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Active, not recruitingPhase 1

Safety and Pharmacodynamics of GNSC-001 Intra-articular Injection for Knee Osteoarthritis

Key facts

Who runs it
Genascence Corporation
Where
Duncansville, Kansas City, La Mesa, Miami, Miami Springs, Mobile, Morehead City, San Diego, and The Villages, United StatesSee the 9 sites
Trial code
Status
Active, not recruiting
Phase
Phase 1
People taking part
67 people enrolled
Started
12 Jun 2023
Expected to end
May 2029
Type of study
Interventional, 6 groupsOne group gets a placebo (a dummy treatment), for comparison.
Treatments tested
  • GNSC-001
  • transient immune-modulation
  • Placebo
Record updated
1 August 2025

Who can take part

Age
40 years to 75 years
Sex
Women and men
Healthy volunteers
Cannot take part

The registry criteria, word for word

Show all 13 criteriaShow less

Who can take part

  • OA in at least one knee (the 'target knee'), confirmed using centrally read X-ray with a Kellgren-Lawrence (KL) score of 2 or 3
  • Western Ontario \& McMaster University Osteoarthritis Index (WOMAC) pain score ≥ 20 (on a 50-point numerical rating scale) in the target knee during the seven days prior to Screening
  • Persistent moderate to severe symptoms in the target knee, despite failure or intolerance of a 3-month trial of at least 2 conservative therapies (e.g., activity modification, weight loss, physical therapy, opioids, and anti-inflammatory medications, and injection of hyaluronic acid or steroids)
  • Successful extraction of synovial fluid at Screening
  • Negative pregnancy test at Screening and Baseline (subjects of childbearing potential [SOCBP])

Who cannot take part

  • Surgery in the target knee within the 6 months prior to screening
  • Previous partial or total joint replacement in target knee
  • Plans to have, elective surgery of other joints or spine or intra-articular injections in the target knee, within the next 12 months
  • Current or documented history of inflammatory arthritis (such as gout or rheumatoid arthritis), inflammation of connective tissue, or other immunological disease
  • Any form of joint degeneration as part of another syndrome (e.g., Ehler's Danlos, Stickler syndrome, etc.)
  • Clinically significant abnormal laboratory values at Screening in laboratory parameters that in the opinion of the Investigator, could represent a potential risk to participant safety:
  • Significant and clinically evident malalignment of the target knee that would impact the subject's function, as determined by the Investigator
  • Body mass index (BMI) > 38 kg/m2

Where in United States

  • Altoona Center For Clinical ResearchDuncansville, United StatesNo longer taking part
  • Alliance for Multispecialty Research - Kansas CityKansas City, United StatesNo longer taking part
  • Biosolutions Clinical Research CenterLa Mesa, United StatesNo longer taking part
  • Well Pharma Medical ResearchMiami, United StatesNo longer taking part
  • South Florida ResearchMiami Springs, United StatesNo longer taking part
  • Alliance for Medical Research MobileMobile, United StatesNo longer taking part
  • West Clinical ResearchMorehead City, United StatesNo longer taking part
  • UC San DiegoSan Diego, United StatesNo longer taking part
  • Premier Medical AssociatesThe Villages, United StatesNo longer taking part

About the trial

What the trial wants to find out

The goal of this clinical study is to determine if a single injection of 1 or more dose levels of adeno-associated virus (AAV) gene therapy (GNSC-001) is safe and tolerated compared to placebo in participants with painful osteoarthritis (OA) of the knee.

The 6 groups in the trial

  • GNSC-001 (low dose)Treatment being tested

    Treatment: GNSC-001

  • GNSC-001 (low dose) + transient immune-modulation (oral)Treatment being tested

    Treatment: GNSC-001 and transient immune-modulation

  • GNSC-001 (high dose)Treatment being tested

    Treatment: GNSC-001

  • GNSC-001 (high dose) + transient immune-modulation (oral)Treatment being tested

    Treatment: GNSC-001 and transient immune-modulation

  • GNSC-001 (high dose) + transient immune-modulation (oral + injectable)Treatment being tested

    Treatment: GNSC-001 and transient immune-modulation

  • PlaceboPlacebo, for comparison

Data and sources

Registry record
Listed on ClinicalTrials.gov.
Official title
A Phase 1b, Randomized, Double-Blinded, Placebo-Controlled Dose Ranging Study to Evaluate Safety, Tolerability and Pharmacodynamics of a Single Intra-articular Injection of GNSC-001 Gene Therapy in Subjects With Osteoarthritis of the Knee
Publications
Record updated
1 August 2025