A Study of the Safety, Tolerability, and Pharmacokinetics of SM04690 Injectable Suspension Following Single Intradiscal Injection in Subjects With Degenerative Disc Disease

NCT ID: NCT03246399

Last Updated: 2019-04-23

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

TERMINATED

Clinical Phase

PHASE1

Total Enrollment

6 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-07-26

Study Completion Date

2018-12-04

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

SM04690-DDD-01 is a Phase 1, open-label, dose escalation study. SM04690 Injectable Suspension will be administered via a single intradiscal injection to subjects with degenerative disc disease (DDD) under fluoroscopic guidance. Groups of 6 subjects will be enrolled in successive cohorts. Subjects will participate in a 6 month follow-up period. Clinic visits will be Screening, Treatment Visit Day 1, and Follow-up Visit Days 2, 15, 28, 60, 90, 135, and 180.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Degenerative Disc Disease

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

NON_RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

0.03mg SM04690

0.03mg SM04690 per 0.5 mL intradiscal injection (single injection at Day 1)

Group Type EXPERIMENTAL

SM04690

Intervention Type DRUG

suspension formulation of SM04690, delivered via intradiscal injection (single injection)

0.07mg SM04690

0.07mg SM04690 per 0.5 mL intradiscal injection (single injection at Day 1)

Group Type EXPERIMENTAL

SM04690

Intervention Type DRUG

suspension formulation of SM04690, delivered via intradiscal injection (single injection)

0.15mg SM04690

0.15mg SM04690 per 0.5 mL intradiscal injection (single injection at Day 1)

Group Type EXPERIMENTAL

SM04690

Intervention Type DRUG

suspension formulation of SM04690, delivered via intradiscal injection (single injection)

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

SM04690

suspension formulation of SM04690, delivered via intradiscal injection (single injection)

Intervention Type DRUG

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Degenerative disease in a maximum of two and a minimum of one lumbar disc (L4/L5 or L5/S1)
* Persistent low back pain due to DDD for at least 3 months prior to study start
* 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 study start
* 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
* Previous participation in a Samumed clinical trial investigating SM04690
* History of compression fractures and/or osteoporosis
* Any herniation in the lumbar spine as identified by MRI
* Congenital or acquired diseases leading to spine deformations
* History of hypersensitivity or allergies to any ingredient of the study medication
* 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 DDD within 8 weeks prior to any study injection, or planned participation in any such trial; the last date of participation in the trial, not the last date of receipt of investigational product, must be at least 8 weeks prior to study start
* Poor peripheral venous access
* Any contraindications to MRI according to MRI guidelines
* History of malignancy; however, subjects with prior history of in situ cancer or basal or squamous cell skin cancer, completely cured, are eligible.
* 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
* Prior surgical procedures (e.g., discectomy, intradiscal electrothermal therapy, intradiscal radiofrequency, artificial disc replacement, and interbody fusion) on the lumbar spine
* Any planned or elective surgery during the study period
* Any known active infections, including hepatitis B or hepatitis C infection, and/or infections that may compromise the immune system such as human immunodeficiency virus (HIV)
* Current or prior history of any spinal infection (i.e., discitis, septic arthritis, or epidural abscess)
* Any lumbar intradiscal injection procedure (e.g., injection of corticosteroids, methylene blue, dextrose, etc.), myelograms, discography, and/or lumbar epidural or transforaminal injections with corticosteroids or nerve-blocking anesthetics (e.g, lidocaine, bupivacaine) within 3 months prior to study start
* Any electrotherapy (i.e., transcutaneous electrical nerve stimulation \[TENS\] unit) or acupuncture for DDD within 4 weeks prior to study medication injection
* History of or current/pending disability claim, workers' compensation, or litigation(s) related to back pain/injury
* Subjects who are immediate family members (spouse, parent, child, or sibling; biological or legally adopted) of personnel directly affiliated with the study at any investigative site, or are directly affiliated with the study at any investigative site
* Subjects employed by Samumed, LLC, or any of its affiliates or development partners (that is, an employee, temporary contract worker, or designee) responsible for the conduct of the study, or who are immediate family members (spouse, parent, child, or sibling; biological or legally adopted) of said employees responsible for the conduct of the study
Minimum Eligible Age

25 Years

Maximum Eligible Age

55 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Biosplice Therapeutics, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Responsibility Role SPONSOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Yusuf Yazici, M.D.

Role: STUDY_DIRECTOR

Biosplice Therapeutics, Inc.

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Research Site

San Diego, California, United States

Site Status

Research Site

Charleston, South Carolina, United States

Site Status

Research Site

Tyler, Texas, United States

Site Status

Research Site

Richmond, Virginia, United States

Site Status

Countries

Review the countries where the study has at least one active or historical site.

United States

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

SM04690-DDD-01

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.

Intradiscal rhGDF-5 Phase I/II Clinical Trial
NCT00813813 COMPLETED PHASE1/PHASE2
Discogen for Low Back Pain
NCT06611397 RECRUITING NA
Discure Technologies Feasibility Study for DDD
NCT06127745 NOT_YET_RECRUITING NA