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SMC021 Calcitonin

Phase 3

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

Success Probability

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials1
Total Enrollment1,176

FDA Designations

No designations recorded

Clinical trial landscape

SMC021 Calcitonin · 2 trials · 2 indications

Phase 3 2
NCT00486434Efficacy and Safety of Oral Salmon Calcitonin in Patients With Knee OsteoarthritisOsteoarthritis
COMPLETED1,176 Analytics
NCT00525798A Study to Evaluate Oral Salmon Calcitonin in the Treatment of Osteoporosis in Postmenopausal Women Taking Calcium and Vitamin DOsteoporosis
COMPLETED4,665 Analytics
PHASE3COMPLETED
Efficacy and Safety of Oral Salmon Calcitonin in Patients With Knee Osteoarthritis
OsteoarthritisUnlock trial analytics
PHASE3COMPLETED
A Study to Evaluate Oral Salmon Calcitonin in the Treatment of Osteoporosis in Postmenopausal Women Taking Calcium and Vitamin D
OsteoporosisUnlock trial analytics

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).

Number of Patients With New Vertebral Fractures
From baseline to month 36

The primary variable was the occurrence or not of a new vertebral fracture during the 3 year observation period. New vertebral fractures were identified from an assessment of x-ray of the lateral spine through time (at baseline and at yearly intervals thereafter). The outcome is the number of new vertebral fractures from baseline to 36 months.

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
SMC021- PlaceboPLACEBO_COMPARATORSMC021 - placebo

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 to 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 KongPolandRomaniaUnited StatesBrazilChinaFranceItalyLithuania
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Frequently asked questions about SMC021 Calcitonin

What is SMC021 Calcitonin used for?

SMC021 Calcitonin is an investigational small molecule being studied for osteoarthritis and osteoporosis. It is a form of calcitonin administered orally. The drug is in Phase 3 clinical development for these musculoskeletal conditions.

What does SMC021 Calcitonin target?

SMC021 Calcitonin is a calcitonin-based therapy. Calcitonin is a hormone that helps regulate calcium levels and bone metabolism. It is being studied for its potential effects on bone and joint conditions, specifically osteoarthritis and osteoporosis.

Who makes SMC021 Calcitonin?

SMC021 Calcitonin is being developed by Novartis AG, a multinational pharmaceutical company. Novartis is publicly traded under the ticker symbol NVS on the New York Stock Exchange.

What phase is SMC021 Calcitonin in?

SMC021 Calcitonin is in Phase 3 clinical development. It is an investigational drug and has not been approved by regulatory authorities. The drug is being studied for the treatment of osteoarthritis and osteoporosis.

What clinical trials is SMC021 Calcitonin in?

SMC021 Calcitonin has been studied in two completed Phase 3 clinical trials. NCT00486434 evaluated the drug in patients with knee osteoarthritis, enrolling 1,176 participants. NCT00525798 assessed the drug in postmenopausal women with osteoporosis, enrolling 4,665 participants.

Is SMC021 Calcitonin the same as oral salmon calcitonin?

SMC021 Calcitonin is an oral formulation of salmon calcitonin. The clinical trials NCT00486434 and NCT00525798 both studied oral salmon calcitonin, which is the active substance in SMC021 Calcitonin.