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Evaluation of safety, tolerability, and efficacy of a single intra-articular (IA) injection of PTP-001, an allogeneic placental tissue particulate, in individuals with knee osteoarthritis (OA).
This open-label, dose-escalation study is expected to enroll 20 participants, 40-80 years of age and test two doses (low and high dose) of PTP-001, an allogeneic placental tissue particulate, in two unique cohorts of 10 participants each. Each participant will receive a single intra-articular (IA) injection of PTP-001. Following the completion of the first cohort in which 10 participants (Kellgren-Lawrence Grade 2 or 3 knee OA) will be treated with the low dose of PTP-001, safety data will be reviewed by an independent Data and Safety Monitoring Board (DSMB).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| PTP-001 - Low Dose (100 mg) | Experimental | intra-articular injection of 100 mg PTP-001 resuspended with 4 mL of normal saline |
|
| PTP-001 - High Dose (200 mg) | Experimental | intra-articular injection of 200 mg PTP-001 resuspended with 4 mL of normal saline |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Biological: PTP-001 | Biological | allogeneic placental tissue particulate |
|
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of local and systemic treatment emergent adverse events (AEs) and incidence of abnormal laboratory and immunogenicity panels | Incidence of local and systemic treatment emergent adverse events (AEs), including clinical laboratory and immunogenicity panels, after a single intra-articular injection of PTP-001. | Baseline to Week 52 |
| Measure | Description | Time Frame |
|---|---|---|
| Western Ontario and McMaster University (WOMAC) Pain Responder Rate | Week 26 and Week 52 | |
| WOMAC Physical Function Responder Rate | Week 26 and Week 52 | |
| Change from baseline in pain of the index knee, by evaluating the WOMAC Pain subscale score (the possible total score ranging from 0-50 for pain) |
| Measure | Description | Time Frame |
|---|---|---|
| Change from baseline in biochemical markers (CTX-II & PRO-C2) |
| Baseline to Week 52 |
| Change from baseline in joint space width of the index knee, assessed radiographically (OARSI radiographic scoring) |
Inclusion Criteria:
Exclusion Criteria:
Note: Other protocol defined inclusion/exclusion criteria apply.
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| Name | Affiliation | Role |
|---|---|---|
| Annunziato Amendola, MD | James R. Urbaniak, MD, Duke Sports Science Institute | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| James R. Urbaniak, MD, Duke Sports Science Institute | Durham | North Carolina | 27705 | United States | ||
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| Background | Flannery CR, Seaman SA, Buddin KE, et al. Characterization and preclinical efficacy of PTP-001, a novel human tissue biologic in development for the treatment of OA. Osteoarthritis Cartilage. 2020 Apr;28(Supplement 1):S487-S489. doi: 10.1016/j.joca.2020.02.763 | ||
| 34023528 | Background | Flannery CR, Seaman SA, Buddin KE, Nasert MA, Semler EJ, Kelley KL, Long M, Favret J, Pavesio A, Loeser RF. A novel placental tissue biologic, PTP-001, inhibits inflammatory and catabolic responses in vitro and prevents pain and cartilage degeneration in a rat model of osteoarthritis. Osteoarthritis Cartilage. 2021 Aug;29(8):1203-1212. doi: 10.1016/j.joca.2021.03.022. Epub 2021 May 20. |
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| ID | Term |
|---|---|
| D020370 | Osteoarthritis, Knee |
| ID | Term |
|---|---|
| D010003 | Osteoarthritis |
| D001168 | Arthritis |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
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Open-label, dose-escalation
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WOMAC Numerical Rating Scale (NRS) 3.1 questionnaire is a health status measure questionnaire of 24 questions comprising 3 subscales (pain, stiffness and physical function). WOMAC A (measure of pain) is measured on 11-point NRS ranging from 0 (none) to 10 (extreme), where higher score represents higher pain. |
| Baseline to Week 52 |
| Change from baseline in physical function of the index knee, by evaluating the WOMAC Physical Function subscale score (the possible total score ranging from 0-170 for Physical Function) | WOMAC Numerical Rating Scale (NRS) 3.1 questionnaire is a health status measure questionnaire of 24 questions comprising 3 subscales (pain, stiffness and physical function). WOMAC C (measure of physical function) is measured on 11-point NRS ranging from 0 (none) to 10 (extreme), where higher score represents higher pain. | Baseline to Week 52 |
| Change from baseline in patient global assessment of OA, by assessing the participants assessment of how they are doing considering arthritis in index knee (the possible answers include "Very Good", "Good", "Acceptable", "Poor", "Very Poor" | Baseline to Week 52 |
| Change from baseline in health-related quality of life, by assessing the items from the Short Form 36 (SF-36) survey | The SF-36 measures 8 domains: physical functioning, role physical, bodily pain, general health, vitality, social functioning, role emotional, and mental health (the possible total normalized score ranges from 0-100). Higher scores on the SF-36 indicate better health status. | Baseline to Week 52 |
| Baseline to Week 52 |
| Coastal Carolina Research Center |
| North Charleston |
| South Carolina |
| 29406 |
| United States |
| D012216 |
| Rheumatic Diseases |