Phase 1, Dose Escalation Study Evaluating the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of SM04690 in Moderate to Severe Knee Osteoarthritis (OA)
A Phase 1, Placebo-Controlled, Double-Blind, Dose-Escalation Study Evaluating the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of SM04690 Injected in the Target Knee Joint of Moderately to Severely Symptomatic Osteoarthritis Subjects
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 1
Contacts and Locations
Study Locations
-
-
Arizona
-
Tucson, Arizona, United States
-
-
California
-
El Cajon, California, United States
-
Walnut Creek, California, United States
-
-
Florida
-
Miami, Florida, United States
-
-
Massachusetts
-
Boston, Massachusetts, United States
-
-
Pennsylvania
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Duncansville, Pennsylvania, United States
-
-
Texas
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Dallas, Texas, United States
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Diagnosed with primary OA in target knee by American College of Rheumatology (ACR) criteria
- Screening pain criteria sufficient as assessed by WOMAC and VAS scores
- Ability to read and understand the informed consent
Exclusion Criteria:
- Women who are pregnant or lactating or child bearing potential, men must use a barrier method of contraception
- Any condition, including laboratory findings, that in the opinion of the investigator constitutes a risk or contraindication for participation in the study or that could interfere with the study objectives, conduct or evaluation
- Body mass index >40
- Major knee surgery in the target knee within 12 months prior to study or planned surgery during the study period
- History of malignancy within the last 5 years
- Participation in a clinical research trial within 12 weeks prior
- Treatment of the target knee with intra-articular steroids within 2 months or hyaluronic acid derivatives within 6 months
- Effusion of the target knee requiring aspiration within 3 months
- Use of electrotherapy or acupuncture for OA within 4 weeks
- Significant and clinically evident misalignment of the target knee
- Any known active infections
- Any chronic condition that has not been well controlled for a minimum of 3 months
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: SM04690, 0.03mg/2mL
Single, intra-articular injection of SM04690, 0.03mg/2mL
|
|
|
Experimental: SM04690, 0.07mg/2mL
Single, intra-articular injection of SM04690, 0.07mg/2mL
|
|
|
Experimental: SM04690, 0.23mg/2mL
Single, intra-articular injection of SM04690, 0.23mg/2mL
|
|
|
Placebo Comparator: Placebo
Single, intra-articular injection of placebo
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Safety assessments for this study will include adverse events, dose limiting toxicity (DLT), physical exams, vital signs, ECGs, and clinical laboratory tests
Time Frame: during 24 weeks
|
during 24 weeks
|
|
Additional safety assessment of bone loss as measured by CT of the knee
Time Frame: during 24 weeks
|
during 24 weeks
|
|
The following PK parameters will be determined from the plasma of SM04690; Cmax, Tmax, AUC0-t, AUC0-∞, and t1/2
Time Frame: during 12 weeks
|
during 12 weeks
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Change from baseline pain over the last 48 hours using a Visual Analog Scale (VAS)
Time Frame: during 24 weeks
|
during 24 weeks
|
|
Change from baseline per Western Ontario and McMaster Osteoarthritis (WOMAC) assessment of disease scale
Time Frame: During 24 weeks
|
During 24 weeks
|
|
Change from baseline per physician global assessment of disease scale
Time Frame: during 24 weeks
|
during 24 weeks
|
|
Change from baseline in joint space width as measured by X-ray
Time Frame: during 24 weeks
|
during 24 weeks
|
|
Change from baseline of cartilage volume and thickness as measure by MRI
Time Frame: during 24 weeks
|
during 24 weeks
|
|
Change from baseline of biomarkers of cartilage synthesis and cytokines
Time Frame: during 24 weeks
|
during 24 weeks
|
Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- SM04690-01
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