Trial Outcomes & Findings for Open-label Trial to Check the Safety and Tolerability of RTX-GRT7039 Injections for Pain Associated With Osteoarthritis of the Knee (NCT NCT05377489)

NCT ID: NCT05377489

Last Updated: 2025-11-28

Results Overview

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

714 participants

Primary outcome timeframe

From Baseline up to Week 78

Results posted on

2025-11-28

Participant Flow

Participant milestones

Participant milestones
Measure
RTX-GRT7039
* RTX-GRT7039 was administered as an intra-articular injection or repeated intra-articular injections of RTX-GRT7039 in participants with moderate to severe pain associated with osteoarthritis (OA) of the knee, despite receiving continued treatment with optimal standard-of-care (SoC) or who are unable to receive SoC treatment due to contraindications or intolerability. * Participants received injections of RTX-GRT7039 into either the index knee (affected knee or in case of bilateral OA the knee with higher pain severity), or both knees up to Week 52. * Participants received up to four repeated injections between 3 and 12 months after the first injection based on the persistence or return of pain, with a minimum interval of 12 weeks between injections.
Overall Study
STARTED
714
Overall Study
COMPLETED
539
Overall Study
NOT COMPLETED
175

Reasons for withdrawal

Reasons for withdrawal
Measure
RTX-GRT7039
* RTX-GRT7039 was administered as an intra-articular injection or repeated intra-articular injections of RTX-GRT7039 in participants with moderate to severe pain associated with osteoarthritis (OA) of the knee, despite receiving continued treatment with optimal standard-of-care (SoC) or who are unable to receive SoC treatment due to contraindications or intolerability. * Participants received injections of RTX-GRT7039 into either the index knee (affected knee or in case of bilateral OA the knee with higher pain severity), or both knees up to Week 52. * Participants received up to four repeated injections between 3 and 12 months after the first injection based on the persistence or return of pain, with a minimum interval of 12 weeks between injections.
Overall Study
Withdrawal by Subject
122
Overall Study
Lost to Follow-up
21
Overall Study
Lack of Efficacy
10
Overall Study
Adverse Event
5
Overall Study
Death
4
Overall Study
Physician Decision
3
Overall Study
Protocol Violation
1
Overall Study
Other
9

Baseline Characteristics

Open-label Trial to Check the Safety and Tolerability of RTX-GRT7039 Injections for Pain Associated With Osteoarthritis of the Knee

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
RTX-GRT7039
n=714 Participants
* RTX-GRT7039 was administered as an intra-articular injection or repeated intra-articular injections of RTX-GRT7039 in participants with moderate to severe pain associated with OA of the knee, despite receiving continued treatment with optimal SoC or who are unable to receive SoC treatment due to contraindications or intolerability. * Participants received injections of RTX-GRT7039 into either the index knee (affected knee or in case of bilateral OA the knee with higher pain severity), or both knees up to Week 52. * Participants received up to four repeated injections between 3 and 12 months after the first injection based on the persistence or return of pain, with a minimum interval of 12 weeks between injections.
Age, Continuous
65.5 years
STANDARD_DEVIATION 8.72 • n=30 Participants
Sex: Female, Male
Female
548 Participants
n=30 Participants
Sex: Female, Male
Male
166 Participants
n=30 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=30 Participants
Race (NIH/OMB)
Asian
52 Participants
n=30 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=30 Participants
Race (NIH/OMB)
Black or African American
75 Participants
n=30 Participants
Race (NIH/OMB)
White
574 Participants
n=30 Participants
Race (NIH/OMB)
More than one race
10 Participants
n=30 Participants
Race (NIH/OMB)
Unknown or Not Reported
3 Participants
n=30 Participants

PRIMARY outcome

Timeframe: From Baseline up to Week 78

Outcome measures

Outcome measures
Measure
RTX-GRT7039
n=714 Participants
* RTX-GRT7039 was administered as an intra-articular injection or repeated intra-articular injections of RTX-GRT7039 in participants with moderate to severe pain associated with OA of the knee, despite receiving continued treatment with optimal SoC or who are unable to receive SoC treatment due to contraindications or intolerability. * Participants received injections of RTX-GRT7039 into either the index knee (affected knee or in case of bilateral OA the knee with higher pain severity), or both knees up to Week 52. * Participants received up to four repeated injections between 3 and 12 months after the first injection based on the persistence or return of pain, with a minimum interval of 12 weeks between injections.
Number of Participants With Treatment-Emergent Adverse Events (TEAEs)
394 Participants

PRIMARY outcome

Timeframe: From Baseline up to Week 78

Outcome measures

Outcome measures
Measure
RTX-GRT7039
n=714 Participants
* RTX-GRT7039 was administered as an intra-articular injection or repeated intra-articular injections of RTX-GRT7039 in participants with moderate to severe pain associated with OA of the knee, despite receiving continued treatment with optimal SoC or who are unable to receive SoC treatment due to contraindications or intolerability. * Participants received injections of RTX-GRT7039 into either the index knee (affected knee or in case of bilateral OA the knee with higher pain severity), or both knees up to Week 52. * Participants received up to four repeated injections between 3 and 12 months after the first injection based on the persistence or return of pain, with a minimum interval of 12 weeks between injections.
Number of Participants With TEAEs Leading to Study Discontinuation
9 Participants

SECONDARY outcome

Timeframe: From Baseline up to Week 78

Outcome measures

Outcome measures
Measure
RTX-GRT7039
n=714 Participants
* RTX-GRT7039 was administered as an intra-articular injection or repeated intra-articular injections of RTX-GRT7039 in participants with moderate to severe pain associated with OA of the knee, despite receiving continued treatment with optimal SoC or who are unable to receive SoC treatment due to contraindications or intolerability. * Participants received injections of RTX-GRT7039 into either the index knee (affected knee or in case of bilateral OA the knee with higher pain severity), or both knees up to Week 52. * Participants received up to four repeated injections between 3 and 12 months after the first injection based on the persistence or return of pain, with a minimum interval of 12 weeks between injections.
Number of Participants With TEAEs Representing Structural Changes as Assessed by Imaging Methods
7 Participants

SECONDARY outcome

Timeframe: From Baseline up to Week 12

Population: Results reported separately for Index Knee and Non-index Knee

The WOMAC pain subscale will be assessed using an 11-point numerical rating scale (NRS), where 0= no pain and 10=worst pain.

Outcome measures

Outcome measures
Measure
RTX-GRT7039
n=698 Participants
* RTX-GRT7039 was administered as an intra-articular injection or repeated intra-articular injections of RTX-GRT7039 in participants with moderate to severe pain associated with OA of the knee, despite receiving continued treatment with optimal SoC or who are unable to receive SoC treatment due to contraindications or intolerability. * Participants received injections of RTX-GRT7039 into either the index knee (affected knee or in case of bilateral OA the knee with higher pain severity), or both knees up to Week 52. * Participants received up to four repeated injections between 3 and 12 months after the first injection based on the persistence or return of pain, with a minimum interval of 12 weeks between injections.
Change From Baseline in WOMAC Pain Subscale Score
Index Knee
-2.73 units on a scale
Standard Deviation 2.053
Change From Baseline in WOMAC Pain Subscale Score
Non-index Knee
-2.33 units on a scale
Standard Deviation 1.944

Adverse Events

RTX-GRT7039

Serious events: 58 serious events
Other events: 54 other events
Deaths: 4 deaths

Serious adverse events

Serious adverse events
Measure
RTX-GRT7039
n=714 participants at risk
* RTX-GRT7039 was administered as an intra-articular injection or repeated intra-articular injections of RTX-GRT7039 in participants with moderate to severe pain associated with osteoarthritis (OA) of the knee, despite receiving continued treatment with optimal standard-of-care (SoC) or who are unable to receive SoC treatment due to contraindications or intolerability. * Participants received injections of RTX-GRT7039 into either the index knee (affected knee or in case of bilateral OA the knee with highest pain severity), or each of both knees up to Week 52. * Participants received up to four repeated injections between 3 and 12 months after the first injection based on the persistence or return of pain, with a minimum interval of 12 weeks between injections.
Injury, poisoning and procedural complications
Hand fracture
0.14%
1/714 • Number of events 1 • Up to 78 weeks
Injury, poisoning and procedural complications
Joint injury
0.14%
1/714 • Number of events 1 • Up to 78 weeks
Injury, poisoning and procedural complications
Ligament injury
0.14%
1/714 • Number of events 1 • Up to 78 weeks
Injury, poisoning and procedural complications
Sternal fracture
0.14%
1/714 • Number of events 1 • Up to 78 weeks
Injury, poisoning and procedural complications
Subdural haematoma
0.14%
1/714 • Number of events 1 • Up to 78 weeks
Injury, poisoning and procedural complications
Synovial rupture
0.14%
1/714 • Number of events 1 • Up to 78 weeks
Injury, poisoning and procedural complications
Wound dehiscence
0.14%
1/714 • Number of events 1 • Up to 78 weeks
Infections and infestations
Arthritis bacterial
0.56%
4/714 • Number of events 4 • Up to 78 weeks
Infections and infestations
Pneumonia
0.28%
2/714 • Number of events 2 • Up to 78 weeks
Infections and infestations
Localised infection
0.14%
1/714 • Number of events 1 • Up to 78 weeks
Infections and infestations
Otitis media
0.14%
1/714 • Number of events 1 • Up to 78 weeks
Infections and infestations
Sepsis
0.14%
1/714 • Number of events 1 • Up to 78 weeks
Cardiac disorders
Acute myocardial infarction
0.28%
2/714 • Number of events 2 • Up to 78 weeks
Cardiac disorders
Aortic valve disease
0.14%
1/714 • Number of events 1 • Up to 78 weeks
Cardiac disorders
Cardiac arrest
0.14%
1/714 • Number of events 1 • Up to 78 weeks
Cardiac disorders
Cardiac failure
0.14%
1/714 • Number of events 1 • Up to 78 weeks
Cardiac disorders
Coronary artery stenosis
0.14%
1/714 • Number of events 1 • Up to 78 weeks
Cardiac disorders
Myocardial infarction
0.14%
1/714 • Number of events 1 • Up to 78 weeks
Cardiac disorders
Myocardial ischaemia
0.14%
1/714 • Number of events 1 • Up to 78 weeks
Nervous system disorders
Carpal tunnel syndrome
0.28%
2/714 • Number of events 2 • Up to 78 weeks
Nervous system disorders
Dizziness
0.14%
1/714 • Number of events 1 • Up to 78 weeks
Nervous system disorders
Ischaemic stroke
0.14%
1/714 • Number of events 1 • Up to 78 weeks
Nervous system disorders
Loss of consciousness
0.14%
1/714 • Number of events 1 • Up to 78 weeks
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Lung neoplasm
0.28%
2/714 • Number of events 2 • Up to 78 weeks
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Intraductal papillary mucinous neoplasm
0.14%
1/714 • Number of events 1 • Up to 78 weeks
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Invasive ductal breast carcinoma
0.14%
1/714 • Number of events 1 • Up to 78 weeks
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Neuroendocrine tumour
0.14%
1/714 • Number of events 1 • Up to 78 weeks
Reproductive system and breast disorders
Benign prostatic hyperplasia
0.14%
1/714 • Number of events 1 • Up to 78 weeks
Reproductive system and breast disorders
Endometrial hyperplasia
0.14%
1/714 • Number of events 1 • Up to 78 weeks
Gastrointestinal disorders
Nausea
0.14%
1/714 • Number of events 1 • Up to 78 weeks
Hepatobiliary disorders
Cholecystitis acute
0.14%
1/714 • Number of events 1 • Up to 78 weeks
Respiratory, thoracic and mediastinal disorders
Chronic obstructive pulmonary disease
0.14%
1/714 • Number of events 1 • Up to 78 weeks
Respiratory, thoracic and mediastinal disorders
Respiratory failure
0.14%
1/714 • Number of events 1 • Up to 78 weeks
Vascular disorders
Aortic rupture
0.14%
1/714 • Number of events 1 • Up to 78 weeks
Musculoskeletal and connective tissue disorders
Osteoarthritis
2.5%
18/714 • Number of events 19 • Up to 78 weeks
Musculoskeletal and connective tissue disorders
Arthralgia
0.14%
1/714 • Number of events 1 • Up to 78 weeks
Musculoskeletal and connective tissue disorders
Arthritis
0.14%
1/714 • Number of events 1 • Up to 78 weeks
Musculoskeletal and connective tissue disorders
Synovitis
0.14%
1/714 • Number of events 1 • Up to 78 weeks
Injury, poisoning and procedural complications
Meniscus injury
0.70%
5/714 • Number of events 5 • Up to 78 weeks
Injury, poisoning and procedural complications
Ankle fracture
0.14%
1/714 • Number of events 1 • Up to 78 weeks
Injury, poisoning and procedural complications
Femur fracture
0.14%
1/714 • Number of events 1 • Up to 78 weeks

Other adverse events

Other adverse events
Measure
RTX-GRT7039
n=714 participants at risk
* RTX-GRT7039 was administered as an intra-articular injection or repeated intra-articular injections of RTX-GRT7039 in participants with moderate to severe pain associated with osteoarthritis (OA) of the knee, despite receiving continued treatment with optimal standard-of-care (SoC) or who are unable to receive SoC treatment due to contraindications or intolerability. * Participants received injections of RTX-GRT7039 into either the index knee (affected knee or in case of bilateral OA the knee with highest pain severity), or each of both knees up to Week 52. * Participants received up to four repeated injections between 3 and 12 months after the first injection based on the persistence or return of pain, with a minimum interval of 12 weeks between injections.
Injury, poisoning and procedural complications
Procedural pain
7.6%
54/714 • Number of events 74 • Up to 78 weeks

Additional Information

Grünenthal Clinical-Trials Helpdesk

Grünenthal GmbH

Phone: 000

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: OTHER