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A Study Evaluating the Safety, Tolerability, and Range of Biologically Active Doses of ICM-203 in Mild to Moderate Knee Osteoarthritis

Primary Purpose

Osteoarthritis, Knee

Status
Recruiting
Phase
Phase 1
Locations
Australia
Study Type
Interventional
Intervention
ICM-203
Placebo
Sponsored by
ICM Biotech Australia Pty Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Osteoarthritis, Knee focused on measuring adeno-associated virus, gene therapy, ICM-203, osteoarthritis

Eligibility Criteria

50 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Body Mass Index (BMI) of 18.0 to 40.0 kg/m2, inclusive, at the time of screening.
  2. Kellgren-Lawrence grade 2 or grade 3 OA of target knee.
  3. Target knee pain between 4 and 9, inclusive, on an NRS ranging from 0 (no pain) to 10 (worst pain imaginable).
  4. KOOS function in daily living score >25, a measure of knee function ranging from 0 (extreme problems) to 100 (no problems).
  5. A stable treatment regimen for symptomatic relief of OA, including NSAIDs, for 4 weeks prior to screening.

Exclusion Criteria:

  1. History of rheumatoid arthritis, psoriatic arthritis, gout, pseudogout, autoimmune OA, chondrocalcinosis, hemochromatosis, villonodular synovitis, and synovial chondromatosis or other disorder that in the opinion of the Investigator could cause inflammation of the knee.
  2. Injection of steroid, hyaluronate or other agent, into the target knee less than 90 days prior to day 1.
  3. Major injury to the target knee, such as torn ligament or severe sprain, within 12 months of screening.
  4. Disability so severe that the subject cannot comply with the study requirements, including knee symptoms that result in significant difficulty or inability to walk.
  5. Surgery on the target knee within 180 days prior to day 1
  6. Total knee arthroplasty or other knee surgery planned in the next 12 months.
  7. Active joint infection or other concurrent medical or psychiatric condition that, in the opinion of the Investigator, would make the subject unsuitable for the study.

Sites / Locations

  • Royal Adelaide HospitalRecruiting
  • Barwon HealthRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Experimental

Arm Label

Group 1: ICM-203 (Low dose) vs Placebo

Group 2: ICM-203 (Medium dose) vs Placebo

Group 3: ICM-203 (High dose) vs Placebo (Optional)

Arm Description

8 subjects will be randomized to receive a single intra-articular injection of ICM-203 at 6x10e12 vg (n=6) or placebo (n=2) into the target knee at Day 1

4 subjects will be randomized to receive a single intra-articular injection of ICM-203 at 2x10e13 vg (n=3) or placebo (n=1) into the target knee at Day 1

4 subjects will be randomized to receive a single intra-articular injection of ICM-203 at 6x10e13 vg (n=3) or placebo (n=1) into the target knee at Day 1

Outcomes

Primary Outcome Measures

Treatment-Emergent Adverse Events (TEAEs)
Incidence of Treatment-Emergent Adverse Events following administration of study drug
Severity of Treatment-Emergent Adverse Events (TEAEs)
Severity of Treatment-Emergent Adverse Events graded according to Common Terminology Criteria for Adverse Events (CTCAE) v5.0, following administration of study drug

Secondary Outcome Measures

Knee pain
Evaluation of change from baseline in knee pain as measured using a Numerical Rating Scale (NRS) ranging from 0 (no pain) to 10 (worst pain imaginable)
Knee function
Evaluation of change from baseline in knee function as measured using the Function in Daily Living subscore of the Knee Injury and Osteoarthritis Outcome Score (KOOS)
Analgesic use
Evaluation of change from baseline in in use of analgesics, such as acetaminophen and NSAIDs
Magnetic Resonance Imaging Osteoarthritis Knee Score (MOAKS)
Evaluation of change from baseline in MOAKS, focusing on articular cartilage and effusion-synovitis
Joint space width
Evaluation of change from baseline in Joint space width in mm as measured on knee radiograph
Humoral response to AAV5.2 capsid
Evaluation of change from baseline in neutralizing antibody titers against AAV5.2 in serum
Cellular immune response to AAV5.2 capsid
Evaluation of change from baseline in T-cell responses to AAV5.2 capsid
Systemic biodistribution of ICM-203
Evaluation of presence of ICM-203 in peripheral blood after administration of study drug

Full Information

First Posted
April 26, 2021
Last Updated
August 3, 2023
Sponsor
ICM Biotech Australia Pty Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT04875754
Brief Title
A Study Evaluating the Safety, Tolerability, and Range of Biologically Active Doses of ICM-203 in Mild to Moderate Knee Osteoarthritis
Official Title
A Phase 1/2a, Double-Blind, Placebo-Controlled Single Dose Escalation Study of Intra-Articular ICM 203 in Subjects With Kellgren-Lawrence Grade 2 or Grade 3 Osteoarthritis of the Knee
Study Type
Interventional

2. Study Status

Record Verification Date
August 2023
Overall Recruitment Status
Recruiting
Study Start Date
March 17, 2022 (Actual)
Primary Completion Date
March 2024 (Anticipated)
Study Completion Date
December 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
ICM Biotech Australia Pty Ltd.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to determine the safety, tolerability, and activity of ICM-203, a recombinant adeno-associated viral (AAV) vector that expresses a therapeutic gene that promotes cartilage formation, reduces joint inflammation and pain, as well as improves joint physical function, by injecting escalating doses of ICM-203 or matching placebo into the knee of subjects with mild to moderate knee osteoarthritis (OA).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Osteoarthritis, Knee
Keywords
adeno-associated virus, gene therapy, ICM-203, osteoarthritis

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Sequential Assignment
Model Description
Group 1: ICM-203 6x10e12 vg or Placebo Group 2: ICM-203 2x10e13 vg or Placebo Group 3: ICM-203 6x10e13 vg or Placebo (Optional)
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
16 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Group 1: ICM-203 (Low dose) vs Placebo
Arm Type
Experimental
Arm Description
8 subjects will be randomized to receive a single intra-articular injection of ICM-203 at 6x10e12 vg (n=6) or placebo (n=2) into the target knee at Day 1
Arm Title
Group 2: ICM-203 (Medium dose) vs Placebo
Arm Type
Experimental
Arm Description
4 subjects will be randomized to receive a single intra-articular injection of ICM-203 at 2x10e13 vg (n=3) or placebo (n=1) into the target knee at Day 1
Arm Title
Group 3: ICM-203 (High dose) vs Placebo (Optional)
Arm Type
Experimental
Arm Description
4 subjects will be randomized to receive a single intra-articular injection of ICM-203 at 6x10e13 vg (n=3) or placebo (n=1) into the target knee at Day 1
Intervention Type
Genetic
Intervention Name(s)
ICM-203
Intervention Description
Intra-articular injection
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Intra-articular injection
Primary Outcome Measure Information:
Title
Treatment-Emergent Adverse Events (TEAEs)
Description
Incidence of Treatment-Emergent Adverse Events following administration of study drug
Time Frame
Up to Week 52
Title
Severity of Treatment-Emergent Adverse Events (TEAEs)
Description
Severity of Treatment-Emergent Adverse Events graded according to Common Terminology Criteria for Adverse Events (CTCAE) v5.0, following administration of study drug
Time Frame
Up to Week 52
Secondary Outcome Measure Information:
Title
Knee pain
Description
Evaluation of change from baseline in knee pain as measured using a Numerical Rating Scale (NRS) ranging from 0 (no pain) to 10 (worst pain imaginable)
Time Frame
Up to Week 52
Title
Knee function
Description
Evaluation of change from baseline in knee function as measured using the Function in Daily Living subscore of the Knee Injury and Osteoarthritis Outcome Score (KOOS)
Time Frame
Up to Week 52
Title
Analgesic use
Description
Evaluation of change from baseline in in use of analgesics, such as acetaminophen and NSAIDs
Time Frame
Up to Week 52
Title
Magnetic Resonance Imaging Osteoarthritis Knee Score (MOAKS)
Description
Evaluation of change from baseline in MOAKS, focusing on articular cartilage and effusion-synovitis
Time Frame
Up to Week 52
Title
Joint space width
Description
Evaluation of change from baseline in Joint space width in mm as measured on knee radiograph
Time Frame
Up to Week 52
Title
Humoral response to AAV5.2 capsid
Description
Evaluation of change from baseline in neutralizing antibody titers against AAV5.2 in serum
Time Frame
Up to Week 52
Title
Cellular immune response to AAV5.2 capsid
Description
Evaluation of change from baseline in T-cell responses to AAV5.2 capsid
Time Frame
Up to Week 52
Title
Systemic biodistribution of ICM-203
Description
Evaluation of presence of ICM-203 in peripheral blood after administration of study drug
Time Frame
Up to Week 52

10. Eligibility

Sex
All
Minimum Age & Unit of Time
50 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Body Mass Index (BMI) of 18.0 to 40.0 kg/m2, inclusive, at the time of screening. Kellgren-Lawrence grade 2 or grade 3 OA of target knee. Target knee pain between 4 and 9, inclusive, on an NRS ranging from 0 (no pain) to 10 (worst pain imaginable). KOOS function in daily living score >25, a measure of knee function ranging from 0 (extreme problems) to 100 (no problems). A stable treatment regimen for symptomatic relief of OA, including NSAIDs, for 4 weeks prior to screening. Exclusion Criteria: History of rheumatoid arthritis, psoriatic arthritis, gout, pseudogout, autoimmune OA, chondrocalcinosis, hemochromatosis, villonodular synovitis, and synovial chondromatosis or other disorder that in the opinion of the Investigator could cause inflammation of the knee. Injection of steroid, hyaluronate or other agent, into the target knee less than 90 days prior to day 1. Major injury to the target knee, such as torn ligament or severe sprain, within 12 months of screening. Disability so severe that the subject cannot comply with the study requirements, including knee symptoms that result in significant difficulty or inability to walk. Surgery on the target knee within 180 days prior to day 1 Total knee arthroplasty or other knee surgery planned in the next 12 months. Active joint infection or other concurrent medical (diabetes, uncontrolled hypertension, severe osteoporosis, glaucoma) or psychiatric condition that, in the opinion of the Investigator, would make the subject unsuitable for the study.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Yoenhee Ahn
Phone
+82 2 324 8550
Email
yoenhee.ahn@icm-bio.com
First Name & Middle Initial & Last Name or Official Title & Degree
Alison Heald, MD
Phone
+1 (206) 465-3912
Email
alison.heald@icm-bio.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Alison Heald, MD
Organizational Affiliation
ICM Co. Ltd.
Official's Role
Study Director
Facility Information:
Facility Name
Royal Adelaide Hospital
City
Adelaide
State/Province
South Australia
ZIP/Postal Code
5000
Country
Australia
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Lucian Bogdan Solomon, MD
First Name & Middle Initial & Last Name & Degree
Lucian Bogdan Solomon, MD
Facility Name
Barwon Health
City
Geelong
State/Province
Victoria
ZIP/Postal Code
3220
Country
Australia
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Richard Page, MD
First Name & Middle Initial & Last Name & Degree
Richard Page, MD

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

A Study Evaluating the Safety, Tolerability, and Range of Biologically Active Doses of ICM-203 in Mild to Moderate Knee Osteoarthritis

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