Healthy volunteers will undergo two cinematographic recordings of the cervical spine

Cervical Spine Degeneration

Movement, Abnormal

Aging

A cinematographic recording during the second half of extension of the cervical spine will be made during 16 seconds at two timepoints with an interval of two weeks.

Cinematographic Recording

Zuyderland Medisch Centrum

Cervical Spine Motion in the Elderly

Analysis of Cervical Motion During Flexion and Extension Cinematographic Recordings in Asymptomatic Elderly

The normal sequence of segmental contributions in the lower cervical spine (C4-C5 followed by C5-C6, and then C6-C7) during the second half of extension in asymptomatic participants

Analysing the flexion and extension cinematographic recordings in asymptomatic participants

The patient data (screening information and cinematographic recordings) will be made available to drs. Smeets and drs. Schuermans for analysis

Fundamental research. Cinemathographic recordings will be made in healthy volunteers to determine physiological range of motion in the cervical spine. No health outcome of the intervention will be assessed.

Not applicable. All participants are healthy volunteers.

X0002, BID (approximately every 12 hours; n=400)

Placebo, BID (approximately every 12 hours; n=200)

Osteoarthritis of the Knee

Before the first screening visit, there is a pre-Screening Telephone Call or email interview, the Screening Period of at least 14 days up to 3 weeks will consist of two visits for the assessment of eligibility including radiographic evaluation of the target knee joint space, all screening visits and double-blind treatment visit (week 2, 4, 8, 12 visits) are show in Study Flow Chart of Double-blind Period, and the open label period will be started from the Week 12 visit (see Table 2). All subjects treated with active drug or placebo complete the 12-week double-blind study will enter this Open-label study and will be treated with active drug, X0002.

X0002

A Study to Evaluate the Efficacy and Safety of X0002 Spray in Subjects With Osteoarthritis of the Knee

A Phase 3, Multicenter, 12-Week, Double-Blind and 40-Week Open Label Study to Evaluate the Efficacy and Safety of X0002 Spray in Relief of the Signs and Symptoms of Subjects With Osteoarthritis of the Knee

To evaluate the effect of X0002 spray compared to placebo for relief of knee pain in subjects with OA of the knee as measured by the WOMAC pain subscale score in the target knee at Week 12.

To evaluate the effect of X0002 spray for relief of knee pain in subjects with OA of the knee as measured by the WOMAC pain subscale score in the target knee at 2, 4, 8, 22, 32, 42, and 52 weeks of treatment.

To evaluate the effect of X0002 spray for the relief of joint stiffness in subjects with OA of the knee as measured by the WOMAC stiffness subscale score in the target knee.

To evaluate the effect of X0002 spray on difficulty performing daily activities in subjects with OA of the knee as measured by the WOMAC functional ability subscale score in the target knee.

To evaluate the effect of X0002 spray in subjects with OA of the knee as measured by the overall WOMAC (VAS) score in the target knee.

To evaluate the efficacy of X0002 spray in change of radiographic joint space (at standardized locations in the medial and lateral compartments) of the target knee of subjects with osteoarthritis (OA) of the knee as measured by X-ray.

To evaluate the efficacy of X0002 spray in changes of MOAKS28 (see Appendix 5) scale of subjects with osteoarthritis (OA) of the knee as measured by quantitative magnetic resonance imaging (3D qMRI) of femur, tibia and patella periarticular bone area.

To evaluate the efficacy of X0002 spray in change of cartilage thickness (at standardized locations in the femur, tibia and patella compartments) of subjects with osteoarthritis (OA) of the knee as measured by quantitative magnetic resonance imaging (3D qMRI) of femur, tibia and patella periarticular bone area.

Data for the exploratory efficacy endpoints will be summarized using descriptive statistics.

To assess change from Baseline in the amount of rescue medication (acetaminophen) consumed per day for target knee pain in subjects with OA of the knee.

osteophyte/baş ağrısı

Cervical Spine Motion in the Elderly

A Study to Evaluate the Efficacy and Safety of X0002 Spray in Subjects With Osteoarthritis of the Knee

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