Lubricin-inspired Osteoarthritis Treatment: a Unique Solution
LOTUS
First in Human Safety Evaluation of a Novel Polymer for Knee Osteoarthritis
1 other identifier
interventional
25
1 country
1
Brief Summary
This goal of this open label study is to evaluate the safety and tolerability of a single intra-articular administration of ABR1 in adults with knee osteoarthritis with a KL grade from 2 to 4. The primary questions it aims to answer are:
- 1.Is ABR1 safe to use as an intraarticular injection for participants with knee osteoarthritis?
- 2.What medical problems do participants have after receiving a single injection of ABR1?
- 3.Keep a stable pain treatment regimen
- 4.Visit the clinic at 1 week, 4 weeks, 8 weeks, and 12 weeks post injection
- 5.Keep a diary of their symptoms and number of times they use a rescue medication for their knee pain.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Aug 2026
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
May 21, 2026
CompletedFirst Posted
Study publicly available on registry
May 28, 2026
CompletedStudy Start
First participant enrolled
August 1, 2026
ExpectedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2027
Study Completion
Last participant's last visit for all outcomes
December 1, 2027
May 29, 2026
May 1, 2026
10 months
May 21, 2026
May 27, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Number of adverse events
Incidence of treatment-emergent adverse events (TEAEs) through Week 12
from the day receiving study intervention (day 0) to 12 weeks after study intervention
Study Arms (1)
Received ABR1
EXPERIMENTALReceived a single dose of ABR1
Interventions
Eligibility Criteria
You may qualify if:
- Male or female at least 40years of age
- Knee OA with Kellgren-Lawrence (KL) Grade 2 to 4 of the target knee on X-ray
- Inadequate pain relief with 1st line treatment, consisting of any of the following
- conservative non-pharmacological treatment AND/OR
- stable dose NSAIDs for at least the past 30 days OR
- use of NSAID treatment is contraindicated
- Target knee pain on most days (at least 15 days per month in the preceding month)
- Symptomatic knee OA with moderate to severe pain (NRS ≥4 and \<9 on Numeric Rating Scale (NRS) with target knee significantly worse than the other knee with a minimum difference of 2-point between knees.
- Possess cognitive and language ability to complete informed consent and questionnaires
- Willingness to follow protocol instructions and maintain appointment schedule of the study
- Willingness to maintain their existing stable regimen (defined as the same regimen for at least the past 30 days) of complementary and non-pharmacological knee OA treatments for trial duration (if any)
- If participant is taking a stable regimen of NSAIDs - they are willing to maintain their existing stable regimen (defined as taking the same dose for at least the past 30 days) of NSAIDs and not anticipate to change for the duration of the study.
- Willingness to stop any 'as needed' (PRN) NSAIDs or paracetamol or opioids (except for protocol-permitted rescue pain medication) for the duration of the trial
- Willingness to stop taking any rescue pain meds 24 hours prior to scheduled follow up clinic visits (except for their stable NSAIDs therapy)
You may not qualify if:
- Pregnant or lactating
- Other significant knee pathologies of target knee from medical history or radiographic method(s)
- Severe malalignment \> 10 degree in the target knee (either varus or valgus) measured using standardized knee x-ray at screening or based on previous medical records
- Severe inflammatory arthritis or other joint disease with warm, red, and swollen knee in the target knee
- History of knee surgery or significant knee trauma of target knee in the past 12 months
- Received intraarticular injection in the targeted knee joint within the past 6 months
- Knee surgery or intraarticular injection in the target knee planned in the next 8 months
- Allergy to rescue pain medication (paracetamol)
- Unstable/ poorly controlled coagulopathy\[CH1.1\]\[LC1.2\]
- Severe anxiety, depression or psychiatric disorder based on self -reported medical history
- Chronic pain conditions other than knee OA (e.g. cancer, fibromyalgia, pain due to hip OA, etc.) which may interfere with the outcomes of the study, at the discretion of the investigator
- History of or current substance abuse, self-reported
- Significant systemic medical comorbidities, e.g. uncontrolled diabetes or hypertension, immunocompromised, cancer, severe cardiovascular disease, neuropathic pain/disorder, etc.
- ModifiedPainDETECT Questionnaire (mPDQ) \>18
- Current use of any non-opioids centrally acting analgesics including gabapentin, pregabalin, duloxetine, tricyclic antidepressants (e.g. amitriptyline) for pain management within 12 weeks prior to screening.
- +3 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Royal North Shore Hospital
Sydney, New South Wales, 2065, Australia
Related Publications (1)
Sun Z, Feeney E, Guan Y, Cook SG, Gourdon D, Bonassar LJ, Putnam D. Boundary mode lubrication of articular cartilage with a biomimetic diblock copolymer. Proc Natl Acad Sci U S A. 2019 Jun 18;116(25):12437-12441. doi: 10.1073/pnas.1900716116. Epub 2019 Jun 4.
PMID: 31164421BACKGROUND
Study Officials
- STUDY CHAIR
Charis Lau, PharmD, OD, MBA
Pleryon Therapeutics Limited
- PRINCIPAL INVESTIGATOR
David Hunter, MD
Royal North Shore Hospital
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
May 21, 2026
First Posted
May 28, 2026
Study Start (Estimated)
August 1, 2026
Primary Completion (Estimated)
June 1, 2027
Study Completion (Estimated)
December 1, 2027
Last Updated
May 29, 2026
Record last verified: 2026-05
Data Sharing
- IPD Sharing
- Will not share