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Safety, Tolerability and Preliminary Efficacy of Multiple Intra-articular Injections of LRX712 in Patients With Knee OA

Primary Purpose

Osteoarthritis (OA)

Status
Recruiting
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
LRX712
Placebo
Sponsored by
Novartis Pharmaceuticals
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Osteoarthritis (OA) focused on measuring Knee osteoarthritis, Chondroanabolic drug, Magnetic resonance imaging, Patient Reported Outcomes

Eligibility Criteria

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

Inclusion Criteria:

Written informed consent must be obtained before any assessment is performed.

To be eligible for inclusion in this study patients must meet all of the following criteria:

  • Patient must have a BMI between 18 -35 kg/m2
  • Patient must have symptomatic knee osteoarthritis predominantly in one knee (index knee)
  • Patient must have knee osteoarthritis (Kellgren-Lawrence grade 2 or 3) in the index knee, as confirmed by radiography
  • Patient must have radiographic confirmation of a medial joint space width of 1.5 to 3.5 mm for females, or 2 to 4 mm for males within the medial tibio-femoral compartment of the index knee

Exclusion Criteria:

Subjects meeting any of the following criteria are not eligible for inclusion in this study:

  • Patient has a known autoimmune disease, inflammatory or chronic arthropathy
  • Patient had partial or complete joint replacement in one or both knees
  • Patient has symptomatic, isolated patello-femoral pain in the index knee as per the Investigator's examination
  • Pregnant or nursing (lactating) women
  • Women of child-bearing potential, defined as all women physiologically capable of becoming pregnant.
  • Previous use of LRX712 or use of other investigational drugs at the time of enrollment, or within 5 half-lives of enrollment, or within 30 days, whichever is longer; or longer if required by local regulations
  • Patient has malalignment (valgus- or varus-deformity) ≥ 7.5° in the index knee as per anatomic PA axis measured by weight-bearing short knee radiography
  • History of significant cardiac conduction/electrophysiological disorder, e.g. familial long QT syndrome or known family history of Torsades de Pointes or prolonged QT syndrome or QTcF ≥ 450 msec (Fridericia Correction) for males and ≥ 460 msec for females at screening or baseline (by local 12-lead digitized ECG reading)
  • Signs or symptoms, in the judgment of the investigator, of a clinically significant systemic viral, bacterial or fungal infection within 30 days prior to screening.

Other protocol-defined inclusion/exclusion criteria may apply.

Sites / Locations

  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative SiteRecruiting
  • Novartis Investigative Site

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Placebo Comparator

Experimental

Arm Label

LRX712 Arm 1

Placebo

LRX712 Arm 2

Arm Description

Randomized in a 1:1:1 ratio: LRX712 Arm 1:LRX712 Arm 2:placebo

Randomized in a 1:1:1 ratio: LRX712 Arm 1:LRX712 Arm 2:placebo

Randomized in a 1:1:1 ratio: LRX712 Arm 1:LRX712 Arm 2:placebo

Outcomes

Primary Outcome Measures

Changes from baseline in cartilage volume in the medial femoral condyle at Week 28
Efficacy of multiple intra-articular injections of LRX712 in regenerating cartilage as measured with 7T MRI

Secondary Outcome Measures

Changes in articular cartilage [23Na] content from baseline compared to placebo at Week 16, 28 and 52
Efficacy of multiple intra-articular injections of LRX712 measured with 7T MRI
Changes from baseline in cartilage volume in the medial femoral condyle at Week 16 and 52
Efficacy of multiple intra-articular injections of LRX712 measured with 7T MRI
Time to Reach the Maximum Plasma Concentration (Tmax)
The observed time to reach max (Tmax) plasma concentration following drug administration
Maximum Observed Plasma Concentration (Cmax)
The observed maximum (Cmax) plasma concentration following drug administration
Minimum Observed Plasma Concentration (Cmin)
The observed minimum (Cmin) plasma concentration following drug administration
Concentration in synovial fluid
The observed synovial concentration following drug administration
Local and systemic adverse events
Safety and tolerability of multiple intra-articular injections of LRX712

Full Information

First Posted
September 19, 2019
Last Updated
August 18, 2023
Sponsor
Novartis Pharmaceuticals
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1. Study Identification

Unique Protocol Identification Number
NCT04097379
Brief Title
Safety, Tolerability and Preliminary Efficacy of Multiple Intra-articular Injections of LRX712 in Patients With Knee OA
Official Title
A Randomized, Placebo-controlled, Subject and Investigator Blinded Study Investigating the Safety, Tolerability and Preliminary Efficacy of 8-week Treatment With Intra-articular LRX712 to Regenerate Articular Cartilage in Patients With Mild/Moderate Knee Osteoarthritis
Study Type
Interventional

2. Study Status

Record Verification Date
August 2023
Overall Recruitment Status
Recruiting
Study Start Date
July 20, 2020 (Actual)
Primary Completion Date
September 16, 2024 (Anticipated)
Study Completion Date
March 3, 2025 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Novartis Pharmaceuticals

4. Oversight

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

5. Study Description

Brief Summary
This study will explore the preliminary efficacy of multiple intra-articular injections of LRX712 by evaluating the ability of the drug to restore structural integrity of articular cartilage. Efficacy will be evaluated in the context of the systemic safety and local tolerability of the investigational drug.
Detailed Description
The purpose of this study is to evaluate the safety, tolerability and preliminary efficacy of multiple intra-articular injections of LRX712 in the knee when treating patients with knee osteoarthritis of mild/moderate severity, in order to support the further clinical development. This study will also allow refinement of the systemic and local pharmacokinetics of LRX712 and the exploration of drug effects on biomarkers of cartilage breakdown and regeneration in OA patients.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Osteoarthritis (OA)
Keywords
Knee osteoarthritis, Chondroanabolic drug, Magnetic resonance imaging, Patient Reported Outcomes

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
45 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
LRX712 Arm 1
Arm Type
Experimental
Arm Description
Randomized in a 1:1:1 ratio: LRX712 Arm 1:LRX712 Arm 2:placebo
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Randomized in a 1:1:1 ratio: LRX712 Arm 1:LRX712 Arm 2:placebo
Arm Title
LRX712 Arm 2
Arm Type
Experimental
Arm Description
Randomized in a 1:1:1 ratio: LRX712 Arm 1:LRX712 Arm 2:placebo
Intervention Type
Drug
Intervention Name(s)
LRX712
Intervention Description
LRX712 intra-articular injections
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Placebo intra-articular injections
Primary Outcome Measure Information:
Title
Changes from baseline in cartilage volume in the medial femoral condyle at Week 28
Description
Efficacy of multiple intra-articular injections of LRX712 in regenerating cartilage as measured with 7T MRI
Time Frame
Baseline and Week 28
Secondary Outcome Measure Information:
Title
Changes in articular cartilage [23Na] content from baseline compared to placebo at Week 16, 28 and 52
Description
Efficacy of multiple intra-articular injections of LRX712 measured with 7T MRI
Time Frame
Baseline, Week 16, 28 and 52
Title
Changes from baseline in cartilage volume in the medial femoral condyle at Week 16 and 52
Description
Efficacy of multiple intra-articular injections of LRX712 measured with 7T MRI
Time Frame
Baseline, Week 16 and 52
Title
Time to Reach the Maximum Plasma Concentration (Tmax)
Description
The observed time to reach max (Tmax) plasma concentration following drug administration
Time Frame
Pre-dose to 28 weeks
Title
Maximum Observed Plasma Concentration (Cmax)
Description
The observed maximum (Cmax) plasma concentration following drug administration
Time Frame
Pre-dose to 28 weeks
Title
Minimum Observed Plasma Concentration (Cmin)
Description
The observed minimum (Cmin) plasma concentration following drug administration
Time Frame
Pre-dose to 28 weeks
Title
Concentration in synovial fluid
Description
The observed synovial concentration following drug administration
Time Frame
Day 1; week 4; week 8
Title
Local and systemic adverse events
Description
Safety and tolerability of multiple intra-articular injections of LRX712
Time Frame
Day 1 to 52 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
35 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Written informed consent must be obtained before any assessment is performed. To be eligible for inclusion in this study patients must meet all of the following criteria: Patient must have a BMI between 18 -35 kg/m2 Patient must have symptomatic knee osteoarthritis predominantly in one knee (index knee) Patient must have knee osteoarthritis (Kellgren-Lawrence grade 2 or 3) in the index knee, as confirmed by radiography Patient must have radiographic confirmation of a medial joint space width of 1.5 to 3.5 mm for females, or 2 to 4 mm for males within the medial tibio-femoral compartment of the index knee Exclusion Criteria: Subjects meeting any of the following criteria are not eligible for inclusion in this study: Patient has a known autoimmune disease, inflammatory or chronic arthropathy Patient had partial or complete joint replacement in one or both knees Patient has symptomatic, isolated patello-femoral pain in the index knee as per the Investigator's examination Pregnant or nursing (lactating) women Women of child-bearing potential, defined as all women physiologically capable of becoming pregnant. Previous use of LRX712 or use of other investigational drugs at the time of enrollment, or within 5 half-lives of enrollment, or within 30 days, whichever is longer; or longer if required by local regulations Patient has malalignment (valgus- or varus-deformity) ≥ 7.5° in the index knee as per anatomic PA axis measured by weight-bearing short knee radiography History of significant cardiac conduction/electrophysiological disorder, e.g. familial long QT syndrome or known family history of Torsades de Pointes or prolonged QT syndrome or QTcF ≥ 450 msec (Fridericia Correction) for males and ≥ 460 msec for females at screening or baseline (by local 12-lead digitized ECG reading) Signs or symptoms, in the judgment of the investigator, of a clinically significant systemic viral, bacterial or fungal infection within 30 days prior to screening. Other protocol-defined inclusion/exclusion criteria may apply.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Novartis Pharmaceuticals
Phone
+41613241111
Email
novartis.email@novartis.com
First Name & Middle Initial & Last Name or Official Title & Degree
Novartis Pharmaceuticals
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Novartis Pharmaceuticals
Organizational Affiliation
Novartis Pharmaceuticals
Official's Role
Study Director
Facility Information:
Facility Name
Novartis Investigative Site
City
Wien
ZIP/Postal Code
1090
Country
Austria
Individual Site Status
Withdrawn
Facility Name
Novartis Investigative Site
City
Wien
ZIP/Postal Code
1130
Country
Austria
Individual Site Status
Withdrawn
Facility Name
Novartis Investigative Site
City
Leiden
ZIP/Postal Code
2333 CL
Country
Netherlands
Individual Site Status
Recruiting
Facility Name
Novartis Investigative Site
City
Maastricht
ZIP/Postal Code
6229 HX
Country
Netherlands
Individual Site Status
Withdrawn

12. IPD Sharing Statement

Plan to Share IPD
Undecided
IPD Sharing Plan Description
Novartis is committed to sharing access to patient-level data and supporting clinical documents from eligible studies with qualified external researchers. Requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to protect the privacy of patients who have participated in the trial in line with applicable laws and regulations. This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com

Learn more about this trial

Safety, Tolerability and Preliminary Efficacy of Multiple Intra-articular Injections of LRX712 in Patients With Knee OA

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