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
- Osteoarthritis Gene Therapy: A 30-Year Journey From Concept to Clinical Trials.Journal of orthopaedic research : official publication of the Orthopaedic Research Society, 2026
- Record updated
- 1 August 2025