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Fulranumab

Phase 3

Osteoarthritis | Small molecule | Musculoskeletal |Johnson & Johnson|Last Updated: Apr 29, 2025

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_CONTROLLEDDMC
Total Trials4
Total Enrollment249
FDA Designations
No designations recorded
Clinical Trials (4)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02336698Study of Efficacy, Safety of Fulranumab Monotherapy for OA of Hip or Knee, PAI3002PHASE3 COMPLETED 18Jul 13, 2015Sep 15, 2016Oct 2, 201732 United States, Poland +2
NCT02289716Study of Efficacy, Safety of Fulranumab Monotherapy for OA of Hip or Knee, PAI3003PHASE3 COMPLETED 41Jul 10, 2015Oct 10, 2016Apr 29, 202528 United States, Belgium +6
NCT02336685Study of Efficacy, Safety of Fulranumab Adjunctive Use in OA of Hip or Knee, PAI3001PHASE3 COMPLETED 79Jul 7, 2015Sep 16, 2016Oct 2, 201753 United States, Canada +4
NCT02301234Study of Safety, Efficacy of Fulranumab Adjunctive Use in OA of Hip or Knee, PAI3007PHASE3 COMPLETED 111Mar 25, 2015Sep 19, 2016Sep 14, 201764 United States, Australia +9
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Study Endpoints
Primary Endpoints
Change from baseline to the end of Week 16 in Western Ontario and McMaster University Arthritis Index (WOMAC) pain subscale score
Baseline, Week 16

The WOMAC 3.1 is a multi-dimensional, osteoarthritis (OA) specific self-administered questionnaire using 24 questions with a 48-hour recall that are grouped into 3 subscales (pain, stiffness, and physical function) associated with hip or knee OA. Pain, stiffness, and physical function is rated on a scale of 0-10 (0 = less severe up to 10 = more severe).

Change from baseline to the end of Week 16 in Western Ontario and McMaster University Arthritis Index (WOMAC) physical function subscale score
Baseline, Week 16

See WOMAC 3.1 described above.

Change from baseline to the end of Week 16 in Patient Global Assessment (PGA) score
Baseline, Week 16

The PGA is part of a comprehensive assessment of the impact of treatment for osteoarthritis that also includes pain and physical function. The PGA included in the present study indicates the perception of osteoarthritis in the study joint at the current time. Ratings are provided on an 11-point numerical rating scale from 0 ("Very Good") to 10 ("Very Bad").

The number of participants with Adverse Events as a measure of safety and tolerability
Up to Week 52
Secondary Endpoints
Change from baseline to the end of Week 16 in Patient Global Assessment (PGA) score
Baseline, Week 16
Change from baseline to the end of Week 16 in WOMAC Stiffness subscale score
Baseline, Week 16
Change from baseline to the end of Week 16 in daily numerical rating scale (NRS) score
Baseline, Week 16
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
PlaceboPLACEBO_COMPARATORParticipants will receive 4 subcutaneous (SC) injections (one injection every 4 weeks).
Fulranumab 1 mgEXPERIMENTALParticipants will receive 4 subcutaneous (SC) injections (one injection every 4 weeks).
Fulranumab 3 mgEXPERIMENTALParticipants will receive 4 subcutaneous (SC) injections (one injection every 4 weeks).
Interventions
NameTypeDescription
PlaceboDRUGPlacebo will be administered once every 4 weeks for 16 weeks by subcutaneous (SC) injection (injection under the skin) into the thigh or abdomen.
Fulranumab 1 mgDRUGFulranumab will be administered once every 4 weeks for up to 16 weeks by SC injection into the thigh or abdomen.
Fulranumab 3 mgDRUGFulranumab will be administered once every 4 weeks for up to 16 weeks by SC injection into the thigh or abdomen.
OpioidDRUGOpioids will be administered as standard of care for osteoarthritis (OA) pain therapy during the double-blind treatment phase as per investigator discretion.
Celecoxib 100 mgDRUGDouble-blind capsules taken twice daily for up to 16 weeks.
Celecoxib 100 mg Matching PlaceboDRUGDouble-blind capsules taken twice daily for up to 16 weeks.
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Eligibility Criteria
Age Range18 Years — 99 Years
SexALL
Healthy VolunteersNo
Study Sites32

Inclusion Criteria: * Clinical diagnosis of osteoarthritis (OA) of hip or knee based on criteria defined by the American College of Rheumatology and radiographic evidence of OA (Kellgren-Lawrence class ≥2) of the study joint * Scheduled joint replacement or planning to undergo a joint replacement s...

Countries:United StatesPolandSpainUnited KingdomBelgiumCanadaCzechiaNetherlandsHungaryNew ZealandAustraliaGermanySouth KoreaSweden
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