Approval Probability
TA Base Rate
Adjusted LOA
ML Risk
FX006 · 13 trials · 8 indications
Synovial volume (mm\^3) as measured by MRI and read by a central imaging vendor. Standardization was performed by dividing the model-derived least squares means and corresponding confidence intervals by the adjusted standard deviation (SD). Therefore, the mean standardized change represents the change in synovial volume expressed in standard deviation units.
Analyses of adverse events (AE) were performed for events considered treatment-emergent (TE) in patients who received two doses of 32 mg FX006. TE was defined as any AE with onset after administration of the 1st dose of study drug or any event present at baseline but worsened in intensity through the study. Severity was graded by the PI using the Common Terminology Criteria for AEs Version 4.0. Grading went from Grade 1 (Mild) to Grade 5 (Death Related to AE).
The pain intensity score is measured using an 11-point numeric rating scale (NRS), where ) indicates "no pain" and 10 indicates "pain as bad as you can imagine."
Numeric Pain Rating Scale total score ranges from 0 (no pain) to 10 (most intense pain imaginable).
Successful study drug administration, defined as Injector reporting complete study drug administration.
Characterize the Pharmacokinetic Profile of FX006 and TCA IR \[Time Frame: Day 1 (pre-treatment,1, 2, 3, 4, 5, 6, 8,10, and 12 hrs. post-dose) and Days 2, 3, 5, 8, 15, 22, 29, 57,and 85\] For the PK analysis and individual concentration vs. time plots, a concentration that is BLOQ is assigned a value of zero if it occurs in a profile before the first measurable concentration. If a BLOQ value occurs after a measurable concentration in a profile and is followed by a value above the lower limit of quantification, then the BLOQ is treated as missing data. If a BLOQ value occurs at the end of the collection interval (after the last quantifiable concentration) it is set to zero. If two BLOQ values occur in succession after Cmax, the profile is deemed to have terminated at the first BLOQ value and any subsequent concentrations are set to zero for PK calculations
Analyses of adverse events (AE) were performed for events considered treatment-emergent (TE). TE was defined as any AE with onset after administration of the 1st dose of study drug or any event present at baseline but worsened in intensity through the study. Severity was graded by the PI using the Common Terminology Criteria for AEs Version 4.0. Grading went from Grade 1 (Mild) to Grade 5 (Death Related to AE).
Plasma drug concentrations (pg/mL) by Time Point across FX006 and TAcs treatment arms in plasma. For the PK analysis and individual concentration vs. time plots, a concentration that is BLOQ is assigned a value of zero if it occurs in a profile before the first measurable concentration. If a BLOQ value occurs after a measurable concentration in a profile and is followed by a value above the lower limit of quantification, then the BLOQ is treated as missing data. If a BLOQ value occurs at the end of the collection interval (after the last quantifiable concentration) it is set to zero. If two BLOQ values occur in succession after Cmax, the profile is deemed to have terminated at the first BLOQ value and any subsequent concentrations are set to zero for PK calculations
Safety analyses were conducted using the safety population. Analyses of adverse events will be performed for those events that are considered treatment emergent, where treatment emergent is defined as any adverse event with onset after the administration of study medication in the first knee through the end of the study or any event that was present at baseline but worsened in intensity through the end of the study. Severity of Adverse events were graded by the Principal Investigator using the Common Terminology Criteria for Adverse Events (CTCAE) version 4.0. The grading went from Grade 1 (Mild) to Grade 5 (Death related to AE).
Average blood glucose was analyzed with a mixed model for repeated measures (MMRM)
All baseline (pre-treatment) values and all post-baseline values recorded as below LLOQ (\<50 pg/mL) were set to zero. Geometric mean summary statistics were computed on adjusted concentration values. One (1) was added to each concentration value observed. BLQ values for the computation of geometric mean are included in the summary with a value of 1 (0+1).
The pain intensity score is measured using an 11-point numeric rating scale (NRS), where 0 indicates "no pain"and 10 indicates "pain as bad as you can imagine."
Analyses of synovial fluid drug concentrations were performed using the Synovial Fluid Drug Concentration Population. Values recorded as lower limit of quantification (LLOQ) (\< 50 pg/mL) were counted as half the value below limit of quantification (BLQ).
The primary pharmacodynamic endpoint was change from baseline (pre-dose) to Day 1-2, Day 14-15 (Week 2) and Day 42-43 (Week 6) in 24-hour weighted mean serum cortisol. This is defined as AUC over the 0-24 hour measurement period divided by 24
Concentrations below the limit of quantification of 50 pg/mL were treated as 0.
The pain intensity score is measured using an 11-point numeric rating scale (NRS), where 0 indicates "no pain" and 10 indicates "pain as bad as you can imagine."
The pain intensity score is measured using an 11-point numeric rating scale (NRS), where 0 indicates "no pain" and 10 indicates "pain as bad as you can imagine."
The pain intensity score is measured using an 11-point numeric rating scale (NRS), where 0 indicates "no pain" and 10 indicates "pain as bad as you can imagine."
| Arm | Type | Description |
|---|---|---|
| FX006 32 mg | EXPERIMENTAL | Single intra-articular (IA) injection of FX006 32 mg |
| FX006 32mg | EXPERIMENTAL | Single 5 mL intra-articular (IA) injection Extended-release Formulation |
| Normal Saline | PLACEBO_COMPARATOR | Single 5 mL intra-articular (IA) injection |
| TCA IR 40 mg | ACTIVE_COMPARATOR | Single 1 mL intra-articular (IA) injection TCA IR 40 mg: Immediate-release formulation |
| FX006 | EXPERIMENTAL | - |
| TAcs 40 mg | ACTIVE_COMPARATOR | Single intra-articular (IA) injection of TAcs 40 mg |
| FX006 16 mg | EXPERIMENTAL | Single 5 mL intra-articular (IA) injection Extended-release formulation |
| Placebo | PLACEBO_COMPARATOR | Normal Saline Single 5 mL intra-articular (IA) injection |
| FX006 10 mg | EXPERIMENTAL | Single 3 mL intra-articular (IA) injection |
| FX006 40 mg | EXPERIMENTAL | Single 3 mL intra-articular (IA) injection |
| FX006 10mg | EXPERIMENTAL | Single 3 mL intra-articular (IA) injection Extended-release formulation |
| FX006 40mg | EXPERIMENTAL | Single 3 mL intra-articular (IA) injection Extended-release formulation |
| FX006 60 mg | EXPERIMENTAL | Single 3 mL intra-articular (IA) injection Extended-release formulation |
| TCA IR (40 mg) | ACTIVE_COMPARATOR | Single 1 mL intra-articular (IA) injection Immediate-release formulation |
| Name | Type | Description |
|---|---|---|
| FX006 32 mg | DRUG | Extended-release 32 mg FX006 IA injection |
| FX006 | DRUG | Single 5 mL IA injection |
| Placebo | DRUG | Single 5 mL IA injection |
| TCA IR 40 | DRUG | Single 1 mL IA injection |
| TAcs 40 mg | DRUG | Immediate-release 40mg TAcs IA injection |
| TCA IR 40 mg | DRUG | Single 1 mL IA injection |
| FX006 16 mg | DRUG | Single 5 mL IA injection |
| FX006 10 mg | DRUG | Extended-release formulation |
| FX006 40 mg | DRUG | Extended-release formulation |
| FX006 60 mg | DRUG | single 3 mL IA injection |
| TCA IR | DRUG | Single 1 mL intra-articular injection |
Inclusion Criteria: * Written consent to participate in the study * Male or female ≥ 40 years of age * Body mass index (BMI) ≤ 40 kg/m\^2 * Ambulatory and in good general health * Willing and able to comply with the study procedures and visit schedules and able to follow verbal and written instruct...
FX006 is an investigational small molecule being developed for musculoskeletal conditions, including osteoarthritis of the shoulder, knee, and hip, bilateral knee osteoarthritis, and trochanteric bursitis. It has been studied in patients with osteoarthritis of the knee in clinical trials.
FX006 is being developed by Pacira BioSciences, Inc., a biopharmaceutical company traded on the Nasdaq under the ticker symbol PCRX. The company has sponsored multiple clinical trials evaluating FX006 for osteoarthritis-related conditions.
FX006 is in Phase 2 clinical development. It has completed eight Phase 2 trials with a total enrollment of 1,421 participants. The drug is investigational and has not been approved by the FDA, as it remains in clinical development.
FX006 has completed several Phase 2 trials, including NCT01487161 in patients with osteoarthritis of the knee, NCT01487200 a pharmacokinetic and pharmacodynamic study, NCT02116972 comparing FX006 to normal saline, and NCT03378076 in bilateral knee osteoarthritis. All trials are completed.
FX006 is a formulation of triamcinolone acetonide (TA), as studied in trial NCT03378076, which compared exposure of TA following administration of either FX006 or TAcs in patients with bilateral knee osteoarthritis. FX006 is an extended-release version of the corticosteroid.