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Knee OsteoarthritisPhase 3STRIDES-1NCT04385303

Patient-Reported Outcomes in Evaluating Lorecivivint (SM04690) for Moderate to Severe Knee Osteoarthritis (STRIDES-1)

A Phase 3 study testing Lorecivivint in people with Knee Osteoarthritis, run by Biosplice Therapeutics, Inc. at 76 sites in United States.

Completed

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

Official record
Search all trials

Trial summary

This phase 3 study is a multicenter, randomized, double-blind, placebo-controlled study of lorecivivint injected intraarticularly (IA) into the target knee (most painful) joint of moderately to severely symptomatic osteoarthritis (OA) subjects at a single dose of 0.07 mg lorecivivint per 2 mL injection. Read more about this study

Who is it for?
Ages 40 to 80 years
Conditions the study is for
Knee Osteoarthritis
What is being tested?
Lorecivivint
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
496 participants
Where
76 sitesUnited States
Study dates
26 May 2020to 8 Sep 2021
Phase
Phase 3
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 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Males and females between 40 and 80 years of age, inclusive, in general good health apart from their knee OA
  • Ambulatory (single assistive devices such as canes allowed if needed less than 50% of the time, subjects requiring a walker are excluded)
  • Diagnosis of femorotibial OA in the target knee by standard American College of Rheumatology (ACR) criteria at the Screening Visit (clinical AND radiographic criteria); OA of the knee is not to be secondary to any rheumatologic conditions (e.g., rheumatoid arthritis)
  • Radiographic disease Stage 2 or 3 in target knee within 24 weeks of the Screening Visit according to the Kellgren-Lawrence (KL) grading of knee OA as assessed by independent central readers
  • Qualifying mean score on the 24-h average pain score (0-10 numeric rating scale)
  • Pain compatible with OA of the knee(s) for at least 26 weeks prior to the Screening Visit
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  • Primary source of pain throughout the body is due to OA in the target knee
  • Body mass index (BMI) ≤ 35 kg/m2 at the Screening Visit
  • Negative drug test for amphetamine, buprenorphine, cocaine, methadone, opiates, phencyclidine (PCP), propoxyphene, barbiturates, benzodiazepine, methaqualone, and tricyclic antidepressants, unless any of these drugs are allowed per protocol and prescribed by a physician to treat a specific condition

Who cannot join

  • Pregnant women, breastfeeding women, and women who are not post-menopausal (defined as 12 months with no menses without an alternative medical cause) or permanently surgically sterile (includes hysterectomy, bilateral salpingectomy, and bilateral oophorectomy) who have a positive or indeterminate pregnancy test result at the Screening Visit or Day 1
  • Significant malalignment of anatomical axis (medial angle formed by the femur and tibia) of the target knee (varus > 10°, valgus > 10°) by radiograph within 24 weeks of the Screening Visit as assessed by independent central readers
  • Partial or complete joint replacement in either knee
  • Currently requires use of a lower extremity prosthesis, and/or a structural knee brace (i.e., a knee brace that contains hardware)
  • Any surgery (e.g., arthroscopy) in either knee within 26 weeks prior to Day 1
  • Intra-articular (IA) injection into the target knee with a therapeutic aim including, but not limited to hyaluronic acid, platelet-rich plasma (PRP), and stem cell therapies within 26 weeks prior to Day 1; or IA glucocorticoids within 12 weeks prior to Day 1 allowed
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  • Previous treatment with lorecivivint (SM04690)
  • Subjects who have previously failed screening on this protocol and fail to meet re-screening criteria
  • Participation in a clinical research trial that included the receipt of an investigational product or any experimental therapeutic procedure within 26 weeks prior to the Screening Visit, or planned participation in any such trial
  • Subjects requiring the use of opioids > 1x per week within 12 weeks prior to Day 1
  • History of malignancy within the last 5 years; not including subjects with prior history of adequately treated in situ cervical cancer or basal or squamous cell skin cancer
  • Clinically significant abnormal screening hematology values, blood chemistry values, or urinalysis values as determined by the Investigator
  • Any known active infections, including urinary tract infection, upper respiratory tract infection, sinusitis, suspicion of IA infection, hepatitis B or hepatitis C infection, and/or infections that may compromise the immune system such as human immunodeficiency virus (HIV) at Day 1

Trial locations and contacts

76 sites in 1 country.

76 sites in 1 country

United States76 sites
  • Research Site

    Albuquerque, New Mexico, 87102

  • Research Site

    Anaheim, California, 92805

  • Research Site

    Bellaire, Texas, 77401

  • Research Site

    Beverly Hills, California, 90211

  • Research Site

    Birmingham, Alabama, 35205

  • Research Site

    Birmingham, Alabama, 35215

  • Research Site

    Boise, Idaho, 83713

  • Research Site

    Boston, Massachusetts, 02111

  • Research Site

    Boulder, Colorado, 80301

  • Research Site

    Canoga Park, California, 91303

  • Research Site

    Carrollton, Texas, 75007

  • Research Site

    Charleston, South Carolina, 29406

  • Research Site

    Charlottesville, Virginia, 22911

  • Research Site

    Chicago, Illinois, 60607

  • Research Site

    Cincinnati, Ohio, 45224

  • Reserach Site

    Clearwater, Florida, 33761

  • Research Site

    Dallas, Texas, 75231

  • Research Site

    Draper, Utah, 84020

  • Research Site

    Duncansville, Pennsylvania, 16635

  • Research Site

    Edgewater, Florida, 32132

  • Research Site

    Edmond, Oklahoma, 73013

  • Research Site

    Evansville, Indiana, 47714

  • Research Site

    Fort Mill, South Carolina, 29707

  • Research Site

    Freehold, New Jersey, 07728

  • Research Site

    Garden Grove, California, 92840

  • Research Site

    Greensboro, North Carolina, 27408

  • Research Site

    Greenwood, Indiana, 46143

  • Research Site

    Gulf Breeze, Florida, 32561

  • Research Site

    Gurnee, Illinois, 60031

  • Research Site

    Hamden, Connecticut, 06517

  • Research Site

    Hartsdale, New York, 10530

  • Research Site

    Hazelwood, Missouri, 63042

  • Research Site

    Houston, Texas, 77029

  • Research Site

    Kansas City, Missouri, 64114

  • Research Site

    La Mesa, California, 91942

  • Research Site

    Las Vegas, Nevada, 89119

  • Research Site

    Little Rock, Arkansas, 72205

  • Research Site

    Marietta, Georgia, 30060

  • Research Site

    Miami, Florida, 33125

  • Research Site

    Miami, Florida, 33173

  • Research Site

    Miami Lakes, Florida, 33014

  • Research Site

    Mobile, Alabama, 36608

  • Research Site

    Mt. Pleasant, South Carolina, 29464

  • Research Site

    New Orleans, Louisiana, 70124

  • Research Site

    Newnan, Georgia, 30265

  • Research Site

    Norco, California, 92860

  • Research Site

    Oak Brook, Illinois, 60523

  • Research Site

    Ogden, Utah, 84405

  • Research Site

    Omaha, Nebraska, 68114

  • Research Site

    Phoenix, Arizona, 85018

  • Research Site

    Phoenix, Arizona, 85053

  • Research Site

    Plano, Texas, 75075

  • Research Site

    Pomona, California, 91767

  • Research Site

    Rapid City, South Dakota, 57702

  • Research Site

    Reno, Nevada, 89519

  • Research Site

    Richmond, Virginia, 23219

  • Research Site

    Rochester, New York, 14642

  • Research Site

    Salisbury, North Carolina, 28144

  • Research Site

    Salt Lake City, Utah, 84107

  • Research Site

    San Diego, California, 92103

  • Research Site

    Santa Monica, California, 90404

  • Research Site 1

    St Louis, Missouri, 63141

  • Research Site 2

    St Louis, Missouri, 63141

  • Research Site

    Sunrise, Florida, 33351

  • Research Site

    Sweetwater, Florida, 33172

  • Research Site

    Thousand Oaks, California, 91360

  • Research Site

    Troy, Michigan, 48085

  • Research Site

    Tucson, Arizona, 85712

  • Research Site

    Valparaiso, Indiana, 46383

  • Research Site

    West Palm Beach, Florida, 33409

  • Research Site

    Westminster, California, 92683

  • Research Site

    Wheaton, Maryland, 20902

  • Research Site

    Winston-Salem, North Carolina, 27103

  • Research Site

    Winter Haven, Florida, 33880

  • Research Site 1

    Winter Park, Florida, 32789

  • Research Site

    Woodstock, Georgia, 30189

Other trials in United States

About this study

Official title: A 28-Week, Multicenter, Randomized, Double-Blind, Placebo-Controlled Study to Evaluate a Single Injection of SM04690 Injected in the Target Knee Joint of Moderately to Severely Symptomatic Osteoarthritis Subjects

This phase 3 study is a multicenter, randomized, double-blind, placebo-controlled study of lorecivivint injected intraarticularly (IA) into the target knee (most painful) joint of moderately to severely symptomatic osteoarthritis (OA) subjects at a single dose of 0.07 mg lorecivivint per 2 mL injection. This study will utilize patient reported outcomes (PROs) to evaluate the safety and efficacy of lorecivivint.

Read the detailed description

SM04690-OA-10 was a phase 3, 28-week multicenter, randomized, double-blind, placebo-controlled, parallel group study investigating the safety, tolerability and efficacy of lorecivivint 0.07 mg (compared with placebo) injected into the target knee joint of moderately to severely symptomatic knee OA subjects.

Patient-reported outcomes included Pain Numeric Rating Scale (NRS) [0-10], Western Ontario and McMaster Universities Arthritis Index (WOMAC), and Patient Global Assessment (PGA) of knee osteoarthritis.

The primary efficacy endpoint was change from baseline in target knee Pain NRS at Week 12. Secondary endpoints included change at Week 12 in WOMAC Function and PGA.

Being tested
Lorecivivint, Placebo
Keywords
SM04690, Wnt pathway inhibitor, osteoarthritis, Samumed, lorecivivint
Medical subject headings
Osteoarthritis, Knee, Osteoarthritis

What participants receive

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

  • LorecivivintDrug

    Also called SM04690

    One intra-articular injection of 0.07 mg lorecivivint in 2 mL vehicle

  • PlaceboDrug

    Also called Vehicle

    One intra-articular injection of 0 mg lorecivivint in 2 mL vehicle

Study groups in NCT04385303
Study groupRoleWhat they receive
VehicleActive comparatorHealthcare professional-administered intra-articular injection; performed on Day 1.
Receives: Drug: Placebo
LorecivivintExperimentalHealthcare professional-administered intra-articular injection; performed on Day 1.
Receives: Drug: Lorecivivint

What is being measured

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

  1. Change From Baseline OA Pain in the Target Knee as Assessed by the Weekly Average of Daily Pain Numeric Rating Scale (NRS) at Week 12

    Evaluate change from baseline OA pain in the target knee as assessed by the weekly average of daily pain NRS at Week 12. The pain NRS is an 11-point scale [0-10] for subject self-reporting of average knee pain in the last 24 hours; 0 indicates no pain, and 10 represents the worst possible pain.

    Measured: Baseline and Week 12

Secondary outcomes (5)
  1. Change From Baseline OA Pain in the Target Knee as Assessed by the Weekly Average of Daily Pain Numeric Rating Scale (NRS) at Week 24

    Evaluate change from baseline OA pain in the target knee as assessed by the weekly average of daily pain NRS at Week 24. The pain NRS is an 11-point scale [0-10] for subject self-reporting of average knee pain in the last 24 hours; 0 indicates no pain, and 10 represents the worst possible pain.

    Measured: Baseline and Week 24

  2. Change From Baseline OA Function in the Target Knee as Assessed by Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Physical Function Subscore (WOMAC Function) at Week 12

    Evaluate change from baseline OA function in the target knee as assessed by WOMAC Function subscore at Week 12. The WOMAC is a widely-used, proprietary outcome measurement tool used to evaluate the condition of subjects with OA of the knee and hip, including pain (5 questions), stiffness (2 questions), and physical functioning (17 questions) of the joints. Each question is measured on an 11-point numeric rating scale from 0 (lowest pain/lowest stiffness/highest function) to 10 (highest pain/highest stiffness/lowest function). The WOMAC Function raw subscore ranges from 0 to 170, and is scaled 0 (highest overall function) to 100 (lowest overall function) for analysis and reporting.

    Measured: Baseline and Week 12

  3. Change From Baseline OA Function in the Target Knee as Assessed by Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Physical Function Subscore (WOMAC Function) at Week 24

    Evaluate change from baseline OA function in the target knee as assessed by WOMAC Function subscore at Week 24. The WOMAC is a widely-used, proprietary outcome measurement tool used to evaluate the condition of subjects with OA of the knee and hip, including pain (5 questions), stiffness (2 questions), and physical functioning (17 questions) of the joints. Each question is measured on an 11-point numeric rating scale from 0 (lowest pain/lowest stiffness/highest function) to 10 (highest pain/highest stiffness/lowest function). The WOMAC Function raw subscore ranges from 0 to 170, and is scaled 0 (highest overall function) to 100 (lowest overall function) for analysis and reporting.

    Measured: Baseline and Week 24

  4. Change From Baseline OA Disease Activity as Assessed by Patient Global Assessment at Week 12

    Evaluate change from baseline OA disease activity as assessed by Patient Global Assessment at Week 12. The Patient Global Assessment is an 11-point [0-10] Numeric Rating Scale [NRS] on which the subjects will rate how they feel their target knee OA is doing, considering all the ways in which their target knee OA may affect them. The NRS is anchored by descriptors at each end ("Very Good" on the left and "Very Bad" on the right). For analysis, Patient Global Assessment scores were scaled to [0-100], where 0 represents "Very Good" and 100 represents "Very Bad".

    Measured: Baseline and Week 12

  5. Change From Baseline OA Disease Activity as Assessed by Patient Global Assessment at Week 24

    Evaluate change from baseline OA disease activity as assessed by Patient Global Assessment at Week 24. The Patient Global Assessment is an 11-point [0-10] Numeric Rating Scale [NRS] on which the subjects will rate how they feel their target knee OA is doing, considering all the ways in which their target knee OA may affect them. The NRS is anchored by descriptors at each end ("Very Good" on the left and "Very Bad" on the right). For analysis, Patient Global Assessment scores were scaled to [0-100], where 0 represents "Very Good" and 100 represents "Very Bad".

    Measured: Baseline and Week 24

Timeline

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

  1. First posted12 May 2020
  2. Study start26 May 2020
  3. Primary completion8 Sep 2021
  4. Study completion8 Sep 2021

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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
496 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04385303
Sponsor's protocol ID
SM04690-OA-10
Acronym
STRIDES-1
Status last verified
Jan 2026
First submitted
8 May 2020
Last updated
4 Feb 2026
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Tambiah J, Kennedy S, Swearingen C, McAlindon T, Yazici Y. Impact of structural severity on outcomes in knee osteoarthritis: an analysis of data from phase 2 and phase 3 lorecivivint clinical trials. Rheumatology (Oxford). 2025 May 1;64(5):2583-2590. doi: 10.1093/rheumatology/keae610.

    PubMed 39495154

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Lorecivivint in people with Knee Osteoarthritis, run by Biosplice Therapeutics, Inc. at 76 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 9 inclusion and 13 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 4 Feb 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 76 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. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

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 4 Feb 2026). 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?

Change From Baseline OA Pain in the Target Knee as Assessed by the Weekly Average of Daily Pain Numeric Rating Scale (NRS) at Week 12 (time frame: Baseline and Week 12). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04385303, which also lists 1 linked publication.

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 4 Feb 2026.

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