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NCT Number: NCT05454566

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

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.

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Key information

Age range

50 year–80 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1 / Phase 2

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

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.

Treatment and study plan

ICM-203

Genetic

Intra-articular injection

Primary outcomes

  1. Treatment-Emergent Adverse Events (TEAEs)

    Time frame: Up to Week 52

    Incidence and Severity of Treatment-Emergent Adverse Events following administration of study drug

  2. Knee pain

    Time frame: Up to Week 52

    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)

  3. Knee function

    Time frame: Up to Week 52

    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)

  4. Analgesic use

    Time frame: Up to Week 52

    Evaluation of change from baseline in in use of analgesics, such as acetaminophen and NSAIDs

  5. Magnetic Resonance Imaging Osteoarthritis Knee Score (MOAKS)

    Time frame: Up to Week 52

    Evaluation of change from baseline in MOAKS, focusing on articular cartilage and effusion-synovitis

  6. Joint space width

    Time frame: Up to Week 52

    Evaluation of change from baseline in Joint space width in mm as measured on knee radiograph

Secondary outcomes

  1. Humoral response to AAV5.2 capsid

    Time frame: Up to Week 52

    Evaluation of change from baseline in neutralizing antibody titers against AAV5.2 in serum

  2. Cellular immune response to AAV5.2 capsid

    Time frame: Up to Week 52

    Evaluation of change from baseline in T-cell responses to AAV5.2 capsid

  3. Systemic biodistribution of ICM-203

    Time frame: Up to Week 52

    Evaluation of presence of ICM-203 in peripheral blood after administration of study drug

Study contacts

Contact information is provided by the study sponsor or research team.

Alison Heald, MD

CONTACT

[email protected]

+1 206 465 3912

Youngna Yum, PhD

CONTACT

[email protected]

+82 2 324 8534

Sponsors and collaborators

Lead sponsor

ICM Co. Ltd.

Industry

Registry information

Official study 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

Important dates

Study start
2026
Primary completion
2027
Study completion
2028
First posted
Jul 12, 2022
Registry last updated
Mar 27, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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