OsteoarthritisPhase 3NCT05449132
Comparison of a Single RTX-GRT7039 and Placebo Intra-articular Injection for Pain Associated With Osteoarthritis of the Knee
A Phase 3 study testing RTX-GRT7039 in people with Osteoarthritis, run by Grünenthal GmbH at 81 sites in 5 countries.
Trial summary
A double-blind, randomized, placebo-controlled, parallel-group, multi-site, clinical trial to confirm the efficacy and safety of single injection of RTX-GRT7039 versus placebo in patients who have pain associated with osteoarthritis of the knee despite standard of care. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Osteoarthritis
- What is being tested?
- RTX-GRT7039
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 466 participants
- Where
- 81 sitesin 5 countries
- Study dates
- 26 Sep 2022to 15 Aug 2024
- 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 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- The participant has given written informed consent to participate.
- The participant is 18 years of age or older at the Screening Visit.
- The participant has a diagnosis of osteoarthritis of the knee based on American College of Rheumatology criteria and functional capacity class of I to III.
- There is a documented history indicating that participant has insufficient pain relief with previous Standard of Care.
Who cannot join
- The participant has past joint replacement surgery of the index knee.
- The participant has a history of significant trauma or surgery (e.g., open or arthroscopic) to the index knee within 12 months of Screening.
- The participant has periarticular pain from any cause other than osteoarthritis, including referred pain, bursitis, or tendonitis.
- The participant has clinical hip osteoarthritis on the side of the index knee.
- The participant has pre-existing osteonecrosis, subchondral insufficiency fracture, atrophic osteoarthritis, severe bone on bone osteoarthritis, knee pain attributable to disease other than osteoarthritis, or the participant has rapidly progressing osteoarthritis (RPOA) Type I or Type II.
- The participant has significant malalignment of anatomical axis (medial angle formed by the femur and tibia) of the target knee (varus >10, valgus >10) by X-ray as assessed by independent Central Readers at Screening Visit.
Show all 11Show fewer
- The participant has other conditions that could affect trial endpoint assessments of the index knee.
- The participant has current clinically significant disease(s) or condition(s) that may affect efficacy or safety assessments, or any other reason which, in the investigator's opinion, may preclude the participant's participation in the full duration of the trial.
- The participant has a history of hypersensitivity to resiniferatoxin (RTX) or any similar component (capsaicin, chili peppers).
- The participant is currently participating or was participating in another investigational drug trial within 3 months prior to the Screening Visit.
- The participant is an employee of the investigator or trial site, with direct involvement in the proposed trial or other trials under the direction of that investigator or trial site or is a family member of the employees or the investigator.
Trial locations and contacts
81 sites in 5 countries.
81 sites in 5 countries
United States56 sites
Albuquerque Clinical Trials, Inc.
Albuquerque, New Mexico, 87102
University Orthopedics Center
Altoona, Pennsylvania, 16602
University Orthopedics Center
Altoona, Pennsylvania, 9421166
Orange County Research Institute
Anaheim, California, 92801
Achieve Clinical Research, LLC
Birmingham, Alabama, 35216
Injury Care Research
Boise, Idaho, 83713
Core Health Care Group
Cerritos, California, 90703
Accellacare Research of Charlotte
Charlotte, North Carolina, 28209
Park Road Medical Clinic
Charlotte, North Carolina, 28211
Charlottesville Medical Research Center LLC
Charlottesville, Virginia, 22911
Chicago Clinical Research Institute Inc.
Chicago, Illinois, 60607
Altoona Center for Clinical Research
Duncansville, Pennsylvania, 16635
MediSphere Medical Research Center, LLC
Evansville, Indiana, 47714
Arizona Arthritis and Rheumatology Associates (AARA) P.C
Glendale, Arizona, 85351
PCPMG Clinical Research Unit, LLC
Greenville, South Carolina, 29601
Drug Trials America
Hartsdale, New York, 10530
Chicago Medical Research, LLC
Hazel Crest, Illinois, 60429
Antria Inc.
Indiana, Pennsylvania, 15701
Accellacare - Knoxville
Knoxville, Tennessee, 37912
June DO,PC
Lansing, Michigan, 48911
Excel Clinical Research
Las Vegas, Nevada, 89109
Allied Biomedical Research Institute
Miami, Florida, 33155
Well Pharma Medical Research, Corp.
Miami, Florida, 33173
DelRicht Research
New Orleans, Louisiana, 70124
LCMC Health Urgent Care - Lakeview
New Orleans, Louisiana, 70124
Better Health Clinical Research, Inc.
Newnan, Georgia, 30265
Vista Clinical Research
Newnan, Georgia, 30265
Coastal Carolina Research Center
North Charleston, South Carolina, 29405
Las Vegas Clinical Trials, LLC
North Las Vegas, Nevada, 89030
Sensible Healthcare LLC
Ocoee, Florida, 34761
Clinical Neuroscience Solutions, Inc. dba CNS Healthcare
Orlando, Florida, 32801
Clinical Neuroscience Solutions, Inc.
Orlando, Florida, 32806
Neuroscience Research Center, LLC
Overland Park, Kansas, 66210
Arthritis Group
Philadelphia, Pennsylvania, 19152-3303
Elite Clinical Studies, LLC
Phoenix, Arizona, 85018
Progressive Medical Research
Port Orange, Florida, 32127
Accellacare of Raleigh
Raleigh, North Carolina, 27609
Raleigh Medical Group
Raleigh, North Carolina, 27609
Health Concepts
Rapid City, South Dakota, 57702
Wasatch Clinical Research
Salt Lake City, Utah, 84107
Acclaim Clinical Research, Inc.
San Diego, California, 92120
Dr. Hans Richard Barthel, MD Office Of
Santa Barbara, California, 93108
Gulfcoast Research Institute
Sarasota, Florida, 34232
Sundance Clinical Research, LLC
St Louis, Missouri, 63141
University Orthopedics Center
State College, Pennsylvania, 16801
Medvin Clinical Research
Thousand Oaks, California, 91360
Westlake Medical Research
Thousand Oaks, California, 91360
Oakland Medical Research Center
Troy, Michigan, 48085
Noble Clinical Research
Tucson, Arizona, 85704
Tucson Orthopaedic Research Center
Tucson, Arizona, 85712
Upstate Clinical Research Associates
Williamsville, New York, 14221
Chan Soon-Shiong Medical Center at Windber
Windber, Pennsylvania, 15963
Accellacare Research of Winston Salem
Winston-Salem, North Carolina, 27103
Gastroenterology Associates of the Piedmont
Winston-Salem, North Carolina, 27103
The Center For Clinical Research
Winston-Salem, North Carolina, 27103
North Georgia Clinical Research
Woodstock, Georgia, 30189
Spain14 sites
Complejo Hospitalario Universitario A Coruna
A Coruña, 15006
Hospital Sanitas Cima
Barcelona, 08034
Hospital General Universitario de Elche
Elche, 03203
Hospital Universitaro De Elche
Elche, 7105
Hospital Universitario Virgen de las Nieves
Granada, 18014
Hospital Universitario de La Princesa
Madrid, 28006
Accellacare Alcobendas
Madrid, 28100
Hospital Universitario Virgen De La Arrixaca (Huva)
Murcia, 30120
Consorci Corporacio Sanitaria Parc Tauli
Sabadell, 08208
Institut d Investigacio i Innovacio Parc Tauli, Hospital Universitari Parc Tauli
Sabadell, 08208
Clinica Gaias
Santiago de Compostela, 15702
Complexo Hospitalario Universitario De Santiago De Compostela
Santiago de Compostela, 15706
Hospital Clinico Universitario De Santiago De Compostela
Santiago de Compostela, 15706
Hospital Quironsalud Infanta Luisa
Seville, 41010
United Kingdom6 sites
Royal Orthopaedic Hospital - Nhs Foundation Trust
Birmingham, B31 2AP
Accellacare-Northamptonshire
Corby, Northamptonshire, NN18 9EZ
Glasgow Royal Infirmary - Greater Glasgow Health Board
Glasgow, G4 0SF
Accellacare North London
Northwood, HA6 2RN
Accellacare South London
Orpington, BR5 3QG
Robert Jones & Agnes Hunt Orthopaedic Hospital - Robert Jones & Agnes Hunt Orthopaedic Hospital NHS Foundation Trust
Oswestry, Powys, SY10 7AG
Portugal3 sites
Hospital de Cascais
Alcabideche, 2755-009
Hospital Dos Lusiadas Lisboa
Lisbon, 1500-458
Hospital CUF Porto
Porto, 4100-180
Denmark2 sites
Arthroscopic Center, Copenhagen University Hospital
Amager, 2650
The Parker Institute-Frederiksberg Hospital
Frederiksberg, 2000
About this study
Official title: A Randomized, Double-blind, Placebo-controlled, Phase III Trial, to Evaluate the Efficacy and Safety of a Single Intra-articular Injection of RTX-GRT7039 in Adult Subjects With Pain Associated With Osteoarthritis of the Knee
A double-blind, randomized, placebo-controlled, parallel-group, multi-site, clinical trial to confirm the efficacy and safety of single injection of RTX-GRT7039 versus placebo in patients who have pain associated with osteoarthritis of the knee despite standard of care.
Read the detailed description
This trial comprises a total observation period of up to 52 weeks.
- Conditions
- Osteoarthritis
- Being tested
- RTX-GRT7039, Placebo
- Keywords
- Knee, Osteoarthritis, Pain assessment
- Medical subject headings
- Osteoarthritis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
RTX-GRT7039Drug
RTX-GRT7039 intra-articular injection.
PlaceboDrug
Placebo matching RTX-GRT7039 intra-articular injection.
| Study group | Role | What they receive |
|---|---|---|
| RTX-GRT7039 | Experimental | Participants will receive a intra-articular injection of RTX-GRT7039 during the 52-week double-blind treatment period. Receives: Drug: RTX-GRT7039 |
| Placebo | Placebo comparator | Participants will receive a intra-articular injection of placebo matching RTX-GRT7039 during the 52-week double-blind treatment period. Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Least Squares Mean (Standard Error) [LS-mean (SE) ] Change From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Pain Subscale Score at Week 12
Difference in mean change from baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) pain subscale score using an 11-point (0-10) numeric rating scale (NRS) between RTX-GRT7039 and placebo. The WOMAC pain subscale consists of 5 questions using an 11-point numeric rating scale (NRS, from 0 = no pain to 10 = pain as bad as you can imagine). The scores are averaged over the number of questions.
Measured: From Baseline up to Week 12
Secondary outcomes (2)
LS-mean (SE) Change From Baseline in WOMAC Pain Subscale Score at Week 26
Difference in mean change from baseline in WOMAC pain subscale score using an 11-point (0-10) numeric rating scale (NRS) between RTX-GRT7039 and placebo. The WOMAC pain subscale consists of 5 questions using an 11-point numeric rating scale (NRS, from 0 = no pain to 10 = pain as bad as you can imagine). The scores are averaged over the number of questions.
Measured: From Baseline up to Week 26
LS-mean Change From Baseline in WOMAC Physical Function Subscale Score at Week 12 and Week 26
Difference in mean change from baseline in WOMAC physical function subscale score at Week 26 in the index knee using an 11-point (0-10) numeric rating scale (NRS) between RTX-GRT7039 and placebo. The WOMAC pain subscale consists of 17 questions using an 11-point numeric rating scale (NRS, from 0 = no difficulty to 10 = extreme difficulty). The scores are averaged over the number of questions.
Measured: From Baseline up to Week 12 and Week 26
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted8 Jul 2022
- Study start26 Sep 2022
- Primary completion15 Aug 2024
- Study completion15 Aug 2024
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for OsteoarthritisStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 466 participants (actual)
Sponsor and investigators
- Lead sponsor
- Grünenthal GmbH
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05449132
- Sponsor's protocol ID
- KF7039-02
- Other IDs
- 2021-005020-38, U1111-1268-7267
- Status last verified
- Feb 2026
- First submitted
- 4 Jul 2022
- Last updated
- 18 Mar 2026
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: Information available on the Grünenthal Group Web Site (see URL below for details); according to the European Federation of Pharmaceutical Industries and Associations (EFPIA) Data Sharing Principles.
Study at a glance
From the registry record, last updated by the sponsor on 18 Mar 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double-blind, Placebo-controlled, Phase III Trial, to Evaluate the Efficacy and Safety of a Single Intra-articular Injection of RTX-GRT7039 in Adult Subjects With Pain Associated With Osteoarthritis of the Knee
- ClinicalTrials.gov ID
- NCT05449132
- Acronym / sponsor ID
- KF7039-02
- Conditions
- Osteoarthritis
- Keywords
- Knee, Osteoarthritis, Pain assessment
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 466 participants (actual)
- Lead sponsor
- Grünenthal GmbHIndustry (pharma, biotech, devices)
- Study start
- 26 Sep 2022 (actual)
- Primary completion
- 15 Aug 2024 (actual)
- Study completion
- 15 Aug 2024 (actual)
- First posted
- 8 Jul 2022 (actual)
- Results
- Posted 18 Mar 2026
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
A double-blind, randomized, placebo-controlled, parallel-group, multi-site, clinical trial to confirm the efficacy and safety of single injection of RTX-GRT7039 versus placebo in patients who have pain associated with osteoarthritis of the knee despite standard of care.
Detailed description
This trial comprises a total observation period of up to 52 weeks.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| RTX-GRT7039 | Experimental | Drug: RTX-GRT7039Participants will receive a intra-articular injection of RTX-GRT7039 during the 52-week double-blind treatment period. |
| Placebo | Placebo comparator | Drug: PlaceboParticipants will receive a intra-articular injection of placebo matching RTX-GRT7039 during the 52-week double-blind treatment period. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- The participant has given written informed consent to participate.
- The participant is 18 years of age or older at the Screening Visit.
- The participant has a diagnosis of osteoarthritis of the knee based on American College of Rheumatology criteria and functional capacity class of I to III.
- There is a documented history indicating that participant has insufficient pain relief with previous Standard of Care.
Key exclusion criteria (11 listed)
- The participant has past joint replacement surgery of the index knee.
- The participant has a history of significant trauma or surgery (e.g., open or arthroscopic) to the index knee within 12 months of Screening.
- The participant has periarticular pain from any cause other than osteoarthritis, including referred pain, bursitis, or tendonitis.
- The participant has clinical hip osteoarthritis on the side of the index knee.
- The participant has pre-existing osteonecrosis, subchondral insufficiency fracture, atrophic osteoarthritis, severe bone on bone osteoarthritis, knee pain attributable to disease other than osteoarthritis, or the participant has rapidly progressing osteoarthritis (RPOA) Type I or Type II.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| RTX-GRT7039RTX-GRT7039 intra-articular injection. | Drug | RTX-GRT7039 |
| PlaceboPlacebo matching RTX-GRT7039 intra-articular injection. | Drug | Placebo |
Primary outcome
Least Squares Mean (Standard Error) [LS-mean (SE) ] Change From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Pain Subscale Score at Week 12
Time frame: From Baseline up to Week 12
Difference in mean change from baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) pain subscale score using an 11-point (0-10) numeric rating scale (NRS) between RTX-GRT7039 and placebo. The WOMAC pain subscale consists of 5 questions using an 11-point numeric rating scale (NRS, from 0 = no pain to 10 = pain as bad as you can imagine). The scores are averaged over the number of questions.
2 secondary outcomes
LS-mean (SE) Change From Baseline in WOMAC Pain Subscale Score at Week 26
Time frame: From Baseline up to Week 26
LS-mean Change From Baseline in WOMAC Physical Function Subscale Score at Week 12 and Week 26
Time frame: From Baseline up to Week 12 and Week 26
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 18 Mar 2026.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Individual participant dataSharing planned: Yes. Information available on the Grünenthal Group Web Site (see URL below for details); according to the European Federation of Pharmaceutical Industries and Associations (EFPIA) Data Sharing Principles.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
81 sites in 5 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing RTX-GRT7039 in people with Osteoarthritis, run by Grünenthal GmbH at 81 sites in 5 countries.
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 4 inclusion and 11 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 18 Mar 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 81 sites in United States, Spain, United Kingdom, Portugal, Denmark. 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 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 18 Mar 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?
Least Squares Mean (Standard Error) [LS-mean (SE) ] Change From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Pain Subscale Score at Week 12 (time frame: From Baseline up to Week 12). 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 18 Mar 2026.