The purpose of this study is to determine the safety, tolerability, and activity of ICM-203, a recombinant adeno-associated viral (AAV) vector that expresses a therapeutic gene that promotes cartilage formation, reduces joint inflammation and pain, as well as improves joint physical function, by injecting escalating doses of ICM-203 into the knee of subjects with mild to moderate knee osteoarthritis (OA). Approximately 6 to 18 subjects will be enrolled into 3 successive dose-escalating groups in a 3+3 study design, whereby 3 study subjects in each group will be dosed sequentially with ICM-203 and 3 additional subjects will be dosed at the same dose level if a dose limiting toxicity (DLT) occurs in any of the first 3 subjects.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Intra-articular injection
Treatment-Emergent Adverse Events (TEAEs)
Incidence and Severity of Treatment-Emergent Adverse Events following administration of study drug
Time frame: Up to Week 52
Knee pain
Evaluation of change from baseline in knee pain as measured using a Numerical Rating Scale (NRS) ranging from 0 (no pain) to 10 (worst pain imaginable)
Time frame: Up to Week 52
Knee function
Evaluation of change from baseline in knee function as measured using the Knee Injury and Osteoarthritis Outcome Score (KOOS) function in daily living subscale ranging from 0 (extreme problems) to 100 (no problems)
Time frame: Up to Week 52
Analgesic use
Evaluation of change from baseline in in use of analgesics, such as acetaminophen and NSAIDs
Time frame: Up to Week 52
Magnetic Resonance Imaging Osteoarthritis Knee Score (MOAKS)
Evaluation of change from baseline in MOAKS, focusing on articular cartilage and effusion-synovitis
Time frame: Up to Week 52
Joint space width
Evaluation of change from baseline in Joint space width in mm as measured on knee radiograph
Time frame: Up to Week 52
Humoral response to AAV5.2 capsid
Evaluation of change from baseline in neutralizing antibody titers against AAV5.2 in serum
Time frame: Up to Week 52
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Cellular immune response to AAV5.2 capsid
Evaluation of change from baseline in T-cell responses to AAV5.2 capsid
Time frame: Up to Week 52
Systemic biodistribution of ICM-203
Evaluation of presence of ICM-203 in peripheral blood after administration of study drug
Time frame: Up to Week 52