Safety Concerns with Pfizer/Lilly Trial of Tanezumab
Pfizer and Eli Lilly have reported safety concerns with a Phase 3 study comparing tanezumab 2.5 mg and 5 mg with nonsteroidal anti-inflammatory drugs (NSAIDs) in patients with moderate-to-severe osteoarthritis (OA) of the hip or knee. The study, which was designed to evaluate tanezumab’s long-term joint safety and 16-week efficacy, showed a statistically significant “higher rate of joint safety events in the tanezumab arms compared to NSAIDs at 80 weeks,” the companies say. “Joint safety was a composite measure consisting of adjudicated outcomes of rapidly progressive osteoarthritis (RPOA) Type 1 or Type 2, subchondral insufficiency fracture, osteonecrosis or pathological fracture.”
Tanezumab is a monoclonal antibody that is part of an investigational class of non-opioid chronic pain medications known as nerve growth factor inhibitors.
On the efficacy side, Lilly and Pfizer say the tanezumab 5 mg treatment arm met two of the three co-primary efficacy endpoints, demonstrating a statistically significant improvement in pain and physical function compared to NSAIDs, while patients’ overall assessment of their OA was not statistically different than NSAIDs. “Patients who received tanezumab 2.5 mg did not experience a statistically significant improvement in pain, physical function or patients’ overall assessment of their OA at 16 weeks compared to NSAIDs,” according to the companies.