Trial Outcomes & Findings for Efficacy and Safety of RTX-GRT7039 in Adult Subjects With Knee Osteoarthritis (NCT NCT05248386)

NCT ID: NCT05248386

Last Updated: 2025-08-12

Results Overview

Difference in mean change from baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) pain subscale score at Week 12 in the index knee using an 11-point (0-10) numeric rating scale (NRS) between RTX-GRT7039 and placebo. The WOMAC pain subscale consists of 5 questions using an 11-point numeric rating scale (NRS, from 0 = no pain to 10 = pain as bad as you can imagine).

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

469 participants

Primary outcome timeframe

Baseline up to Week 12

Results posted on

2025-08-12

Participant Flow

Participant milestones

Participant milestones
Measure
RTX-GRT7039
Participants received intra-articular injections of RTX-GRT7039 (2 injections: Day 1 and Week 26) during the 52-week double-blind treatment period. Reporting groups (Full Analysis Set \[FAS\] and Safety Analysis Set \[SAS\]) corresponds to all subjects with an Investigational medicinal product (IMP) administration or matching placebo (including incomplete administrations): FAS - based on treatment as randomized (i.e. as planned); SAF - based on treatment received.
Placebo
Participants received intra-articular injections of placebo matching to RTX-GRT7039 (2 injections: Day 1 and Week 26) during the 52-week double-blind treatment period. Reporting groups (Full Analysis Set \[FAS\] and Safety Analysis Set \[SAS\]) corresponds to all subjects with an Investigational medicinal product (IMP) administration or matching placebo (including incomplete administrations): FAS - based on treatment as randomized (i.e. as planned); SAF - based on treatment received.
Overall Study
STARTED
234
232
Overall Study
COMPLETED
202
204
Overall Study
NOT COMPLETED
32
28

Reasons for withdrawal

Reasons for withdrawal
Measure
RTX-GRT7039
Participants received intra-articular injections of RTX-GRT7039 (2 injections: Day 1 and Week 26) during the 52-week double-blind treatment period. Reporting groups (Full Analysis Set \[FAS\] and Safety Analysis Set \[SAS\]) corresponds to all subjects with an Investigational medicinal product (IMP) administration or matching placebo (including incomplete administrations): FAS - based on treatment as randomized (i.e. as planned); SAF - based on treatment received.
Placebo
Participants received intra-articular injections of placebo matching to RTX-GRT7039 (2 injections: Day 1 and Week 26) during the 52-week double-blind treatment period. Reporting groups (Full Analysis Set \[FAS\] and Safety Analysis Set \[SAS\]) corresponds to all subjects with an Investigational medicinal product (IMP) administration or matching placebo (including incomplete administrations): FAS - based on treatment as randomized (i.e. as planned); SAF - based on treatment received.
Overall Study
Technical problems
0
1
Overall Study
Withdrawal by Subject
15
10
Overall Study
Physician Decision
0
1
Overall Study
Adverse Event
2
4
Overall Study
Other
1
0
Overall Study
Lack of Efficacy
14
12

Baseline Characteristics

Efficacy and Safety of RTX-GRT7039 in Adult Subjects With Knee Osteoarthritis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
RTX-GRT7039
n=234 Participants
Participants received intra-articular injections of RTX-GRT7039 (2 injections: Day 1 and Week 26) during the 52-week double-blind treatment period.
Placebo
n=232 Participants
Participants received intra-articular injections of placebo matching to RTX-GRT7039 (2 injections: Day 1 and Week 26) during the 52-week double-blind treatment period.
Total
n=466 Participants
Total of all reporting groups
Age, Continuous
66.5 years
STANDARD_DEVIATION 8.40 • n=5 Participants
67.1 years
STANDARD_DEVIATION 8.32 • n=7 Participants
66.8 years
STANDARD_DEVIATION 8.36 • n=5 Participants
Sex: Female, Male
Female
163 Participants
n=5 Participants
174 Participants
n=7 Participants
337 Participants
n=5 Participants
Sex: Female, Male
Male
71 Participants
n=5 Participants
58 Participants
n=7 Participants
129 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
16 Participants
n=5 Participants
17 Participants
n=7 Participants
33 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
214 Participants
n=5 Participants
214 Participants
n=7 Participants
428 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
4 Participants
n=5 Participants
1 Participants
n=7 Participants
5 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline up to Week 12

Difference in mean change from baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) pain subscale score at Week 12 in the index knee using an 11-point (0-10) numeric rating scale (NRS) between RTX-GRT7039 and placebo. The WOMAC pain subscale consists of 5 questions using an 11-point numeric rating scale (NRS, from 0 = no pain to 10 = pain as bad as you can imagine).

Outcome measures

Outcome measures
Measure
RTX-GRT7039
n=234 Participants
Participants received intra-articular injections of RTX-GRT7039 (2 injections: Day 1 and Week 26) during the 52-week double-blind treatment period.
Placebo
n=232 Participants
Participants received intra-articular injections of placebo matching to RTX-GRT7039 (2 injections: Day 1 and Week 26) during the 52-week double-blind treatment period.
Least Squares Mean (Standard Error) [LS-mean (SE)] Change From Baseline in WOMAC Pain Subscale Score at Week 12
-2.959 score on a scale
Standard Error 0.15
-2.847 score on a scale
Standard Error 0.15

SECONDARY outcome

Timeframe: From Baseline up to Week 26

Difference in mean change from baseline in WOMAC pain subscale score at Week 26 in the index knee using an 11-point (0-10) numeric rating scale (NRS) between RTX-GRT7039 and placebo. The WOMAC pain subscale consists of 5 questions using an 11-point numeric rating scale (NRS, from 0 = no pain to 10 = pain as bad as you can imagine).

Outcome measures

Outcome measures
Measure
RTX-GRT7039
n=234 Participants
Participants received intra-articular injections of RTX-GRT7039 (2 injections: Day 1 and Week 26) during the 52-week double-blind treatment period.
Placebo
n=232 Participants
Participants received intra-articular injections of placebo matching to RTX-GRT7039 (2 injections: Day 1 and Week 26) during the 52-week double-blind treatment period.
LS-mean (SE) Change From Baseline in WOMAC Pain Subscale Score at Week 26
-2.564 score on a scale
Standard Error 0.15
-2.597 score on a scale
Standard Error 0.16

SECONDARY outcome

Timeframe: From Baseline up to Week 52

Difference in mean change from baseline in WOMAC pain subscale score at Week 52 in the index knee using an 11-point (0-10) numeric rating scale (NRS) between RTX-GRT7039 and placebo. The WOMAC pain subscale consists of 5 questions using an 11-point numeric rating scale (NRS, from 0 = no pain to 10 = pain as bad as you can imagine).

Outcome measures

Outcome measures
Measure
RTX-GRT7039
n=234 Participants
Participants received intra-articular injections of RTX-GRT7039 (2 injections: Day 1 and Week 26) during the 52-week double-blind treatment period.
Placebo
n=232 Participants
Participants received intra-articular injections of placebo matching to RTX-GRT7039 (2 injections: Day 1 and Week 26) during the 52-week double-blind treatment period.
LS-mean (SE) Change From Baseline in WOMAC Pain Subscale Score at Week 52
-2.686 score on a scale
Standard Error 0.18
-2.823 score on a scale
Standard Error 0.18

SECONDARY outcome

Timeframe: From Baseline up to Week 12

Difference in mean change from baseline in WOMAC physical function subscale score at Week 12 in the index knee using an 11-point (0-10) numeric rating scale (NRS) between RTX-GRT7039 and placebo. The WOMAC pain subscale consists of 5 questions using an 11-point numeric rating scale (NRS, from 0 = no pain to 10 = pain as bad as you can imagine).

Outcome measures

Outcome measures
Measure
RTX-GRT7039
n=234 Participants
Participants received intra-articular injections of RTX-GRT7039 (2 injections: Day 1 and Week 26) during the 52-week double-blind treatment period.
Placebo
n=232 Participants
Participants received intra-articular injections of placebo matching to RTX-GRT7039 (2 injections: Day 1 and Week 26) during the 52-week double-blind treatment period.
LS-mean (SE) Change From Baseline in WOMAC Physical Function Subscale Score at Week 12
-2.802 score on a scale
Standard Error 0.14
-2.740 score on a scale
Standard Error 0.14

SECONDARY outcome

Timeframe: From Baseline up to Week 26

Difference in mean change from baseline in WOMAC physical function subscale score at Week 26 in the index knee using an 11-point (0-10) numeric rating scale (NRS) between RTX-GRT7039 and placebo. The WOMAC pain subscale consists of 5 questions using an 11-point numeric rating scale (NRS, from 0 = no pain to 10 = pain as bad as you can imagine).

Outcome measures

Outcome measures
Measure
RTX-GRT7039
n=234 Participants
Participants received intra-articular injections of RTX-GRT7039 (2 injections: Day 1 and Week 26) during the 52-week double-blind treatment period.
Placebo
n=232 Participants
Participants received intra-articular injections of placebo matching to RTX-GRT7039 (2 injections: Day 1 and Week 26) during the 52-week double-blind treatment period.
LS-mean (SE) Change From Baseline in WOMAC Physical Function Subscale Score at Week 26
-2.503 score on a scale
Standard Error 0.14
-2.552 score on a scale
Standard Error 0.15

SECONDARY outcome

Timeframe: From Baseline up to Week 52

Difference in mean change from baseline in WOMAC physical function subscale score at Week 26 in the index knee using an 11-point (0-10) numeric rating scale (NRS) between RTX-GRT7039 and placebo. The WOMAC pain subscale consists of 5 questions using an 11-point numeric rating scale (NRS, from 0 = no pain to 10 = pain as bad as you can imagine).

Outcome measures

Outcome measures
Measure
RTX-GRT7039
n=234 Participants
Participants received intra-articular injections of RTX-GRT7039 (2 injections: Day 1 and Week 26) during the 52-week double-blind treatment period.
Placebo
n=232 Participants
Participants received intra-articular injections of placebo matching to RTX-GRT7039 (2 injections: Day 1 and Week 26) during the 52-week double-blind treatment period.
LS-mean (SE) Change From Baseline in WOMAC Physical Function Subscale Score at Week 52
-2.664 score on a scale
Standard Error 0.16
-2.728 score on a scale
Standard Error 0.16

Adverse Events

RTX-GRT7039

Serious events: 17 serious events
Other events: 53 other events
Deaths: 0 deaths

Placebo

Serious events: 14 serious events
Other events: 40 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
RTX-GRT7039
n=234 participants at risk
Participants received intra-articular injections of RTX-GRT7039 (2 injections: Day 1 and Week 26) during the 52-week double-blind treatment period
Placebo
n=232 participants at risk
Participants received intra-articular injections of placebo matching to RTX-GRT7039 (2 injections: Day 1 and Week 26) during the 52-week double-blind treatment period.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Breast cancer
0.43%
1/234 • Up to 52 weeks
0.00%
0/232 • Up to 52 weeks
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Gastric cancer
0.43%
1/234 • Up to 52 weeks
0.00%
0/232 • Up to 52 weeks
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Lymphoma
0.00%
0/234 • Up to 52 weeks
0.43%
1/232 • Up to 52 weeks
Injury, poisoning and procedural complications
Femoral neck fracture
0.00%
0/234 • Up to 52 weeks
0.43%
1/232 • Up to 52 weeks
Injury, poisoning and procedural complications
Fall
0.00%
0/234 • Up to 52 weeks
0.43%
1/232 • Up to 52 weeks
Injury, poisoning and procedural complications
Femur fracture
0.00%
0/234 • Up to 52 weeks
0.43%
1/232 • Up to 52 weeks
Injury, poisoning and procedural complications
Joint dislocation
0.00%
0/234 • Up to 52 weeks
0.43%
1/232 • Up to 52 weeks
Injury, poisoning and procedural complications
Lumbar vertebral fracture
0.00%
0/234 • Up to 52 weeks
0.43%
1/232 • Up to 52 weeks
Injury, poisoning and procedural complications
Meniscus injury
0.43%
1/234 • Up to 52 weeks
0.00%
0/232 • Up to 52 weeks
Injury, poisoning and procedural complications
Patella fracture
0.00%
0/234 • Up to 52 weeks
0.43%
1/232 • Up to 52 weeks
Vascular disorders
Hypertension
0.85%
2/234 • Up to 52 weeks
0.00%
0/232 • Up to 52 weeks
Cardiac disorders
Atrial flutter
0.00%
0/234 • Up to 52 weeks
0.43%
1/232 • Up to 52 weeks
Cardiac disorders
Coronary artery disease
0.43%
1/234 • Up to 52 weeks
0.00%
0/232 • Up to 52 weeks
Cardiac disorders
Supraventricular tachycardia
0.00%
0/234 • Up to 52 weeks
0.43%
1/232 • Up to 52 weeks
Nervous system disorders
Altered state of consciousness
0.43%
1/234 • Up to 52 weeks
0.00%
0/232 • Up to 52 weeks
Gastrointestinal disorders
Large intestine polyp
0.43%
1/234 • Up to 52 weeks
0.00%
0/232 • Up to 52 weeks
Gastrointestinal disorders
Varices oesophageal
0.00%
0/234 • Up to 52 weeks
0.43%
1/232 • Up to 52 weeks
Reproductive system and breast disorders
Vaginal prolapse
0.00%
0/234 • Up to 52 weeks
0.43%
1/232 • Up to 52 weeks
Respiratory, thoracic and mediastinal disorders
Epistaxis
0.43%
1/234 • Up to 52 weeks
0.00%
0/232 • Up to 52 weeks
Skin and subcutaneous tissue disorders
Skin lesion
0.43%
1/234 • Up to 52 weeks
0.00%
0/232 • Up to 52 weeks
Musculoskeletal and connective tissue disorders
Osteoarthritis
1.7%
4/234 • Up to 52 weeks
1.3%
3/232 • Up to 52 weeks
Musculoskeletal and connective tissue disorders
Arthralgia
0.43%
1/234 • Up to 52 weeks
0.43%
1/232 • Up to 52 weeks
Musculoskeletal and connective tissue disorders
Spinal pain
0.85%
2/234 • Up to 52 weeks
0.00%
0/232 • Up to 52 weeks
Musculoskeletal and connective tissue disorders
Spondyloarthropathy
0.43%
1/234 • Up to 52 weeks
0.00%
0/232 • Up to 52 weeks
Infections and infestations
Cellulitis
0.00%
0/234 • Up to 52 weeks
0.43%
1/232 • Up to 52 weeks
Infections and infestations
Diverticulitis
0.43%
1/234 • Up to 52 weeks
0.00%
0/232 • Up to 52 weeks
Infections and infestations
Intervertebral discitis
0.00%
0/234 • Up to 52 weeks
0.43%
1/232 • Up to 52 weeks

Other adverse events

Other adverse events
Measure
RTX-GRT7039
n=234 participants at risk
Participants received intra-articular injections of RTX-GRT7039 (2 injections: Day 1 and Week 26) during the 52-week double-blind treatment period
Placebo
n=232 participants at risk
Participants received intra-articular injections of placebo matching to RTX-GRT7039 (2 injections: Day 1 and Week 26) during the 52-week double-blind treatment period.
Injury, poisoning and procedural complications
Procedural pain
13.2%
31/234 • Up to 52 weeks
3.9%
9/232 • Up to 52 weeks
Musculoskeletal and connective tissue disorders
Arthralgia
5.6%
13/234 • Up to 52 weeks
8.6%
20/232 • Up to 52 weeks
Infections and infestations
Nasopharyngitis
4.3%
10/234 • Up to 52 weeks
5.2%
12/232 • Up to 52 weeks

Additional Information

Grünenthal Clinical-Trials Helpdesk

Grünenthal GmbH

Phone: 000

Results disclosure agreements

  • Principal investigator is a sponsor employee The results (or parts thereof) of this trial may be published as a publication (e.g., journal publication) or at a congress (e.g., as a poster or presentation). The sponsor reserves the right to review any proposed full publication, poster, or presentation of the results of this trial by the coordinating investigator before they are submitted for publication or public disclosure.
  • Publication restrictions are in place

Restriction type: OTHER