Diclofenac Sodium Topical Gel to Reduce Injection Site Discomfort in Patients With Multiple Sclerosis Taking Glatiramer Acetate: A Randomized Controlled Double- Blind Crossover Trial

CompletedPhase 4MS (type not specified)NCT01454791

What it found

Missed its main goal

The main measure did not show a significant benefit.

MeasureEstimate95% CIp
Local Injection Site Reaction (0-6) Scale at Baseline, 2 WeeksMean Difference (Final Values) -0.080.45
Pain Scale at 2 WeeksMean Difference (Final Values) -0.160.6059

Statistical analysis as posted on ClinicalTrials.gov.

What was tested

Treatment tested

  • diclofenac sodium topical gel

Placebo

  • Placebo

Results by group

Local Injection Site Reaction (0-6) Scale at Baseline, 2 Weeks

2 weeks

GroupValueIntervalNumber analysed
Diclofenac Sodium Topical Gel3.39 units on a scale0.19 (Standard Deviation)40
Placebo3.47 units on a scale0.19 (Standard Deviation)40

Diclofenac Sodium Topical Gel

3.39

Placebo

3.47

p = 0.45; Mean Difference (Final Values) -0.08

Pain Scale at 2 Weeks

2 weeks

GroupValueIntervalNumber analysed
Diclofenac Sodium Topical Gel2.44 units on a scale0.28 (Standard Deviation)40
Placebo2.60 units on a scale0.28 (Standard Deviation)40

Diclofenac Sodium Topical Gel

2.44

Placebo

2.6

p = 0.6059; Mean Difference (Final Values) -0.16

Values as posted on ClinicalTrials.gov. Outcomes measured differently across trials are not directly comparable.

Safety

GroupParticipants at riskSerious adverse eventsDeaths
Diclofenac Sodium Topical Gel200 (0.0%)
Placebo200 (0.0%)

As posted on ClinicalTrials.gov. Serious adverse events include any serious health event during the trial, whether or not the treatment caused it.

What it measured

Main measures

  • Local Injection Site Reaction (0-6) Scale at Baseline, 2 Weeks

    2 weeks

    PainSafety
  • Pain Scale at 2 Weeks

    2 weeks

    PainSafety

Other measures (1)

  • Subject Global Impression at 2 Weeks

    2 weeks

Who could take part

MS (type not specified) · 18 and over

Show the full criteria

Inclusion criteria

* Diagnosis of Multiple Sclerosis (MS) made at least 3 months prior based on McDonald or Poser criteria. * Age 18 or more * Ongoing treatment with glatiramer acetate (Copaxone) for three months or more. * No MS exacerbation for 60 days prior to screening. * Mean score of greater than or equal to 1.0 on screening Local Injection Site Reaction scale of last 3 days. * Written informed consent.

Exclusion criteria

* Regular use of any non-steroidal anti-inflammatory drug (NDAID), except Asprin (\<325 mg daily), between screening and end of study. * Any contraindication to Diclofenac Sodium Topical Gel (DSTG) * allergy to DSTG or any NSAID. * history of asthma, urticaria, or other allergic reaction after taking any NSAID. * Females who are breast feeding, pregnant or have potential to become pregnant during the course of the study(fertile and unwilling/unable to use effective contraceptive measures). * Cognitive deficits that would interfere with the subject's ability to give informed consent or preform study testing. * Any other serious and/or unstable medical condition.

As registered. Criteria can change, so ask the trial team or your neurologist.

About this trial

In the sponsor's words

The purpose of this study is to assess the effect of Diclofenac Sodium Topical Gel (DSTG) on injection site reaction following self-administer glatiramer acetate in people with Multiple Sclerosis.

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History

    1. Started

      Jan 2011

    2. Main results due

      Mar 2013

    3. Finished

      Mar 2013

    4. Results posted

      Feb 2015

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