PMID- 22004765 OWN - NLM STAT- MEDLINE DCOM- 20120320 LR - 20220408 IS - 1522-9653 (Electronic) IS - 1063-4584 (Linking) VI - 19 IP - 12 DP - 2011 Dec TI - Preliminary assessment of the safety and efficacy of tanezumab in Japanese patients with moderate to severe osteoarthritis of the knee: a randomized, double-blind, dose-escalation, placebo-controlled study. PG - 1405-12 LID - 10.1016/j.joca.2011.09.006 [doi] AB - OBJECTIVE: To investigate the use of tanezumab, a humanized monoclonal antibody that inhibits nerve growth factor, for the treatment of moderate to severe osteoarthritis in Japanese patients. DESIGN: Patients received tanezumab 10, 25, 50, 100, 200 mug/kg, or placebo and were followed for 92 or 120 days. Endpoints included the incidence of adverse events (AEs) and the change from baseline to week 8 in pain intensity and the Western Ontario and McMaster Universities Osteoarthritis (WOMAC) subscales. RESULTS: Patients (n = 83) were 69% female, age 44-73 years, with a Kellgren-Lawrence X-ray grade of 2-4. At week 8, compared with placebo, tanezumab 25, 100, and 200 mug/kg improved index knee pain during walking (-18.5, -14.3, and -27.6, respectively), index knee pain in the past 24 h (-19.1, -14.6, and -24.2, respectively), current index knee pain (-16.5, -10.9, and -22.8, respectively), and the WOMAC pain (-11.5, -9.6, and -18.8, respectively), physical function (-8.7, -9.5, and -17.6, respectively), and stiffness (-20.4, -11.2, and -10.2, respectively) subscales. Overall, seven patients reported AEs of abnormal peripheral sensation: allodynia (two in the tanezumab 200 mug/kg group); paresthesia (two in the tanezumab 200 mug/kg group), dysesthesia (one in the tanezumab 200 mug/kg group); thermohypoesthesia (one in the tanezumab 100 mug/kg group), and decreased vibratory sense (one in the placebo group). All of these AEs were mild to moderate in severity and transient in nature. CONCLUSIONS: Tanezumab was safe and generally well tolerated and may improve pain symptoms in Japanese patients with moderate to severe osteoarthritis of the knee. CLINICALTRIALS.GOV IDENTIFIER: NCT00669409. CI - Copyright (c) 2011 Osteoarthritis Research Society International. Published by Elsevier Ltd. All rights reserved. FAU - Nagashima, H AU - Nagashima H AD - Yanagibashi-Clinical Trial Center, Yanagibashi Hospital, Life Extension Research Institute Foundation, Tokyo, Japan. FAU - Suzuki, M AU - Suzuki M FAU - Araki, S AU - Araki S FAU - Yamabe, T AU - Yamabe T FAU - Muto, C AU - Muto C CN - Tanezumab Investigators LA - eng SI - ClinicalTrials.gov/NCT00669409 PT - Clinical Trial, Phase I PT - Clinical Trial, Phase II PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial DEP - 20111005 PL - England TA - Osteoarthritis Cartilage JT - Osteoarthritis and cartilage JID - 9305697 RN - 0 (Antibodies, Monoclonal, Humanized) RN - 0 (Antirheumatic Agents) RN - 0 (Placebos) RN - 0 (Receptor, Nerve Growth Factor) RN - EQL0E9GCX1 (tanezumab) SB - IM MH - Adult MH - Aged MH - Antibodies, Monoclonal, Humanized/administration & dosage/*adverse effects/blood/*therapeutic use MH - Antirheumatic Agents/administration & dosage/*adverse effects/blood/*therapeutic use MH - Dose-Response Relationship, Drug MH - Double-Blind Method MH - Female MH - Humans MH - Injections, Intravenous MH - Male MH - Middle Aged MH - Osteoarthritis, Knee/blood/diagnostic imaging/*drug therapy MH - Pain Measurement/methods MH - Placebos MH - Radiography MH - Receptor, Nerve Growth Factor/antagonists & inhibitors MH - Treatment Outcome FIR - Nagashima, Hirotaka IR - Nagashima H FIR - Kaneda, Hideaki IR - Kaneda H FIR - Yamakami, Shigeo IR - Yamakami S FIR - Yokoyama, Takashi IR - Yokoyama T FIR - Saitoh, Keiji IR - Saitoh K FIR - Shimode, Masanori IR - Shimode M FIR - Okazaki, Hiroshi IR - Okazaki H FIR - Arai, Atsushi IR - Arai A FIR - Hosono, Osamu IR - Hosono O FIR - Nakamura, Eisuke IR - Nakamura E FIR - Katsuragawa, Yozo IR - Katsuragawa Y FIR - Hara, Michiya IR - Hara M FIR - Hatsumi, Toshiaki IR - Hatsumi T FIR - Masuzawa, Michinaga IR - Masuzawa M EDAT- 2011/10/19 06:00 MHDA- 2012/03/21 06:00 CRDT- 2011/10/19 06:00 PHST- 2011/04/08 00:00 [received] PHST- 2011/09/07 00:00 [revised] PHST- 2011/09/21 00:00 [accepted] PHST- 2011/10/19 06:00 [entrez] PHST- 2011/10/19 06:00 [pubmed] PHST- 2012/03/21 06:00 [medline] AID - S1063-4584(11)00282-2 [pii] AID - 10.1016/j.joca.2011.09.006 [doi] PST - ppublish SO - Osteoarthritis Cartilage. 2011 Dec;19(12):1405-12. doi: 10.1016/j.joca.2011.09.006. Epub 2011 Oct 5.