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RHH646

Phase 2

Osteoarthritis, Knee | Small molecule | Musculoskeletal |Novartis AG|Last Updated: Mar 31, 2026

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials1
Total Enrollment82

FDA Designations

No designations recorded

Clinical trial landscape

RHH646 · 1 trial · 1 indication

Phase 2 1
NCT05816395Safety and Efficacy of RHH646 for Knee OsteoarthritisOsteoarthritis, Knee
COMPLETED82 Analytics
PHASE2COMPLETED
Safety and Efficacy of RHH646 for Knee Osteoarthritis
Osteoarthritis, KneeUnlock trial analytics

Study Endpoints

Primary Endpoints

Change From Baseline in Cartilage Volume in the Index Region of the Target Knee by MRI
Baseline, Week 52

Magnetic resonance images (MRI) were obtained from the target knee to visualize and quantify changes in the volume of cartilage in the index region. The index region was defined as the combination of the femoral medial anterior (FMA), central (FMC) and posterior (FMP) cartilage subregions in the knee.

Number of Participants With Treatment Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)
Adverse events were reported from first dose of study treatment until end of study treatment plus follow up period, up to a maximum duration of approximately 56 weeks.

Number of participants with treatment emergent adverse events (any AE regardless of seriousness), and SAEs.

Secondary Endpoints

Pharmacokinetic (PK) Parameter: RHH646 Plasma Concentrations
Baseline (4 hours post dose), Week 4 (pre dose)
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
RHH646 75 mgEXPERIMENTALRHH646 was administered orally once per day for a year.
PlaceboPLACEBO_COMPARATORMatching Placebo was administered orally once per day for a year.

Interventions

NameTypeDescription
RHH646DRUGRHH646 capsule for oral use
PlaceboDRUGRHH646 placebo capsule for oral use
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Eligibility Criteria

Age Range35 Years to 75 Years
SexALL
Healthy VolunteersNo
Study Sites10

Inclusion Criteria: * Participant is ≥35 and ≤75 years old, at time of screening * Participants must weigh at least 50 kg to participate in the study and must have a body mass index (BMI) ≤35 kg/m2. BMI = Body weight (kg) / \[Height (m)\]2 * Diagnosis of tibiofemoral OA in at least one knee by stan...

Countries:United StatesArgentinaDenmarkPolandSpain
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Frequently asked questions about RHH646

What is RHH646 used for?

RHH646 is an investigational small molecule being developed for the treatment of osteoarthritis of the knee. It is intended to address pain and functional limitations associated with this condition. The drug is currently in clinical development and has not been approved by regulatory authorities.

What does RHH646 target?

RHH646 is a small molecule therapeutic, but its specific molecular target has not been disclosed in available information. The drug is being studied for its effects on knee osteoarthritis, a degenerative joint disease, though the precise biological pathway it modulates remains unspecified.

Who makes RHH646?

RHH646 is being developed by Novartis AG, a global pharmaceutical company traded on the New York Stock Exchange under the ticker symbol NVS. Novartis is conducting clinical research to evaluate the safety and efficacy of this investigational drug for knee osteoarthritis.

What phase is RHH646 in?

RHH646 is in Phase 2 clinical development. A Phase 2 trial has been completed, evaluating the drug's safety and efficacy in patients with knee osteoarthritis. The drug remains investigational and has not received regulatory approval for any indication.

What clinical trials is RHH646 in?

RHH646 has been studied in one completed Phase 2 clinical trial registered as NCT05816395, titled 'Safety and Efficacy of RHH646 for Knee Osteoarthritis.' The trial enrolled 82 participants across the United States, Argentina, Denmark, Poland, and Spain, and was randomized, double-blind, and placebo-controlled.

Is RHH646 FDA approved?

RHH646 is not FDA approved. It is an investigational drug currently in Phase 2 clinical development for knee osteoarthritis. The completed Phase 2 trial assessed its safety and efficacy, but the drug has not yet received marketing authorization from the FDA or any other regulatory body.