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FX006

Phase 3

Osteoarthritis of the Knee | Small molecule | Musculoskeletal |Pacira BioSciences, Inc.|Last Updated: Jan 24, 2024

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials8
Total Enrollment1,421

FDA Designations

No designations recorded

Clinical trial landscape

FX006 · 13 trials · 8 indications

Phase 3 3Phase 2 10
NCT03529942Study to Evaluate the Effect of FX006 on Synovial Inflammation in Patients With OA of the KneeOsteoarthritis, Knee
COMPLETED129 Analytics
NCT03046446Study to Assess the Safety of Repeat Administration of FX006 Administered to Patients With Osteoarthritis of the KneeOsteoarthritis of the Knee
COMPLETED208 Analytics
NCT02357459Study of FX006 for the Treatment of Pain in Patients With Osteoarthritis of the KneeOsteoarthritis of the Knee
COMPLETED486 Analytics
PHASE3COMPLETED
Study to Evaluate the Effect of FX006 on Synovial Inflammation in Patients With OA of the Knee
Osteoarthritis, KneeUnlock trial analytics
PHASE3COMPLETED
Study to Assess the Safety of Repeat Administration of FX006 Administered to Patients With Osteoarthritis of the Knee
Osteoarthritis of the KneeUnlock trial analytics
PHASE3COMPLETED
Study of FX006 for the Treatment of Pain in Patients With Osteoarthritis of the Knee
Osteoarthritis of the KneeUnlock trial analytics

Study Endpoints

Primary Endpoints

Mean Standardized Change in Synovial Volume (SV) at 6 Weeks
Baseline to Week 6

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.

Total Number of Treatment Emergent Adverse Events (TEAEs) in Patients With Symptomatic Osteoarthritis (OA) of the Knee Who Received Two Doses of 32 mg FX006
Up to 52 Weeks

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).

Change From Baseline to Week 12 in the Weekly Mean of the Average Daily (24-hr) Pain (ADP) Intensity Scores for 32 mg FX006 Versus Placebo
Baseline and 12 Weeks

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."

Change in Pain From Baseline as Assessed by the Numeric Pain Rating Scale (NPRS) Score
Baseline,week 12

Numeric Pain Rating Scale total score ranges from 0 (no pain) to 10 (most intense pain imaginable).

Number of Patients With Successful Study Drug Administrations
Day 1

Successful study drug administration, defined as Injector reporting complete study drug administration.

Concentration of Triamcinolone Acetonide (TA) in Blood Plasma
12 Weeks

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

Total Number of Treatment Emergent Adverse Events
12 Weeks

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).

Measure the Concentration of Triamcinolone Acetonide (TA) in Blood Plasma
43 days

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

Incidence of Treatment Emergent Adverse Events
43 days

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).

Change From Baseline for Average Blood Glucose (mg/dL)
Baseline and 72 Hours post intra-articular (IA) injection

Average blood glucose was analyzed with a mixed model for repeated measures (MMRM)

Synovial Fluid Drug Concentrations (pg/mL) by Time Point Pooled Across FX006 Cohorts and TCA IR in Synovial Fluid
Up to 20 Weeks

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).

Change From Baseline to Week 12 in the Weekly Mean of the Average Daily (24-hr) Pain Intensity Scores for 32 mg FX006 Versus Placebo
Baseline and Week 12

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."

Concentration of Triamcinolone Acetonide in Synovial Fluid
12 to 20 weeks

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).

Change From Baseline in 24-hour Weighted Mean Serum Cortisol
Days 1-2, Days 14-15 (Week 2) and Days 42-43 (Week 6)

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

Characterize the Pharmacokinetic Profile of FX006 and TCA IR
Day 1 (1, 2, 4, 6, 8, 12 and 24 hours post dose) and Days 3, 4, 5, 8, 15, 22, 29, 36 and 43

Concentrations below the limit of quantification of 50 pg/mL were treated as 0.

Change From Baseline to Week 8 in Weekly Mean of the Average Daily (24-hour) Pain Intensity Score for FX006 60 mg vs TCA IR 40 mg
8 weeks

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."

Change From Baseline to Week 10 in Weekly Mean of the Average Daily (24-hour) Pain Intensity Score for FX006 60 mg vs TCA IR 40 mg
10 weeks

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."

Change From Baseline to Week 12 in Weekly Mean of the Average Daily (24-hour) Pain Intensity Score for FX006 60 mg vs TCA IR 40 mg
12 weeks

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."

Secondary Endpoints

Mean Absolute Change in Synovial Volume at 6 Weeks
Baseline to Week 6
Mean Standardized Change in Synovial Volume (SV) at 24 Weeks
Baseline to Week 24
Mean Absolute Change in Synovial Volume at 24 Weeks
Baseline to Week 24
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
FX006 32 mgEXPERIMENTALSingle intra-articular (IA) injection of FX006 32 mg
FX006 32mgEXPERIMENTALSingle 5 mL intra-articular (IA) injection Extended-release Formulation
Normal SalinePLACEBO_COMPARATORSingle 5 mL intra-articular (IA) injection
TCA IR 40 mgACTIVE_COMPARATORSingle 1 mL intra-articular (IA) injection TCA IR 40 mg: Immediate-release formulation
FX006EXPERIMENTAL -
TAcs 40 mgACTIVE_COMPARATORSingle intra-articular (IA) injection of TAcs 40 mg
FX006 16 mgEXPERIMENTALSingle 5 mL intra-articular (IA) injection Extended-release formulation
PlaceboPLACEBO_COMPARATORNormal Saline Single 5 mL intra-articular (IA) injection
FX006 10 mgEXPERIMENTALSingle 3 mL intra-articular (IA) injection
FX006 40 mgEXPERIMENTALSingle 3 mL intra-articular (IA) injection
FX006 10mgEXPERIMENTALSingle 3 mL intra-articular (IA) injection Extended-release formulation
FX006 40mgEXPERIMENTALSingle 3 mL intra-articular (IA) injection Extended-release formulation
FX006 60 mgEXPERIMENTALSingle 3 mL intra-articular (IA) injection Extended-release formulation
TCA IR (40 mg)ACTIVE_COMPARATORSingle 1 mL intra-articular (IA) injection Immediate-release formulation

Interventions

NameTypeDescription
FX006 32 mgDRUGExtended-release 32 mg FX006 IA injection
FX006DRUGSingle 5 mL IA injection
PlaceboDRUGSingle 5 mL IA injection
TCA IR 40DRUGSingle 1 mL IA injection
TAcs 40 mgDRUGImmediate-release 40mg TAcs IA injection
TCA IR 40 mgDRUGSingle 1 mL IA injection
FX006 16 mgDRUGSingle 5 mL IA injection
FX006 10 mgDRUGExtended-release formulation
FX006 40 mgDRUGExtended-release formulation
FX006 60 mgDRUGsingle 3 mL IA injection
TCA IRDRUGSingle 1 mL intra-articular injection
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Eligibility Criteria

Age Range40 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites10

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...

Countries:United StatesUnited KingdomAustraliaCanadaDenmarkEstoniaHong KongLithuaniaRomania
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Frequently asked questions about FX006

What is FX006 used for?

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.

Who makes FX006?

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.

What phase is FX006 in?

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.

What clinical trials is FX006 in?

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.

Is FX006 the same as triamcinolone acetonide?

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.