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Completed

NCT Number: NCT02491281

First-in-human Single Ascending Dose Study of LNA043 in Patients Scheduled for Total Knee Replacement

This study is designed to evaluate the safety and tolerability of ascending single doses of LNA043 given intra-articularly into the human knee joint prior to its removal at total knee replacement surgery. In addition, this will help to establish the presence of LNA043 within the articular cartilage, assess pharmacokinetics and immunogenicity, and will allow exploration of biomarkers of hyaline cartilage repair.

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Key information

Age range

50 year–75 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Novartis Investigative Site

Phoenix, Arizona, 85053, United States

Who can participate

Healthy volunteers accepted: No

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

Key Inclusion Criteria:

  • Male and female patients age 50 to 75 years of age inclusive, and in good health as determined by past medical history, physical examination, vital signs, electrocardiogram, and laboratory tests at screening
  • Patients diagnosed with primary osteoarthritis of the knee assessed locally for whom a total knee replacement is planned
  • General health status acceptable for total knee replacement surgery in the opinion of the investigator
  • Stable medications within 3 months prior to enrollment (such as appropriate pain medication, antibiotics prophylaxis) and standard of care

Key Exclusion Criteria:

  • Presence of inflammatory arthropathy (including but not limited to rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, gout), active acute or chronic infection, or systemic cartilage disorder
  • Prior cartilage repair surgery, e.g. microfracture, autologous cartilage implantation (ACI) or else, at the same knee
  • Any surgical therapy or local treatment i.a. into the knee (viscosupplementation) to the knee within 2 months prior to enrollment
  • BMI > 40; presence of uncontrolled diabetes or hyperthyroidism
  • Large effusion in the knee to be replaced, more than (>)1 cm fluid in the suprapatellar space at the midline
  • Corticosteroid use by any route except topical and nasal in the 3 months prior to enrollment
  • History of malignancy of any organ system (other than localized basal cell carcinoma of the skin or in-situ cervical cancer), treated or untreated, within the past 5 years, regardless of whether there is evidence of local recurrence or metastases
  • Pregnant or nursing (lactating) women
  • Women of child-bearing potential, defined as all women physiologically capable of becoming pregnant

Treatment and study plan

LNA043

Drug

ascending single dose on Day 1; 1 to 4 week(s) prior total knee replacement surgery

Placebo

Drug

ascending single dose on Day 1; 1 to 4 week(s) prior total knee replacement surgery

Primary outcomes

  1. Safety endpoints (including number of adverse events CTC-AE, physical exam, vital signs, ECG, safety laboratory and pain measured using KOOS)

    Time frame: Up to and including 7 days post-dose

    Safety and tolerability of LNA043 after one intra-articular injection into the knee of osteoarthritis patients scheduled for total knee replacement

Secondary outcomes

  1. Immunohistochemical staining for LNA043 in knee cartilage

    Time frame: 1 up to 4 weeks post-dose

    Joint presence and persistence of LNA043 within the cartilage of the knee

  2. Concentration of LNA043 in serum and synovial fluid

    Time frame: Pre-dose, Day 1, Day 4, Day 8, and Day 36

    LNA043 pharmacokinetics in serum and concentration in synovial fluid to determine local and systemic exposure

  3. Concentration of ANGPTL in serum and synovial fluid

    Time frame: Pre-dose, Day 1, Day 4, Day 8, and Day 36

    ANGPTL levels in serum and the synovial fluid

  4. Presence of anti-LNA043

    Time frame: Pre-dose, Day 8, and Day 36

    Immunogenicity in serum

Sponsors and collaborators

Lead sponsor

Novartis Pharmaceuticals

Industry

Registry information

Official study title

A Randomized, Placebo Controlled, Double-blind First-in-human Single Ascending Dose Study of LNA043 in Primary Osteoarthritis Patients Scheduled for Total Knee Replacement

Important dates

Study start
2015
Primary completion
2018
Study completion
2018
First posted
Jul 8, 2015
Registry last updated
Dec 11, 2020

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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