A Study Evaluating the Safety and Efficacy of SM04690 for the Treatment of Moderately to Severely Symptomatic Knee Osteoarthritis

NCT ID: NCT03122860

Last Updated: 2021-06-11

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

700 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-04-24

Study Completion Date

2018-04-30

Brief Summary

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This phase 2 study is a placebo-controlled, double-blind, parallel group study of four concentrations of SM04690 (0.03, 0.07, 0.15, and 0.23 mg per 2 mL injection) injected intraarticularly (IA) into the target knee joint of subjects with moderately to severely symptomatic osteoarthritis (OA). Based on previous studies of SM04690, key phenotypes of laterality (unilateral vs bilateral) as well as chronic pain (as measured by the Widespread Pain Index) were identified as confounding variables impacting the overall assessment of both radiologic and clinical efficacy outcomes. The design of SM04690-OA-04 is based upon previous study designs while assessing strategies to combat the confounding impact of laterality and chronic pain. To evaluate the effect of IA vehicle injection on patient-reported outcomes (PRO) such as pain, stiffness, and function in OA, this study also includes one cohort that receives a 2 mL IA injection of vehicle (placebo), and one cohort that receives a sham injection (i.e., a needle stick with 0 mL vehicle injected).

Detailed Description

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Conditions

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Knee Osteoarthritis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Sham

Single intra-articular injection of 0 mg SM04690 in 0 mL vehicle

Group Type SHAM_COMPARATOR

Sham

Intervention Type OTHER

Healthcare professional-administered intra-articular injection performed once on Day 1 of the study

0.03 mg SM04690

Single intra-articular injection of 0.03 mg SM04690 in 2 mL vehicle

Group Type EXPERIMENTAL

SM04690

Intervention Type DRUG

Healthcare professional-administered intra-articular injection performed once on Day 1 of the study

0.07 mg SM04690

Single intra-articular injection of 0.07 mg SM04690 in 2 mL vehicle

Group Type EXPERIMENTAL

SM04690

Intervention Type DRUG

Healthcare professional-administered intra-articular injection performed once on Day 1 of the study

0.15 mg SM04690

Single intra-articular injection of 0.15 mg SM04690 in 2 mL vehicle

Group Type EXPERIMENTAL

SM04690

Intervention Type DRUG

Healthcare professional-administered intra-articular injection performed once on Day 1 of the study

0.23 mg SM04690

Single intra-articular injection of 0.23 mg SM04690 in 2 mL vehicle

Group Type EXPERIMENTAL

SM04690

Intervention Type DRUG

Healthcare professional-administered intra-articular injection performed once on Day 1 of the study

Placebo

Single intra-articular injection of 0 mg SM04690 in 2 mL vehicle

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

Healthcare professional-administered intra-articular injection performed once on Day 1 of the study

Interventions

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SM04690

Healthcare professional-administered intra-articular injection performed once on Day 1 of the study

Intervention Type DRUG

Placebo

Healthcare professional-administered intra-articular injection performed once on Day 1 of the study

Intervention Type OTHER

Sham

Healthcare professional-administered intra-articular injection performed once on Day 1 of the study

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Ambulatory
* Diagnosis of femorotibial OA in the target knee by standard American College of Rheumatology (ACR) criteria at screening (clinical AND radiographic criteria); OA of the knee is not to be secondary to any rheumatologic conditions (e.g., rheumatoid arthritis)
* Pain compatible with OA of the knee(s) for at least 26 weeks prior to screening
* Primary source of pain throughout the body is due to OA in the target knee
* Willingness to use an electronic diary on a daily basis in the evening for the screening period and 24-week study duration
* Negative drug test for opioids and drugs of abuse, except alcohol and marijuana, at screening
* Subjects with depression or anxiety must be clinically stable for 12 weeks prior to screening, and, if on treatment for depression or anxiety, be on 12 weeks of stable therapy
* Full understanding of the requirements of the study and willingness to comply with all study visits and assessments
* Subjects must have read and understood the informed consent form, and must have signed it prior to any study-related procedure being performed

Exclusion Criteria

* Women who are pregnant, lactating, or have a positive pregnancy result at screening
* Women of child bearing potential who are sexually active and are not willing to use a highly effective method of birth control during the study period
* Males who are sexually active and have a partner who is capable of becoming pregnant, neither of whom have had surgery to become sterilized or whom are not using a highly effective method of birth control
* Body mass index (BMI) \> 35
* Partial or complete joint replacement in either knee
* Currently requires regular use of ambulatory assistive devices (e.g., wheelchair, parallel bars, walker, canes, or crutches) or use of a lower extremity prosthesis, and/or a structural knee brace
* Previous participation in a Samumed clinical trial investigating SM04690
* Any surgery (e.g., arthroscopy) in either knee within 26 weeks prior to screening
* Any planned surgery during the study period
* History of malignancy within the last 5 years; however, subjects with prior history of in situ cancer or basal or squamous cell skin cancer are eligible if completely excised. Subjects with other malignancies are eligible if they have been continuously disease free for at least 5 years prior to any study injection
* Comorbid conditions that could affect study endpoint assessments of the target knee, including, but not limited to, rheumatoid arthritis, psoriatic arthritis, systemic lupus erythematosus, gout or pseudogout, and fibromyalgia
* Any diagnosed psychiatric condition that includes, but is not limited to, a history of mania, bipolar disorder, psychotic disorder, schizophrenia, schizoaffective disorder, major depressive disorder, or generalized anxiety disorder
* Participation in a clinical research trial that included the receipt of an investigational product or any experimental therapeutic procedure, or an observational research trial related to osteoarthritis within 8 weeks prior to any study injection, or planned participation in any such trial
* Treatment of the target knee with intra-articular glucocorticoids (e.g., methylprednisolone) within 12 weeks prior to screening
* Any intra-articular injection into the target knee with a therapeutic aim including, but not limited to, viscosupplementation (e.g., hyaluronic acid), platelet-rich plasma (PRP), and stem cell therapies within 24 weeks prior to screening; treatment of the target knee with intra-articular glucocorticoids greater than 12 weeks prior to screening is allowed
* Treatment with systemic glucocorticoids greater than 10 mg prednisone or the equivalent per day within 4 weeks prior to screening
* Effusion of the target knee clinically requiring aspiration within 12 weeks prior to screening
* Use of electrotherapy, acupuncture, and/or chiropractic treatments for knee OA within 4 weeks prior to screening
* Any known active infections, including urinary tract infection, upper respiratory tract infection, sinusitis, suspicion of intra-articular infection, hepatitis B or hepatitis C infection, and/or infections that may compromise the immune system such as human immunodeficiency virus (HIV) at study start
* Use of centrally acting analgesics (e.g., duloxetine) within 12 weeks prior to screening
* Use of anticonvulsants within 12 weeks prior to screening, unless used for seizure or migraine prophylaxis
* Subjects requiring the usage of opioids \>1x per week within 12 weeks prior to screening
* Use of topical local anesthetic agents (gels, creams, or patches such as the Lidoderm patch) for the treatment of knee OA within 7 days of screening
Minimum Eligible Age

40 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Biosplice Therapeutics, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Yusuf Yazici, M.D.

Role: STUDY_DIRECTOR

Biosplice Therapeutics, Inc.

Locations

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Anniston, Alabama, United States

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Birmingham, Alabama, United States

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Mobile, Alabama, United States

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Chandler, Arizona, United States

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Phoenix, Arizona, United States

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Phoenix, Arizona, United States

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Tucson, Arizona, United States

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Anaheim, California, United States

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Canoga Park, California, United States

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Carmichael, California, United States

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Cerritos, California, United States

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El Cajon, California, United States

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Gold River, California, United States

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La Mesa, California, United States

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Los Angeles, California, United States

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Rancho Mirage, California, United States

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Sacramento, California, United States

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San Diego, California, United States

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San Marcos, California, United States

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Spring Valley, California, United States

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Boulder, Colorado, United States

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Stamford, Connecticut, United States

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Trumbull, Connecticut, United States

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Waterbury, Connecticut, United States

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Clearwater, Florida, United States

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Coral Gables, Florida, United States

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DeLand, Florida, United States

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Edgewater, Florida, United States

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Lauderdale Lakes, Florida, United States

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Miami, Florida, United States

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Pinellas Park, Florida, United States

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Marietta, Georgia, United States

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Woodstock, Georgia, United States

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Chicago, Illinois, United States

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Evansville, Indiana, United States

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Newton, Kansas, United States

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Prairie Village, Kansas, United States

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Wichita, Kansas, United States

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Lexington, Kentucky, United States

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Jefferson, Louisiana, United States

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Frederick, Maryland, United States

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Boston, Massachusetts, United States

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Troy, Michigan, United States

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City of Saint Peters, Missouri, United States

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Kansas City, Missouri, United States

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St Louis, Missouri, United States

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Lincoln, Nebraska, United States

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Las Vegas, Nevada, United States

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Albuquerque, New Mexico, United States

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Rochester, New York, United States

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Charlotte, North Carolina, United States

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Charlotte, North Carolina, United States

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High Point, North Carolina, United States

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Salisbury, North Carolina, United States

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Wilmington, North Carolina, United States

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Fargo, North Dakota, United States

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Cincinnati, Ohio, United States

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Cincinnati, Ohio, United States

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Cleveland, Ohio, United States

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Columbus, Ohio, United States

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Duncansville, Pennsylvania, United States

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Philadelphia, Pennsylvania, United States

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State College, Pennsylvania, United States

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Charleston, South Carolina, United States

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Mt. Pleasant, South Carolina, United States

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Rapid City, South Dakota, United States

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Austin, Texas, United States

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Bedford, Texas, United States

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Dallas, Texas, United States

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Houston, Texas, United States

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San Angelo, Texas, United States

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Arlington, Virginia, United States

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Charlottesville, Virginia, United States

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Danville, Virginia, United States

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Countries

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United States

References

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Yazici Y, McAlindon TE, Gibofsky A, Lane NE, Lattermann C, Skrepnik N, Swearingen CJ, Simsek I, Ghandehari H, DiFrancesco A, Gibbs J, Tambiah JRS, Hochberg MC. A Phase 2b randomized trial of lorecivivint, a novel intra-articular CLK2/DYRK1A inhibitor and Wnt pathway modulator for knee osteoarthritis. Osteoarthritis Cartilage. 2021 May;29(5):654-666. doi: 10.1016/j.joca.2021.02.004. Epub 2021 Feb 12.

Reference Type RESULT
PMID: 33588087 (View on PubMed)

Tambiah J, Kennedy S, Swearingen C, McAlindon T, Yazici Y. Impact of structural severity on outcomes in knee osteoarthritis: an analysis of data from phase 2 and phase 3 lorecivivint clinical trials. Rheumatology (Oxford). 2025 May 1;64(5):2583-2590. doi: 10.1093/rheumatology/keae610.

Reference Type DERIVED
PMID: 39495154 (View on PubMed)

Tambiah JRS, Simsek I, Swearingen CJ, Kennedy S, Cole BJ, McAlindon TE, Yazici Y. Comparing Patient-Reported Outcomes From Sham and Saline-Based Placebo Injections for Knee Osteoarthritis: Data From a Randomized Clinical Trial of Lorecivivint. Am J Sports Med. 2022 Mar;50(3):630-636. doi: 10.1177/03635465211067201. Epub 2022 Jan 10.

Reference Type DERIVED
PMID: 35005990 (View on PubMed)

Tambiah JRS, Kennedy S, Swearingen CJ, Simsek I, Yazici Y, Farr J, Conaghan PG. Individual Participant Symptom Responses to Intra-Articular Lorecivivint in Knee Osteoarthritis: Post Hoc Analysis of a Phase 2B Trial. Rheumatol Ther. 2021 Jun;8(2):973-985. doi: 10.1007/s40744-021-00316-w. Epub 2021 Jun 8.

Reference Type DERIVED
PMID: 34101138 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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SM04690-OA-04

Identifier Type: -

Identifier Source: org_study_id

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