ClinicalTrials.gg
Active, not recruitingNCT06399042Updated May 3, 2024

Pivotal Study to Evaluate Efficacy and Safety of SP5M002 Inj. as Compared to Synovian Inj. in Patients With Mild to Moderate Knee Osteoarthritis

A Phase 3 interventional study of SP5M002 inj and Synovian inj in Osteoarthritis, sponsored by Shin Poong Pharmaceutical Co. Ltd.. Active, not recruiting at 16 sites in Korea, Republic of. Open to participants aged 40 Years and older. Per ClinicalTrials.gov, last updated 2024-05-03.

Primary conditionOsteoarthritis, KneeRegistry: OsteoarthritisReclassifiedWhy we changed it
Registry
Osteoarthritis — the first condition term the registry derived for this study.
ClinicalTrials.gg
Osteoarthritis, Knee
Why
  1. The study's title name Osteoarthritis, Knee, a narrower term within Osteoarthritis.
Confidence
High: the new condition is named in the study's own title. Of 46 hand-checked studies reclassified this way, 72% were exactly right and 89% in the right disease family; the registry's first term was right for 4% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by Shin Poong Pharmaceutical Co. Ltd. · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Jun 2024, 2 years 5 months ago, but the record still lists the study as active, not recruiting.
  • Registered 10 months after the study started (first participant enrolled Jun 2023, registered Apr 2024).
Phase
Phase 3
Study type
Interventional
Enrollment
297
Allocation
Randomized
Ages
40 Years and older
Sex
All
01

Study summary

This is a randomized, double-blind, multicenter, Active Controlled, pivotal clinical trial to assess the efficacy and safety of the novel hexamethylenediamine (HMDA) cross-linked hyaluronate intra-articular injection (SP5M002) compared with an active comparator, the 1,4-butanediol diglycidyl ether (BDDE) cross-linked hyaluronate (Synovian) in patients with knee osteoarthritis.

02

Conditions studied

  • Osteoarthritis

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Keywords

  • Knee osteoarthritis, Intra-articular injection, hexamethylenediamine(HMDA), Cross-linked hyaluronate
03

In context

Osteoarthritis, Knee Reclassified

3,292 studies on the registry are indexed under Osteoarthritis, Knee; 623 are open to participants now.

This study's enrollment of 297 is above the median of 68 across 2,714 interventional studies indexed under Osteoarthritis, Knee.

Browse Osteoarthritis, Knee studies →

Lead sponsor

Shin Poong Pharmaceutical Co. Ltd. is the lead sponsor of 27 studies on the registry; 3 are open to participants now.

Compared within Osteoarthritis, Knee, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Osteoarthritis. The counts are of registry records indexed under each term, refreshed daily. How we classify →

04

Who can participate

Ages eligible
40 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Adult males and females aged 40 years or older as of the date of written consent
  2. Subject with knee osteoarthritis whose X-ray test results within 6 months from the screening or at the screening visit correspond to grades I - III of the Kellgren \& Lawrence scale
  3. Subject diagnosed with unilateral or bilateral knee osteoarthritis according to the clinical diagnostic criteria of the American College of Rheumatology (ACR) at screening who have knee joint pain and meet three or more of the following conditions

    • Over 50 years of age

      • Less than 30 minutes of morning stiffness ③ Crepitus on active motion ④ Bony tenderness ⑤ Bony enlargement ⑥ No palpable warmth of synovium
  4. Weight bearing pain (WBP) of at least one of both knee joints on 100 mm-VAS ≥ 40 mm when measured at screening and baseline [However, if both sides have symptoms, the knee joint with the higher WBP becomes the joint for evaluation, and the selected joint cannot be changed during the study period.]
  5. Walk without relying on a walking aid such as a walker or cane (patients who have been using a walking aid every day since 6 months prior to the screening visit can use the walking aid, and must use the walking aid in the same way throughout the study period.)
  6. Ability to fully understand and complete the safety and efficacy measurement questionnaire
  7. Voluntary decision for participation and provision of written consent to comply with the precautions after hearing and fully understanding the detailed explanation of the purpose, method, and effects of this study

Exclusion criteria

Exclusion Criteria:

  1. (BMI) ≥ 35 kg/m2 at screening
  2. Hip osteoarthritis or osteoarthritis of another joint that is severe enough to preclude evaluation of knee osteoarthritis at the time of screening
  3. Having the following diseases that may affect the efficacy and safety evaluation but not being limited to the following

    • Septic arthritis, rheumatoid arthritis, gout, recurrent pseudogout arthritis, trauma that may damage joint cartilage, congenital abnormalities, calcium deposition disease, diabetes, ochronosis, hemochromatosis, acromegaly, Wilson's disease, primary osteochondrosis, genetic diseases (e.g., hyperkinesis), secondary osteoarthritis caused by collagen gene abnormalities, etc.
    • Sudek's atrophy or severe painful diseases such as Paget's disease
  4. Infection or skin disease in the joint area that is unsuitable for injection at the time of screening
  5. Active or suspected knee joint infection at the time of screening
  6. Complete loss of the Patello-femoral joint space
  7. Received the following treatments within 14 days of the screening visit (except those who have passed a 14-day wash-out) or scheduled to be administered during the study period

    • Taking medicines containing ingredients such as glucosamine, chondroitin sulfate, and diacerhein
    • Taking herbal medicines and herbal medicines for osteoarthritis
    • Taking anti-inflammatory painkillers, non-steroidal anti-inflammatory drugs (NSAIDs, prescription/non-prescription drugs), etc. (administration of acetaminophen allowed if passing a 3 day wash-out)
    • Taking oral
    • Hospital physical therapy or oriental medicine treatment (cupping, acupuncture, moxibustion, etc.)
  8. Intra-articular injection, such as intra-articular corticosteroid, at the injection site within 6 months from the time of screening
  9. Systemic use of steroids within 3 months from the time of screening (including inhalants, however, topical application is permitted only on the upper body)
  10. Surgical operations such as knee joint replacement, including arthroscopic surgery, at the administration site within 6 months from the time of screening; or expecting surgery within 6 months
  11. Moderate or severe joint effusion by Patella tap test at the screening visit
  12. History of to ingredients of the IP or active control drug
  13. Antiplatelet agents (excluding aspirin of 300 mg/day or less), heparin, oral anticoagulants (coumarin anticoagulants, thrombin inhibitors, Factor Xa inhibitors, etc.), and thrombolytics must be used during the study
  14. abnormalities in liver function (3 times or more than the for /AST) or abnormalities in renal function (3 times or more than the upper limit of normal for serum creatinine), or severe liver or renal disease at the discretion of the investigator which is judged to have an impact on the effectiveness and safety evaluation of the study
  15. The following clinically significant diseases in the past or present

    • Diagnosis of within 5 years prior to screening or currently
    • Cardiac disorders (myocardial infarction, coronary artery bypass surgery, arrhythmia, and other serious Cardiac disorders, etc.)
    • Uncontrolled hypertension (systolic blood pressure greater than 160 mmHg or diastolic blood pressure greater than 100 mmHg)
    • Severe endocrine diseases (diabetes insipidus, Cushing's disease, etc.) which is judged to have an impact on the efficacy and safety evaluation of the study
  16. Currently pregnant or lactating; or planning to become pregnant/lactating during this study
  17. Women of childbearing age who have not undergone sterilization surgery, women less than 1 year after menopause, or men who do not agree to avoid pregnancy or use appropriate methods during the study period
  18. Planned to participate in another study during the study period or having administered (applied) other product (investigational device) within 3 months prior to the screening visit
  19. Difficult to conduct the study as judged by the investigator due to other reasons
Terms in these criteria, in plain language(9)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
297 participants (actual)

Study arms

  • Experimental
    SP5M002 inj

    SP5M002 inj 3 ml pre-filled syringe into Knee joint cavity of osteoarthritis patients

    Device: SP5M002 inj

  • Active comparator
    Synovian inj

    Synovian inj 3 ml pre-filled syringe into Knee joint cavity of osteoarthritis patients

    Device: Synovian inj

Interventions

  • DeviceSP5M002 inj

    pre-filled syringe

  • DeviceSynovian inj

    pre-filled syringe

06

What researchers measure

Primary outcomes

  1. Change in [Weight-Bearing Pain (WBP)-100mm-visual analogue scale (VAS)] at Week 12 from baseline (visit 2)

    \* Weight Bearing Pain (WBP) - 100mm-visual analogue scale (VAS)

    Time frame: 12 weeks

  2. Change in [Weight-Bearing Pain (WBP)-100mm-visual analogue scale (VAS)] at Week 6 from baseline (visit 2)

    \* Weight Bearing Pain (WBP) - 100mm-visual analogue scale (VAS)

    Time frame: 6 weeks

Secondary outcomes

  1. Changes in the following at each visit: Weight Bearing pain (WBP) (Weeks 2, 24, and 36) from baseline (Visit 2)

    Outcome Measurement of Weight Bearing pain(WBP): 100mm-visual analogue scale (VAS)

    Time frame: week 2, 24, 36

  2. Changes in the following at each visit: Rest pain (RP) (Weeks 2, 6, 12, 24, and 36) from baseline (Visit 2)

    Outcome Measurement of Rest pain (RP): 100mm-visual analogue scale (VAS)

    Time frame: week 2,6,12, 24, 36

  3. Changes in the following at each visit: Night pain (NP) (Weeks 2, 6, 12, 24, and 36) from baseline (Visit 2)

    Outcome Measurement of Night pain (NP): 100mm-visual analogue scale (VAS)

    Time frame: week 2,6,12, 24, 36

  4. Changes in the following at each visit: Motion pain (MP) (Weeks 2, 6, 12, 24, and 36) from baseline (Visit 2)

    Outcome Measurement of Motion pain (MP): 100mm-visual analogue scale (VAS)

    Time frame: week 2,6,12, 24, 36

  5. Changes in the following at each visit: Patient Global Assessment(PGA) (Weeks 2, 6, 12, 24, and 36) from baseline (Visit 2)

    Outcome Measurement of Patient Global Assessment(PGA): 100mm-visual analogue scale (VAS)

    Time frame: week 2,6,12, 24, 36

  6. Changes in the following at each visit: Investigator Global Assessment (IGA) (Weeks 2, 6, 12, 24, and 36) from baseline (Visit 2)

    Outcome Measurement of Investigator Global Assessment (IGA) : 100mm-visual analogue scale (VAS)

    Time frame: week 2,6,12, 24, 36

  7. Changes in the following at each visit: Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) total score and individual score evaluation (Pain, function, stiffness) (Weeks 2, 6, 12, 24, and 36) from baseline (Visit 2)

    Outcome Measurement of Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) total score and individual score evaluation (Pain, function, stiffness) : WOMAC-Likert Assessment (5-point Likert scale)

    Time frame: week 2,6,12, 24, 36

  8. Physical assessments at each post-administration visit: Swelling (Weeks 2, 6, 12, 24, and 36)

    Outcome Measurement of Swelling : 4-point scale \*4-point scale: 0(none)/1(mild)/2(moderate)/3(severe)

    Time frame: week 2,6,12, 24, 36

  9. Physical assessments at each post-administration visit: joint-line tenderness on pressure (Weeks 2, 6, 12, 24, and 36)

    Outcome Measurement of joint-line tenderness on pressure : 4-point scale \*4-point scale: 0(none)/1(mild)/2(moderate)/3(severe)

    Time frame: week 2,6,12, 24, 36

  10. Physical assessments at each post-administration visit: range of motion (Weeks 2, 6, 12, 24, and 36)

    The angle was recorded as is for the range of motion.

    Time frame: week 2,6,12, 24, 36

  11. Proportion (%) of participants who took rescue medication at each post-administration visit and dose of rescue medication (Weeks 2, 6, 12, 24, and 36)

    Time frame: week 2,6,12, 24, 36

  12. Post-administration response rate A. Proportion at which WBP decreases by at least 20 mm or improves by at least 40% from baseline at the time of evaluation (B section-Description)

    \*B. Response rate of OMERACT-OARSI (Outcome Measures in Rheumatology-Osteoarthritis Research Society International) I. At least 50% improvement in WOMAC pain or function at the time of evaluation; or at least a 20 point improvement from baseline; or II. meeting 2 of the 3 conditions below At least 20% improvement in WOMAC pain, at least a 10 point improvement from each baseline At least 20% improvement in WOMAC function, at least a 10 point improvement from each baseline At least 20% improvement in patient's global assessment (100 mm-VAS) and at least a 10 point improvement from each baseline

    Time frame: week 2,6,12, 24, 36

Other outcomes

  1. The incidence rate of Pre-treatment AEs

    Time frame: From Week 0 to week 24

  2. The incidence rate of Solicited Local AEs

    Time frame: From Week 0 to week 24

  3. The incidence rate of treatment-emergent adverse event (TEAE)

    Time frame: From Week 0 to week 24

  4. The incidence rate of Serious TEAEs

    Time frame: From Week 0 to week 24

  5. The incidence rate of Serious TEAEs leading to Drug withdrawn

    Time frame: From Week 0 to week 24

  6. The incidence rate of Serious TEAEs leading to Death

    Time frame: From Week 0 to week 24

  7. The incidence rate of abnormal CS at Post-Treatment on Laboratory

    Time frame: From Week 0 to week 24

  8. The incidence rate of abnormal CS at Post-Treatment on Electrocardiogram

    Time frame: From Week 0 to week 24

  9. The incidence rate of abnormal on Physical Examination

    Time frame: From Week 0 to week 24

07

Study locations

16 sites
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 3, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06399042
Responsible party
Sponsor
First posted
May 3, 2024
Start date
Jun 14, 2023
Primary completion
Jun 2024 (estimated)
Completion
Sep 2024 (estimated)
Last update
May 3, 2024

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Apr 2024. You cannot join it, but the record below documents what was studied.

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