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CompletedNCT02121002Updated Jun 16, 2021Results posted

Study Comparing a Generic Diclofenac Sodium Topical Gel, 1% to Voltaren in the Treatment of Subjects With Osteoarthritis of the Knee

A Phase 3 interventional study of Diclofenac Sodium Topical Gel, 1% and Voltaren Topical Gel, 1% in Osteoarthritis, sponsored by Amneal Pharmaceuticals, LLC. Completed at 23 sites in India. Open to participants aged 35 Years and older. Per ClinicalTrials.gov, last updated 2021-06-16.

Sponsored by Amneal Pharmaceuticals, LLC · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
1,176
Allocation
Randomized
Ages
35 Years and older
Sex
All
01

Study summary

To establish the therapeutic equivalence and safety of a generic Diclofenac Sodium Topical Gel, 1% with Voltaren® Gel 1% in subjects with osteoarthritis of the knee.

02

Conditions studied

  • Osteoarthritis

Keywords

  • Knee
03

In context

Osteoarthritis

4,398 studies on the registry are indexed under Osteoarthritis; 582 are open to participants now.

This study's enrollment of 1,176 is above the median of 70 across 3,440 interventional studies indexed under Osteoarthritis.

Browse Osteoarthritis studies →

Lead sponsor

Amneal Pharmaceuticals, LLC is the lead sponsor of 12 studies on the registry; 2 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
35 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Healthy, ambulatory male or non-pregnant female subjects aged ≥ 35 years with a clinical diagnosis of OA of the knee.
  • Had an X-ray of the target knee, taken no more than 1 year before baseline, showing evidence of OA with Kellgren-Lawrence grade 1-3 disease.
  • After discontinuing all pain medications for at least 7 days, has at least moderate pain on movement for target knee
  • If female and of child-bearing potential, agree to abstain from sexual intercourse or use a reliable method of contraception during the study
  • Able to tolerate rescue medication with paracetamol/acetaminophen.

Exclusion criteria

Exclusion Criteria:

  • Pregnant or lactating or planning to become pregnant during the study period.
  • X-ray showing evidence of OA with Kellgren-Lawrence grade 4 disease.
  • History of OA pain in the contralateral knee requiring medication within 1 year prior to screening.
  • After discontinuing all pain medications for at least 7 days, has a baseline score of ≥20 mm on a 0-100 mm Visual Analog Scale (VAS) for the contralateral knee immediately prior to randomization.
  • History of secondary OA, rheumatoid arthritis, chronic inflammatory disease or fibromyalgia.
  • History of asthma, hypertension, myocardial infarction, thrombotic events, stroke, congestive heart failure, impaired renal function or liver disease.
  • History of gastrointestinal bleeding or peptic ulcer disease.
  • Use of warfarin or other anticoagulant therapy within 30 days of study randomization.
  • Elevated transaminases at screening.
  • Use of ACE inhibitors, cyclosporine, diuretics, lithium or methotrexate, within 30 days of study randomization.
  • Concomitant use of corticosteroids or use within 30 days of study randomization.
  • Concomitant acetylsalicylic acid therapy other than a stable low dose used for cardiac prophylaxis taken for at least 3 months prior to enrollment and maintained throughout the duration of the study.
  • Known allergy to aspirin or nonsteroidal anti-inflammatory drug
  • Any other acute or chronic illness that could compromise the integrity of study data or place the subject at risk by participating in the study.
  • Receipt of any drug as part of a research study within 30 days prior to screening.
  • Previous participation in this study.
  • Any use between screening and baseline of a treatment or medication that may potentially confound study assessment that may potentially confound study assessment (e.g. use of topical analgesics or anti-inflammatory drugs).
  • Recent history of major knee injury or surgery.
  • Known history of positive HIV
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
1,176 participants (actual)

Study arms

  • Experimental
    Diclofenac Sodium Topical Gel, 1%

    Diclofenac Sodium Topical Gel, 1%. 4 gm, 4 times a day for 4 weeks

    Drug: Diclofenac Sodium Topical Gel, 1%

  • Active comparator
    Voltaren Topical Gel, 1%

    Voltaren Topical Gel, 1%. 4 gm, 4 times a day for 4 weeks

    Drug: Voltaren Topical Gel, 1%

  • Placebo comparator
    Vehicle Diclofenac Sodium Topical Gel

    Vehicle Diclofenac Sodium Topical Gel. 4 gm, 4 times a day for 4 weeks

    Drug: Vehicle Diclofenac Sodium Topical Gel

Interventions

  • DrugDiclofenac Sodium Topical Gel, 1%

    Opaque, white gel

  • DrugVoltaren Topical Gel, 1%

    Opaque, white gel

  • DrugVehicle Diclofenac Sodium Topical Gel

    Opaque, white gel

06

What researchers measure

Primary outcomes

  1. Change From Baseline to 4 Weeks in WOMAC Pain Score

    Mean change from baseline to week 4 in the Western Ontario McMaster Osteoarthritis (WOMAC) pain score: 5-point Likert scale: none=o, mild=1, moderate=2, severe=3, extreme=4

    Time frame: Baseline and Week 4

07

Results

Posted Jun 16, 2021

Participant flow

Participant flow — Overall Study
MilestoneDiclofenac Sodium Topical Gel, 1%Voltaren Topical Gel, 1%Vehicle Diclofenac Sodium Topical Gel
Started392393391
Completed385389381
Not completed7410
Withdrew: Physician decision200
Withdrew: Withdrawal by subject314
Withdrew: Protocol violation124
Withdrew: Concomitant therapy011
Withdrew: Others101

Outcome measures

PrimaryChange From Baseline to 4 Weeks in WOMAC Pain Score

Mean change from baseline to week 4 in the Western Ontario McMaster Osteoarthritis (WOMAC) pain score: 5-point Likert scale: none=o, mild=1, moderate=2, severe=3, extreme=4

Time frame:
Baseline and Week 4
Reported as:
Least squares mean · score on a scale
Change From Baseline to 4 Weeks in WOMAC Pain Score
score on a scaleDiclofenac Sodium Topical Gel, 1%Voltaren Topical Gel, 1%Vehicle Diclofenac Sodium Topical Gel
Change From Baseline to 4 Weeks in WOMAC Pain Score2.2332 ± 0.11602.0287 ± 0.1157-0.6387 ± 0.1172

Adverse events

Collected over The over all time frame for any the Adverse Events is maximum 9days starting from date of appearance to date of disappearance.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Diclofenac Sodium Topical Gel, 1%0/391 (0%)0/391 (0%)2/391 (0.5%)
Voltaren Topical Gel, 1%0/393 (0%)0/393 (0%)2/393 (0.5%)
Vehicle Diclofenac Sodium Topical Gel0/391 (0%)0/391 (0%)3/391 (0.8%)
Most frequent other events
Most frequent other events
EventDiclofenac Sodium Topical Gel, 1%Voltaren Topical Gel, 1%Vehicle Diclofenac Sodium Topical Gel
Gastrooesophageal reflux diseaseGastrointestinal disorders0/3910/3931/391
Oedema,General disorders1/3910/3930/391
Nasopharyngitis CoughInfections and infestations0/3910/3931/391
PyrexiaGeneral disorders0/3911/3931/391
Pruritus and Rash PruriticSkin and subcutaneous tissue disorders1/3910/3930/391
HeadacheNervous system disorders0/3911/3930/391

Baseline characteristics

Baseline participants in the Safety population.

Age, Customized
Age, Customized(Participants)Diclofenac Sodium Topical Gel, 1%Voltaren Topical Gel, 1%Vehicle Diclofenac Sodium Topical GelTotal
<= 18 years0000
between 18 and 65 years3573513541062
>=65year344237113
Sex: Female, Male
Sex: Female, Male(Participants)Diclofenac Sodium Topical Gel, 1%Voltaren Topical Gel, 1%Vehicle Diclofenac Sodium Topical GelTotal
Female255244254753
Male136149137422
08

Study locations

23 sites
  • Sunshine Hospitals
    Secunderabad, Andhra Pradesh 500003, India
  • King George Hospital
    Visakhapatnam, Andhra Pradesh 530002, India
  • King George Hospital
    Visakhapatnam, Andra Pradesh 530002, India
  • Rathi Orthopedic and Research Centre
    Ahmedabad, Gujarat 380 015, India
  • B. J. Medical College & Hospital
    Ahmedabad, Gujarat 380016, India
  • GMERS Medical College and Hospital
    Ahmedabad, Gujarat 380061, India
  • Shir Hatkesh Sarvajanik Tabibi Chikitsha Kendra
    Junagadh, Gujarat 362 001, India
  • Centre For Knee Surgery
    Vadodara, Gujarat 390007, India
  • Shree Giriraj Multispeciality Hospital
    Rajkot, Gujurat 360007, India
  • St Johns Medical College
    Bangalore, Karnataka 560034, India
  • K L E Societys Jawaharlal Nehry Medical College
    Belgaum, Karnataka 590010, India
  • Mysore Medical College
    Mysore, Karnataka 570001, India
  • Government Medical College, Calicut
    Calicut, Kerala 673008, India
  • Psm Dept Ltmmc & Ltmg Hospital
    Mumbai, Maharashtra 400022, India
  • Government Medical College
    Nagpur, Maharashtra 440009, India
  • Jasleen Hospital
    Nagpur, Maharashtra 440010, India
  • Lata Mangeshkar Hospital
    Nagpur, Maharashtra 440019, India
  • Bj Medical College
    Pune, Maharashtra 411001, India
  • Malpani Multispeciality Hospital
    Jaipur, Rajasthan 302023, India
  • Apollo Speciality Hospitals
    Madurai, Tamil Nadu 625020, India
  • M V Hospital and Research Centre
    Lucknow, Uttar Pradesh 226 003, India
  • King Georges Medical University
    Lucknow, Uttar Pradesh 226003, India
  • Goa Medical College
    Goa, 403716, India
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 16, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02121002
Lead sponsor
Amneal Pharmaceuticals, LLC
Collaborators
Sristek Clinical Research Solutions Limited
Responsible party
Sponsor
First posted
Apr 23, 2014
Start date
Apr 2014
Primary completion
Oct 2014
Completion
Dec 2014
Results posted
Jun 16, 2021
Last update
Jun 16, 2021

Study contacts

Prayag Shah, MD
study director · Amneal Pharmaceuticals, LLC

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in May 2021. You cannot join it, but the record below documents what was studied.

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