Bl

2019
Efficacy and safety of combination of curcuminoid complex and diclofenac versus diclofenac in knee osteoarthritis: A randomized trial.
    Medicine, 2020, Volume: 99, Issue:16

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Curcuma; Diarylheptanoids; Diclofenac; Female; Histamine H2

2020
Efficacy and safety of short-term use of a pelubiprofen CR and aceclofenac in patients with symptomatic knee osteoarthritis: A double-blinded, randomized, multicenter, active drug comparative, parallel-group, phase IV, non-inferiority clinical trial.
    PloS one, 2020, Volume: 15, Issue:9

    Topics: Adult; Aged; Aged, 80 and over; Anti-Inflammatory Agents, Non-Steroidal; Diclofenac; Double-Blind Me

2020
Sustained-release diclofenac conjugated to hyaluronate (diclofenac etalhyaluronate) for knee osteoarthritis: a randomized phase 2 study.
    Rheumatology (Oxford, England), 2021, 03-02, Volume: 60, Issue:3

    Topics: Aged; Arthralgia; Delayed-Action Preparations; Diclofenac; Double-Blind Method; Female; Humans; Hyal

2021
A novel diclofenac gel (AMZ001) applied once or twice daily in subjects with painful knee osteoarthritis: A randomized, placebo-controlled clinical trial.
    Seminars in arthritis and rheumatism, 2020, Volume: 50, Issue:6

    Topics: Diclofenac; Humans; Knee Joint; Osteoarthritis, Knee; Pain; Treatment Outcome

2020
Long-Term Safety and Efficacy of Subcutaneous Tanezumab Versus Nonsteroidal Antiinflammatory Drugs for Hip or Knee Osteoarthritis: A Randomized Trial.
    Arthritis & rheumatology (Hoboken, N.J.), 2021, Volume: 73, Issue:7

    Topics: Adult; Aged; Aged, 80 and over; Analgesics; Anti-Inflammatory Agents, Non-Steroidal; Antibodies, Blo

2021
Open-label phase 3 study of diclofenac conjugated to hyaluronate (diclofenac etalhyaluronate: ONO-5704/SI-613) for treatment of osteoarthritis: 1-year follow-up.
    BMC musculoskeletal disorders, 2021, Mar-01, Volume: 22, Issue:1

    Topics: Diclofenac; Follow-Up Studies; Humans; Hyaluronic Acid; Injections, Intra-Articular; Japan; Osteoart

2021
Efficacy and Safety of Diclofenac-Hyaluronate Conjugate (Diclofenac Etalhyaluronate) for Knee Osteoarthritis: A Randomized Phase III Trial in Japan.
    Arthritis & rheumatology (Hoboken, N.J.), 2021, Volume: 73, Issue:9

    Topics: Aged; Anti-Inflammatory Agents, Non-Steroidal; Diclofenac; Double-Blind Method; Female; Humans; Hyal

2021
Efficacy and safety of Biqi capsule in the treatment of knee osteoarthritis: A protocol of a randomized controlled trial.
    Medicine, 2021, Apr-23, Volume: 100, Issue:16

    Topics: Adult; Arthralgia; Capsules; Delayed-Action Preparations; Diclofenac; Drug Therapy, Combination; Dru

2021
Comparison of the Efficacy of Different Concentrations of Diclofenac Sodium Phonophoresis (1.16% vs 2.32%) in Patients with Knee Osteoarthritis: a Randomized Double-Blind Controlled Trial.
    Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca, 2021, Volume: 88, Issue:2

    Topics: Diclofenac; Double-Blind Method; Humans; Osteoarthritis, Knee; Pain Measurement; Phonophoresis; Trea

2021
Moxibustion versus diclofenac sodium gel for the treatment of knee osteoarthritis: a study protocol for a double-blinded, double-placebo, randomised controlled trial.
    BMJ open, 2017, 04-12, Volume: 7, Issue:4

    Topics: Acupuncture Points; Adult; Aged; Anti-Inflammatory Agents, Non-Steroidal; China; Chronic Pain; Diclo

2017
[Evidence of feasibility etoricoxib therapy in osteoarthritis in elderly patients].
    Advances in gerontology = Uspekhi gerontologii, 2016, Volume: 29, Issue:2

    Topics: Aged; Aged, 80 and over; Anti-Inflammatory Agents, Non-Steroidal; Arthralgia; Diclofenac; Drug Monit

2016
Efficacy and safety of adalimumab by intra-articular injection for moderate to severe knee osteoarthritis: An open-label randomized controlled trial.
    The Journal of international medical research, 2018, Volume: 46, Issue:1

    Topics: Adalimumab; Aged; Antirheumatic Agents; Celecoxib; Diclofenac; Female; Humans; Hyaluronic Acid; Ibup

2018
[Stiletto needle and needle-knife for influence of gravity index in treating knee osteoarthritis].
    Zhongguo gu shang = China journal of orthopaedics and traumatology, 2017, Dec-25, Volume: 30, Issue:12

    Topics: Acupuncture Therapy; Anti-Inflammatory Agents, Non-Steroidal; Diclofenac; Female; Humans; Male; Midd

2017
A Comparative of Ginger Extract in Nanostructure Lipid Carrier (NLC) and 1% Diclofenac Gel for Treatment of Knee Osteoarthritis (OA).
    Journal of the Medical Association of Thailand = Chotmaihet thangphaet, 2017, Volume: 100, Issue:4

    Topics: Administration, Topical; Aged; Anti-Inflammatory Agents, Non-Steroidal; Arthralgia; Diclofenac; Doub

2017
Therapeutic effects of low-frequency phonophoresis with a Chinese herbal medicine versus sodium diclofenac for treatment of knee osteoarthritis:\ a double-blind, randomized, placebo-controlled clinical trial.
    Journal of traditional Chinese medicine = Chung i tsa chih ying wen pan, 2016, Volume: 36, Issue:5

    Topics: Adult; Aged; Combined Modality Therapy; Diclofenac; Double-Blind Method; Drugs, Chinese Herbal; Fema

2016
Efficacy of a Single Intra-Articular Injection of 2% Sodium Hyaluronate Plus 0.5% Mannitol in Patients with Symptomatic Osteoarthritis of the Knee: A Preliminary Report.
    Journal of the Medical Association of Thailand = Chotmaihet thangphaet, 2016, Volume: 99, Issue:10

    Topics: Adult; Aged; Anti-Inflammatory Agents, Non-Steroidal; Diclofenac; Drug Therapy, Combination; Female;

2016
Clinical therapeutic effect and safety of celecoxib in treating knee osteoarthritis.
    Pakistan journal of pharmaceutical sciences, 2018, Volume: 31, Issue:4(Special)

    Topics: Administration, Oral; Aged; Aged, 80 and over; Blood Sedimentation; Celecoxib; Diclofenac; Drug Ther

2018
Safety and efficacy of curcumin versus diclofenac in knee osteoarthritis: a randomized open-label parallel-arm study.
    Trials, 2019, Apr-11, Volume: 20, Issue:1

    Topics: Adult; Aged; Anti-Inflammatory Agents, Non-Steroidal; Curcumin; Diclofenac; Female; Humans; Male; Mi

2019
The reciprocal effects of pain intensity and activity limitations: implications for outcomes assessment in clinical trials.
    The Clinical journal of pain, 2014, Volume: 30, Issue:1

    Topics: Activities of Daily Living; Adult; Analgesics; Arthralgia; Clinical Trials as Topic; Diclofenac; Fem

2014
The efficacy of Plygersic gel for use in the treatment of osteoarthritis of the knee.
    Journal of the Medical Association of Thailand = Chotmaihet thangphaet, 2012, Volume: 95 Suppl 10

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Diclofenac; Double-Blind Method; Female; Gels; Humans; Male

2012
Comparison of gastrointestinal safety and tolerability of aceclofenac with diclofenac: a multicenter, randomized, double-blind study in patients with knee osteoarthritis.
    Current medical research and opinion, 2013, Volume: 29, Issue:7

    Topics: Adult; Aged; Anti-Inflammatory Agents, Non-Steroidal; Diclofenac; Double-Blind Method; Drug Therapy,

2013
[Case-control study on stiletto needle and Dichofenac Diethylammon for the treatment of knee osteoarthritis pain].
    Zhongguo gu shang = China journal of orthopaedics and traumatology, 2012, Volume: 25, Issue:12

    Topics: Adult; Aged; Biomechanical Phenomena; Case-Control Studies; Diclofenac; Female; Humans; Male; Middle

2012
Efficacy and safety of tanezumab added on to diclofenac sustained release in patients with knee or hip osteoarthritis: a double-blind, placebo-controlled, parallel-group, multicentre phase III randomised clinical trial.
    Annals of the rheumatic diseases, 2014, Volume: 73, Issue:9

    Topics: Adult; Aged; Aged, 80 and over; Anti-Inflammatory Agents, Non-Steroidal; Antibodies, Monoclonal, Hum

2014
The efficacy of Curcuma Longa L. extract as an adjuvant therapy in primary knee osteoarthritis: a randomized control trial.
    Journal of the Medical Association of Thailand = Chotmaihet thangphaet, 2012, Volume: 95 Suppl 1

    Topics: Activities of Daily Living; Adult; Aged; Anti-Inflammatory Agents, Non-Steroidal; Curcumin; Diclofen

2012
The effects of nonsteroidal anti-inflammatory drugs on clinical outcomes, synovial fluid cytokine concentration and signal transduction pathways in knee osteoarthritis. A randomized open label trial.
    Osteoarthritis and cartilage, 2013, Volume: 21, Issue:9

    Topics: Aged; Aged, 80 and over; Anti-Inflammatory Agents, Non-Steroidal; Celecoxib; Cyclooxygenase 2 Inhibi

2013
Comparison of peripheral nerve block with periarticular injection analgesia after total knee arthroplasty: a randomized, controlled study.
    The Knee, 2014, Volume: 21, Issue:4

    Topics: Anesthetics, Local; Anti-Inflammatory Agents, Non-Steroidal; Diclofenac; Double-Blind Method; Humans

2014
Efficacy and safety of low-dose submicron diclofenac for the treatment of osteoarthritis pain: a 12 week, phase 3 study.
    Current medical research and opinion, 2014, Volume: 30, Issue:9

    Topics: Adult; Aged; Aged, 80 and over; Anti-Inflammatory Agents, Non-Steroidal; Chemistry, Pharmaceutical;

2014
Low-dose SoluMatrix diclofenac in the treatment of osteoarthritis: A 1-year, open-label, Phase III safety study.
    Postgraduate medicine, 2015, Volume: 127, Issue:5

    Topics: Adult; Aged; Aged, 80 and over; Anti-Inflammatory Agents, Non-Steroidal; Diclofenac; Drug Administra

2015
[Controlled clinical study on compound Decumbent Corydalis Rhizome and diclofenac in treatment of knee osteoarthritis].
    Zhongguo Zhong yao za zhi = Zhongguo zhongyao zazhi = China journal of Chinese materia medica, 2015, Volume: 40, Issue:1

    Topics: Adult; Aged; Corydalis; Diclofenac; Drugs, Chinese Herbal; Female; Humans; Male; Middle Aged; Osteoa

2015
Comparative effectiveness of B and e vitamins with diclofenac in reducing pain due to osteoarthritis of the knee.
    Medical archives (Sarajevo, Bosnia and Herzegovina), 2015, Volume: 69, Issue:2

    Topics: Adult; Anti-Inflammatory Agents, Non-Steroidal; Arthralgia; Diclofenac; Double-Blind Method; Drug Th

2015
Pes Anserine Bursitis in Symptomatic Osteoarthritis Patients: A Mesotherapy Treatment Study.
    Journal of alternative and complementary medicine (New York, N.Y.), 2015, Volume: 21, Issue:8

    Topics: Adolescent; Adult; Analysis of Variance; Anti-Inflammatory Agents, Non-Steroidal; Bursitis; Diclofen

2015
[Treatment for knee osteoarthritis in patients with oxalate nephropathy].
    Terapevticheskii arkhiv, 2015, Volume: 87, Issue:4

    Topics: Anthraquinones; Anti-Inflammatory Agents; Cyclooxygenase Inhibitors; Diclofenac; Dose-Response Relat

2015
Effectiveness of diclofenac versus paracetamol in knee osteoarthritis: a randomised controlled trial in primary care.
    The British journal of general practice : the journal of the Royal College of General Practitioners, 2015, Volume: 65, Issue:637

    Topics: Acetaminophen; Analgesics, Non-Narcotic; Anti-Inflammatory Agents, Non-Steroidal; Clinical Protocols

2015
Efficacy and safety of diclofenac sodium 2% topical solution for osteoarthritis of the knee: a randomized, double-blind, vehicle-controlled, 4 week study.
    Current medical research and opinion, 2016, Volume: 32, Issue:2

    Topics: Administration, Topical; Aged; Anti-Inflammatory Agents, Non-Steroidal; Chemistry, Pharmaceutical; D

2016
Efficacy of Cabbage Leaf Wraps in the Treatment of Symptomatic Osteoarthritis of the Knee: A Randomized Controlled Trial.
    The Clinical journal of pain, 2016, Volume: 32, Issue:11

    Topics: Aged; Anti-Inflammatory Agents, Non-Steroidal; Brassica; Diclofenac; Disability Evaluation; Female;

2016
[With herbal wraps for knee pain control].
    MMW Fortschritte der Medizin, 2016, Mar-17, Volume: 158, Issue:5

    Topics: Administration, Topical; Bandages; Diclofenac; Humans; Naturopathy; Osteoarthritis, Knee; Pain Manag

2016
Efficacy and short-term safety of topical Dwarf Elder (Sambucus ebulus L.) versus diclofenac for knee osteoarthritis: A randomized, double-blind, active-controlled trial.
    Journal of ethnopharmacology, 2016, Jul-21, Volume: 188

    Topics: Administration, Cutaneous; Adult; Analgesics; Arthralgia; Cyclooxygenase Inhibitors; Diclofenac; Dou

2016
Variability in conditioned pain modulation predicts response to NSAID treatment in patients with knee osteoarthritis.
    BMC musculoskeletal disorders, 2016, 07-13, Volume: 17

    Topics: Administration, Topical; Anti-Inflammatory Agents, Non-Steroidal; Case-Control Studies; Diclofenac;

2016
Variability in conditioned pain modulation predicts response to NSAID treatment in patients with knee osteoarthritis.
    BMC musculoskeletal disorders, 2016, 07-13, Volume: 17

    Topics: Administration, Topical; Anti-Inflammatory Agents, Non-Steroidal; Case-Control Studies; Diclofenac;

2016
Variability in conditioned pain modulation predicts response to NSAID treatment in patients with knee osteoarthritis.
    BMC musculoskeletal disorders, 2016, 07-13, Volume: 17

    Topics: Administration, Topical; Anti-Inflammatory Agents, Non-Steroidal; Case-Control Studies; Diclofenac;

2016
Variability in conditioned pain modulation predicts response to NSAID treatment in patients with knee osteoarthritis.
    BMC musculoskeletal disorders, 2016, 07-13, Volume: 17

    Topics: Administration, Topical; Anti-Inflammatory Agents, Non-Steroidal; Case-Control Studies; Diclofenac;

2016
Improved WOMAC score following 16-week treatment with bromelain for knee osteoarthritis.
    Clinical rheumatology, 2016, Volume: 35, Issue:10

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Biomarkers; Bromelains; Diclofenac; Female; Humans; Male; M

2016
Efficacy of an Ayurvedic Formulation for Mild-to-moderate Osteoarthritis: A Phase 3, Randomized Controlled Study.
    Alternative therapies in health and medicine, 2017, Volume: 23, Issue:1

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Diclofenac; Humans; India; Medicine, Ayurvedic; Osteoarthri

2017
Low-dose SoluMatrix diclofenac in patients with osteoarthritis pain: impact on quality of life in a controlled trial.
    Clinical rheumatology, 2017, Volume: 36, Issue:6

    Topics: Adult; Aged; Aged, 80 and over; Anti-Inflammatory Agents, Non-Steroidal; Diclofenac; Female; Humans;

2017
Long-term NSAID treatment directly decreases COX-2 and mPGES-1 production in the articular cartilage of patients with osteoarthritis.
    Osteoarthritis and cartilage, 2008, Volume: 16, Issue:12

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Cartilage, Articular; Celecoxib; Chondrocytes; Cyclooxygena

2008
[Clinical research on Gancao Fuzi decoction in treating osteoarthritis of knee joint].
    Zhong yao cai = Zhongyaocai = Journal of Chinese medicinal materials, 2008, Volume: 31, Issue:7

    Topics: Aconitum; Administration, Oral; Adult; Aged; Anti-Inflammatory Agents, Non-Steroidal; Diclofenac; Dr

2008
Comparative clinical trial of castor oil and diclofenac sodium in patients with osteoarthritis.
    Phytotherapy research : PTR, 2009, Volume: 23, Issue:10

    Topics: Adult; Aged; Aged, 80 and over; Castor Oil; Diclofenac; Double-Blind Method; Drug Therapy, Combinati

2009
Efficacy and safety of topical diclofenac containing dimethyl sulfoxide (DMSO) compared with those of topical placebo, DMSO vehicle and oral diclofenac for knee osteoarthritis.
    Pain, 2009, Volume: 143, Issue:3

    Topics: Activities of Daily Living; Administration, Oral; Administration, Topical; Aged; Anti-Inflammatory A

2009
Randomized controlled trial of diclofenac sodium gel in knee osteoarthritis.
    Seminars in arthritis and rheumatism, 2009, Volume: 39, Issue:3

    Topics: Administration, Topical; Adult; Aged; Aged, 80 and over; Arthralgia; Diclofenac; Female; Gastrointes

2009
Effectiveness of diclofenac versus acetaminophen in primary care patients with knee osteoarthritis: [NTR1485], DIPA-trial: design of a randomized clinical trial.
    BMC musculoskeletal disorders, 2010, Jan-12, Volume: 11

    Topics: Acetaminophen; Aged; Analgesics, Non-Narcotic; Anti-Inflammatory Agents, Non-Steroidal; Arthralgia;

2010
Clinical efficacy and safety of Gubitong Recipe () in treating osteoarthritis of knee joint.
    Chinese journal of integrative medicine, 2009, Volume: 15, Issue:6

    Topics: Adult; Aged; Blood Sedimentation; C-Reactive Protein; Diclofenac; Drugs, Chinese Herbal; Female; Hum

2009
Safety and efficacy of topical diclofenac sodium 1% gel in knee osteoarthritis: a randomized controlled trial.
    The Physician and sportsmedicine, 2010, Volume: 38, Issue:2

    Topics: Administration, Topical; Diclofenac; Double-Blind Method; Humans; Osteoarthritis, Knee; Treatment Ou

2010
[Clinical observation on the therapeutic effect of drugs-paste separated moxibustion combined with electroacupunture for knee osteoarthritis patients of cold-damp type].
    Zhen ci yan jiu = Acupuncture research, 2010, Volume: 35, Issue:4

    Topics: Acupuncture Points; Adult; Aged; Anti-Inflammatory Agents, Non-Steroidal; Combined Modality Therapy;

2010
Efficacy and safety of aceclofenac-cr and aceclofenac in the treatment of knee osteoarthritis: a 6-week, comparative, randomized, multicentric, double-blind study.
    The journal of pain, 2011, Volume: 12, Issue:5

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Delayed-Action Preparations; Diclofenac; Double-Blind Metho

2011
Zaltoprofen, a noninferior alternative to diclofenac for the treatment of primary knee osteoarthritis -- a comparative evaluation of efficacy and safety in a 4-week, multicentric, randomized, double-blind, double-dummy trial.
    Expert opinion on pharmacotherapy, 2011, Volume: 12, Issue:7

    Topics: Adult; Anti-Inflammatory Agents, Non-Steroidal; Benzopyrans; Diclofenac; Double-Blind Method; Drug A

2011
An open-label, long-term safety and tolerability trial of diclofenac sodium 1% gel in patients with knee osteoarthritis.
    The Physician and sportsmedicine, 2011, Volume: 39, Issue:3

    Topics: Administration, Topical; Adult; Aged; Aged, 80 and over; Anti-Inflammatory Agents, Non-Steroidal; Di

2011
Diacerein as adjuvant to diclofenac sodium in osteoarthritis knee.
    International journal of rheumatic diseases, 2012, Volume: 15, Issue:1

    Topics: Acetaminophen; Administration, Oral; Analgesics, Non-Narcotic; Anthraquinones; Anti-Inflammatory Age

2012
Phase II clinical trial of Ayurved Siriraj Wattana Recipe for symptomatic relief in patients with osteoarthritis of the knee.
    Journal of the Medical Association of Thailand = Chotmaihet thangphaet, 2012, Volume: 95, Issue:3

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Diclofenac; Female; Humans; Male; Medicine, Ayurvedic; Midd

2012
Ability of curcuminoid compared to diclofenac sodium in reducing the secretion of cycloxygenase-2 enzyme by synovial fluid's monocytes of patients with osteoarthritis.
    Acta medica Indonesiana, 2012, Volume: 44, Issue:2

    Topics: Aged; Curcuma; Cyclooxygenase 2; Cyclooxygenase Inhibitors; Diclofenac; Female; Humans; Male; Middle

2012
Influence of a specific ginger combination on gastropathy conditions in patients with osteoarthritis of the knee or hip.
    Journal of alternative and complementary medicine (New York, N.Y.), 2012, Volume: 18, Issue:6

    Topics: Abdominal Pain; Alprostadil; Anti-Inflammatory Agents, Non-Steroidal; Diclofenac; Dinoprost; Dinopro

2012
Celecoxib does not affect the release of hyaluronic acid in end stage osteoarthritic joints.
    Modern rheumatology, 2013, Volume: 23, Issue:5

    Topics: Aged; Aged, 80 and over; Cartilage, Articular; Celecoxib; Cyclooxygenase 2 Inhibitors; Diclofenac; F

2013
Preliminary study of highly cross-linked hyaluronic acid-based combination therapy for management of knee osteoarthritis-related pain.
    Drug design, development and therapy, 2013, Volume: 7

    Topics: Adjuvants, Immunologic; Anti-Inflammatory Agents, Non-Steroidal; Blood Sedimentation; C-Reactive Pro

2013
Penetration of topical diclofenac sodium 4 % spray gel into the synovial tissue and synovial fluid of the knee: a randomised clinical trial.
    Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2014, Volume: 22, Issue:2

    Topics: Administration, Cutaneous; Adult; Aged; Aged, 80 and over; Anti-Inflammatory Agents, Non-Steroidal;

2014
Results of a randomized, dose-ranging trial of etoricoxib in patients with osteoarthritis.
    Rheumatology (Oxford, England), 2002, Volume: 41, Issue:9

    Topics: Adult; Aged; Aged, 80 and over; Anti-Inflammatory Agents, Non-Steroidal; Antirheumatic Agents; Cyclo

2002
Lack of efficacy of acetaminophen in treating symptomatic knee osteoarthritis: a randomized, double-blind, placebo-controlled comparison trial with diclofenac sodium.
    Archives of internal medicine, 2003, Jan-27, Volume: 163, Issue:2

    Topics: Acetaminophen; Aged; Analgesics, Non-Narcotic; Anti-Inflammatory Agents, Non-Steroidal; Diclofenac;

2003
Effectiveness of leech therapy in osteoarthritis of the knee: a randomized, controlled trial.
    Annals of internal medicine, 2003, Nov-04, Volume: 139, Issue:9

    Topics: Administration, Topical; Animals; Anti-Inflammatory Agents, Non-Steroidal; Diclofenac; Humans; Knee

2003
A comparison of the therapeutic efficacy and tolerability of etoricoxib and diclofenac in patients with osteoarthritis.
    Current medical research and opinion, 2003, Volume: 19, Issue:8

    Topics: Adult; Aged; Anti-Inflammatory Agents, Non-Steroidal; Cyclooxygenase Inhibitors; Diclofenac; Double-

2003
Lumiracoxib is effective in the treatment of osteoarthritis of the knee: a 13 week, randomised, double blind study versus placebo and celecoxib.
    Annals of the rheumatic diseases, 2004, Volume: 63, Issue:11

    Topics: Adult; Aged; Aged, 80 and over; Anti-Inflammatory Agents, Non-Steroidal; Celecoxib; Cyclooxygenase 2

2004
Oral enzyme combination versus diclofenac in the treatment of osteoarthritis of the knee--a double-blind prospective randomized study.
    Clinical rheumatology, 2004, Volume: 23, Issue:5

    Topics: Administration, Oral; Anti-Inflammatory Agents, Non-Steroidal; Bromelains; Diclofenac; Double-Blind

2004
Effect of a topical diclofenac solution for relieving symptoms of primary osteoarthritis of the knee: a randomized controlled trial.
    CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2004, Aug-17, Volume: 171, Issue:4

    Topics: Administration, Topical; Analysis of Variance; Cyclooxygenase Inhibitors; Diclofenac; Female; Humans

2004
Efficacy and safety of four doses of lumiracoxib versus diclofenac in patients with knee or hip primary osteoarthritis: a phase II, four-week, multicenter, randomized, double-blind, placebo-controlled trial.
    Arthritis and rheumatism, 2004, Aug-15, Volume: 51, Issue:4

    Topics: Aged; Cyclooxygenase Inhibitors; Diclofenac; Double-Blind Method; Female; Health Status; Humans; Mal

2004
Equivalence study of a topical diclofenac solution (pennsaid) compared with oral diclofenac in symptomatic treatment of osteoarthritis of the knee: a randomized controlled trial.
    The Journal of rheumatology, 2004, Volume: 31, Issue:10

    Topics: Administration, Oral; Administration, Topical; Adult; Aged; Aged, 80 and over; Anti-Inflammatory Age

2004
Equivalence study of a topical diclofenac solution (pennsaid) compared with oral diclofenac in symptomatic treatment of osteoarthritis of the knee: a randomized controlled trial.
    The Journal of rheumatology, 2004, Volume: 31, Issue:10

    Topics: Administration, Oral; Administration, Topical; Adult; Aged; Aged, 80 and over; Anti-Inflammatory Age

2004
Equivalence study of a topical diclofenac solution (pennsaid) compared with oral diclofenac in symptomatic treatment of osteoarthritis of the knee: a randomized controlled trial.
    The Journal of rheumatology, 2004, Volume: 31, Issue:10

    Topics: Administration, Oral; Administration, Topical; Adult; Aged; Aged, 80 and over; Anti-Inflammatory Age

2004
Equivalence study of a topical diclofenac solution (pennsaid) compared with oral diclofenac in symptomatic treatment of osteoarthritis of the knee: a randomized controlled trial.
    The Journal of rheumatology, 2004, Volume: 31, Issue:10

    Topics: Administration, Oral; Administration, Topical; Adult; Aged; Aged, 80 and over; Anti-Inflammatory Age

2004
Efficacy and safety of a topical diclofenac solution (pennsaid) in the treatment of primary osteoarthritis of the knee: a randomized, double-blind, vehicle-controlled clinical trial.
    Archives of internal medicine, 2004, Oct-11, Volume: 164, Issue:18

    Topics: Administration, Topical; Adult; Aged; Aged, 80 and over; Anti-Inflammatory Agents, Non-Steroidal; Di

2004
Efficacy and safety of a topical diclofenac solution (pennsaid) in the treatment of primary osteoarthritis of the knee: a randomized, double-blind, vehicle-controlled clinical trial.
    Archives of internal medicine, 2004, Oct-11, Volume: 164, Issue:18

    Topics: Administration, Topical; Adult; Aged; Aged, 80 and over; Anti-Inflammatory Agents, Non-Steroidal; Di

2004
Efficacy and safety of a topical diclofenac solution (pennsaid) in the treatment of primary osteoarthritis of the knee: a randomized, double-blind, vehicle-controlled clinical trial.
    Archives of internal medicine, 2004, Oct-11, Volume: 164, Issue:18

    Topics: Administration, Topical; Adult; Aged; Aged, 80 and over; Anti-Inflammatory Agents, Non-Steroidal; Di

2004
Efficacy and safety of a topical diclofenac solution (pennsaid) in the treatment of primary osteoarthritis of the knee: a randomized, double-blind, vehicle-controlled clinical trial.
    Archives of internal medicine, 2004, Oct-11, Volume: 164, Issue:18

    Topics: Administration, Topical; Adult; Aged; Aged, 80 and over; Anti-Inflammatory Agents, Non-Steroidal; Di

2004
Acupuncture as a complementary therapy to the pharmacological treatment of osteoarthritis of the knee: randomised controlled trial.
    BMJ (Clinical research ed.), 2004, Nov-20, Volume: 329, Issue:7476

    Topics: Acupuncture Therapy; Aged; Anti-Inflammatory Agents, Non-Steroidal; Combined Modality Therapy; Diclo

2004
Chinese herbal recipe versus diclofenac in symptomatic treatment of osteoarthritis of the knee: a randomized controlled trial [ISRCTN70292892].
    BMC complementary and alternative medicine, 2004, Dec-13, Volume: 4

    Topics: Adult; Anti-Inflammatory Agents, Non-Steroidal; Diclofenac; Dizziness; Double-Blind Method; Drugs, C

2004
Patient preference in a crossover clinical trial of patients with osteoarthritis of the knee or hip: face validity of self-report questionnaire ratings.
    The Journal of rheumatology, 2005, Volume: 32, Issue:3

    Topics: Acetaminophen; Analgesics, Non-Narcotic; Anti-Inflammatory Agents, Non-Steroidal; Cross-Over Studies

2005
Efficacy and tolerability of lumiracoxib in the treatment of osteoarthritis of the knee: a 13-week, randomized, double-blind comparison with celecoxib and placebo.
    Clinical therapeutics, 2005, Volume: 27, Issue:1

    Topics: Adult; Aged; Aged, 80 and over; Celecoxib; Cyclooxygenase 2; Cyclooxygenase 2 Inhibitors; Cyclooxyge

2005
Efficacy and tolerability of lumiracoxib 100 mg once daily in knee osteoarthritis: a 13-week, randomized, double-blind study vs. placebo and celecoxib.
    Current medical research and opinion, 2005, Volume: 21, Issue:4

    Topics: Activities of Daily Living; Administration, Oral; Adult; Aged; Aged, 80 and over; Celecoxib; Cycloox

2005
Treatment of osteoarthritis of the knee with a topical diclofenac solution: a randomised controlled, 6-week trial [ISRCTN53366886].
    BMC musculoskeletal disorders, 2005, Aug-08, Volume: 6

    Topics: Administration, Topical; Adult; Aged; Aged, 80 and over; Anti-Inflammatory Agents, Non-Steroidal; Di

2005
Treatment of osteoarthritis of the knee with a topical diclofenac solution: a randomised controlled, 6-week trial [ISRCTN53366886].
    BMC musculoskeletal disorders, 2005, Aug-08, Volume: 6

    Topics: Administration, Topical; Adult; Aged; Aged, 80 and over; Anti-Inflammatory Agents, Non-Steroidal; Di

2005
Treatment of osteoarthritis of the knee with a topical diclofenac solution: a randomised controlled, 6-week trial [ISRCTN53366886].
    BMC musculoskeletal disorders, 2005, Aug-08, Volume: 6

    Topics: Administration, Topical; Adult; Aged; Aged, 80 and over; Anti-Inflammatory Agents, Non-Steroidal; Di

2005
Treatment of osteoarthritis of the knee with a topical diclofenac solution: a randomised controlled, 6-week trial [ISRCTN53366886].
    BMC musculoskeletal disorders, 2005, Aug-08, Volume: 6

    Topics: Administration, Topical; Adult; Aged; Aged, 80 and over; Anti-Inflammatory Agents, Non-Steroidal; Di

2005
Lumiracoxib is effective in the treatment of osteoarthritis of the knee: a prospective randomized 13-week study versus placebo and celecoxib.
    Clinical rheumatology, 2006, Volume: 25, Issue:1

    Topics: Administration, Oral; Adolescent; Adult; Aged; Aged, 80 and over; Antirheumatic Agents; Celecoxib; C

2006
Efficacy of topical diclofenac diethylamine gel in osteoarthritis of the knee.
    The Journal of rheumatology, 2005, Volume: 32, Issue:12

    Topics: Aged; Anti-Inflammatory Agents, Non-Steroidal; Diclofenac; Double-Blind Method; Female; Gels; Humans

2005
First-dose analgesic effect of the cyclo-oxygenase-2 selective inhibitor lumiracoxib in osteoarthritis of the knee: a randomized, double-blind, placebo-controlled comparison with celecoxib [NCT00267215].
    Arthritis research & therapy, 2006, Volume: 8, Issue:2

    Topics: Aged; Analgesics; Celecoxib; Cyclooxygenase 2 Inhibitors; Diclofenac; Double-Blind Method; Drug Admi

2006
Long term NSAID treatment inhibits COX-2 synthesis in the knee synovial membrane of patients with osteoarthritis: differential proinflammatory cytokine profile between celecoxib and aceclofenac.
    Annals of the rheumatic diseases, 2006, Volume: 65, Issue:8

    Topics: Aged; Anti-Inflammatory Agents, Non-Steroidal; Antigens, CD; Antigens, Differentiation, Myelomonocyt

2006
Evaluation of efficacy and safety of diacerein in knee osteoarthritis in Chinese patients.
    Chinese medical sciences journal = Chung-kuo i hsueh k'o hsueh tsa chih, 2006, Volume: 21, Issue:2

    Topics: Adult; Aged; Anthraquinones; Anti-Inflammatory Agents, Non-Steroidal; Diclofenac; Double-Blind Metho

2006
Aceclofenac vs paracetamol in the management of symptomatic osteoarthritis of the knee: a double-blind 6-week randomized controlled trial.
    Osteoarthritis and cartilage, 2007, Volume: 15, Issue:8

    Topics: Acetaminophen; Adult; Aged; Analgesics, Non-Narcotic; Anti-Inflammatory Agents, Non-Steroidal; Diclo

2007
[Clinical observation of electroacupuncture combined with low-dose diclofenac in treating osteoarthritis of the knee].
    Zhong xi yi jie he xue bao = Journal of Chinese integrative medicine, 2007, Volume: 5, Issue:4

    Topics: Aged; Anti-Inflammatory Agents, Non-Steroidal; Combined Modality Therapy; Diclofenac; Electroacupunc

2007
A study on the effects of diclofenac sodium and etoricoxib in the treatment of osteoarthritis.
    Journal of the Indian Medical Association, 2007, Volume: 105, Issue:5

    Topics: Adult; Cyclooxygenase Inhibitors; Diclofenac; Double-Blind Method; Etoricoxib; Female; Humans; Male;

2007
Diclofenac/misoprostol compared with diclofenac in the treatment of osteoarthritis of the knee or hip: a randomized, placebo controlled trial. Arthrotec Osteoarthritis Study Group.
    The Journal of rheumatology, 1998, Volume: 25, Issue:8

    Topics: Adult; Aged; Anti-Inflammatory Agents, Non-Steroidal; Diclofenac; Double-Blind Method; Drug Therapy,

1998
Oxaceprol is as effective as diclofenac in the therapy of osteoarthritis of the knee and hip.
    Clinical rheumatology, 1999, Volume: 18, Issue:1

    Topics: Administration, Oral; Adult; Aged; Aged, 80 and over; Anti-Inflammatory Agents, Non-Steroidal; Arthr

1999
Nabumetone induces less gastrointestinal mucosal changes than diclofenac retard.
    Clinical rheumatology, 1999, Volume: 18, Issue:4

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Anti-Inflammatory Agents, Non-Steroidal; Butanones; Dicl

1999
Topical diclofenac versus placebo: a double blind, randomized clinical trial in patients with osteoarthritis of the knee.
    The Journal of rheumatology, 1999, Volume: 26, Issue:12

    Topics: Administration, Topical; Aged; Anti-Inflammatory Agents, Non-Steroidal; Diclofenac; Double-Blind Met

1999
Comparison of therapeutic efficacy of nimesulide and diclofenac in patients with degenerative joint diseases.
    Journal of the Indian Medical Association, 1999, Volume: 97, Issue:4

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Anti-Inflammatory Agents, Non-Steroidal; Diclofenac; Dou

1999
Oxaceprol is a well-tolerated therapy for osteoarthritis with efficacy equivalent to diclofenac.
    Clinical rheumatology, 2000, Volume: 19, Issue:2

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Arthralgia; Diclofenac; Double-Blind Method; Female; Humans

2000
Rofecoxib, a specific inhibitor of cyclooxygenase 2, with clinical efficacy comparable with that of diclofenac sodium: results of a one-year, randomized, clinical trial in patients with osteoarthritis of the knee and hip. Rofecoxib Phase III Protocol 035
    Arthritis and rheumatism, 2000, Volume: 43, Issue:5

    Topics: Adult; Aged; Anti-Inflammatory Agents, Non-Steroidal; Cyclooxygenase Inhibitors; Diclofenac; Double-

2000
Celecoxib versus diclofenac in the management of osteoarthritis of the knee.
    Scandinavian journal of rheumatology, 2001, Volume: 30, Issue:1

    Topics: Activities of Daily Living; Adult; Aged; Aged, 80 and over; Alanine Transaminase; Aspartate Aminotra

2001
A randomized, double-blind, crossover clinical trial of diclofenac plus misoprostol versus acetaminophen in patients with osteoarthritis of the hip or knee.
    Arthritis and rheumatism, 2001, Volume: 44, Issue:7

    Topics: Acetaminophen; Analgesics, Non-Narcotic; Anti-Inflammatory Agents, Non-Steroidal; Anti-Ulcer Agents;

2001
Efficacy and tolerability of oral enzyme therapy as compared to diclofenac in active osteoarthrosis of knee joint: an open randomized controlled clinical trial.
    The Journal of the Association of Physicians of India, 2001, Volume: 49

    Topics: Adult; Aged; Anti-Inflammatory Agents, Non-Steroidal; Bromelains; Chi-Square Distribution; Diclofena

2001
Electroacupuncture versus diclofenac in symptomatic treatment of osteoarthritis of the knee: a randomized controlled trial.
    BMC complementary and alternative medicine, 2002, Mar-21, Volume: 2

    Topics: Acetaminophen; Adult; Analysis of Variance; Anti-Inflammatory Agents, Non-Steroidal; Arthralgia; Com

2002

Other Studies

43 other studies available for diclofenac and Osteoarthritis of Knee

ArticleYear
Effects of Different Nonsteroidal Anti-Inflammatory Drugs Combined with Platelet-Rich Plasma on Inflammatory Factor Levels in Patients with Osteoarthritis.
    Journal of healthcare engineering, 2022, Volume: 2022

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Celecoxib; Diclofenac; Humans; Osteoarthritis, Knee; Platel

2022
Comparison of Therapeutic Effects of Topical Application of Diclofenac Sodium Nanoparticles and Conventional Placebo on Knee Osteoarthritis.
    Cellular and molecular biology (Noisy-le-Grand, France), 2022, Mar-31, Volume: 68, Issue:3

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Diclofenac; Humans; Liposomes; Nanoparticles; Osteoarthriti

2022
[Evaluation of topical therapy of patients with osteoarthritis of small joints of the hands with Voltaren® Emulgel® 2% (diclofenac diethylamine 2%)].
    Terapevticheskii arkhiv, 2021, May-15, Volume: 93, Issue:5

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Arthralgia; Diclofenac; Female; Humans; Male; Osteoarthriti

2021
Analgesic effects and arthritic changes following intra-articular injection of diclofenac etalhyaluronate in a rat knee osteoarthritis model.
    BMC musculoskeletal disorders, 2022, Nov-07, Volume: 23, Issue:1

    Topics: Analgesics; Animals; Calcitonin Gene-Related Peptide; Diclofenac; Disease Models, Animal; Hyaluronic

2022
[Injectable hydrogel microspheres experimental research for the treatment of osteoarthritis].
    Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery, 2023, Aug-15, Volume: 37, Issue:8

    Topics: Aggrecans; Animals; Collagen Type II; Diclofenac; Hyaluronic Acid; Hydrogels; Inflammation; Matrix M

2023
Celecoxib vs diclofenac sodium in patients with knee osteoarthritis: A protocol for systematic review and meta analysis.
    Medicine, 2020, Volume: 99, Issue:15

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Blood Sedimentation; C-Reactive Protein; Celecoxib; Diclofe

2020
Letter to the Editor Regarding a Recent Article: Meta-Analysis Comparing Celecoxib with Diclofenac Sodium in Patients with Knee Osteoarthritis.
    Pain medicine (Malden, Mass.), 2022, 03-02, Volume: 23, Issue:3

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Celecoxib; Diclofenac; Humans; Osteoarthritis, Knee

2022
Outcomes and Western Ontario and McMaster Universities Osteoarthritis Index Score Reporting in a Trial of the Efficacy and Safety of Diclofenac-Hyaluronate Conjugate: Comment on the Article by Nishida et al.
    Arthritis & rheumatology (Hoboken, N.J.), 2021, Volume: 73, Issue:11

    Topics: Diclofenac; Humans; Injections, Intra-Articular; Ontario; Osteoarthritis, Knee; Universities

2021
[Topical NSAIDs: ineffective or undervalued?]
    Nederlands tijdschrift voor geneeskunde, 2021, 05-19, Volume: 165

    Topics: Acute Pain; Administration, Topical; Anti-Inflammatory Agents, Non-Steroidal; Diclofenac; Humans; Mu

2021
Effects of single or combined administration of salmon calcitonin and omega-3 fatty acids vs. diclofenac sodium in sodium monoiodoacetate-induced knee osteoarthritis in male Wistar rats.
    Journal of basic and clinical physiology and pharmacology, 2017, Nov-27, Volume: 28, Issue:6

    Topics: Alkaline Phosphatase; Animals; Calcitonin; Collagen Type I; Collagen Type II; Diclofenac; Dose-Respo

2017
[Pharmacological profile of a novel nonhuman primate model of knee osteoarthritis].
    Nihon yakurigaku zasshi. Folia pharmacologica Japonica, 2018, Volume: 152, Issue:3

    Topics: Analgesics, Opioid; Animals; Anti-Inflammatory Agents, Non-Steroidal; Aprepitant; Diclofenac; Duloxe

2018
Noninvasive Mechanical Joint Loading as an Alternative Model for Osteoarthritic Pain.
    Arthritis & rheumatology (Hoboken, N.J.), 2019, Volume: 71, Issue:7

    Topics: Analgesics; Animals; Anti-Inflammatory Agents, Non-Steroidal; Arthralgia; Behavior, Animal; Cartilag

2019
Comparison of the effects of chronic intra-articular administration of tenoxicam, diclofenac, and methylprednisolone in healthy rats.
    Acta orthopaedica et traumatologica turcica, 2015, Volume: 49, Issue:4

    Topics: Animals; Anti-Inflammatory Agents, Non-Steroidal; Cartilage, Articular; Diclofenac; Female; Injectio

2015
Use of non-steroidal anti-inflammatory drugs correlates with the risk of venous thromboembolism in knee osteoarthritis patients: a UK population-based case-control study.
    Rheumatology (Oxford, England), 2016, Volume: 55, Issue:6

    Topics: Aged; Anti-Inflammatory Agents, Non-Steroidal; Case-Control Studies; Cyclooxygenase 2 Inhibitors; Di

2016
[Paracetamol in knee and hip arthrosis is dispensable].
    MMW Fortschritte der Medizin, 2016, Apr-14, Volume: 158, Issue:7

    Topics: Acetaminophen; Diclofenac; Etoricoxib; Humans; Naproxen; Osteoarthritis, Hip; Osteoarthritis, Knee;

2016
Review: Some NSAIDs, notably diclofenac, improved knee or hip pain and function in osteoarthritis vs other NSAIDs.
    Annals of internal medicine, 2016, 07-19, Volume: 165, Issue:2

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Diclofenac; Hip; Humans; Osteoarthritis, Knee; Pain

2016
Do that to me one more time! What kind of trial replications do we need?
    Complementary therapies in medicine, 2008, Volume: 16, Issue:4

    Topics: Animals; Anti-Inflammatory Agents, Non-Steroidal; Diclofenac; Homeopathy; Humans; Leeches; Meta-Anal

2008
Liposomal dexamethasone-diclofenac combinations for local osteoarthritis treatment.
    International journal of pharmaceutics, 2009, Jul-06, Volume: 376, Issue:1-2

    Topics: Animals; Cell Line, Tumor; Cyclooxygenase Inhibitors; Dexamethasone; Diclofenac; Drug Combinations;

2009
[Effect of protracted therapy with chondroprotectors and non-steroidal anti-inflammatory drugs on the quality of life in patients with osteoarthrosis].
    Klinicheskaia meditsina, 2009, Volume: 87, Issue:4

    Topics: Adult; Aged; Anti-Inflammatory Agents, Non-Steroidal; Chondroitin Sulfates; Diclofenac; Female; Huma

2009
Grading of monosodium iodoacetate-induced osteoarthritis reveals a concentration-dependent sensitization of nociceptors in the knee joint of the rat.
    Neuroscience letters, 2009, Nov-13, Volume: 465, Issue:2

    Topics: Action Potentials; Alkylating Agents; Animals; Anti-Inflammatory Agents, Non-Steroidal; Diclofenac;

2009
Topical diclofenac solution.
    Drugs, 2009, Volume: 69, Issue:18

    Topics: Activities of Daily Living; Administration, Cutaneous; Administration, Oral; Anti-Inflammatory Agent

2009
Safety and efficacy of topical diclofenac sodium gel for knee osteoarthritis in elderly and younger patients: pooled data from three randomized, double-blind, parallel-group, placebo-controlled, multicentre trials.
    Drugs & aging, 2011, Jan-01, Volume: 28, Issue:1

    Topics: Administration, Cutaneous; Adult; Age Factors; Aged; Aged, 80 and over; Analysis of Variance; Anti-I

2011
Safety and efficacy of topical diclofenac sodium gel for knee osteoarthritis in elderly and younger patients: pooled data from three randomized, double-blind, parallel-group, placebo-controlled, multicentre trials.
    Drugs & aging, 2011, Jan-01, Volume: 28, Issue:1

    Topics: Administration, Cutaneous; Adult; Age Factors; Aged; Aged, 80 and over; Analysis of Variance; Anti-I

2011
Safety and efficacy of topical diclofenac sodium gel for knee osteoarthritis in elderly and younger patients: pooled data from three randomized, double-blind, parallel-group, placebo-controlled, multicentre trials.
    Drugs & aging, 2011, Jan-01, Volume: 28, Issue:1

    Topics: Administration, Cutaneous; Adult; Age Factors; Aged; Aged, 80 and over; Analysis of Variance; Anti-I

2011
Safety and efficacy of topical diclofenac sodium gel for knee osteoarthritis in elderly and younger patients: pooled data from three randomized, double-blind, parallel-group, placebo-controlled, multicentre trials.
    Drugs & aging, 2011, Jan-01, Volume: 28, Issue:1

    Topics: Administration, Cutaneous; Adult; Age Factors; Aged; Aged, 80 and over; Analysis of Variance; Anti-I

2011
Safety and efficacy of topical diclofenac sodium gel for knee osteoarthritis in elderly and younger patients: pooled data from three randomized, double-blind, parallel-group, placebo-controlled, multicentre trials.
    Drugs & aging, 2011, Jan-01, Volume: 28, Issue:1

    Topics: Administration, Cutaneous; Adult; Age Factors; Aged; Aged, 80 and over; Analysis of Variance; Anti-I

2011
Safety and efficacy of topical diclofenac sodium gel for knee osteoarthritis in elderly and younger patients: pooled data from three randomized, double-blind, parallel-group, placebo-controlled, multicentre trials.
    Drugs & aging, 2011, Jan-01, Volume: 28, Issue:1

    Topics: Administration, Cutaneous; Adult; Age Factors; Aged; Aged, 80 and over; Analysis of Variance; Anti-I

2011
Safety and efficacy of topical diclofenac sodium gel for knee osteoarthritis in elderly and younger patients: pooled data from three randomized, double-blind, parallel-group, placebo-controlled, multicentre trials.
    Drugs & aging, 2011, Jan-01, Volume: 28, Issue:1

    Topics: Administration, Cutaneous; Adult; Age Factors; Aged; Aged, 80 and over; Analysis of Variance; Anti-I

2011
Safety and efficacy of topical diclofenac sodium gel for knee osteoarthritis in elderly and younger patients: pooled data from three randomized, double-blind, parallel-group, placebo-controlled, multicentre trials.
    Drugs & aging, 2011, Jan-01, Volume: 28, Issue:1

    Topics: Administration, Cutaneous; Adult; Age Factors; Aged; Aged, 80 and over; Analysis of Variance; Anti-I

2011
Safety and efficacy of topical diclofenac sodium gel for knee osteoarthritis in elderly and younger patients: pooled data from three randomized, double-blind, parallel-group, placebo-controlled, multicentre trials.
    Drugs & aging, 2011, Jan-01, Volume: 28, Issue:1

    Topics: Administration, Cutaneous; Adult; Age Factors; Aged; Aged, 80 and over; Analysis of Variance; Anti-I

2011
Safety advantages of topical versus oral nonsteroidal antiinflammatory drugs.
    The Journal of rheumatology, 2011, Volume: 38, Issue:3

    Topics: Administration, Oral; Administration, Topical; Aged; Anti-Inflammatory Agents, Non-Steroidal; Diclof

2011
Tolerability of topical diclofenac sodium 1% gel for osteoarthritis in seniors and patients with comorbidities.
    The American journal of geriatric pharmacotherapy, 2012, Volume: 10, Issue:1

    Topics: Administration, Topical; Adult; Aged; Aged, 80 and over; Anti-Inflammatory Agents, Non-Steroidal; Co

2012
Pooled safety analysis of diclofenac sodium topical solution 1.5% (w/w) in the treatment of osteoarthritis in patients aged 75 years or older.
    Clinical interventions in aging, 2012, Volume: 7

    Topics: Administration, Topical; Aged; Aged, 80 and over; Analysis of Variance; Anti-Inflammatory Agents, No

2012
A note on the jadad score as an efficient tool for measuring trial quality.
    Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2013, Volume: 17, Issue:6

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Diclofenac; Humans; Osteoarthritis, Knee; Randomized Contro

2013
Summaries for patients. Leeches to treat knee osteoarthritis.
    Annals of internal medicine, 2003, Nov-04, Volume: 139, Issue:9

    Topics: Administration, Topical; Animals; Anti-Inflammatory Agents, Non-Steroidal; Diclofenac; Humans; Knee

2003
[Pulmonary infiltrates with blood eosinophilia in a 62-year-old patient].
    Der Internist, 2003, Volume: 44, Issue:8

    Topics: Administration, Topical; Anti-Inflammatory Agents, Non-Steroidal; Chronic Disease; Cough; Diclofenac

2003
Topical nonsteroidal antiinflammatory drugs are effective in osteoarthritis of the knee.
    The Journal of rheumatology, 2004, Volume: 31, Issue:10

    Topics: Administration, Topical; Anti-Inflammatory Agents, Non-Steroidal; Clinical Trials as Topic; Diclofen

2004
[Acute renal failure caused by analgesics. Successful treatment of knee pain, but patient died].
    MMW Fortschritte der Medizin, 2004, Aug-19, Volume: 146, Issue:33-34

    Topics: Acute Kidney Injury; Anti-Inflammatory Agents, Non-Steroidal; Diabetic Nephropathies; Diagnosis, Dif

2004
Is topical treatment of osteoarthritis site-specific?
    CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2005, Mar-01, Volume: 172, Issue:5

    Topics: Administration, Topical; Anti-Inflammatory Agents, Non-Steroidal; Aspirin; Diclofenac; Drug Therapy,

2005
Efficacy and relevance of topical diclofenac for osteoarthritic pain.
    Archives of internal medicine, 2005, Mar-14, Volume: 165, Issue:5

    Topics: Administration, Topical; Anti-Inflammatory Agents, Non-Steroidal; Diclofenac; Humans; Osteoarthritis

2005
Is there an association between the use of different types of nonsteroidal antiinflammatory drugs and radiologic progression of osteoarthritis? The Rotterdam Study.
    Arthritis and rheumatism, 2005, Volume: 52, Issue:10

    Topics: Aged; Anti-Inflammatory Agents, Non-Steroidal; Diclofenac; Disease Progression; Female; Follow-Up St

2005
Does diclofenac induce accelerated progression of hip and knee radiographic osteoarthritis? Comment on the article by Reijman et al.
    Arthritis and rheumatism, 2006, Volume: 54, Issue:3

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Diclofenac; Disease Progression; Humans; Osteoarthritis, Hi

2006
Is the Jadad score the proper evaluation of trials?
    The Journal of rheumatology, 2006, Volume: 33, Issue:8

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Diclofenac; Disability Evaluation; Humans; Osteoarthritis,

2006
Short-term treatment with topical diclofenac epolamine plaster in patients with symptomatic knee osteoarthritis: pooled analysis of two randomised clinical studies.
    Current medical research and opinion, 2006, Volume: 22, Issue:12

    Topics: Administration, Topical; Adolescent; Adult; Aged; Aged, 80 and over; Anti-Inflammatory Agents, Non-S

2006
Minimal change disease and acute tubular necrosis caused by diclofenac.
    Nephrology (Carlton, Vic.), 2008, Volume: 13, Issue:1

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Biopsy; Diagnosis, Differential; Diclofenac; Female; Follow

2008
Comprehensive preoperative evaluation of platelet function in total knee arthroplasty patients taking diclofenac.
    The Journal of arthroplasty, 2008, Volume: 23, Issue:3

    Topics: Adult; Aged; Anti-Inflammatory Agents, Non-Steroidal; Arthroplasty, Replacement, Knee; Blood Platele

2008
Study of efficacy and tolerance of ketoprofen and diclofenac sodium in the treatment of acute rheumatic and traumatic conditions.
    JPMA. The Journal of the Pakistan Medical Association, 1998, Volume: 48, Issue:12

    Topics: Adolescent; Adult; Aged; Arthritis, Rheumatoid; Diclofenac; Female; Humans; Ketoprofen; Male; Middle

1998
Effects of some nonsteroidal anti-inflammatory drugs on articular cartilage of rats in an experimental model of osteoarthritis.
    Research in experimental medicine. Zeitschrift fur die gesamte experimentelle Medizin einschliesslich experimenteller Chirurgie, 2001, Volume: 200, Issue:3

    Topics: Alkylating Agents; Animals; Anti-Inflammatory Agents, Non-Steroidal; Cartilage, Articular; Diclofena

2001
Are NSAIDs more effective than acetaminophen in patients with osteoarthritis?
    The Journal of family practice, 2001, Volume: 50, Issue:10

    Topics: Acetaminophen; Analgesics, Non-Narcotic; Anti-Inflammatory Agents, Non-Steroidal; Anti-Ulcer Agents;

2001
Aceclofenac increases the synthesis of interleukin 1 receptor antagonist and decreases the production of nitric oxide in human articular chondrocytes.
    The Journal of rheumatology, 2001, Volume: 28, Issue:12

    Topics: Aged; Aged, 80 and over; Anti-Inflammatory Agents, Non-Steroidal; Aspirin; Cartilage, Articular; Cel

2001
[Impact of the education of a patient with arthrosis].
    La Revue du praticien, 2002, Mar-01, Volume: 52, Issue:5 Suppl

    Topics: Aged; Aged, 80 and over; Cyclooxygenase Inhibitors; Diclofenac; Drug Therapy, Combination; Exercise

2002