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
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View full resultsBasic Information
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COMPLETED
PHASE2
700 participants
INTERVENTIONAL
2017-04-24
2018-04-30
Brief Summary
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
TRIPLE
Study Groups
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Sham
Single intra-articular injection of 0 mg SM04690 in 0 mL vehicle
Sham
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
SM04690
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
SM04690
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
SM04690
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
SM04690
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
Placebo
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
Placebo
Healthcare professional-administered intra-articular injection performed once on Day 1 of the study
Sham
Healthcare professional-administered intra-articular injection performed once on Day 1 of the study
Eligibility Criteria
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Inclusion Criteria
* 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 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
40 Years
80 Years
ALL
No
Sponsors
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Biosplice Therapeutics, Inc.
INDUSTRY
Responsible Party
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Principal Investigators
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Yusuf Yazici, M.D.
Role: STUDY_DIRECTOR
Biosplice Therapeutics, Inc.
Locations
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Research Site
Anniston, Alabama, United States
Research Site
Birmingham, Alabama, United States
Research Site
Mobile, Alabama, United States
Research Site
Chandler, Arizona, United States
Research Site
Phoenix, Arizona, United States
Research Site
Phoenix, Arizona, United States
Research Site
Tucson, Arizona, United States
Research Site
Anaheim, California, United States
Research Site
Canoga Park, California, United States
Research Site
Carmichael, California, United States
Research Site
Cerritos, California, United States
Research Site
El Cajon, California, United States
Research Site
Gold River, California, United States
Research Site
La Mesa, California, United States
Research Site
Los Angeles, California, United States
Research Site
Rancho Mirage, California, United States
Research Site
Sacramento, California, United States
Research Site
San Diego, California, United States
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San Marcos, California, United States
Research Site
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
Research Site
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
Research Site
Edgewater, Florida, United States
Research Site
Lauderdale Lakes, Florida, United States
Research Site
Miami, Florida, United States
Research Site
Pinellas Park, Florida, United States
Research Site
Marietta, Georgia, United States
Research Site
Woodstock, Georgia, United States
Research Site
Chicago, Illinois, United States
Research Site
Evansville, Indiana, United States
Research Site
Newton, Kansas, United States
Research Site
Prairie Village, Kansas, United States
Research Site
Wichita, Kansas, United States
Research Site
Lexington, Kentucky, United States
Research Site
Jefferson, Louisiana, United States
Research Site
Frederick, Maryland, United States
Research Site
Boston, Massachusetts, United States
Research Site
Troy, Michigan, United States
Research Site
City of Saint Peters, Missouri, United States
Research Site
Kansas City, Missouri, United States
Research Site
St Louis, Missouri, United States
Research Site
Lincoln, Nebraska, United States
Research Site
Las Vegas, Nevada, United States
Research Site
Albuquerque, New Mexico, United States
Research Site
Rochester, New York, United States
Research Site
Charlotte, North Carolina, United States
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Charlotte, North Carolina, United States
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High Point, North Carolina, United States
Research Site
Salisbury, North Carolina, United States
Research Site
Wilmington, North Carolina, United States
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Fargo, North Dakota, United States
Research Site
Cincinnati, Ohio, United States
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Cincinnati, Ohio, United States
Research Site
Cleveland, Ohio, United States
Research Site
Columbus, Ohio, United States
Research Site
Duncansville, Pennsylvania, United States
Research Site
Philadelphia, Pennsylvania, United States
Research Site
State College, Pennsylvania, United States
Research Site
Charleston, South Carolina, United States
Research Site
Mt. Pleasant, South Carolina, United States
Research Site
Rapid City, South Dakota, United States
Research Site
Austin, Texas, United States
Research Site
Bedford, Texas, United States
Research Site
Dallas, Texas, United States
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Houston, Texas, United States
Research Site
San Angelo, Texas, United States
Research Site
Arlington, Virginia, United States
Research Site
Charlottesville, Virginia, United States
Research Site
Danville, Virginia, United States
Countries
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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.
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.
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.
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.
Provided Documents
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Document Type: Study Protocol
Document Type: Statistical Analysis Plan
Other Identifiers
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SM04690-OA-04
Identifier Type: -
Identifier Source: org_study_id
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