Approval Probability
TA Base Rate
Adjusted LOA
ML Risk
Label indication ZILRETTA (triamcinolone acetonide extended-release injectable suspension) is indicated as an intra-articular injection for the management of osteoarthritis pain of the knee. ZILRETTA is an extended-release synthetic corticosteroid indicated as an intra-articular injection for the management of osteoarthritis pain of the knee. FDA label
Also known as FX006
ZILRETTA · 14 trials · 9 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 |
|---|---|---|
| ZILRETTA | EXPERIMENTAL | 100 subjects will receive 32 mg ZILRETTA |
| Placebo | PLACEBO_COMPARATOR | 50 subjects will receive normal saline placebo |
| 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 |
| 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 |
|---|---|---|
| ZILRETTA | DRUG | IA injection of 32 mg ZILRETTA |
| Placebo | OTHER | IA injection of placebo (normal saline) |
| FX006 32 mg | DRUG | Extended-release 32 mg FX006 IA injection |
| FX006 | 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 To be included in the trial, participants must fulfill the following criteria: 1. Written informed consent has been obtained prior to initiating any study-specific procedures. 2. Willingness and ability to comply with the study procedures and visit schedules and ability to follo...
ZILRETTA is an investigational small molecule being studied for the treatment of glenohumeral osteoarthritis, a type of shoulder osteoarthritis. It is currently in Phase 3 clinical development and has not been approved by the FDA for this indication.
ZILRETTA targets the glucocorticoid receptor. It is a small molecule designed to interact with this receptor, which plays a role in inflammatory pathways relevant to osteoarthritis. The drug is being evaluated for its effects in patients with glenohumeral osteoarthritis.
ZILRETTA is being developed by Pacira BioSciences, Inc., a biopharmaceutical company traded on the Nasdaq under the ticker symbol PCRX. The company is conducting clinical trials to evaluate the drug for the treatment of glenohumeral osteoarthritis.
ZILRETTA is currently in Phase 3 clinical development. It is an investigational drug for glenohumeral osteoarthritis and has not received FDA approval. The ongoing Phase 3 trial is active but not recruiting participants.
ZILRETTA is being evaluated in a Phase 3 clinical trial with the identifier NCT06269705, titled "ZILRETTA in Subjects With Shoulder Osteoarthritis." The trial is active but not recruiting, with an estimated enrollment of 150 participants in the United States.
ZILRETTA is a brand name for triamcinolone acetonide extended-release injectable suspension. It is a glucocorticoid receptor agonist used for osteoarthritis pain. In the context of glenohumeral osteoarthritis, it is being studied under the ZILRETTA name in clinical trials.