A Safety and Efficacy Study of Anti-inflammatory (Canakinumab) and Cartilage Stimulating (LNA043) Drugs Injected Into the Knee Joint of Participants With Knee Osteoarthritis (OA)
- Conditions
- Knee Osteoarthritis
- Interventions
- Biological: LNA043Biological: canakinumabOther: Placebo to canakinumab
- Registration Number
- NCT04814368
- Lead Sponsor
- Novartis Pharmaceuticals
- Brief Summary
The study will establish safety and efficacy of canakinumab and LNA043 in patients with knee osteoarthritis (OA).
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- TERMINATED
- Sex
- All
- Target Recruitment
- 23
- Moderate to severe OA pain (corresponding to NRS Pain ≥5 to ≤9) in the target knee for the majority of days in the last 3 months prior to Screening
- KOOS pain subscale <60 for the target knee during Screening
- High sensitivity C-reactive Protein (hsCRP) ≥1.8 mg/L
- Radiographic KL grade 2 to 4 knee OA and joint space width (JSW) 2.0-4.0 mm (men) or 1.5-3.5 mm (women) in the medial tibiofemoral compartment (TFC) in the target knee
- Contrast-enhanced MRI (CE-MRI) diagnosed moderate or severe knee synovitis based on an established synovititis scoring system (moderate score 9-12 or severe score ≥13)
- History of, or planned; knee replacement (partial or total) in either knee; arthroscopy or lavage in either knee within 6 months prior to screening; any other previous surgical intervention in the target knee, or for the contralateral knee within 12 months prior to Screening, including mosaicplasty, microfracture, meniscectomy >50% or osteotomy
- Moderate to severe pain in the contralateral knee for the majority of days in the last 3 months prior to screening
- Malalignment >7.5° in the target knee (either varus or valgus)
- Any diagnosis of systemic inflammatory arthritis or connective tissue disease, including but not limited to rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, gout, Paget's disease, systemic lupus erythematosus) or other systemic condition that might confound assessment of OA (e.g. fibromyalgia)
- Ipsilateral hip OA or hip prosthesis recently implanted (within 1 year prior to screening) or hip replacement on either side planned within the study period
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description LNA043 LNA043 Placebo to canakinumab + LNA043 LNA043 Placebo to canakinumab Placebo to canakinumab + LNA043 canakinumab + LNA043 LNA043 canakinumab + LNA043 Placebo Placebo to canakinumab Placebo to canakinumab canakinumab + LNA043 canakinumab canakinumab + LNA043 canakinumab canakinumab canakinumab
- Primary Outcome Measures
Name Time Method Change in cartilage volume in the index region measured by MRI Baseline to Day 197 Comparing LNA043 with no LNA043 treatment (Placebo) arms.
Change in Knee injury and Osteoarthritis Outcome Score (KOOS) Pain subscale Baseline to Day 85 Comparing canakinumab with no canakinumab treatment (Placebo) arms.
The KOOS questionnaire is a commonly used instrument to assess the patient's perception about their knee and associated problems. The original KOOS consists of 5 subscales: Pain (9 questions), Symptoms (7 questions), Function in daily living (ADL) (17 questions), Function in sport and recreation (Sport/Rec) (5 questions) and knee related Quality of Life (QoL) (4 questions). On this scale, 100% indicates no problems and 0% indicates extreme problems.
- Secondary Outcome Measures
Name Time Method ANGPTL3 synovial fluid concentrations Day 1, 15, 43 and 71 LNA043 PK profile in serum (Cmax) Day 1 and 43 LNA043 PK profile in serum (Tmax) Day 1 and 43 LNA043 PK profile in serum (AUC) Day 1 and 43 Anti-LNA043 antibodies in serum Day 15, 43, 85, 197 and 365 ANGPTL3 serum concentrations Day 1, 15, 43, 85, 197 and 365 Change in cartilage volume of the index region measured by MRI Baseline to Day 197 and 365 Change in cartilage thickness of the index region measured by MRI Baseline to Day 197 and 365 Change in synovitis level measured from Ktrans by Dynamic Contrast Enhanced MRI (DCE-MRI) Baseline to Day 85 Change in Knee Injury and Osteoarthritis Outcome Score (KOOS) Pain subscale over time Baseline to Day 15, 29, 43, 57, 71, 85, 197 and 365 The KOOS questionnaire is a commonly used instrument to assess the patient's perception about their knee and associated problems. The original KOOS consists of 5 subscales: Pain (9 questions), Symptoms (7 questions), Function in daily living (ADL) (17 questions), Function in sport and recreation (Sport/Rec) (5 questions) and knee related Quality of Life (QoL) (4 questions). On this scale, 100% indicates no problems and 0% indicates extreme problems.
Change in numeric rating scale (NRS) Pain over time Baseline to Day 15, 29, 43, 57, 71, 85, 197 and 365 The Numerical Rating Scale (NRS) Pain is a subjective assessment in which individuals rate their pain on an eleven-point numerical scale. The scale ranges from 0 (no pain) to 10 (worst possible pain).
Change in Knee Injury and Osteoarthritis Outcome Score (KOOS) Function in daily living (ADL) subscale over time Baseline to Day 15, 29, 43, 57, 71, 85, 197 and 365 The KOOS questionnaire is a commonly used instrument to assess the patient's perception about their knee and associated problems. The original KOOS consists of 5 subscales: Pain (9 questions), Symptoms (7 questions), Function in daily living (ADL) (17 questions), Function in sport and recreation (Sport/Rec) (5 questions) and knee related Quality of Life (QoL) (4 questions). On this scale, 100% indicates no problems and 0% indicates extreme problems.
Trial Locations
- Locations (6)
LV Research
🇺🇸Las Vegas, Nevada, United States
Clinical Res Of W Florida
🇺🇸Clearwater, Florida, United States
Horizon Clinical Research
🇺🇸La Mesa, California, United States
Novartis Investigative Site
🇵🇱Warszawa, Poland
Lucas Research .
🇺🇸Morehead City, North Carolina, United States
Precision Clinical Research LLC
🇺🇸Sunrise, Florida, United States