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
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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