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A Study of Topical XG004 in Participants With Osteoarthritis of the Knee

Primary Purpose

Pain

Status
Completed
Phase
Phase 1
Locations
Australia
Study Type
Interventional
Intervention
XG004
Placebo
Sponsored by
Xgene Pharmaceutical Group
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Pain

Eligibility Criteria

40 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Participant must be 40 to 75 years of age inclusive, at the time of signing the informed consent form.
  2. Body Mass Index (BMI) of 18 to 39, inclusive, at the time of Screening visit.
  3. Participant who is diagnosed with primary knee OA fulfilling the American College of Rheumatology (ACR) Clinical and Radiographic criteria for ≥ 26 weeks prior to Screening visit.
  4. Kellgren-Lawrence Grade II to IV as confirmed by X-ray during Screening visit or within 6 months prior to Screening visit in the study knee.
  5. The average daily walking pain scale in the study knee over Day -4 to Day -2 during the Baseline period must be ≥ 4.0 on NRS 0-10 scale.

Exclusion Criteria:

  1. Participants with any systemic or dermatological disorder that may interfere with the evaluation of the test site reactions (e.g., atopic dermatitis, contact eczema, psoriasis).
  2. Participants with scars, moles, tattoos at application site or other abnormal pigmentation of the skin or skin type that may, in any way, confound interpretation of the study results.
  3. Participants with any of the following conditions on the test area: viral (e.g., herpes or varicella) lesions of the skin, fungal or bacterial skin infections, parasitic infections, acne vulgaris, atrophic skin, striae atrophic, fragility of skin veins, ichthyosis, ulcers or wounds.
  4. Participants exposed to excessive or chronic ultraviolet (UV) radiation (i.e., sunbathing, solarium); and waxing, laser/IPL hair removal, fake/spray tanning is prohibited 14 days prior to enrollment or who may foresee an intensive UV exposure or swimming during study participation.
  5. Known hypersensitivity or allergy to NSAIDs or gabapentinoids or any component(s) of the investigational products. This includes participants exhibiting aspirin or other NSAID-induced symptoms, including bronchospasm, rhinitis, and urticaria or other NSAID-induced allergic symptoms.
  6. Participants with unstable or severe illness, including clinically significant malignancy, of hepatic, pulmonary, metabolic, neurologic, cardiovascular, gastrointestinal (e.g., inflammatory bowel disease), hematological, or psychiatric system as indicated on medical history, physical examination, or clinical laboratory, vital signs, and ECG evaluations, or in the opinion of the Investigator.
  7. Participants with any report of acute illness or febrile event within 72 hours prior to randomization.
  8. Known positive coronavirus disease 2019 (COVID-19) viral test during Screening or within 3 days prior to Day -1, or suspected COVID-19 infection at check-in on Day -1 visit.
  9. Participants who cannot refrain from strenuous exercise from 72 hours prior to first study dose through completion of the Safety follow-up visit
  10. Any other condition that, in the opinion of the investigator, would jeopardize the safety of the study participant or impact the validity of the study results

Sites / Locations

  • PARC Clinical research

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

A (XG004)

B (Placebo)

Arm Description

XG004 in two dose level (5% or 10%) will be applied to the targeted knee

Placebo in all cohorts will be applied to the targeted knee.

Outcomes

Primary Outcome Measures

To evaluate the safety and tolerability of topical XG004 applied to the study knee in Osteoarthritis (OA) participants through incidence of Treatment Emergent Adverse Events as assessed by CTCAE v5.0

Secondary Outcome Measures

To examine skin response
Skin safety and irritability assessment will be conducted after topical application of investigational product. All skin reactions at the applications sites will be examined and scored as per Modified Berger/Bowman Scoring Scale. Pain will be examined a 0-10 NRS (numerical rating scale) and higher scores mean a worse outcome.
To evaluate systemic pharmacokinetic (PK) following topical administration to the knee. Blood will be collected for plasma PK assessments.
The following parameter is used for evaluation during PK assessments: Maximum concentration (Cmax)
To evaluate systemic pharmacokinetic (PK) following topical administration to the knee. Blood will be collected for plasma PK assessments.
The following parameter is used for evaluation during PK assessments: Time to maximum concentration (Tmax)
To evaluate systemic pharmacokinetic (PK) following topical administration to the knee. Blood will be collected for plasma PK assessments
The following parameter is used for evaluation during PK assessments: Area under the drug concentration-time curve
To evaluate systemic pharmacokinetic (PK) following topical administration to the knee. Blood will be collected for plasma PK assessments
The following parameter is used for evaluation during PK assessments: accumulation ratio (AR)
To evaluate systemic pharmacokinetic (PK) following topical administration to the knee. Blood will be collected for plasma PK assessments
The following parameter is used for evaluation during PK assessments: Apparent clearance
To evaluate systemic pharmacokinetic (PK) following topical administration to the knee. Blood will be collected for plasma PK assessments
The following parameter is used for evaluation during PK assessments: Apparent terminal half-life
To explore the penetration of XG004 into the synovial fluid of the knee. Synovial fluid samples will be evaluated for the drug concentrations.

Full Information

First Posted
June 16, 2022
Last Updated
May 8, 2023
Sponsor
Xgene Pharmaceutical Group
Collaborators
Novotech (Australia) Pty Limited
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1. Study Identification

Unique Protocol Identification Number
NCT05454020
Brief Title
A Study of Topical XG004 in Participants With Osteoarthritis of the Knee
Official Title
A Phase 1b, Randomized, Double-Blind, Placebo-Controlled, Multiple-Dosing, Ascending-Dose Study Evaluating the Safety, Tolerability and Pharmacokinetics of XG004 Applied Topically in Participants With Osteoarthritis of the Knee
Study Type
Interventional

2. Study Status

Record Verification Date
May 2023
Overall Recruitment Status
Completed
Study Start Date
June 7, 2022 (Actual)
Primary Completion Date
January 23, 2023 (Actual)
Study Completion Date
March 21, 2023 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Xgene Pharmaceutical Group
Collaborators
Novotech (Australia) Pty Limited

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
This is phase 1 placebo controlled study to evaluate the safety, tolerability and pharmacokinetics of XG004 applied topically in participants with osteoarthritis of the knee
Detailed Description
The study will consist of a 4-week Screening period, an 7-day Treatment period and a 7-day Safety follow-up period that will be conducted by telephone for each Cohort. Up to 32 participants with OA of the knee will be enrolled into 6 cohorts sequentially and assigned treatment on a 3:1 (XG004: placebo) ratio.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Pain

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
32 (Actual)

8. Arms, Groups, and Interventions

Arm Title
A (XG004)
Arm Type
Experimental
Arm Description
XG004 in two dose level (5% or 10%) will be applied to the targeted knee
Arm Title
B (Placebo)
Arm Type
Placebo Comparator
Arm Description
Placebo in all cohorts will be applied to the targeted knee.
Intervention Type
Drug
Intervention Name(s)
XG004
Intervention Description
XG004 gel in two concentrations (5% and 10%) will be applied topically once-daily, twice-daily or three times daily in a designated area of the study knee.
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Placebo gel will be applied topically once-daily, twice-daily or three times daily in a designated area of the study knee.
Primary Outcome Measure Information:
Title
To evaluate the safety and tolerability of topical XG004 applied to the study knee in Osteoarthritis (OA) participants through incidence of Treatment Emergent Adverse Events as assessed by CTCAE v5.0
Time Frame
From baseline to end of treatment up to 14 days
Secondary Outcome Measure Information:
Title
To examine skin response
Description
Skin safety and irritability assessment will be conducted after topical application of investigational product. All skin reactions at the applications sites will be examined and scored as per Modified Berger/Bowman Scoring Scale. Pain will be examined a 0-10 NRS (numerical rating scale) and higher scores mean a worse outcome.
Time Frame
From day 1 to day 8
Title
To evaluate systemic pharmacokinetic (PK) following topical administration to the knee. Blood will be collected for plasma PK assessments.
Description
The following parameter is used for evaluation during PK assessments: Maximum concentration (Cmax)
Time Frame
From baseline to end of treatment up to 8 days
Title
To evaluate systemic pharmacokinetic (PK) following topical administration to the knee. Blood will be collected for plasma PK assessments.
Description
The following parameter is used for evaluation during PK assessments: Time to maximum concentration (Tmax)
Time Frame
From baseline to end of treatment up to 8 days
Title
To evaluate systemic pharmacokinetic (PK) following topical administration to the knee. Blood will be collected for plasma PK assessments
Description
The following parameter is used for evaluation during PK assessments: Area under the drug concentration-time curve
Time Frame
From baseline to end of treatment up to 8 days
Title
To evaluate systemic pharmacokinetic (PK) following topical administration to the knee. Blood will be collected for plasma PK assessments
Description
The following parameter is used for evaluation during PK assessments: accumulation ratio (AR)
Time Frame
From baseline to end of treatment up to 8 days
Title
To evaluate systemic pharmacokinetic (PK) following topical administration to the knee. Blood will be collected for plasma PK assessments
Description
The following parameter is used for evaluation during PK assessments: Apparent clearance
Time Frame
From baseline to end of treatment up to 8 days
Title
To evaluate systemic pharmacokinetic (PK) following topical administration to the knee. Blood will be collected for plasma PK assessments
Description
The following parameter is used for evaluation during PK assessments: Apparent terminal half-life
Time Frame
From baseline to end of treatment up to 8 days
Title
To explore the penetration of XG004 into the synovial fluid of the knee. Synovial fluid samples will be evaluated for the drug concentrations.
Time Frame
Day 8

10. Eligibility

Sex
All
Minimum Age & Unit of Time
40 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Participant must be 40 to 75 years of age inclusive, at the time of signing the informed consent form. Body Mass Index (BMI) of 18 to 39, inclusive, at the time of Screening visit. Participant who is diagnosed with primary knee OA fulfilling the American College of Rheumatology (ACR) Clinical and Radiographic criteria for ≥ 26 weeks prior to Screening visit. Kellgren-Lawrence Grade II to IV as confirmed by X-ray during Screening visit or within 6 months prior to Screening visit in the study knee. The average daily walking pain scale in the study knee over Day -4 to Day -2 during the Baseline period must be ≥ 4.0 on NRS 0-10 scale. Exclusion Criteria: Participants with any systemic or dermatological disorder that may interfere with the evaluation of the test site reactions (e.g., atopic dermatitis, contact eczema, psoriasis). Participants with scars, moles, tattoos at application site or other abnormal pigmentation of the skin or skin type that may, in any way, confound interpretation of the study results. Participants with any of the following conditions on the test area: viral (e.g., herpes or varicella) lesions of the skin, fungal or bacterial skin infections, parasitic infections, acne vulgaris, atrophic skin, striae atrophic, fragility of skin veins, ichthyosis, ulcers or wounds. Participants exposed to excessive or chronic ultraviolet (UV) radiation (i.e., sunbathing, solarium); and waxing, laser/IPL hair removal, fake/spray tanning is prohibited 14 days prior to enrollment or who may foresee an intensive UV exposure or swimming during study participation. Known hypersensitivity or allergy to NSAIDs or gabapentinoids or any component(s) of the investigational products. This includes participants exhibiting aspirin or other NSAID-induced symptoms, including bronchospasm, rhinitis, and urticaria or other NSAID-induced allergic symptoms. Participants with unstable or severe illness, including clinically significant malignancy, of hepatic, pulmonary, metabolic, neurologic, cardiovascular, gastrointestinal (e.g., inflammatory bowel disease), hematological, or psychiatric system as indicated on medical history, physical examination, or clinical laboratory, vital signs, and ECG evaluations, or in the opinion of the Investigator. Participants with any report of acute illness or febrile event within 72 hours prior to randomization. Known positive coronavirus disease 2019 (COVID-19) viral test during Screening or within 3 days prior to Day -1, or suspected COVID-19 infection at check-in on Day -1 visit. Participants who cannot refrain from strenuous exercise from 72 hours prior to first study dose through completion of the Safety follow-up visit Any other condition that, in the opinion of the investigator, would jeopardize the safety of the study participant or impact the validity of the study results
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Guy Ludbrook
Organizational Affiliation
PARC Clinical research
Official's Role
Principal Investigator
Facility Information:
Facility Name
PARC Clinical research
City
Adelaide
State/Province
South Australia
ZIP/Postal Code
5000
Country
Australia

12. IPD Sharing Statement

Learn more about this trial

A Study of Topical XG004 in Participants With Osteoarthritis of the Knee

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