Efficacy and Safety of TenoMiR in Lateral Epicondylitis

NCT ID: NCT06192927

Last Updated: 2025-08-01

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

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

123 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-04-10

Study Completion Date

2025-06-12

Brief Summary

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This study is testing a drug called TenoMiR that is being developed for the treatment of tennis elbow (lateral epicondylitis). The study drug is a new compound that works by improving the quality of the collagen which helps repair damage to the elbow. The study drug is being developed in the hope of providing a more reliable treatment than those currently available and can be given at the time of first diagnosis, so that recovery can begin as soon as possible. The study drug has been tested in humans in an earlier study, and appeared to be safe and well-tolerated. This study aims to test the study drug in a larger number of participants.

Detailed Description

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TenoMiR a chemically synthesised mimic of microRNA-29a (miR29a) which has improved stability, activity and cellular uptake while being non-immunogenic, has been created to restore miR29a levels back to pre-injury levels. TenoMiR is unique in directly targeting the key changes in collagen production associated with tendinopathy. Unlike other therapies, TenoMiR has a well-defined mode-of-action that is supported by a wealth of scientific data.

Moreover, treatment with TenoMiR does not require invasive biopsies and can be delivered at the point of initial diagnosis initiating recovery at the very earliest time. This is a global multicentre study which will test TenoMiR in a larger population, to follow on from the previous Phase 1b study in which TenoMiR appeared to be both safe and well-tolerated.

Conditions

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Tennis Elbow

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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TenoMiR intralesional injection

Drug: TenoMiR (Low Dose), Single injection Mimic of miR29a

Other Names:

• CWT-001

Drug: TenoMiR (High Dose), Single injection Mimic of miR29a

Other Names:

• CWT-001

Group Type EXPERIMENTAL

TenoMiR

Intervention Type DRUG

Single intralesional injection

0.9% saline subcutaneous sham injection

Drug: 0.9% saline Subcutaneous single injection

Group Type SHAM_COMPARATOR

0.9% Sodium Chloride Injection

Intervention Type DRUG

Single subcutaneous injection

Interventions

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TenoMiR

Single intralesional injection

Intervention Type DRUG

0.9% Sodium Chloride Injection

Single subcutaneous injection

Intervention Type DRUG

Other Intervention Names

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CWT-001

Eligibility Criteria

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Inclusion Criteria

1. Subject has a clinical diagnosis of lateral epicondylitis.
2. Aside from lateral epicondylitis, the subject is otherwise healthy as determined by a responsible physician, based on medical history, physical examinations, concomitant medication, vital signs, 12-lead ECGs and clinical laboratory evaluations. Laboratory values may be retested once at the discretion of the Investigator.
3. Subject's symptoms can be reproduced with resisted supination or wrist dorsiflexion (as confirmed by tenderness at lateral epicondyle and positive pick up back of chair sign).
4. Subject's symptoms have persisted for at least 6 weeks to 9 months, despite conservative treatment that includes 1 or combinations of:

1. Physical therapy
2. Splinting
3. NSAIDs

Exclusion Criteria

Subjects with any of the following will be excluded from study participation:

1. Subject has undergone previous corticosteroid injection therapy to the affected elbow in less than 6 months prior to enrolment.
2. Subjects unwilling or unable to discontinue use of pain medication (opiate or NSAID) from at least 1 week prior to Investigational Medicinal Product (IMP) administration.
3. Subject has received previous Platelet-Rich Plasma (PRP) injection to the affected elbow.
4. Subject uses or has recent use of medications known to affect the skeleton (e.g., glucocorticoid usage \>5 mg/day, fluoroquinolone antibiotics).
5. Subject has undergone surgical intervention to the affected elbow for the treatment of lateral epicondylitis.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Causeway Therapeutics

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Stanford Medicine

Redwood City, California, United States

Site Status

Hospital for Special Surgery

New York, New York, United States

Site Status

NYU Langone Health

New York, New York, United States

Site Status

Panthera Biopartners

Enfield, , United Kingdom

Site Status

Panthera Biopartners

Glasgow, , United Kingdom

Site Status

Glasgow Clinical Research Facility

Glasgow, , United Kingdom

Site Status

Panthera Biopartners

Preston, , United Kingdom

Site Status

Panthera Biopartners

Rochdale, , United Kingdom

Site Status

Panthera Biopartners

Sheffield, , United Kingdom

Site Status

Countries

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United States United Kingdom

Other Identifiers

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CWT-TE2

Identifier Type: -

Identifier Source: org_study_id

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