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Osteoarthritis (OA) of the KneePhase 2NCT06884865

A Study to Assess Safety and Tolerability of PCRX-201 in Subjects With Painful Osteoarthritis of the Knee

A Phase 2 study testing Enekinragene Inzadenovec (PCRX-201) in people with Osteoarthritis (OA) of the Knee, run by Pacira Pharmaceuticals, Inc at 40 sites in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

The goal of this clinical trial is to learn if a single knee injection of different doses (Dose A and Dose B) of an investigation product PCRX-201, following steroid pretreatment, is safe and tolerable in male of female patients 45 to 80 years old with osteoarthritis of the knee. Read more about this study

Who is it for?
Ages 45 to 80 years
Conditions the study is for
Osteoarthritis (OA) of the Knee
What is being tested?
Enekinragene Inzadenovec (PCRX-201)
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
135 participants
Where
40 sitesUnited States
Study dates
26 Feb 2025to Jul 2032
Phase
Phase 2
Are there results?
Not yet: the study is under way

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 45 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Subjects must be willing and able to comply with the study procedures and visit schedule and able to follow verbal and written instructions.
  • Subjects must be male or female and 45 to 80 years old, inclusive, at Screening.
  • Subjects must exhibit symptoms associated with osteoarthritis of the index knee for ≥12 months before Screening (subject self-reporting is acceptable).
  • Subjects must have index knee pain for >15 days over the last month before Screening (subject self-reporting is acceptable).
  • Subjects must have received 2 or more failed 2 or more therapies: Restricted physical activity as per Osteoarthritis Research Society International (OARSI) core level recommendation, ie, "structured land-based exercise" (this may include physical therapy), and failure of an additional type of conservative therapy for OA of the index knee, eg, nonselective NSAIDs or COX-2 inhibitors, in the past 12 months.
  • Subjects must have a body mass index (BMI) ≤40 kg/m2 at Screening.
Show all 16Show fewer
  • Subjects must have an index knee examination indicating the index knee and the intended injection site area are free of any signs of local or joint infection at Baseline.
  • Subjects must have an index knee Average Daily Knee Pain (NRS) between ≥5.0 and ≤9.0 at Screening and Baseline.
  • Sexually active subjects of child-bearing potential (SOCBP) and their partners must agree to use effective birth control while in the study
  • Subjects must have active synovitis in the index knee as determined by ultrasound Doppler (Part A only) For Part B, participants must have active synovitis in the index knee as determined by contrast-enhanced MRI.
  • Subjects must exhibit American College of Rheumatology Criteria (clinical and radiological) for osteoarthritis as follows:
  • Knee pain
  • At least 1 of the following:
  • Age >50 years ii. Morning stiffness <30 minutes iii. Crepitus on knee motion c. Osteophytes
  • Subjects must have K-L Grade 2, 3, or 4 (Part A) or K-L Grade 2 or 3 (Part B) in the index knee based on X-rays performed during Screening and confirmed by trained radiographers at a central facility before enrollment
  • Subjects need to show the presence of moderate or severe synovitis based on 11-point synovitis score using contrast-enhanced MRI (Part A). For Part B, participants need to show the presence of synovitis ≥5 on the Guermazi synovitis scoring scale using contrast-enhanced MRI to be enrolled.

Who cannot join

  • Subjects have any current or prior diagnosis of autoimmune connective tissue disorders, secondary OA conditions, benign synovial tumors, gout/pseudogout, reactive arthritis, RA, psoriatic arthritis, ankylosing spondylitis, or arthritis associated with inflammatory bowel disease.
  • Subjects have any active systemic or local infection, including infection of the index knee
  • Subjects are unable to undergo MRI with contrast MRI
  • Subjects with X-ray or MRI exclusionary events
  • Subjects have an unstable index knee joint (eg, torn anterior cruciate ligament) within 12 months of Screening
  • Subjects have used any approved or investigational IA drug/biologic in index knee within 6 months of Screening (eg, hyaluronic acid, platelet rich plasma, stem cells, prolotherapy, and amniotic fluid injection)
Show all 10Show fewer
  • Subjects are receiving or have received any gene therapy treatment (eg, IL-1Ra) in the past 3 years
  • Subjects have used IA steroids ≤3 months before screening
  • For Part B, subjects with any surgery related tot he index knee.
  • Other protocol-defined criteria apply

Trial locations and contacts

40 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Lisa Ramsay, MA contact

973-451-4019

lisa.ramsay@pacira.com

40 sites in 1 country

United States40 sites, 27 recruiting
  • University Orthopedics Center

    Altoona, Pennsylvania, 16602-4472

    Jill Fremberg, 814-272-3691, jfremberg@uoc.com

    Thomas Ellis

    Not yet recruiting
  • Pinnacle Trials, Inc.

    Atlanta, Georgia, 30329

    Robert Robbins, 404-929-6774, robert.robbins@trypinnacle.com

    Francisco Chevres

    Not yet recruiting
  • LifeBridge Health

    Baltimore, Maryland, 21215

    Taj Jamal Andrews, tandrews@lifebridgehealth.org

    Michael Mont

    Not yet recruiting
  • Osteoporosis Medical Center

    Beverly Hills, California, 90211

    Active, not recruiting
  • Flourish Research - Birmingham

    Birmingham, Alabama, 35205

    Melissa Martin, 205 327 1077, mmartin@flourishresearch.com

    Kenneth Jaffe

    Not yet recruiting
  • Alabama Clinical Therapeutics, LLC

    Birmingham, Alabama, 35235

    Withdrawn
  • NY Scientific

    Brooklyn, New York, 11235-3919

    Mohammed Hossain, 347-547-6972, mhossain@nyscientific.net

    Alexander Brun

    Not yet recruiting
  • Clinical Trials of South Carolina - Charleston

    Charleston, South Carolina, 29406

    Active, not recruiting
  • Rush Medical College - Division of Rheumatology

    Chicago, Illinois, 60612

    Joshlean Fair, 312-563-2955, Joshlean_Fair@rush.edu

    Joel Block

    Not yet recruiting
  • Advanced Clinical Research Center, LLC dba TriWest Research Associates, LLC

    Chula Vista, California, 91910

    Daniela Cardenas, dcardenas@triwestresearch.com

    Arthur Mabaquiao

    Not yet recruiting
  • Campbell Clinic

    Collierville, Tennessee, 38017

    Margaret Knack, mknack@campbell-foundation.org

    William Mihalko

    Not yet recruiting
  • Clinical Trials of South Carolina - Columbia

    Columbia, South Carolina, 29206

    Active, not recruiting
  • Medvin Clinical Research - Covina

    Covina, California, 91722

    Rosalia Thanory, 626-869-5730, rosalia@medvinresearch.com

    Samy Metyas

    Not yet recruiting
  • Zenos Clinical Research

    Dallas, Texas, 75230

    Active, not recruiting
  • Helios CR, Inc.

    Dallas, Texas, 75231

    Sammi Swaim, sammi.swaim@heliosclinical.com

    Stanley Cohen

    Not yet recruiting
  • META Medical Research Institute

    Dayton, Ohio, 45432

    Benu Kulkarni, bkulkarni@metamedresearch.com

    Priyesh Mehta

    Not yet recruiting
  • Arrow Clinical Trials

    Daytona Beach, Florida, 32117

    Vinoothna Moluguri, vmoluguri@arrowtrials.com

    David Billmeier

    Recruiting
  • Altoona Center for Clinical Research

    Duncansville, Pennsylvania, 16635

    Active, not recruiting
  • Accurate Clinical Research, Inc - Houston

    Houston, Texas, 77034

    Philip Waller

    Not yet recruiting
  • Beach Physicians Medical Group Inc.

    Huntington Beach, California, 92647

    Kim Zepeda, 714-848-1655 ext. 124, kzepeda@beachphysicians.com

    Bassil Aish

    Recruiting
  • Horizon Clinical Research

    La Mesa, California, 91942

    Active, not recruiting
  • Accurate Clinical Research, Inc. - Lake Charles

    Lake Charles, Louisiana, 70605

    Enrique Mendez

    Not yet recruiting
  • Excel Clinical Research

    Las Vegas, Nevada, 89109

    Active, not recruiting
  • Epic Clinical Research

    Lewisville, Texas, 75057

    Active, not recruiting
  • Physicians Research Collaboration

    Lincoln, Nebraska, 68516

    Brittany Presnell, Brittany.Presnell@prc.us.com

    Melvin Churchill

    Recruiting
  • West Clinical Research

    Morehead City, North Carolina, 28557

    Millicent Clark, millicent.clark@westclinicalresearch.com

    Jeffrey Moore

    Not yet recruiting
  • Best Clinical Trials, LLC

    New Orleans, Louisiana, 70115

    Mary Lalla Lane, mjlallabct@gmail.com

    Neil Duplantier

    Not yet recruiting
  • New York University (NYU) Center for Musculoskeletal Care

    New York, New York, 10016

    Nathan Han, Nathan.Han@nyulangone.org

    Jonathan Samuels

    Not yet recruiting
  • Journey Research Inc.

    Oldsmar, Florida, 34677-4681

    Active, not recruiting
  • OrthoArizona

    Phoenix, Arizona, 85018

    Robert Wallace, 800-774-1534 ext. 711, r.wallace@prgresearch.com

    Kipling Sharpe

    Not yet recruiting
  • AARA Clinical Research - Arizona Arthritis & Rheumatology Associates - Phoenix

    Phoenix, Arizona, 85032

    Nathaly Navarro, Nathaly.Navarro@aaracr.com

    Eric Peters

    Not yet recruiting
  • Discovery Health Research Center - Plantation, FL

    Plantation, Florida, 33317

    Joel Hernandez, jhernandez@discoveryhealthresearch.com

    Conrad Ziembinski

    Not yet recruiting
  • Michigan Orthopaedic and Spine Surgeons

    Rochester Hills, Michigan, 48307

    Cecile Pestano, cecilern@mossdocs.net

    Nathan Rimmke

    Not yet recruiting
  • Source Healthcare

    Santa Monica, California, 90403

    Gabriel Wirnowski, gabriel@sourcehealthcare.com

    Timothy Davis

    Not yet recruiting
  • Gulfcoast Research Institute

    Sarasota, Florida, 34232

    Jesse D'Alessio, 941-552-7875, jdalessio@gulfcoast-research.com

    Edward Stolarski

    Not yet recruiting
  • Alliance Clinical West Hills (Focus Clinical Research)

    West Hills, California, 91307

    Withdrawn
  • Palm Beach Research Center

    West Palm Beach, Florida, 33409

    Active, not recruiting
  • Medvin Clinical Research - Whittier

    Whittier, California, 90602

    Tien-I Karleen Su

    Not yet recruiting
  • M3 Wake Research - Wilmington, NC

    Wilmington, North Carolina, 28412

    Jeremy Hoff

    Not yet recruiting
  • Conquest Research

    Winter Park, Florida, 32789

    Active, not recruiting

Other trials in United States

About this study

Official title: A Phase 2, Two-Part, Randomized, Double-Blind, Active-Controlled Study to Assess the Safety and Tolerability of Enekinragene Inzadenovec (PCRX-201) in Subjects With Painful Osteoarthritis of the Knee

The goal of this clinical trial is to learn if a single knee injection of different doses (Dose A and Dose B) of an investigation product PCRX-201, following steroid pretreatment, is safe and tolerable in male of female patients 45 to 80 years old with osteoarthritis of the knee. It will also learn how the body reacts to the PCRX-201 injection and how effective the treatment is.

Researchers will compare Dose A and Dose B of PCRX-201 versus placebo from Week 1 through Week 52 to assess adverse events. Researchers will also explore how PCRX-201 may impact knee pain and joint function over time.

Read more

Participants will be asked to

  • Visit the clinic for pretreatment and drug administration
  • Visit the clinic for checkups and tests:
  1. Screening through Week 52: intially weekly, bi-weekly, later monthly
  2. Week 53 through Week 260 (Year 5): 8 visits throughout the period
Read the detailed description

The study will consist of two parts, Part A and Part B, which will use PCRX-201 from two different manufacturing processes. A total of 135 eligible subjects, with painful OA of the index knee will be enrolled. Subjects will be randomly assigned to a treatment dose group, stratified by Kellgren-Lawrence (K-L) Grade, in both parts of the study. Enrollment of subjects with K-L Grade 4 will be capped at 4 subjects per dose group in Part A and 8 subjects per dose group in Part B.

Enrollment of subjects with K-L Grade 2 or 3 will include a minimum of 4 subjects per Grade per dose group in Part A and a minimum of 8 subjects per Grade per dose group in Part B. This study does not require an equal number of subjects between K-L Grade 2 and 3. All eligible subjects will be pretreated with the same dose of methylprednisolone acetate (40 mg) on Day 1 immediately before treatment with PCRX-201 or placebo.

Part A will enroll approximately 45 subjects into 3 dose groups (15 subjects in each treatment group, stratified by K-L Grade as noted above).

Part B will enroll approximately 90 subjects into 3 groups (30 subjects in each treatment group, stratified by K-L Grade as noted above). Enrollment in Part B is dependent upon the availability of study drug developed with manufacturing process 2.

Being tested
Enekinragene Inzadenovec (PCRX-201), Placebo
Keywords
gene therapy, Knee Pain Arthritis, Osteoarthritis of the Knee
Medical subject headings
Osteoarthritis, Osteoarthritis, Knee

What participants receive

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

  • Enekinragene Inzadenovec (PCRX-201)Biological

    Enekinragene Inzadenovec (PCRX-201) injection

  • PlaceboBiological

    Placebo injection

Study groups in NCT06884865
Study groupRoleWhat they receive
Part A Dose AExperimentalSingle Intra-Articular injection
Receives: Biological: Enekinragene Inzadenovec (PCRX-201)
Part A, PlaceboPlacebo comparatorSingle Intra-Articular injection
Receives: Biological: Placebo
Part B Dose AExperimentalSingle Intra-Articular injection
Receives: Biological: Enekinragene Inzadenovec (PCRX-201)
Part B Dose BExperimentalSingle Intra-Articular injection
Receives: Biological: Enekinragene Inzadenovec (PCRX-201)
Part B PlaceboPlacebo comparatorPart B Placebo
Receives: Biological: Placebo
Part A, Dose BExperimentalSingle Intra-Articular injection
Receives: Biological: Enekinragene Inzadenovec (PCRX-201)

What is being measured

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

  1. Incidence (number and percent) of treatment-emergent adverse events (TEAEs) for PCRX-201 Dose A and Dose B versus placebo from Week 1 through Week 52

    Measured: Week 1 through Week 52.

  2. Incidence (number and percent) of adverse events of special interest (AESIs) for PCRX-201 Dose A and Dose B versus placebo from Week 1 through Week 52

    Measured: Week 1 through Week 52.

  3. Incidence (number and percent) of serious adverse events (SAEs) for PCRX-201 Dose A and Dose B versus placebo from Week 1 through Week 52

    Measured: Week 1 through Week 52.

Secondary outcomes (8)
  1. Real-time quantitative polymerase chain reaction (qPCR) measurement profile in plasma of PCRX-201 Dose A and Dose B from postdose through Week 8

    Measured: Days 1, 4, Weeks 2, 4, 8

  2. Real-time qPCR measurement profile of skin swab samples from Baseline through Week 4.

    Measured: Days 1, 4, Weeks 2, 4

  3. Assessment of the levels of neutralizing antibodies (NAbs), high-sensitivity C-reactive protein (hs-CRP), and biomarkers of inflammation (eg, interleukin [IL]- 1, cytokines [tumor necrosis factor alpha (TNFα), IL-1β, IL-6, IL-10], and chemokines [IL-8])

    Measured: Days 1, 4, Weeks 2, 3, 4,12, 16, 24, 38

  4. Absolute change from baseline in Average Daily Knee Pain (Numerical Rating Scale [NRS]) for PCRX-201 Dose A and Dose B versus placebo.

    Measured: Weeks 38 and 52

  5. Absolute change from baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Pain Score for PCRX-201 Dose A and Dose B versus placebo.

    Measured: Weeks 38 and 52

  6. Absolute change from baseline in WOMAC Stiffness Score for PCRX-201 Dose A and Dose B versus placebo.

    Measured: Weeks 38 and 52

  7. Absolute change from baseline in WOMAC Physical Function Score for PCRX-201 Dose A and Dose B versus placebo.

    Measured: Weeks 38 and 52

  8. Absolute change from Baseline on the Knee Injury and Osteoarthritis Outcome Score (KOOS) function/daily living score for PCRX-201 Dose A and Dose B versus placebo at Weeks 38 and 52.

    Measured: Weeks 38 and 52

Timeline

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

  1. First posted19 Mar 2025
  2. Study start26 Feb 2025
  3. Primary completionNov 2026 (estimated)
  4. Study completionJul 2032 (estimated)

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
In Part A (manufacturing process 1), subjects are randomized in a 1:1:1 ratio to Dose A , Dose B , or placebo, each with a predose IA steroid of methylprednisolone acetate. In Part B (manufacturing process 2), subjects are randomized in a 1:1:1 ratio to Dose A, Dose B, or placebo, each with a pre-dose IA steroid of methylprednisolone acetate.
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
135 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06884865
Sponsor's protocol ID
201-C-201
Status last verified
Aug 2026
First submitted
13 Mar 2025
Last updated
25 Aug 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Undecided

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Enekinragene Inzadenovec (PCRX-201) in people with Osteoarthritis (OA) of the Knee, run by Pacira Pharmaceuticals, Inc at 40 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 16 inclusion and 10 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: looking for participants now, as of the sponsor's last update on 25 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 40 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

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

Contact Lisa Ramsay, MA (973-451-4019, lisa.ramsay@pacira.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Incidence (number and percent) of treatment-emergent adverse events (TEAEs) for PCRX-201 Dose A and Dose B versus placebo from Week 1 through Week 52 (time frame: Week 1 through Week 52.). The study lists 3 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 25 Aug 2026.

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