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The purpose of this study is to evaluate the safety and exploratory efficacy of KTP-001 in subjects with lumbar disc herniation.
This study was a first-in-human, open-label, non-controlled single ascending dose study of KTP-001 in male and female subjects between the ages of 30 and 70 years with a single herniated lumbar disc. After obtaining informed consent, subjects were evaluated during a screening period of no more than 3 weeks (21 days). This study was conducted in 10 centers in the US.
Subjects that met all screening requirements and inclusion criteria and none of the exclusion criteria were enrolled into the study. Overall, 24 subjects were enrolled and treated: 6 subjects in each cohort. Cohort 1 received a 5 μg/disc dose of KTP-001 by intradiscal injection. Following administration of study drug, subjects were confined to the study center for 24 hours to collect data for safety and efficacy measures and collect blood samples for safety, PK evaluation, exploratory PD and anti-KTP-001 antibody and then returned for further assessments at various intervals from weeks 1 through to month 24.
After all subjects in Cohort 1 had received study drug, safety measures were evaluated by a Data and Safety Monitoring Board (DSMB) to determine whether to escalate KTP-001 administration to the next dose level. If appropriate, Cohort 2 subjects received 15 μg/disc of KTP-001, Cohort 3 subjects received 50 μg/disc of KTP-001, and Cohort 4 subjects received 150 μg/disc of KTP-001 by intradiscal injection. All safety, PK, and exploratory efficacy assessments were performed for the subjects in the subsequent cohorts as were performed for Cohort 1.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cohort 1 | Experimental | one time 5 μg/disc dose of KTP-001 by intradiscal injection |
|
| Cohort 2 | Experimental | one time 15 μg/disc dose of KTP-001 by intradiscal injection |
|
| Cohort 3 | Experimental | one time 50 μg/disc dose of KTP-001 by intradiscal injection |
|
| Cohort 4 | Experimental | one time 150 μg/disc dose of KTP-001 by intradiscal injection |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| KTP-001 | Drug | KTP-001 is one time dose intradiscally. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Safety Assessed by Adverse Events, Magnetic Resonance Imaging (MRI), X-ray Imaging, Physical Examination, Neurologic Examination and Vital Signs | Any clinically significant changes were recorded as adverse events. They are described in the adverse events section of the results. AEs related to MRI, X-ray Imaging, Physical examination, and Neurologic examination are considered as adverse events of special interest (AESI). A treatment-emergent AE (TEAE) was defined as an AE that was not present prior to treatment with study drug, but appeared following treatment or was present at treatment initiation but worsened in severity during treatment. | 24 months |
| Number of Participants With Change in 12-lead Electrocardiogram (ECG) and Clinical Laboratory Tests (CLT) | Assessment of the number of participants with change in 12-lead ECG and CLT were assessed from baseline, 24 hours and 13 weeks. | 13 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants Serum Concentrations of KTP-001 Below the Limit of Quantification (BLQ) | The serum concentrations of KTP-001 were below the limit of quantification (BLQ) (<100 ng/mL) at all time points in all participants | 13 weeks |
| Number of Participants With Anti-KTP-001 Antibody |
| Measure | Description | Time Frame |
|---|---|---|
| Changes in Lower Back Pain or Leg Pain Assessed by 11-point Numerical Rating Scale | Lower back and leg pain were assessed using an 11-point numerical rating scale (0 = "no pain" and 10 = "worst possible pain"). The endpoint was mean change from baseline at 6 and 13 weeks post-dose; with a negative number suggesting an improvement in pain while a positive number suggests a worsening in pain. | Baseline, 6 weeks and 13 weeks post-dose |
Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Alabama Clinical Therapeutics, LLC | Birmingham | Alabama | 35235 | United States | ||
| HOPE Research Institute, LLC |
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| ID | Title | Description |
|---|---|---|
| FG000 | Cohort 1 KTP-001 5 μg/Disc | KTP-001: KTP-001 is one time dose intradiscally. |
| FG001 | Cohort 2 KTP-001 15 μg/Disc | KTP-001: KTP-001 is one time dose intradiscally. |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Oct 20, 2015 | Sep 26, 2019 |
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| 13 weeks |
| Number of Participants With Changes to Spinal Flexion and Tension Using the Straight-Leg Rising and/or Femoral Stretch Test | The changes to spinal flexion and tension were assessed using Straight-Leg Rising (SLR) and Femoral Stretch (FS) tests which are on a scale of no change, positive to negative or negative to positive and where a positive result for SLR may indicate between 30 and 70 degrees, where a positive result for FS may indicate pain in the anterior thigh of the test leg and the elicited pain. | Baseline, 6 weeks and 13 weeks post-dose |
| Number of Participants With Changes in the Oswestry Disability Index | The Oswestry Disability Index (ODI) score is calculated as participant score divided by possible score multiplied by 100, where the following scores can be interpreted to indicate: 0-20% = Minimal disability; 20-40% = Moderate disability; 40-60% = Severe disability; 60-80% = Crippled; 80-100% = Bed bound; | Baseline, 6 weeks and 13 weeks post-dose |
| Changes in Quality of Life as Assessed by Short Form-12 (SF-12) | The endpoint was change from baseline at Week 6 and 13 hours post-dose. The Short Form-12 (SF-12) is a Quality of Life questionnaire which measures functional health and well-being from a participant's perspective across eight health domains. Each participant answers questions on a 5-point Likert scale, which rates responses according to how much the participant agrees or disagrees with a particular statement on their health and wellbeing, including vitality/physical functioning/bodily pain/general health perceptions/physical role functioning/emotional role functioning/social role functioning and mental health. Each scale is transformed into a 0-100 scale, assuming each question carries equal weight. Lower scores mean greater disability and higher scores mean less disability i.e., a score of zero is equivalent to maximum disability and a score of 100 is equivalent to no disability. | Baseline, 6 weeks and 13 weeks post-dose |
| Patient Global Impression of Change (PGI-C) | The Patient Global Impression Change PGI-C scale was used where the scale ranges are from 1 (no change or condition has got worse) to 7 (a great deal better, and a considerable improvement). The endpoint was the value at 6 and 13 weeks post-dose. | Baseline, 6 weeks and 13 weeks post-dose |
| Changes in Serum Concentrations of Keratan Sulfate | The endpoint was change from baseline at 6 and 24 hours post-dose, and at the 1-, 2-, 4-, 6-, and 13-week follow-up visits or early termination visit. | Baseline, 6 and 24 hours and 1, 2, 4, 6 weeks and 13 weeks post-dose |
| Phoenix |
| Arizona |
| 85018 |
| United States |
| CORE Orthopaedic Medical Center | Encinitas | California | 92024 | United States |
| California Spine Diagnostic | San Francisco | California | 94115 | United States |
| Compass Research, LLC | Orlando | Florida | 32806 | United States |
| Emory University | Atlanta | Georgia | 30322 | United States |
| Rush University Medical Center | Chicago | Illinois | 60612 | United States |
| Chicago Anesthesia Pain Specialists | Chicago | Illinois | 60657 | United States |
| Central Kentucky Research Associates, Inc. | Lexington | Kentucky | 40509 | United States |
| William Beaumont Hospital | Royal Oak | Michigan | 48073 | United States |
| FG002 | Cohort 3 KTP-001 50 μg/Disc | KTP-001: KTP-001 is one time dose intradiscally. |
| FG003 | Cohort 4 KTP-001 150 μg/Disc | KTP-001: KTP-001 is one time dose intradiscally. |
| COMPLETED |
|
| NOT COMPLETED |
|
|
Not provided
| ID | Title | Description |
|---|---|---|
| BG000 | Cohort 1 KTP-001 5 μg/Disc | KTP-001: KTP-001 is one time dose intradiscally. |
| BG001 | Cohort 2 KTP-001 15 μg/Disc | KTP-001: KTP-001 is one time dose intradiscally. |
| BG002 | Cohort 3 KTP-001 50 μg/Disc | KTP-001: KTP-001 is one time dose intradiscally. |
| BG003 | Cohort 4 KTP-001 150 μg/Disc | KTP-001: KTP-001 is one time dose intradiscally. |
| BG004 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
| |||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
| ||||||||||||||||
| Ethnicity (NIH/OMB) | Count of Participants | Participants |
| ||||||||||||||||
| Race (NIH/OMB) | Count of Participants | Participants |
|
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Safety Assessed by Adverse Events, Magnetic Resonance Imaging (MRI), X-ray Imaging, Physical Examination, Neurologic Examination and Vital Signs | Any clinically significant changes were recorded as adverse events. They are described in the adverse events section of the results. AEs related to MRI, X-ray Imaging, Physical examination, and Neurologic examination are considered as adverse events of special interest (AESI). A treatment-emergent AE (TEAE) was defined as an AE that was not present prior to treatment with study drug, but appeared following treatment or was present at treatment initiation but worsened in severity during treatment. | Posted | Count of Participants | Participants | No | 24 months |
|
|
| |||||||||||||||||||||||||||||||||||
| Primary | Number of Participants With Change in 12-lead Electrocardiogram (ECG) and Clinical Laboratory Tests (CLT) | Assessment of the number of participants with change in 12-lead ECG and CLT were assessed from baseline, 24 hours and 13 weeks. | Posted | Count of Participants | Participants | No | 13 weeks |
|
| ||||||||||||||||||||||||||||||||||||
| Secondary | Number of Participants Serum Concentrations of KTP-001 Below the Limit of Quantification (BLQ) | The serum concentrations of KTP-001 were below the limit of quantification (BLQ) (<100 ng/mL) at all time points in all participants | Posted | Count of Participants | Participants | No | 13 weeks |
|
| ||||||||||||||||||||||||||||||||||||
| Secondary | Number of Participants With Anti-KTP-001 Antibody | Posted | Count of Participants | Participants | No | 13 weeks |
|
| |||||||||||||||||||||||||||||||||||||
| Other Pre-specified | Changes in Lower Back Pain or Leg Pain Assessed by 11-point Numerical Rating Scale | Lower back and leg pain were assessed using an 11-point numerical rating scale (0 = "no pain" and 10 = "worst possible pain"). The endpoint was mean change from baseline at 6 and 13 weeks post-dose; with a negative number suggesting an improvement in pain while a positive number suggests a worsening in pain. | The Full Analysis Set (FAS) was used which consists of any subject who was enrolled into the study, received study drug, and had at least 1 efficacy evaluation after receiving study drug. In some cohorts, number of subjects are below 6 participants due to discontinuation and/or data missing. | Posted | Mean | Standard Deviation | score on a scale | Baseline, 6 weeks and 13 weeks post-dose |
| ||||||||||||||||||||||||||||||||||||
| Other Pre-specified | Number of Participants With Changes to Spinal Flexion and Tension Using the Straight-Leg Rising and/or Femoral Stretch Test | The changes to spinal flexion and tension were assessed using Straight-Leg Rising (SLR) and Femoral Stretch (FS) tests which are on a scale of no change, positive to negative or negative to positive and where a positive result for SLR may indicate between 30 and 70 degrees, where a positive result for FS may indicate pain in the anterior thigh of the test leg and the elicited pain. | Posted | Count of Participants | Participants | No | Baseline, 6 weeks and 13 weeks post-dose |
| |||||||||||||||||||||||||||||||||||||
| Other Pre-specified | Number of Participants With Changes in the Oswestry Disability Index | The Oswestry Disability Index (ODI) score is calculated as participant score divided by possible score multiplied by 100, where the following scores can be interpreted to indicate: 0-20% = Minimal disability; 20-40% = Moderate disability; 40-60% = Severe disability; 60-80% = Crippled; 80-100% = Bed bound; | The Full Analysis Set (FAS) was used which consists of any subject who was enrolled into the study, received study drug, and had at least 1 efficacy evaluation after receiving study drug. In some cohorts, number of subjects are below 6 participants due to discontinuation and/or data missing. | Posted | Count of Participants | Participants | No | Baseline, 6 weeks and 13 weeks post-dose |
| ||||||||||||||||||||||||||||||||||||
| Other Pre-specified | Changes in Quality of Life as Assessed by Short Form-12 (SF-12) | The endpoint was change from baseline at Week 6 and 13 hours post-dose. The Short Form-12 (SF-12) is a Quality of Life questionnaire which measures functional health and well-being from a participant's perspective across eight health domains. Each participant answers questions on a 5-point Likert scale, which rates responses according to how much the participant agrees or disagrees with a particular statement on their health and wellbeing, including vitality/physical functioning/bodily pain/general health perceptions/physical role functioning/emotional role functioning/social role functioning and mental health. Each scale is transformed into a 0-100 scale, assuming each question carries equal weight. Lower scores mean greater disability and higher scores mean less disability i.e., a score of zero is equivalent to maximum disability and a score of 100 is equivalent to no disability. | The Full Analysis Set (FAS) was used which consists of any subject who was enrolled into the study, received study drug, and had at least 1 efficacy evaluation after receiving study drug. In some cohorts, number of subjects are below 6 participants due to discontinuation and/or data missing. | Posted | Mean | Standard Deviation | score on a scale | Baseline, 6 weeks and 13 weeks post-dose |
| ||||||||||||||||||||||||||||||||||||
| Other Pre-specified | Patient Global Impression of Change (PGI-C) | The Patient Global Impression Change PGI-C scale was used where the scale ranges are from 1 (no change or condition has got worse) to 7 (a great deal better, and a considerable improvement). The endpoint was the value at 6 and 13 weeks post-dose. | The Full Analysis Set (FAS) was used which consists of any subject who was enrolled into the study, received study drug, and had at least 1 efficacy evaluation after receiving study drug. In some cohorts, number of subjects are below 6 participants due to discontinuation and/or data missing. | Posted | Mean | Standard Deviation | score on a scale | Baseline, 6 weeks and 13 weeks post-dose |
| ||||||||||||||||||||||||||||||||||||
| Other Pre-specified | Changes in Serum Concentrations of Keratan Sulfate | The endpoint was change from baseline at 6 and 24 hours post-dose, and at the 1-, 2-, 4-, 6-, and 13-week follow-up visits or early termination visit. | The Full Analysis Set (FAS) was used which consists of any subject who was enrolled into the study, received study drug, and had at least 1 efficacy evaluation after receiving study drug. In some cohorts, number of subjects are below 6 participants due to discontinuation and/or data missing. | Posted | Mean | Standard Deviation | ng/ml | Baseline, 6 and 24 hours and 1, 2, 4, 6 weeks and 13 weeks post-dose |
|
24 month
Not provided
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Cohort 1 KTP-001 5 μg/Disc | KTP-001: KTP-001 is one time dose intradiscally. | 0 | 6 | 1 | 6 | 6 | 6 |
| EG001 | Cohort 2 KTP-001 15 μg/Disc | KTP-001: KTP-001 is one time dose intradiscally. | 0 | 6 | 2 | 6 | 6 | 6 |
| EG002 | Cohort 3 KTP-001 50 μg/Disc | KTP-001: KTP-001 is one time dose intradiscally. | 0 | 6 | 1 | 6 | 6 | 6 |
| EG003 | Cohort 4 KTP-001 150 μg/Disc | KTP-001: KTP-001 is one time dose intradiscally. | 0 | 6 | 0 | 6 | 5 | 6 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Appendicitis | Infections and infestations | MedDRA (15.1) | Systematic Assessment |
| |
| Diverticulitis | Infections and infestations | MedDRA (15.1) | Systematic Assessment |
| |
| Urinary tract infection | Infections and infestations | MedDRA (15.1) | Systematic Assessment |
| |
| Menorrhagia | Reproductive system and breast disorders | MedDRA (15.1) | Systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Toothache | Gastrointestinal disorders | MedDRA (15.1) | Systematic Assessment |
| |
| Abdominal discomfort | Gastrointestinal disorders | MedDRA (15.1) | Systematic Assessment |
| |
| Constipation | Gastrointestinal disorders | MedDRA (15.1) | Systematic Assessment |
| |
| Vomiting | Gastrointestinal disorders | MedDRA (15.1) | Systematic Assessment |
| |
| Injection site pain | General disorders | MedDRA (15.1) | Systematic Assessment |
| |
| Bronchitis | Infections and infestations | MedDRA (15.1) | Systematic Assessment |
| |
| Ear infection | Infections and infestations | MedDRA (15.1) | Systematic Assessment |
| |
| Gastroenteritis viral | Infections and infestations | MedDRA (15.1) | Systematic Assessment |
| |
| Influenza | Infections and infestations | MedDRA (15.1) | Systematic Assessment |
| |
| Otitis media | Infections and infestations | MedDRA (15.1) | Systematic Assessment |
| |
| Pneumonia | Infections and infestations | MedDRA (15.1) | Systematic Assessment |
| |
| Upper respiratory tract infection | Infections and infestations | MedDRA (15.1) | Systematic Assessment |
| |
| Procedural pain | Injury, poisoning and procedural complications | MedDRA (15.1) | Systematic Assessment |
| |
| Meniscus lesion | Injury, poisoning and procedural complications | MedDRA (15.1) | Systematic Assessment |
| |
| Post procedural swelling | Injury, poisoning and procedural complications | MedDRA (15.1) | Systematic Assessment |
| |
| Post-traumatic pain | Injury, poisoning and procedural complications | MedDRA (15.1) | Systematic Assessment |
| |
| Procedural nausea | Injury, poisoning and procedural complications | MedDRA (15.1) | Systematic Assessment |
| |
| Gout | Metabolism and nutrition disorders | MedDRA (15.1) | Systematic Assessment |
| |
| Back pain | Musculoskeletal and connective tissue disorders | MedDRA (15.1) | Systematic Assessment |
| |
| Pain in extremity | Musculoskeletal and connective tissue disorders | MedDRA (15.1) | Systematic Assessment |
| |
| Musculoskeletal pain | Musculoskeletal and connective tissue disorders | MedDRA (15.1) | Systematic Assessment |
| |
| Muscle spasms | Musculoskeletal and connective tissue disorders | MedDRA (15.1) | Systematic Assessment |
| |
| Intervertebral disc protrusion | Musculoskeletal and connective tissue disorders | MedDRA (15.1) | Systematic Assessment |
| |
| Neck pain | Musculoskeletal and connective tissue disorders | MedDRA (15.1) | Systematic Assessment |
| |
| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA (15.1) | Systematic Assessment |
| |
| Myofascial pain syndrome | Musculoskeletal and connective tissue disorders | MedDRA (15.1) | Systematic Assessment |
| |
| Arthropathy | Musculoskeletal and connective tissue disorders | MedDRA (15.1) | Systematic Assessment |
| |
| Coccydynia | Musculoskeletal and connective tissue disorders | MedDRA (15.1) | Systematic Assessment |
| |
| Muscular weakness | Musculoskeletal and connective tissue disorders | MedDRA (15.1) | Systematic Assessment |
| |
| Musculoskeletal stiffness | Musculoskeletal and connective tissue disorders | MedDRA (15.1) | Systematic Assessment |
| |
| Myalgia | Musculoskeletal and connective tissue disorders | MedDRA (15.1) | Systematic Assessment |
| |
| Headache | Nervous system disorders | MedDRA (15.1) | Systematic Assessment |
| |
| Hypoaesthesia | Nervous system disorders | MedDRA (15.1) | Systematic Assessment |
| |
| Lumbar radiculopathy | Nervous system disorders | MedDRA (15.1) | Systematic Assessment |
| |
| Paraesthesia | Nervous system disorders | MedDRA (15.1) | Systematic Assessment |
| |
| Radicular pain | Nervous system disorders | MedDRA (15.1) | Systematic Assessment |
| |
| Radiculopathy | Nervous system disorders | MedDRA (15.1) | Systematic Assessment |
| |
| Tension headache | Nervous system disorders | MedDRA (15.1) | Systematic Assessment |
| |
| Insomnia | Psychiatric disorders | MedDRA (15.1) | Systematic Assessment |
| |
| Urinary incontinence | Renal and urinary disorders | MedDRA (15.1) | Systematic Assessment |
| |
| Sinus congestion | Respiratory, thoracic and mediastinal disorders | MedDRA (15.1) | Systematic Assessment |
| |
| Pruritus | Skin and subcutaneous tissue disorders | MedDRA (15.1) | Systematic Assessment |
| |
| Rash | Skin and subcutaneous tissue disorders | MedDRA (15.1) | Systematic Assessment |
| |
| Hypertension | Vascular disorders | MedDRA (15.1) | Systematic Assessment |
| |
| Thrombophlebitis superficial | Vascular disorders | MedDRA (15.1) | Systematic Assessment |
|
Not provided
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| President | Teijin America, Inc. | +1-212-308-8744 | clinical-trials-safety@teijinpo.com |
| Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | May 3, 2018 | Sep 26, 2019 | SAP_001.pdf |
| ID | Term |
|---|---|
| D007405 | Intervertebral Disc Displacement |
| ID | Term |
|---|---|
| D013122 | Spinal Diseases |
| D001847 | Bone Diseases |
| D009140 | Musculoskeletal Diseases |
| D006547 | Hernia |
| D020763 | Pathological Conditions, Anatomical |
| D013568 | Pathological Conditions, Signs and Symptoms |
Not provided
Not provided
| Male |
|
| Not Hispanic or Latino |
|
| Unknown or Not Reported |
|
| Asian |
|
| Native Hawaiian or Other Pacific Islander |
|
| Black or African American |
|
| White |
|
| More than one race |
|
| Unknown or Not Reported |
|
| Participants with any TEAEs |
|
| Participants with any serious TEAEs |
|
| Participants with any AESIs |
|
| TEAEs leading to study discontinuation |
|
| Participants |
|
|
| Participants |
|
|
|
| Cohort 4 KTP-001 150 μg/Disc |
KTP-001: KTP-001 is one time dose intradiscally. |
|
|
|
|
| Cohort 4 KTP-001 150 μg/Disc |
KTP-001: KTP-001 is one time dose intradiscally. |
|
|
KTP-001: KTP-001 is one time dose intradiscally.
| OG002 | Cohort 3 KTP-001 50 μg/Disc | KTP-001: KTP-001 is one time dose intradiscally. |
| OG003 | Cohort 4 KTP-001 150 μg/Disc | KTP-001: KTP-001 is one time dose intradiscally. |
|
|
KTP-001: KTP-001 is one time dose intradiscally. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Negative to Positive |
|
| No change |
|
| Missing |
|
| Negative to Positive |
|
| No change |
|
| Missing |
|
| Negative to Positive |
|
| No change |
|
| Missing |
|
| 20-40 Moderate Disability |
|
| 40-60 Severe Disability |
|
| 60-80 Crippled |
|
| 80-100 Bedbound |
|
| missing |
|
| 20-40 Moderate Disability |
|
| 40-60 Severe Disability |
|
| 60-80 Crippled |
|
| 80-100 Bedbound |
|
| missing |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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| Title | Measurements |
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