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
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
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.
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
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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