Clinical trial • Phase II • Musculoskeletal
LIRAGLUTIDE for Knee osteoarthritis | Knee synovitis
Phase II trial of LIRAGLUTIDE for Knee osteoarthritis | Knee synovitis.
Overview
- Trial Therapeutic Area
- Musculoskeletal
- Trial Disease
- Knee osteoarthritis | Knee synovitis
- Trial Stage
- Phase II
- Drug Modality
- Peptide/protein/enzyme | Other
Key dates
- Initial CTIS Submission Date
- 17-04-2025
- First CTIS Authorization Date
- 06-08-2025
Trial design
Randomised, 0.9% w/v sodium chloride injection bp (placebo); dose/schedule not specified-controlled Phase II trial in Spain, Poland, Denmark and others.
- Randomised
- Yes
- Comparator
- 0.9% w/v Sodium Chloride Injection BP (placebo); dose/schedule not specified
- Target Sample Size
- 84
- Trial Duration For Participant
- 105
Eligibility
Recruits 84 No vulnerable populations selected. Participants are adults (aged 40 to 80 years). Informed consent documents (subject information sheets and ICFs) are provided for participants..
- Pregnancy Exclusion
- Pregnant or breastfeeding women.
- Vulnerable Population
- No vulnerable populations selected. Participants are adults (aged 40 to 80 years). Informed consent documents (subject information sheets and ICFs) are provided for participants.
Inclusion criteria
- {"criterion_text":"- Male and female participants can take part in this study if they: • are aged between 40 and 80 years,\n- • weigh over 40 kilograms (kg),\n- • have a body mass index (BMI, the ratio of height to bodyweight) between 18.5 and 35,\n- • are able to walk unaided, or with the assistance of a cane,\n- • have had OA pain in the knee to be treated for at least 6 months before taking part,\n- • have synovitis of the knee to be treated, assessed by magnetic resonance imaging (MRI), and\n- • meet certain requirements related to their OA/synovitis diagnosis and pain levels.\n- Please see protocol for a detailed list of inclusion criteria."}
Exclusion criteria
- {"criterion_text":"- Pregnant or breastfeeding women.\n- Treatment with systemic corticosteroids (other than IA) at a dose greater than 10 mg prednisone or the equivalent per day for more than 7 days within 4 weeks prior to the screening visit.\n- Please see protocol for a detailed list of exclusion criteria.\n- Significant malalignment of anatomical axis (medial angle formed by the femur and tibia) of the TK (varus > 10°, valgus > 10°) by radiography.\n- Secondary OA such as joint dysplasia, aseptic osteonecrosis, joint infection, acromegaly, Paget disease, hemochromatosis, joint crystal disease or any inflammatory joint disease.\n- Any known active infections including skin infections at the site injection or increased predisposition for the development of infections.\n- Any partial knee replacement of the TK.\n- Acute fracture or IA trauma to the TK within 12 months prior to the screening visit.\n- Major knee surgery performed within the previous 12 months or planned during the trial.\n- Arthroscopy of the TK within 6 months prior to the screening visit.\n- Presence of any painful conditions that could confound accurate assessment of pain from OA in the TK, such as fibromyalgia, peripheral neuropathy or vascular insufficiency."}
Endpoints
Primary endpoints
- {"endpoint_text":"- Change from Baseline at W4 in the weekly average of TK daily pain intensity using the WOMAC Pain subscore","definition_or_measurement_approach":"Change from baseline at Week 4 in the weekly average of target knee (TK) daily pain intensity measured using the WOMAC Pain subscore."}
Secondary endpoints
- {"endpoint_text":"- Change from Baseline at W2, W6, W8, W10 and W12: -\tWeekly average of TK daily pain (WOMAC Pain)","definition_or_measurement_approach":"Change from baseline at Weeks 2, 6, 8, 10 and 12 in the weekly average of target knee daily pain measured using the WOMAC Pain subscore."}
- {"endpoint_text":"- Change from Baseline at W2, W4, W8 and W12: - NRS (0-10) pain in a nominated pain aggravating activity - WOMAC subscores and total score - Patient Global Assessment of OA (PGA-OA)","definition_or_measurement_approach":"Change from baseline at Weeks 2, 4, 8 and 12 in: NRS (0-10) pain during a nominated pain-aggravating activity; WOMAC subscores and total score; Patient Global Assessment of OA."}
- {"endpoint_text":"- % of OMERACT-OARSI Responders at W2, W4, W8 and W12","definition_or_measurement_approach":"Proportion of participants meeting OMERACT-OARSI responder criteria at Weeks 2, 4, 8 and 12."}
- {"endpoint_text":"- Incidence and severity of TEAEs during the trial","definition_or_measurement_approach":"Recording and assessment of treatment-emergent adverse events (TEAEs) by incidence and severity throughout the trial."}
- {"endpoint_text":"- Absolute values and changes from Baseline in: - Clinical laboratory assessments (hematology, chemistry, and urinalysis) - Vital signs (systolic and diastolic blood pressure [BP], pulse rate,)","definition_or_measurement_approach":"Absolute values and change from baseline in clinical laboratory parameters (hematology, chemistry, urinalysis) and vital signs (systolic/diastolic BP, pulse) at scheduled timepoints."}
- {"endpoint_text":"- Directed physical examination","definition_or_measurement_approach":"Findings from directed physical examinations performed at scheduled visits."}
Recruitment
- Digital Remote Recruitment
- Yes
- Planned Sample Size
- 84
- Recruitment Window Months
- 8
- Consent Approach
- Informed consent obtained from adult participants. Subject information sheets and informed consent forms (L1_SIS and ICF) are provided; country/language-specific ICFs are available (documents present for ES, PL, DK and versions for each MSC). No assent procedure is indicated (all participants are adults aged 40–80).
Methods
- Spain: Banner ads (patient) — K2_Recruitment material banner ads patient_ES; Social media ads — K2_Recruitment material social media ads_ES; Patient brochure — K2_Recruitment material patient brochure_ES (target audience: patients).
- Poland: Patient brochure — K2_Recruitment material Patient Brochure_PL; Banner ads — K2_Recruitment material Banner Ads Patient_PL; Social media ads — K2_Recruitment material Social Media Ads_PL (target audience: patients).
- Denmark: Banner ads — K2_Recruitment material_Banner_ads_DK; Social media ads — K2_Recruitment material_Social_media_ads_DK; Patient brochure — K2_Recruitment material_Patient_brochure_DK (target audience: patients).
- France: Recruitment arrangement form and recruitment materials including patient brochure, banner and social media material (documents K1/K2 and recruitment arrangement form) (target audience: patients).
Geography
- Total Number Of Sites
- 18
- Total Number Of Participants
- 84
Spain
- Earliest CTIS Part Ii Submission Date
- 30-07-2025
- Latest Decision Or Authorization Date
- 14-08-2025
- Processing Time Days
- 15
- Number Of Sites
- 7
- Number Of Participants
- 38
Sites
- Site Name
- Clinica Gaias Santiago
- Department Name
- Rheumatology
- Contact Person Name
- Juan Antonio García Meijide
- Contact Person Email
- meijithe@hotmail.com
- Site Name
- Clinica Vistahermosa Grupo Hla S.L.
- Department Name
- Traumatology
- Contact Person Name
- Laura Martínez Gil
- Contact Person Email
- lau.mgil93@gmail.com
- Site Name
- Complexo Hospitalario Universitario A Coruna
- Department Name
- Rheumatology
- Contact Person Name
- Francisco Javier Blanco García
- Contact Person Email
- fblagar@sergas.es
- Site Name
- Hospital Quironsalud Sagrado Corazon
- Department Name
- Rheumatology
- Contact Person Name
- Paula Cejas Cáceres
- Contact Person Email
- pcejashil@gmail.com
- Site Name
- Hospital Hm Rosaleda Hm La Esperanza
- Department Name
- Rheumatology
- Contact Person Name
- Manuel Pombo Suárez
- Contact Person Email
- manuel.pombo.suarez@cicec.es
- Site Name
- Hospital Universitario Marques De Valdecilla
- Department Name
- Rheumatology
- Contact Person Name
- Ricardo Blanco Alonso
- Contact Person Email
- ricardo.blanco@scsalud.es
- Site Name
- Parc Tauli Hospital Universitari
- Department Name
- Rheumatology
- Contact Person Name
- Cristobal Orellana Garrido
- Contact Person Email
- orellana.parctauli@gmail.com
Poland
- Earliest CTIS Part Ii Submission Date
- 10-07-2025
- Latest Decision Or Authorization Date
- 18-08-2025
- Processing Time Days
- 39
- Number Of Sites
- 4
- Number Of Participants
- 15
Sites
- Site Name
- Pratia S.A.
- Department Name
- Pratia MCM Krakow
- Contact Person Name
- Marek Szuscik
- Contact Person Email
- biuro.mcm@pratia.com
- Site Name
- Gyncentrum Sp. z o.o.
- Department Name
- NZOZ Holsamed-Oddzial Libero
- Contact Person Name
- Wojciech Sydor
- Contact Person Email
- m.zemelka@holsaclinical.com
- Site Name
- Medicover Integrated Clinical Services Sp. z o.o.
- Department Name
- MICS Centrum Medyczne Warszawa
- Contact Person Name
- Agnieszka Zielinska
- Contact Person Email
- agnieszkazielinska@medycynakliniczna.pl
- Site Name
- Klinika Reuma Park Sp. z o.o. S.K.
- Department Name
- Centrum Medyczne Reuma Park
- Contact Person Name
- Anna Zubrzycka-Sienkiewicz
- Contact Person Email
- annazub1@wp.pl
Denmark
- Earliest CTIS Part Ii Submission Date
- 24-07-2025
- Latest Decision Or Authorization Date
- 07-08-2025
- Processing Time Days
- 14
- Number Of Sites
- 2
- Number Of Participants
- 16
Sites
- Site Name
- Region Hovedstaden
- Department Name
- Parker Institute
- Contact Person Name
- Henning Bliddal
- Contact Person Email
- Henning.Bliddal@regionh.dk
- Site Name
- Sanos A/S
- Department Name
- Sanos Clinic
- Contact Person Name
- Bernt Husoy
- Contact Person Email
- bhu@sanosclinic.com
France
- Earliest CTIS Part Ii Submission Date
- 14-07-2025
- Latest Decision Or Authorization Date
- 06-08-2025
- Processing Time Days
- 23
- Number Of Sites
- 5
- Number Of Participants
- 15
Sites
- Site Name
- Assistance Publique Hopitaux De Paris
- Department Name
- Department of Rheumatology
- Contact Person Name
- Augustin LATOURTE
- Contact Person Email
- Augustin.latourte@aphp.fr
- Site Name
- Centre Hospitalier Universitaire Reims
- Department Name
- Department of Rheumatology
- Contact Person Name
- Jean-Hugues SALMON
- Contact Person Email
- jhsalmon@chu-reims.fr
- Site Name
- Centre Hospitalier Universitaire De Nice
- Department Name
- Department of Rheumatology
- Contact Person Name
- Christian ROUX
- Contact Person Email
- Roux.c2@chu-nice.fr
- Site Name
- Centre Hospitalier Universitaire De Montpellier
- Department Name
- Clinical Therapeutic Unit for Osteoarticular Diseases
- Contact Person Name
- Christian JORGENSEN
- Contact Person Email
- c-jorgensen@chu-montpellier.fr
- Site Name
- Assistance Publique Hopitaux De Paris
- Department Name
- Rehabilitation department
- Contact Person Name
- Francois RANNOU
- Contact Person Email
- Francois.rannou@aphp.fr
Sponsor
Primary sponsor
- Full Name
- 4moving Biotech
- Organisation Type
- Pharmaceutical company
- Country Of Registered Address
- France
Contract research organisations
- Name
- Syneos Health UK Limited
- Responsibilities
- codes: 1,10,11,12,13,14,2,3,5,6,7,8
- Name
- Syneos Health Inc.
- Responsibilities
- Biomarker analysis; code:4
- Name
- Almac Clinical Services Limited
- Responsibilities
- IP and ancillaries supplies
- Name
- Signant Health LLC
- Responsibilities
- eCOA; code:7
- Name
- Bioclinica Inc.
- Responsibilities
- centralized MRI
- Name
- Tools4Patient
- Responsibilities
- placebell - covariate analysis. Score for placebo effect; code:7
- Name
- Bioxydyn Limited
- Responsibilities
- Centralized MRI
Third parties
- {"country":"United Kingdom","full_name":"Syneos Health UK Limited","duties_or_roles":"codes: 1,10,11,12,13,14,2,3,5,6,7,8","organisation_type":"Pharmaceutical company"}
- {"country":"United Kingdom (Northern Ireland)","full_name":"Almac Clinical Services Limited","duties_or_roles":"IP and ancillaries supplies","organisation_type":"Pharmaceutical company"}
- {"country":"Belgium","full_name":"Tools4Patient","duties_or_roles":"placebell - covariate analysis. Score for placebo effect; code:7","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Signant Health LLC","duties_or_roles":"eCOA; code:7","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Bioclinica Inc.","duties_or_roles":"centralized MRI","organisation_type":"Laboratory/Research/Testing facility"}
- {"country":"United States","full_name":"Syneos Health Inc.","duties_or_roles":"Biomarker analysis; code:4","organisation_type":"Pharmaceutical company"}
- {"country":"United Kingdom","full_name":"Bioxydyn Limited","duties_or_roles":"Centralized MRI","organisation_type":"Pharmaceutical company"}
Investigational products
- Investigational Product Name
- 4P-004
- Active Substance
- LIRAGLUTIDE
- Modality
- Peptide/protein/enzyme
- Routes Of Administration
- INTRA-ARTICULAR INJECTION
- Route
- INTRA-ARTICULAR INJECTION
- Frequency
- Single injection (one-time)
- Maximum Dose
- 2 mg
- Investigational Product Name
- 0.9% w/v Sodium Chloride Injection BP
- Modality
- Other
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