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Osteoarthritis, KneePhase 1NCT03133676

A Study Evaluating the Safety, Pharmacokinetics, and Pharmacodynamics of KA34 in Subjects With Knee Osteoarthritis

A Phase 1 study testing KA34 in people with Osteoarthritis, Knee, run by Calibr, a division of Scripps Research at 4 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study will evaluate the safety and tolerability of KA34 when administered via intra-articular injection to subjects with osteoarthritis of the knee. Read more about this study

Who is it for?
Ages 40 to 75 years
Conditions the study is for
Osteoarthritis, Knee
What is being tested?
KA34
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
60 participants
Where
4 sitesUnited States
Study dates
2 May 2018to 28 Apr 2020
Phase
Phase 1
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 40 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Diagnosis of localized osteoarthritis of the knee
  • Males willing to use contraception and females who are no longer able to bear children

Who cannot join

  • Body Mass Index (BMI) > 40
  • Grade 0, 3 or 4 osteoarthritis on the Kellgren and Lawrence classification system
  • Injury to the knee or other joint within the last 12 months
  • Receipt of any investigational product or experimental therapeutic procedure within the last 12 weeks

Trial locations and contacts

4 sites in 1 country.

United States4 sites
  • Clinical Research of West Florida

    Clearwater, Florida, 33765

  • Altoona Center for Clinical Research

    Duncansville, Pennsylvania, 16635

  • Bioclinica Research

    Orlando, Florida, 32806

  • Diablo Clinical Research

    Walnut Creek, California, 94598

Other trials in United States

About this study

Official title: A Phase 1, Randomized, Double-Blind, Placebo-Controlled, Dose Escalation Study Evaluating the Safety, Pharmacokinetics, and Pharmacodynamics of KA34 Administered Via Intra-Articular Injection in Subjects With Osteoarthritis of the Knee

This study will evaluate the safety and tolerability of KA34 when administered via intra-articular injection to subjects with osteoarthritis of the knee.

Read the detailed description

This is a randomized, double-blind, placebo-controlled study to assess the safety, tolerability, pharmacokinetics, and pharmacodynamics of KA34 when administered via intra-articular injection to subjects with osteoarthritis of the knee. OA patients are randomized to receive either placebo or KA34 active drug in the range of 50-400 ug by intra-articular injection. The first portion of the study is with single ascending doses, the second portion of the study is with multiple ascending doses.

Being tested
KA34, Placebo
Keywords
Osteoarthritis, Arthritis, Joint Disease, Osteoarthritis, Knee
Medical subject headings
Osteoarthritis, Knee, Osteoarthritis, Arthritis, Joint Diseases

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • KA34Drug

    Also called KA-34

    50 µg - 400 µg intra-articular injection (single or multiple doses)

  • PlaceboDrug

    50 µg - 400 µg intra-articular injection (single or multiple doses)

Study groups in NCT03133676
Study groupRoleWhat they receive
KA34 Active DrugExperimentalKA34 active drug in the dose range of 50 - 400 ug per knee
Receives: Drug: KA34
PlaceboPlacebo comparatorPlacebo is the formulation for KA34.
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. SAD Part: Number of Subjects Who Experienced Treatment Emergent Adverse Events (TEAEs)

    TEAEs were collected from time of first administration of IP (Day 1) until 28 days after the last administration of IP.

    The severity of TEAEs was classified by the investigator as mild, moderate or severe and graded using the Common Terminology Criteria for Adverse Events (CTCAE) version 5.0. The investigator also assessed relatedness of TEAEs. The number of subjects who experienced any TEAEs, serious TEAEs (SAE), related TEAEs and TEAEs with CTCAE Grade ≥ 3 are presented.

    Measured: Day 1 up to Day 29

  2. MAD Part: Number of Subjects Who Experienced TEAEs

    TEAEs were collected from time of first administration of IP (Day 1) until 30 days after the last administration of IP.

    The severity of TEAEs was classified by the investigator as mild, moderate or severe and graded using the CTCAE version 5.0. The investigator also assessed relatedness of TEAEs. The number of subjects who experienced any TEAEs, SAEs, related TEAEs and TEAEs with CTCAE Grade ≥ 3 are presented.

    Measured: Day 1 up to Day 180

Secondary outcomes (28)
  1. SAD Part: Mean Change From Baseline in Hemoglobin at Day 8

    The mean changes from baseline at Day 8 in hemoglobin levels for subjects in the SAD part of the study are presented.

    Measured: Baseline and Day 8

  2. MAD Part: Mean Change From Baseline in Hemoglobin at Day 180

    The mean changes from baseline at Day 180 in hemoglobin levels for subjects in the MAD part of the study are presented.

    Measured: Baseline and Day 180

  3. SAD Part: Mean Change From Baseline in Hematocrit at Day 8

    The mean changes from baseline at Day 8 in hematocrit levels for subjects in the SAD part of the study are presented.

    Measured: Baseline and Day 8

  4. MAD Part: Mean Change From Baseline in Hematocrit at Day 180

    The mean changes from baseline at Day 180 in hematocrit levels for subjects in the MAD part of the study are presented.

    Measured: Baseline and Day 180

  5. SAD Part: Mean Change From Baseline in Total Bilirubin and Creatinine at Day 8

    The mean changes from baseline at Day 8 in total bilirubin and creatinine for subjects in the SAD part of the study are presented.

    Measured: Baseline and Day 8

  6. MAD Part: Mean Change From Baseline in Total Bilirubin and Creatinine at Day 180

    The mean changes from baseline at Day 180 in total bilirubin and creatinine for subjects in the MAD part of the study are presented.

    Measured: Baseline and Day 180

  7. SAD Part: Mean Change From Baseline in Liver Enzymes at Day 8

    The mean changes from baseline at Day 8 in the following liver enzyme levels are presented for subjects in the SAD part of the study: alkaline phosphatase (ALP), alanine aminotransferase (ALT) and aspartate aminotransferase (AST).

    Measured: Baseline and Day 8

  8. MAD Part: Mean Change From Baseline in Liver Enzymes at Day 180

    The mean changes from baseline at Day 180 in the following liver enzyme levels are presented for subjects in the MAD part of the study: ALP, ALT and AST.

    Measured: Baseline and Day 180

  9. SAD Part: Mean Change From Baseline in Systolic and Diastolic Blood Pressure at Day 8

    The mean changes from baseline at Day 8 in systolic blood pressure (SBP) and diastolic blood pressure (DBP) for subjects in the SAD part of the study are presented.

    Measured: Baseline and Day 8

  10. MAD Part: Mean Change From Baseline in SBP and DBP at Day 180

    The mean changes from baseline at Day 180 in SBP and DBP for subjects in the MAD part of the study are presented.

    Measured: Baseline and Day 180

  11. SAD Part: Mean Change From Baseline in the QTcF Interval at Day 8

    The mean changes from baseline at Day 8 in the electrocardiogram (ECG) parameter QTcF interval for subjects in the SAD part of the study are presented.

    Measured: Baseline and Day 8

  12. MAD Part: Mean Change From Baseline in the QTcF Interval at Day 180

    The mean changes from baseline at Day 180 in the ECG parameter QTcF interval for subjects in the MAD part of the study are presented.

    Measured: Baseline and Day 180

  13. SAD Part: Number of Subjects With Injection Site TEAEs

    Physical examinations were conducted by a physician or another medically-qualified individual and findings were noted at the injection site during the study. The number of subjects with injection site TEAEs, including the following, are presented: Injection site erythema, Injection site hypersensitivity, Injection site inflammation, Injection site joint discomfort, Injection site joint inflammation, Injection site joint pain, Injection site joint swelling, Injection site nodule, Injection site pain and Injection site swelling.

    Measured: Baseline up to Day 29

  14. MAD Part: Number of Subjects With Injection Site TEAEs

    Physical examinations were conducted by a physician or another medically-qualified individual and findings were noted at the injection site during the study. The number of subjects with injection site TEAEs, including the following, are presented: Injection site erythema, Injection site hypersensitivity, Injection site inflammation, Injection site joint discomfort, Injection site joint inflammation, Injection site joint pain, Injection site joint swelling, Injection site nodule, Injection site pain and Injection site swelling.

    Measured: Baseline up to Day 180

  15. SAD Part: Mean Maximum Plasma Concentration (Cmax)

    All Pharmacokinetic (PK) samples were analyzed by liquid chromatography with tandem mass spectrometry, using a validated, sensitive, specific method. Cmax values were obtained directly from the observed concentration versus time data, and the geometric mean Cmax values for subjects who received KA34 in the SAD part of the study are presented.

    Measured: Pre-dose up to 4 hours post-dose on Day 1

  16. MAD Part: Mean Cmax

    All PK samples were analyzed by liquid chromatography with tandem mass spectrometry, using a validated, sensitive, specific method. Cmax values were obtained directly from the observed concentration versus time data, and the geometric mean Cmax values for subjects who received KA34 in the MAD part of the study are presented.

    Measured: Pre-dose up to 4 hours post-dose on Day 1 and pre-dose on Days 8, 15, 22 and 29

  17. SAD Part: Median Time to Maximum Observed Plasma Concentration (Tmax)

    All PK samples were analyzed by liquid chromatography with tandem mass spectrometry, using a validated, sensitive, specific method. Tmax was obtained directly from the observed concentration versus time data and the median Tmax values for subjects who received KA34 in the SAD part of the study are presented.

    Measured: Pre-dose up to 4 hours post-dose on Day 1

  18. MAD Part: Median Tmax

    All PK samples were analyzed by liquid chromatography with tandem mass spectrometry, using a validated, sensitive, specific method. Tmax was obtained directly from the observed concentration versus time data and the median Tmax values for subjects who received KA34 in the MAD part of the study are presented.

    Measured: Pre-dose up to 4 hours post-dose on Day 1 and pre-dose on Days 8, 15, 22 and 29

  19. SAD Part: Mean Area Under the Concentration-time Curve From Time 0 to Time of Last Quantifiable Concentration (AUC[0-t])

    All PK samples were analyzed by liquid chromatography with tandem mass spectrometry, using a validated, sensitive, specific method. AUC(0-t) was calculated by linear up/log down trapezoidal summation, and the mean AUC(0-t) values for subjects who received KA34 in the SAD part of the study are presented.

    Measured: Pre-dose up to 4 hours post-dose on Day 1

  20. MAD Part: Mean AUC(0-t)

    All PK samples were analyzed by liquid chromatography with tandem mass spectrometry, using a validated, sensitive, specific method. AUC(0-t) was calculated by linear up/log down trapezoidal summation, and the mean AUC(0-t) values for subjects who received KA34 in the MAD part of the study are presented.

    Measured: Pre-dose up to 4 hours post-dose on Day 1 and pre-dose on Days 8, 15, 22 and 29

  21. SAD Part: Mean Area Under the Concentration-time Curve From Time 0 Extrapolated to Infinite Time (AUC[0-inf])

    All PK samples were analyzed by liquid chromatography with tandem mass spectrometry, using a validated, sensitive, specific method. AUC(0-inf) was calculated by linear up/log down trapezoidal summation and extrapolated to infinity by the addition of the last quantifiable concentration (Clast) divided by the elimation rate constant (λz), i.e. AUC(0-t) + Clast/λz. The mean AUC(0-inf) values for subjects who received KA34 in the SAD part of the study are presented.

    Measured: Pre-dose up to 4 hours post-dose on Day 1

  22. MAD Part: Mean AUC(0-inf)

    All PK samples were analyzed by liquid chromatography with tandem mass spectrometry, using a validated, sensitive, specific method. AUC(0-inf) was calculated by linear up/log down trapezoidal summation and extrapolated to infinity by the addition of the last quantifiable concentration (Clast) divided by the elimation rate constant (λz), i.e. AUC(0-t) + Clast/λz. The mean AUC(0-inf) values are presented for subjects who received KA34 in the MAD part of the study.

    Measured: Pre-dose up to 4 hours post-dose on Day 1 and pre-dose on Days 8, 15, 22 and 29

  23. SAD Part: Mean Apparent Terminal Half-life (t1/2)

    All PK samples were analyzed by liquid chromatography with tandem mass spectrometry, using a validated, sensitive, specific method. t1/2 was determined as the natural log of λz, i.e. as ln2/λz. Mean t1/2 values for subjects who received KA34 in the SAD part of the study are presented.

    Measured: Pre-dose up to 4 hours post-dose on Day 1

  24. MAD Part: Mean t1/2

    All PK samples were analyzed by liquid chromatography with tandem mass spectrometry, using a validated, sensitive, specific method. t1/2 was determined as the natural log of λz, i.e. as ln2/λz. Mean t1/2 values for subjects who received KA34 in the MAD part of the study are presented.

    Measured: Pre-dose up to 4 hours post-dose on Day 1 and pre-dose on Days 8, 15, 22 and 29

  25. SAD Part: Mean Apparent Clearance (CL/F)

    All PK samples were analyzed by liquid chromatography with tandem mass spectrometry, using a validated, sensitive, specific method. The CL/F after extravascular dosing was calculated as dose divided by AUC(0-inf), and is presented for subjects who received KA34 in the SAD part of the study.

    Measured: Pre-dose up to 4 hours post-dose on Day 1

  26. MAD Part: Mean CL/F

    All PK samples were analyzed by liquid chromatography with tandem mass spectrometry, using a validated, sensitive, specific method. The CL/F after extravascular dosing was calculated as dose divided by AUC(0-inf), and is presented for subjects who received KA34 in the MAD part of the study.

    Measured: Pre-dose up to 4 hours post-dose on Day 1 and pre-dose on Days 8, 15, 22 and 29

  27. SAD Part: Mean Apparent Volume of Distribution (Vz/F)

    The Vz/F was calculated as dose divided by (λz*AUC[0-inf]), and the mean Vz/F values for subjects who received KA34 in the SAD part of the study are presented.

    Measured: Pre-dose up to 4 hours post-dose on Day 1

  28. MAD Part: Mean Vz/F

    The Vz/F was calculated as dose divided by (λz*AUC[0-inf]), and the mean Vz/F values for subjects who received KA34 in the MAD part of the study are presented.

    Measured: Pre-dose up to 4 hours post-dose on Day 1 and pre-dose on Days 8, 15, 22 and 29

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted28 Apr 2017
  2. Study start2 May 2018
  3. Primary completion28 Apr 2020
  4. Study completion28 Apr 2020

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
60 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03133676
Sponsor's protocol ID
CBR-KA34-3001
Status last verified
Dec 2022
First submitted
20 Apr 2017
Last updated
27 Dec 2022
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing KA34 in people with Osteoarthritis, Knee, run by Calibr, a division of Scripps Research at 4 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 27 Dec 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 4 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 17 May 2021). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

SAD Part: Number of Subjects Who Experienced Treatment Emergent Adverse Events (TEAEs) (time frame: Day 1 up to Day 29). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 Dec 2022.

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