Phase 2
N=45
Safety, Tolerability and Preliminary Efficacy of Multiple Intra-articular Injections of LRX712 in Patients With Knee OA
Osteoarthritis (OA)
Bottom Line
View on ClinicalTrials.gov: NCT04097379 ↗Enrolled (actual)
45
Serious AEs
4.3%
Results posted
Jan 2026
Primary outcome: Primary: Change From Baseline in Cartilage Volume in the Index Region Measured by 7 Tesla MRI — 63.3; 49.8; 11.6 µL — p=0.2366
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 2
- Interventions
- LRX712 (Drug); Placebo (Other)
- Age
- Adult, Older Adult · 35+ yrs
- Sex
- All
- Sponsor
- Novartis Pharmaceuticals
- Primary completion
- Aug 2024
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Change From Baseline in Cartilage Volume in the Index Region Measured by 7 Tesla MRI |
-48.0; -17.4; 24.4; 19.5; 49.3; 123.1 | — |
| SECONDARY Time to Reach the Maximum Plasma Concentration (Tmax) of LRX712 |
17.5; 23.3; 24.0; 23.8; 24.0; 23.9 | — |
| SECONDARY Maximum Observed Plasma Concentration (Cmax) of LRX712 |
3.52; 6.54; 6.94; 3.33; 3.50; 27.0 | — |
| SECONDARY Minimum Observed Plasma Concentration (Cmin) of LRX712 |
0.0735; 0.0823; 0.231; 0.111; 0.202; 0.365 | — |
| SECONDARY Synovial Fluid Concentrations of LRX712 |
0; 0; 0; 0; 0 | — |
| SECONDARY Time to Reach the Maximum Plasma Concentration (Tmax) of MAE344 |
23.5; 24.0; 24.1; 23.8; 24.0; 23.9 | — |
| SECONDARY Maximum Observed Plasma Concentration (Cmax) of MAE344 |
38.3; 52.1; 75.2; 42.6; 40.5; 281 | — |
| SECONDARY Minimum Observed Plasma Concentration (Cmin) of MAE344 |
1.34; 1.49; 4.11; 2.12; 3.04; 5.70 | — |
| SECONDARY Synovial Fluid Concentrations of MAE344 |
0; 0; 0; 0; 0 | — |
| SECONDARY Change From Baseline in Articular Cartilage [23Na] Content Measured by 7 Tesla MRI |
-7.4; 12.7; 8.5; -15.5; 8.9; 4.0 | — |
| SECONDARY Change From Baseline in Cartilage Volume in the Index Region Measured by 7 Tesla MRI |
-48.0; -17.4; 24.4; 19.5; 49.3; 123.1 | — |
Summary
This study explored the preliminary efficacy of multiple intra-articular injections of LRX712 by evaluating the ability of the drug to restore structural integrity of articular cartilage. Efficacy was evaluated in the context of the systemic safety and local tolerability of the investigational drug.
Eligibility Criteria
Inclusion Criteria
Written informed consent must be obtained before any assessment is performed.
To be eligible for inclusion in this study patients must meet all of the following criteria:
- Patient must have a BMI between 18 -35 kg/m2
- Patient must have symptomatic knee osteoarthritis predominantly in one knee (index knee)
- Patient must have knee osteoarthritis (Kellgren-Lawrence grade 2 or 3) in the index knee, as confirmed by radiography
- Patient must have radiographic confirmation of a medial joint space width of 1.5 to 3.5 mm for females, or 2 to 4 mm for males within the medial tibio-femoral compartment of the index knee.
Exclusion Criteria
Subjects meeting any of the following criteria are not eligible for inclusion in this study:
- Patient has a known autoimmune disease, inflammatory or chronic arthropathy other than OA.
- Patient had partial or complete joint replacement in one or both knees.
- Patient has symptomatic, isolated patello-femoral pain in the index knee as per the Investigator's examination.
- Pregnant or nursing (lactating) women.
- Women of child-bearing potential, defined as all women physiologically capable of becoming pregnant.
- Previous use of LRX712 or use of other investigational drugs at the time of enrollment, or within 5 half-lives of enrollment, or within 30 days, whichever is longer; or longer if required by local regulations.
- Patient has malalignment (valgus- or varus-deformity) ≥ 7.5° in the index knee as per anatomic PA axis measured by weight-bearing short knee radiography.
- History of significant cardiac conduction/electrophysiological disorder, e.g. familial long QT syndrome or known family history of Torsades de Pointes or prolonged QT syndrome or QTcF ≥ 450 msec (Fridericia Correction) for males and ≥ 460 msec for females at screening or baseline (by local 12-lead digitized ECG reading).
- Signs or symptoms, in the judgment of the investigator, of a clinically significant systemic viral, bacterial or fungal infection within 30 days prior to screening.
Other protocol-defined inclusion/exclusion criteria may apply.
Data sourced from ClinicalTrials.gov (NCT04097379). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.