This study is designed to evaluate the safety and tolerability of ascending single doses of LNA043 given intra-articularly into the human knee joint prior to its removal at total knee replacement surgery. In addition, this will help to establish the presence of LNA043 within the articular cartilage, assess pharmacokinetics and immunogenicity, and will allow exploration of biomarkers of hyaline cartilage repair.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
TRIPLE
Enrollment
28
Novartis Investigative Site
Phoenix, Arizona, United States
Safety endpoints (including number of adverse events CTC-AE, physical exam, vital signs, ECG, safety laboratory and pain measured using KOOS)
Safety and tolerability of LNA043 after one intra-articular injection into the knee of osteoarthritis patients scheduled for total knee replacement
Time frame: Up to and including 7 days post-dose
Immunohistochemical staining for LNA043 in knee cartilage
Joint presence and persistence of LNA043 within the cartilage of the knee
Time frame: 1 up to 4 weeks post-dose
Concentration of LNA043 in serum and synovial fluid
LNA043 pharmacokinetics in serum and concentration in synovial fluid to determine local and systemic exposure
Time frame: Pre-dose, Day 1, Day 4, Day 8, and Day 36
Concentration of ANGPTL in serum and synovial fluid
ANGPTL levels in serum and the synovial fluid
Time frame: Pre-dose, Day 1, Day 4, Day 8, and Day 36
Presence of anti-LNA043
Immunogenicity in serum
Time frame: Pre-dose, Day 8, and Day 36
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