Phase 1 · Liraglutide

LASARE trial results

A Phase I Clinical Trial to Evaluate the Safety, Tolerability, and Pharmacokinetics of Single Doses of 4P004 Versus Placebo Injected in the Target Knee of Patients With Grade 2 to 4 Osteoarthritis on the Kellgren and Lawrence Severity Index

Participants
34
Status
completed
Completed
2023-10-31
Sponsor
4Moving Biotech

As posted on ClinicalTrials.gov (NCT05419856), updated at source Jun 26, 2025. Read again whenever the registry updates it. Registry figures can differ from a published paper, which may use another analysis.

Primary outcome

What LASARE measured first

Safety and Tolerability of Single IA Administration of 4P-004 at Escalating Doses in Participants With Knee OA.participants · Day 1-Day 28 · number
Measure4P-004 w mgn=64P-004 x mgn=64P-004 y mgn=64P-004 z mgn=8Placebon=8
TEAE55566
SAE00100
Abnormal Vital Sign00000
Abnormal Laboratory Value00000
Abnormal ECG00000
Side effects by arm

Side effects in LASARE

Percent of participants affected, For each participant, adverse events were collected from screening until the End of study (D29). The most common events the registry lists.

Event4P-004 w mg4P-004 x mg4P-004 y mg4P-004 z mgPlacebo
Any serious event0%0%16.7%0%0%
Nausea16.7%16.7%83.3%25%25%
Vomiting0%0%83.3%0%0%
Headache50%16.7%33.3%50%12.5%
Dizziness0%0%33.3%12.5%12.5%
Injection site pain0%33.3%0%0%0%
Hypoglycaemia33.3%16.7%0%12.5%0%
Abdominal distension0%0%0%25%0%
Arthralgia0%16.7%16.7%25%25%
Constipation0%0%16.7%0%0%
Gastric dilatation0%0%16.7%0%0%
Gastrooesophageal reflux disease0%0%16.7%0%0%
Haematochezia0%16.7%0%0%0%
Paraesthesia oral16.7%0%0%0%0%
Syncope0%0%16.7%0%0%
Pain in extremity16.7%16.7%0%0%0%
Joint instability16.7%0%0%0%0%
Joint stiffness0%16.7%0%0%0%
Fatigue0%16.7%16.7%0%12.5%
Chest pain16.7%0%0%0%0%
Discomfort0%0%16.7%0%0%
Hyperglycaemia16.7%0%0%0%12.5%
Dyspnoea16.7%0%16.7%0%0%
Dry throat0%0%16.7%0%0%
Insomnia0%0%16.7%0%0%
Hot flush16.7%0%0%0%12.5%
Secondary outcomes

What else it measured

To Characterize the Plasma Concentration of Liraglutide When Administered as Single IA Doses at Escalating Dose Levels in Participants With Knee OAng/mL · Day 1 to Day 2 · mean
Measure4P-004 w mgn=64P-004 x mgn=64P-004 y mgn=54P-004 z mgn=7Placebon=0
Time [-4hours-0]0(0)0(0)0(0)0(0)not reported
Time 2 hours3.6(1.1)7.2(4.2)58.1(38.8)24.6(15.7)not reported
Time 4 hours5.3(1.8)13.9(7.5)90.4(58.6)41.6(18.4)not reported
Time 8 hours7.3(3.1)23.2(12.4)123.7(74.9)64.5(23.0)not reported
Time 12 hours7.1(3.1)24.5(12.9)122.2(69.2)67.2(24.7)not reported
Time 16 hours6.4(2.9)23.5(12.0)113.6(61.8)63.8(25.4)not reported
Time 24 hours5.0(2.4)20.0(9.4)95.2(52.1)53.6(25.4)not reported
The trial

How LASARE was run

This phase I study is a multicenter, randomized, double-blind, placebo-controlled study to assess the safety and tolerability of single ascending dose of IA 4P-004 in participants, * Between 18 and 80 years of age, * with target knee OA stage KL 2-4 A total of 32 participants will be enrolled in 4 cohorts, in each cohort participants will receive either 4P-004 or placebo (6:2).

  • 4P-004 w mg: 4P-004 is administered once intraarticularly in the target knee joint Dose = w mg
  • 4P-004 x mg: 4P-004 is administered once intraarticularly in the target knee joint Dose = x mg
  • 4P-004 y mg: 4P-004 is administered once intraarticularly in the target knee joint Dose = y mg
  • 4P-004 z mg: 4P-004 is administered once intraarticularly in the target knee joint Dose = z mg
  • Placebo: Placebo is administered once intraarticularly in the target knee joint
Who could join the trial

Inclusion Criteria: * Participants who have the capacity to give informed consent and who are willing to comply with all study related procedures and assessments (consent via legally authorized representative will not be accepted), * Ambulatory participants, agreeing a 24-hour hospitalization, * Participants between 18 and 80 years of age, * Female participant of childbearing potential (WOCBP), must use contraceptive consistent with local regulations regarding the methods of contraception for those participating in clinical studies (see section 11.4) for at least 5 days following IMP injection, and must have a negative urine pregnancy test done within 24h before randomization, * Male participants (whose partners are of childbearing potential) must consent to use methods of contraception consistent with local regulations regarding the methods of contraception for those participating in clinical studies (see section 11.4), for at least 90 days following IMP injection, * Participants with knee osteoarthritis, KL 2-4 of their target knee (defined at screening as the knee with greater pain based on the participant's evaluation and the investigator's clinical judgment), * X-rays of the target knee within 6 months (if not, to be performed before randomization), * ECG within normal range, * WBC (white blood cell count) \> 3500/µL, * Hemoglobin \> 12 g/dL, * Platelets \> 100,000/ µL, * Creatinine clearance (CrCl) \> 60 mL/min, * Glycemia within normal range, * AST, ALT \< 1.5 upper limit of normal (ULN), * Amylasemia \< 1ULN, * Negative tests for COVID-19 (if required by the standard practice on site), HIV, HbsAg and hepatitis C Ab (Determination of HIV and hepatitis status can be based on participant-reported medical history, available medical records, and the most recently available laboratory results for the participant \[tests performed within the previous 12 months\]). Exclusion Criteria: * Breastfeeding women, * Treatment with systemic glucocorticoids greater than 10 mg prednisone or the equivalent per day within 4 weeks prior to screening, * Any treatment with glucosamine or chondroitin sulfate in the previous 3 months, * Any glucagon-like peptide 1 analogue hormones, * Anticoagulant treatment (current or within the last 10 days), * Treatment of the target knee with any IA injection (steroids, hyaluronic acid derivatives, PRP ….) within 3 months, * Knee surgery (of the target knee) performed within the previous 12 months or planned within the next 6 months, * Any partial knee replacement of the target knee, * Any known active infections or increased predisposition for the development of infections * Clinical signs and symptoms of active joint crystal disease, or any inflammatory joint disease, * Diabetes type I or II, * Congestive Heart Failure stage III or IV of NYHA classification, * Inflammatory bowel disease, * Any other chronic condition that has not been well controlled for a minimum of 3 months, * History of malignancy of any organ...

Published papers

Papers from LASARE

Trial averages do not predict what one person will experience. Results are shown as the registry posts them, without interpretation.

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