Osteo Arthritis of the KneeLOTUSNCT07611708
Lubricin-inspired Osteoarthritis Treatment: a Unique Solution
A study testing ABR1 in people with Osteo Arthritis of the Knee, run by Pleryon Therapeutics (Hangzhou) Limited at 1 site in Australia.
Trial summary
This goal of this open label study is to evaluate the safety and tolerability of a single intra-articular administration of ABR1 in adults with knee osteoarthritis with a KL grade from 2 to 4. The primary questions it aims to answer are: 1. Read more about this study
- Who is it for?
- Ages 40 years and older
- Conditions the study is for
- Osteo Arthritis of the Knee
- What is being tested?
- ABR1
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 25 participants
- Where
- 1 siteAustralia
- Study dates
- Aug 2026to Dec 2027
- Phase
- Interventional
- 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 40 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Male or female at least 40years of age
- Knee OA with Kellgren-Lawrence (KL) Grade 2 to 4 of the target knee on X-ray
- Inadequate pain relief with 1st line treatment, consisting of any of the following
- conservative non-pharmacological treatment AND/OR
- stable dose NSAIDs for at least the past 30 days OR
- use of NSAID treatment is contraindicated
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- Target knee pain on most days (at least 15 days per month in the preceding month)
- Symptomatic knee OA with moderate to severe pain (NRS ≥4 and <9 on Numeric Rating Scale (NRS) with target knee significantly worse than the other knee with a minimum difference of 2-point between knees.
- Possess cognitive and language ability to complete informed consent and questionnaires
- Willingness to follow protocol instructions and maintain appointment schedule of the study
- Willingness to maintain their existing stable regimen (defined as the same regimen for at least the past 30 days) of complementary and non-pharmacological knee OA treatments for trial duration (if any)
- If participant is taking a stable regimen of NSAIDs - they are willing to maintain their existing stable regimen (defined as taking the same dose for at least the past 30 days) of NSAIDs and not anticipate to change for the duration of the study.
- Willingness to stop any 'as needed' (PRN) NSAIDs or paracetamol or opioids (except for protocol-permitted rescue pain medication) for the duration of the trial
- Willingness to stop taking any rescue pain meds 24 hours prior to scheduled follow up clinic visits (except for their stable NSAIDs therapy)
Who cannot join
- Pregnant or lactating
- Other significant knee pathologies of target knee from medical history or radiographic method(s)
- Severe malalignment > 10 degree in the target knee (either varus or valgus) measured using standardized knee x-ray at screening or based on previous medical records
- Severe inflammatory arthritis or other joint disease with warm, red, and swollen knee in the target knee
- History of knee surgery or significant knee trauma of target knee in the past 12 months
- Received intraarticular injection in the targeted knee joint within the past 6 months
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- Knee surgery or intraarticular injection in the target knee planned in the next 8 months
- Allergy to rescue pain medication (paracetamol)
- Unstable/ poorly controlled coagulopathy[CH1.1][LC1.2]
- Severe anxiety, depression or psychiatric disorder based on self -reported medical history
- Chronic pain conditions other than knee OA (e.g. cancer, fibromyalgia, pain due to hip OA, etc.) which may interfere with the outcomes of the study, at the discretion of the investigator
- History of or current substance abuse, self-reported
- Significant systemic medical comorbidities, e.g. uncontrolled diabetes or hypertension, immunocompromised, cancer, severe cardiovascular disease, neuropathic pain/disorder, etc.
- ModifiedPainDETECT Questionnaire (mPDQ) >18
- Current use of any non-opioids centrally acting analgesics including gabapentin, pregabalin, duloxetine, tricyclic antidepressants (e.g. amitriptyline) for pain management within 12 weeks prior to screening.
- Started taking oral or injectable GLP-1 products in the past 6 months as new regimen. Current use of a GLP-1 product is permitted if the participant has been on the product for > 6 months and plans to continue the product at its current stable dose for the duration of the trial.
- Started taking another concomitant medication within the past 12 weeks or changed dose of a concomitant medication within the past 12 weeks which could, in the opinion of the Principal Investigator or delegate, impact the participant's safety on the trial or the reliability of the outcome assessments.
- Participate in another clinical trial and received study intervention currently or in the past 3 months
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
Australia1 site
Royal North Shore Hospital
Sydney, New South Wales, 2065
LOTUS Study Coordinator, 02 95625360, lotus.study@sydney.edu.au
About this study
Official title: First in Human Safety Evaluation of a Novel Polymer for Knee Osteoarthritis
This goal of this open label study is to evaluate the safety and tolerability of a single intra-articular administration of ABR1 in adults with knee osteoarthritis with a KL grade from 2 to 4. The primary questions it aims to answer are:
- Is ABR1 safe to use as an intraarticular injection for participants with knee osteoarthritis?
- What medical problems do participants have after receiving a single injection of ABR1?
Read more
Participants will receive a single injection of ABR1 to the knee with osteoarthritis. Participants will
- Keep a stable pain treatment regimen
- Visit the clinic at 1 week, 4 weeks, 8 weeks, and 12 weeks post injection
- Keep a diary of their symptoms and number of times they use a rescue medication for their knee pain.
Read the detailed description
This first-in-human study is a single-site, open-label, single-arm investigation in adults with knee osteoarthritis from KL grade 2 to 4 evaluating safety and tolerability of a single, ultrasound-guided intra-articular injection of ABR1, while also observing any signals of symptom improvement over 24 weeks post-injection. All enrolled participants will receive a single administration of ABR1 intraarticularly in the target knee and will be followed per protocol for safety monitoring and clinical assessments. Participants should continue to take their medications for pre-existing medical conditions as usual during the trial. Participants will be advised that they may use study allowed rescue medication to treat worsening pain. Participants will record any rescue medication use in their Participant Diary.
Researchers will assess the incidence of adverse events, its relatedness to the device, and the incidence of any treatment-related serious adverse events through Week 12. Patient reported outcomes related to knee osteoarthritis pain will be observed up to Week 24 post injection.
- Conditions
- Osteo Arthritis of the Knee
- Being tested
- ABR1
- Keywords
- knee pain, intra articular, lubrication
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
ABR1Device
Received a single dose of ABR1
| Study group | Role | What they receive |
|---|---|---|
| Received ABR1 | Experimental | Received a single dose of ABR1 Receives: Device: ABR1 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of adverse events
Incidence of treatment-emergent adverse events (TEAEs) through Week 12
Measured: from the day receiving study intervention (day 0) to 12 weeks after study intervention
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted28 May 2026
- Study startAug 2026 (estimated)
- Primary completionJun 2027 (estimated)
- Study completionDec 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Osteo Arthritis of the KneeStudies 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 N/A
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Model description
- Study model is a sterile, transparent solution provided in a pre-filled syringe for intra-articular injection
- Masking
- None (open label)
- Enrolment
- 25 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Pleryon Therapeutics (Hangzhou) Limited
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Charis Lau, PharmD, OD, MBA, Study chair, Pleryon Therapeutics LimitedDavid Hunter, MD, Principal investigator, Royal North Shore Hospital
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07611708
- Sponsor's protocol ID
- PC2601
- Acronym
- LOTUS
- Status last verified
- May 2026
- First submitted
- 21 May 2026
- Last updated
- 29 May 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Sun Z, Feeney E, Guan Y, Cook SG, Gourdon D, Bonassar LJ, Putnam D. Boundary mode lubrication of articular cartilage with a biomimetic diblock copolymer. Proc Natl Acad Sci U S A. 2019 Jun 18;116(25):12437-12441. doi: 10.1073/pnas.1900716116. Epub 2019 Jun 4.
PubMed 31164421
Study at a glance
From the registry record, last updated by the sponsor on 29 May 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- First in Human Safety Evaluation of a Novel Polymer for Knee Osteoarthritis
- ClinicalTrials.gov ID
- NCT07611708
- Acronym / sponsor ID
- LOTUS / PC2601
- Conditions
- Osteo Arthritis of the Knee
- Keywords
- knee pain, intra articular, lubrication
- Study type
- Interventional
- Recruitment status
- Not yet recruiting
- Enrolment
- 25 participants (estimated)
- Lead sponsor
- Pleryon Therapeutics (Hangzhou) LimitedIndustry (pharma, biotech, devices)
- Study start
- Aug 2026 (estimated)
- Primary completion
- Jun 2027 (estimated)
- Study completion
- Dec 2027 (estimated)
- First posted
- 28 May 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This goal of this open label study is to evaluate the safety and tolerability of a single intra-articular administration of ABR1 in adults with knee osteoarthritis with a KL grade from 2 to 4. The primary questions it aims to answer are:
- Is ABR1 safe to use as an intraarticular injection for participants with knee osteoarthritis?
- What medical problems do participants have after receiving a single injection of ABR1?
Participants will receive a single injection of ABR1 to the knee with osteoarthritis. Participants will
- Keep a stable pain treatment regimen
- Visit the clinic at 1 week, 4 weeks, 8 weeks, and 12 weeks post injection
- Keep a diary of their symptoms and number of times they use a rescue medication for their knee pain.
Detailed description
This first-in-human study is a single-site, open-label, single-arm investigation in adults with knee osteoarthritis from KL grade 2 to 4 evaluating safety and tolerability of a single, ultrasound-guided intra-articular injection of ABR1, while also observing any signals of symptom improvement over 24 weeks post-injection. All enrolled participants will receive a single administration of ABR1 intraarticularly in the target knee and will be followed per protocol for safety monitoring and clinical assessments. Participants should continue to take their medications for pre-existing medical conditions as usual during the trial. Participants will be advised that they may use study allowed rescue medication to treat worsening pain. Participants will record any rescue medication use in their Participant Diary.
Researchers will assess the incidence of adverse events, its relatedness to the device, and the incidence of any treatment-related serious adverse events through Week 12. Patient reported outcomes related to knee osteoarthritis pain will be observed up to Week 24 post injection.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
- Model description
- Study model is a sterile, transparent solution provided in a pre-filled syringe for intra-articular injection
| Arm | Type | Receives |
|---|---|---|
| Received ABR1 | Experimental | Device: ABR1Received a single dose of ABR1 |
Who may qualify
- Ages
- 40 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (14 listed)
- Male or female at least 40years of age
- Knee OA with Kellgren-Lawrence (KL) Grade 2 to 4 of the target knee on X-ray
- Inadequate pain relief with 1st line treatment, consisting of any of the following
- Target knee pain on most days (at least 15 days per month in the preceding month)
- Symptomatic knee OA with moderate to severe pain (NRS ≥4 and <9 on Numeric Rating Scale (NRS) with target knee significantly worse than the other knee with a minimum difference of 2-point between knees.
Key exclusion criteria (18 listed)
- Pregnant or lactating
- Other significant knee pathologies of target knee from medical history or radiographic method(s)
- Severe malalignment > 10 degree in the target knee (either varus or valgus) measured using standardized knee x-ray at screening or based on previous medical records
- Severe inflammatory arthritis or other joint disease with warm, red, and swollen knee in the target knee
- History of knee surgery or significant knee trauma of target knee in the past 12 months
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 |
|---|---|---|
| ABR1Received a single dose of ABR1 | Device | Received ABR1 |
Primary outcome
Number of adverse events
Time frame: from the day receiving study intervention (day 0) to 12 weeks after study intervention
Incidence of treatment-emergent adverse events (TEAEs) through Week 12
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 29 May 2026.
- Background: PubMed 31164421Sun Z, Feeney E, Guan Y, Cook SG, Gourdon D, Bonassar LJ, Putnam D. Boundary mode lubrication of articular cartilage with a biomimetic diblock copolymer. Proc Natl Acad Sci U S A. 2019 Jun 18;116(25):12437-12441. doi: 10.1073/pnas.1900716116. Epub 2019 Jun 4.
- Individual participant dataSharing planned: No
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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.
Charis Lau, PharmD, OD, MBA study chair
Pleryon Therapeutics Limited
David Hunter, MD principal investigator
Royal North Shore Hospital
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing ABR1 in people with Osteo Arthritis of the Knee, run by Pleryon Therapeutics (Hangzhou) Limited at 1 site in Australia.
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 14 inclusion and 18 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: opening soon, as of the sponsor's last update on 29 May 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Australia. 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.
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 Study Coordinator (0295625360, lotus.study@sydney.edu.au), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Number of adverse events (time frame: from the day receiving study intervention (day 0) to 12 weeks after study intervention). 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 NCT07611708, 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 29 May 2026.