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EP-104IAR

Phase 2

Osteoarthritis, Knee | Small molecule | Musculoskeletal |Eupraxia Pharmaceuticals Inc.|Last Updated: Jun 25, 2024

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials2
Total Enrollment350

FDA Designations

No designations recorded

Clinical trial landscape

EP-104IAR · 2 trials · 1 indication

Phase 2 1Phase 1 1
NCT04120402Study to Evaluate the Efficacy and Safety of EP-104IAR in Patients With Osteoarthritis of the KneeOsteoarthritis, Knee
COMPLETED318 Analytics
PHASE2COMPLETED
Study to Evaluate the Efficacy and Safety of EP-104IAR in Patients With Osteoarthritis of the Knee
Osteoarthritis, KneeUnlock trial analytics

Study Endpoints

Primary Endpoints

Difference in Change From Baseline Between EP-104IAR and Vehicle in WOMAC Pain Subscale
12 weeks

Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) pain subscale (scores scaled 0-10, with 10 being the worst). Least squares mean from a mixed model for repeated measures (MMRM) for change from baseline with fixed effects for site, treatment, week, treatment-by-week interaction; random effect for subject; and covariate baseline WOMAC pain score.

Peak Plasma Concentration (Cmax) of fluticasone propionate
Up to 42 weeks
Fluticasone propionate concentrations in synovial fluid
Up to 30 weeks
Area under the plasma concentration versus time curve (AUC) of fluticasone propionate
12 weeks
Incidence of treatment-emergent adverse events
Up to 42 weeks
Change from baseline in clinical laboratory parameters: hematology, chemistry (including cortisol) and urinalysis
Up to 42 weeks

Secondary Endpoints

Difference in Change From Baseline Between EP-104IAR and Vehicle in WOMAC Function Subscale
12 weeks
Difference Between EP-104IAR and Vehicle in the Area Under the Curve (AUC) of WOMAC Pain Subscale
12 weeks
Difference in Change From Baseline Between EP-104IAR and Vehicle in WOMAC Pain Subscale
24 weeks
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
EP-104IAR 25 mgEXPERIMENTALA single use intra-articular injection containing 25 mg of EP-104IAR
Placebo (vehicle)PLACEBO_COMPARATORA single use intra-articular injection containing no active ingredients
EP-104IAREXPERIMENTAL15mg EP-104IAR in 4 mL carrier fluid
VehiclePLACEBO_COMPARATOR4 mL carrier fluid

Interventions

NameTypeDescription
EP-104IAR 25 mgDRUGSingle 5 mL intra-articular injection
VehicleDRUGSingle 5 mL intra-articular injection
EP-104IARDRUGSingle, ultrasound-guided injection of EP-104IAR into the knee
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Eligibility Criteria

Age Range40 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites12

Key Inclusion Criteria: * Males or females, aged ≥40 years * Body Mass Index (BMI) ≤ 40.0 kg/m2 * Diagnosis of primary OA of the Index knee, with symptoms present for at least 6 months * OA severity Grade 2 or 3 (based on Kellgren Lawrence Grading Scale) * Unsatisfactory pain relief from at least 2...

Countries:CzechiaDenmarkPolandCanada
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Frequently asked questions about EP-104IAR

What is EP-104IAR used for?

EP-104IAR is an investigational small molecule being developed for the treatment of osteoarthritis of the knee. It is a long-acting injectable steroid designed to provide relief from knee osteoarthritis symptoms. The drug is currently in clinical development and has not been approved by regulatory authorities.

Who makes EP-104IAR?

EP-104IAR is being developed by Eupraxia Pharmaceuticals Inc., a biopharmaceutical company traded on the stock exchange under the ticker symbol EPRX. The company is conducting clinical trials to evaluate the safety and efficacy of this drug for knee osteoarthritis.

What phase is EP-104IAR in?

EP-104IAR is in Phase 2 clinical development. It has completed a Phase 1 safety study and a Phase 2 efficacy and safety study. The drug remains investigational and has not received regulatory approval for any use.

What clinical trials is EP-104IAR in?

EP-104IAR has completed two clinical trials. The first was a Phase 1 safety study (NCT02609126) with 32 participants in Canada. The second was a Phase 2 efficacy and safety study (NCT04120402) with 318 participants in Czechia, Denmark, and Poland. Both trials were randomized, double-blind, and placebo-controlled.

How does EP-104IAR work?

EP-104IAR is a long-acting injectable steroid designed to deliver sustained release of the medication directly into the knee joint. This approach aims to provide prolonged relief from osteoarthritis symptoms with a single injection, potentially reducing the need for frequent dosing.