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Cingal

Phase 3

Knee Osteoarthritis | Small molecule | Musculoskeletal |Anika Therapeutics Inc.|Last Updated: May 31, 2023

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindACTIVE_CONTROLLEDDMCBiomarker
Total Trials2
Total Enrollment1,102
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT03390036Study of Cingal for the Relief of Knee Osteoarthritis Compared to Triamcinolone Hexacetonide at 39 Weeks Follow upPHASE3 COMPLETED 526Dec 7, 2017Jul 30, 2018May 31, 202317 Hungary, Poland
NCT03191903Study of Cingal™ for the Relief of Knee Osteoarthritis Compared to Triamcinolone HexacetonidePHASE3 COMPLETED 576May 25, 2017Apr 23, 2018Feb 24, 202219 Hungary, Poland
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Study Endpoints
Primary Endpoints
OMERACT-OARSI Responder Rate at 39 Weeks
39 weeks

The post treatment Responder Rate at 39 weeks is determined through a calculation defined by the Outcomes Measures for Rheumatic Arthritis Clinical Trials-Osteoarthritis Research Society International (OMERACT-OARSI) Responder Index. The OMERACT-OARSI Responder Index reports the percentage of subjects that met the criteria to be a good responder. The criteria for response are (1) improvement in pain or physical function ≥50% and an absolute change ≥20 mm; or (2) improvement of ≥20% with an absolute change ≥10 mm in at least two of the following three categories: pain, physical function, and patient's global assessment. A higher percentage of subjects responding indicates a better outcome.

Change From Baseline in WOMAC Pain Score at 26 Weeks (ITT Population)
26 weeks

The change from baseline in knee pain as measured by the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Pain Score comparing the Cingal group to the TH group. The WOMAC Pain Score is a validated visual analog scale from 0 mm = no pain to 100 mm = highest pain level. A negative number for the change from baseline indicates reduction in pain. A greater negative difference from baseline means a better outcome.

Secondary Endpoints
Change From Baseline in WOMAC Pain Score at 39 Weeks
39 Weeks
Change From Baseline in WOMAC Physical Function Score at 39 Weeks
39 Weeks
Change From Baseline in WOMAC Stiffness Score at 39 Weeks
39 Weeks
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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
CingalEXPERIMENTALCingal is a combination product consisting of 88 milligrams of crosslinked HA (hyaluronic acid) with 18 milligrams of TH (triamcinolone hexacetonide) in a 4 milliliter (mL) intra-articular injection.
MonoviscACTIVE_COMPARATORMonovisc is a device that consists of 88 milligrams of cross-linked HA (hyaluronic acid) in a 4 milliliter (mL) intra-articular injection.
Triamcinolone Hexacetonide (TH)ACTIVE_COMPARATORTriamcinolone hexacetonide (TH) is a corticosteroid supplied in a 20 milligram per 1 milliliter (20 mg/mL) intra-articular injection.
Interventions
NameTypeDescription
CingalCOMBINATION_PRODUCTHyaluronic Acid with Triamcinolone Hexacetonide
MonoviscDEVICEHyaluronic Acid
Triamcinolone HexacetonideDRUGTriamcinolone Hexacetonide
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Eligibility Criteria
Age Range40 Years — 75 Years
SexALL
Healthy VolunteersNo
Study Sites17

Inclusion Criteria: 1. Only subjects that were enrolled and met the inclusion criteria for the Cingal 16-02 trial and signed the informed consent are eligible for Cingal 17-02 trial. 2. Subject is able to understand and comply with the requirements of Cingal 17-02 and voluntarily provides consent. ...

Countries:HungaryPoland
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