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EP-104IAR

Phase 2

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

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-BlindPLACEBO_CONTROLLEDBiomarker
Total Trials2
Total Enrollment350
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT04120402Study to Evaluate the Efficacy and Safety of EP-104IAR in Patients With Osteoarthritis of the KneePHASE2 COMPLETED 318Sep 10, 2021Jun 1, 2023Jun 25, 202412 Czechia, Denmark +1
NCT02609126Safety Study of a Long-Acting Injectable Steroid to Treat Knee OsteoarthritisPHASE1 COMPLETED 32Apr 1, 2016Dec 28, 2017Sep 1, 20213 Canada
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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 — 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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