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SMC021 Calcitonin

Phase 3

Osteoarthritis | Small molecule | Musculoskeletal |Novartis AG|Last Updated: Apr 26, 2019

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_CONTROLLED
Total Trials1
Total Enrollment1,176
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00486434Efficacy and Safety of Oral Salmon Calcitonin in Patients With Knee OsteoarthritisPHASE3 COMPLETED 1,176May 1, 2007Sep 1, 2010Apr 26, 20199 Czechia, Denmark +4
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Study Endpoints
Primary Endpoints
Joint Space Width (JSW) in the Medial Tibiofemoral Knee Joint in Signal Knee Measured by X-ray After 24 Months.
Change from baseline to 24 months

The signal knee was chosen prior to randomization based on which knee met the inclusion and exclusion criteria. The JSW is the space measured in mm between the 2 bones in the knee joint and this is assessed by x-ray. The JSW decreases with disease progression. The lower limit for participation in the trial were 2 mm JSW. There were no upper limit as long as inclusion and exclusion criteria were met. The outcome was measured as a change in JSW from baseline to month 24.

Western Ontario and McMaster Universities Arthritis Index (WOMAC) Pain Subscore in the Signal Knee
Change from baseline to 24 months

WOMAC is a self-administered set of standardized questionnaires to evaluate the condition of patients with osteoarthritis of the knee. The subject marks on a scale (1-100) the pain associated with performing each daily activity listed in the questionnaire. 0 is no pain (best), 100 is extreme pain (Worst). The total function sub score for the questions are then calculated. Total possible minimum sub score is 0, maximum is 500. The final outcome is the absolute change from baseline to 24 months. If the outcome is less that 0 there is improvement (less pain).

Western Ontario and McMaster Universities Arthritis Index (WOMAC) Function Subscore in the Signal Knee.
Change from baseline to 24 months

WOMAC is a self-administered set of standardized questionnaires to evaluate the condition of patients with osteoarthritis of the knee. The subject marks on a scale (1-100) the degree of difficulty for performing each daily function listed in the questionnaire. 0 is no difficulty (best), 100 is extreme difficulty (worst). The total function sub score for the questions are then calculated. Total possible minimum sub score is 0, maximum is 1700. The final outcome is the absolute change from baseline to 24 months. If the outcome is less that 0 there is improvement (less difficulty).

Secondary Endpoints
Changes in Biochemical Markers of Bone & Cartilage Metabolism.
From Baseline to Month 24
Effect on Hand Osteoarthritis (OA) Assessed by X-ray & Questionnaire From Baseline to 24 Months
Baseline and Month 24
Nature and # of AEs Monitored Continuously During Study
From Baseline to Month 24
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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
1ACTIVE_COMPARATORSMC021 Oral Calcitonin, 0.8 mg twice daily during 24 months
2PLACEBO_COMPARATORSMC021 Placebo, orally twice daily during 24 months
Interventions
NameTypeDescription
SMC021 Oral CalcitoninDRUG0.8mg SMC021 (Oral Calcitoinin) twice daily
SMC021 PlaceboDRUGPlacebo orally, twice daily
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Eligibility Criteria
Age Range51 Years — 80 Years
SexALL
Healthy VolunteersNo
Study Sites9

Inclusion Criteria: * Medical history and symptoms of knee osteoarthritis Exclusion Criteria: * Any other disease or medication affecting the bone or cartilage. * Any clinical signs or laboratory evidence diseases, which in the Investigator's opinion would preclude the participant from adhering t...

Countries:CzechiaDenmarkEstoniaHong KongPolandRomania
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