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A Study Evaluating the Safety, Tolerability, and Activity of ICM-203 in Subjects With Knee Osteoarthritis.

Primary Purpose

Osteoarthritis, Knee

Status
Not yet recruiting
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
ICM-203
Sponsored by
ICM Co. 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), at the time of screening.
  4. KOOS function in daily living score >25, a measure of knee function ranging from 0 (extreme problems) to 100 (no problems), at the time of screening .
  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

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm Type

    Experimental

    Experimental

    Experimental

    Arm Label

    Group 1: ICM-203 (Low dose)

    Group 2: ICM-203 (Medium dose)

    Group 3: ICM-203 (High dose)

    Arm Description

    3 to 6 subjects will receive a single intra-articular injection of ICM-203 at 6x10e12 vg into the target knee at Day 1

    3 to 6 subjects will receive a single intra-articular injection of ICM-203 at 2x10e13 vg into the target knee at Day 1

    3 to 6 subjects will receive a single intra-articular injection of ICM-203 at 6x10e13 vg into the target knee at Day 1

    Outcomes

    Primary Outcome Measures

    Treatment-Emergent Adverse Events (TEAEs)
    Incidence and Severity of Treatment-Emergent Adverse Events following administration of study drug
    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 Knee Injury and Osteoarthritis Outcome Score (KOOS) function in daily living subscale ranging from 0 (extreme problems) to 100 (no problems)
    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

    Secondary Outcome Measures

    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
    July 4, 2022
    Last Updated
    March 24, 2023
    Sponsor
    ICM Co. Ltd.
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    1. Study Identification

    Unique Protocol Identification Number
    NCT05454566
    Brief Title
    A Study Evaluating the Safety, Tolerability, and Activity of ICM-203 in Subjects With Knee Osteoarthritis.
    Official Title
    A 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
    March 2023
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    November 15, 2023 (Anticipated)
    Primary Completion Date
    May 2024 (Anticipated)
    Study Completion Date
    November 2025 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    ICM Co. Ltd.

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    Yes
    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 into the knee of subjects with mild to moderate knee osteoarthritis (OA). Approximately 6 to 18 subjects will be enrolled into 3 successive dose-escalating groups in a 3+3 study design, whereby 3 study subjects in each group will be dosed sequentially with ICM-203 and 3 additional subjects will be dosed at the same dose level if a dose limiting toxicity (DLT) occurs in any of the first 3 subjects.

    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 Group 2: ICM-203 2x10e13 vg Group 3: ICM-203 6x10e13 vg
    Masking
    None (Open Label)
    Allocation
    Non-Randomized
    Enrollment
    18 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    Group 1: ICM-203 (Low dose)
    Arm Type
    Experimental
    Arm Description
    3 to 6 subjects will receive a single intra-articular injection of ICM-203 at 6x10e12 vg into the target knee at Day 1
    Arm Title
    Group 2: ICM-203 (Medium dose)
    Arm Type
    Experimental
    Arm Description
    3 to 6 subjects will receive a single intra-articular injection of ICM-203 at 2x10e13 vg into the target knee at Day 1
    Arm Title
    Group 3: ICM-203 (High dose)
    Arm Type
    Experimental
    Arm Description
    3 to 6 subjects will receive a single intra-articular injection of ICM-203 at 6x10e13 vg into the target knee at Day 1
    Intervention Type
    Genetic
    Intervention Name(s)
    ICM-203
    Intervention Description
    Intra-articular injection
    Primary Outcome Measure Information:
    Title
    Treatment-Emergent Adverse Events (TEAEs)
    Description
    Incidence and Severity of Treatment-Emergent Adverse Events following administration of study drug
    Time Frame
    Up to Week 52
    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 Knee Injury and Osteoarthritis Outcome Score (KOOS) function in daily living subscale ranging from 0 (extreme problems) to 100 (no problems)
    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
    Secondary Outcome Measure Information:
    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), at the time of screening. KOOS function in daily living score >25, a measure of knee function ranging from 0 (extreme problems) to 100 (no problems), at the time of screening . 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 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

    12. IPD Sharing Statement

    Plan to Share IPD
    No

    Learn more about this trial

    A Study Evaluating the Safety, Tolerability, and Activity of ICM-203 in Subjects With Knee Osteoarthritis.

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