- |||||||||| Review, Journal: Advances and Challenges in the Pursuit of Disease-Modifying Osteoarthritis Drugs: A Review of 2010-2024 Clinical Trials. (Pubmed Central) - Feb 26, 2025
Eleven DMOAD candidates are reviewed and critically analyzed for their potential benefit in OA treatment-Lorecivivint (SM04690), TissueGene-C, Cindunistat (SD-6010), Sprifermin, UBX0101, TPX-100, GLPG1972/S201086, Lutikizumab (ABT-981), SAR113945, MIV-711, and LNA043-and relevant challenges to their development are discussed. Six DMOADs have demonstrated statistically significant evidence of a structural or symptomatic benefit without major safety concerns in phase II and III randomized controlled trials post-2010.
- |||||||||| Xtandi (enzalutamide) / Pfizer, Astellas, cirtuvivint (SM08502) / Biosplice Therap, lorecivivint (SM04690) / Biosplice Therap, Samil Pharma
Journal: Targeting the CLK2/SRSF9 splicing axis in prostate cancer leads to decreased ARV7 expression. (Pubmed Central) - Feb 4, 2025 Both inhibitors show potent anti-proliferative effects in enzalutamide-treated or -naive PC models. Thus, targeting aberrant alternative splicing at the 3'UTR of ARV7 by disturbing the CLK2/SRSF9 axis might be a valuable therapeutic approach in late stage, ARSI-resistant PC.
- |||||||||| lorecivivint (SM04690) / Biosplice Therap, Samil Pharma
Journal: Inhibition of the canonical Wnt/?-catenin pathway interferes with macropinocytosis to suppress pseudorabies virus proliferation. (Pubmed Central) - Jan 18, 2025 In this study, the antiviral activities of the Wnt inhibitors (Adavivint, CCT251545, FH535, and iCRT14) were identified...On the contrary, LiCl treatment significantly stimulated the protrusion formation and the PRV entry. Together, these findings suggest that suppression of the Wnt/?-catenin pathway inhibits the macropinocytosis-dependent entry of PRV, thereby providing potential targets for developing antiviral agents against PRV.
- |||||||||| lorecivivint (SM04690) / Biosplice Therap, Samil Pharma
Preclinical, Journal: Chondrocyte membrane-coated nanoparticles promote drug retention and halt cartilage damage in rat and canine osteoarthritis. (Pubmed Central) - Feb 25, 2024 Simulated synovial fluid clearance studies showed that CM-NPs loaded with a Wnt pathway inhibitor, adavivint (CM-NPs-Ada), delayed the catabolic metabolism of rat and human chondrocytes and cartilage explants under inflammatory conditions...OA progression was also mitigated by CM-NPs-Ada in a canine model of anterior cruciate ligament transection. These results demonstrate the feasibility of using chondrocyte membrane-coated nanoparticles to improve the pharmacokinetics and efficacy of anti-OA drugs.
- |||||||||| lorecivivint (SM04690) / Biosplice Therap, Samil Pharma
Journal: Pharmacological inhibition of CLK2 activates YAP by promoting alternative splicing of AMOTL2. (Pubmed Central) - Dec 21, 2023 CLK2 inhibition promotes alternative splicing of the Hippo pathway protein AMOTL2, producing an exon-skipped gene product that can no longer associate with membrane-bound proteins, resulting in decreased phosphorylation and membrane localization of YAP. This study reveals a novel mechanism by which pharmacological perturbation of alternative splicing inactivates the Hippo pathway and promotes YAP-dependent cellular growth.
- |||||||||| lorecivivint (SM04690) / Biosplice Therap, Samil Pharma
Trial completion, Trial completion date, Trial primary completion date: A Long-Term Safety and Efficacy Study of Lorecivivint in Subjects With Osteoarthritis of the Knee (clinicaltrials.gov) - Dec 20, 2023 P3, N=276, Completed, This study reveals a novel mechanism by which pharmacological perturbation of alternative splicing inactivates the Hippo pathway and promotes YAP-dependent cellular growth. Active, not recruiting --> Completed | Trial completion date: Sep 2024 --> Jun 2023 | Trial primary completion date: Sep 2024 --> Jun 2023
- |||||||||| lorecivivint (SM04690) / Biosplice Therap, Samil Pharma
Review, Journal: Targeting WNT Signalling Pathways as New Therapeutic Strategies for Osteoarthritis. (Pubmed Central) - Nov 30, 2023 For example, SM04690, a novel small molecule inhibitor of WNT signalling, has demonstrated its potential in a recent phase III clinical trial as a disease-modifying osteoarthritis drug (DMOAD)...This candid review provides an introduction to WNT pathways and their crosstalk with other signalling pathways in OA development, highlighting the role of the WNT signalling pathway as a key regulator in OA development with the latest research. Particularly, we emphasize the state-of-the-art in targeting the WNT pathway as a promising therapeutic approach for OA and challenges in their development and the nanocarrier-based delivery of WNT modulators for treating OA.
- |||||||||| lorecivivint (SM04690) / Biosplice Therap, Samil Pharma
Retrospective data, Review, Journal: Effect of lorecivivint on osteoarthritis: A systematic review and meta-analysis. (Pubmed Central) - Aug 14, 2023 Lorecivivint was found to significantly improve WOMAC discomfort, WOMAC function, and joint space width in osteoarthritis patients. It is anticipated to be a reliable, safe, and effective treatment option for osteoarthritis with significant therapeutic utility and potential applications.
- |||||||||| lorecivivint (SM04690) / Biosplice Therap, Samil Pharma
Journal: Comparison of multiple synthetic chondroinductive factors in pellet culture against a TGF-? positive control. (Pubmed Central) - May 30, 2023 Similarly, two promising compounds-kartogenin and SM04690-have been reported in the literature to exhibit chondroinductive potential in vivo and in vitro; however, kartogenin was not directly compared against TGF-?...Additionally, no collagen II gene expression was detected except in the TGF-?3 positive control group. Given that the evaluated factors have confirmed efficacy in the literature, but not in the current study with a positive control, there may be value in the future identification of new chondroinductive factors that are less situation-dependent, with rigorous evaluations of their effect on chondrogenesis using positive controls.
- |||||||||| cirtuvivint (SM08502) / Biosplice Therap, silmitasertib (CX-4945) / Senhwa Biosci, University of California, lorecivivint (SM04690) / Biosplice Therap, Samil Pharma
Review, Journal: Cdc2-like kinases: structure, biological function, and therapeutic targets for diseases. (Pubmed Central) - Apr 12, 2023 In this review, we comprehensively documented the structure and biological functions of CLKs in various human diseases and summarized the significance of related inhibitors in therapeutics. Our discussion highlights the most recent CLKs research, paving the way for the clinical treatment of various human diseases.
- |||||||||| lorecivivint (SM04690) / Biosplice Therap, Samil Pharma
A Phase 3, 28-Week, Multicenter, Randomized, Double-Blind, Placebo-Controlled Trial (OA-10) to Evaluate the Efficacy and Safety of a Single Injection of Lorecivivint Injected in the Target Knee Joint of Moderately to Severely Symptomatic Osteoarthritis Subjects (Virtual Poster Hall) - Sep 17, 2022 - Abstract #ACRConvergence2022ACR_CONVERGENCE_2272; P3 Efficacy signals were identified in participants with less severe structural disease, suggesting earlier intervention may be more effective. This trial was conducted during the COVID pandemic, and while its impact was difficult to quantify, effects on activity levels and pain PROs in knee OA patients have been reported (Larghi et al., Acta Biomed 2020; Endstrasser et al., ESSKA 2020).
- |||||||||| lorecivivint (SM04690) / Biosplice Therap, Samil Pharma, Raylumis (tanezumab) / Eli Lilly, Pfizer
Journal: Osteoarthritis: what's new? (Pubmed Central) - Apr 30, 2022 Unfortunately, the results of the phase 2 study on the Wnt inhibitor lorecivivint are barely encouraging. However, the results of the according phase 3 study are eagerly awaited.
- |||||||||| lorecivivint (SM04690) / Biosplice Therap, Samil Pharma
USING PAIN TOLERABILITY THRESHOLDS TO CHARACTERIZE CLINICALLY MEANINGFUL TREATMENT OUTCOMES IN KNEE OSTEOARTHRITIS: POST HOC ANALYSIS OF A PHASE 2B TRIAL OF INTRA-ARTICULAR LORECIVIVINT () - Apr 29, 2022 - Abstract #OARSI2022OARSI_695; P2 Retrospective analyses of clinical trial data that uses such cut-offs to define responders and compares the results to other frequently used methods to define response (i.e., responders defined as having 30% or 50% improvement) will help to characterize the clinical meaningfulness of the response to particular interventions and could also inform how tolerability-based cut-offs would perform in regard to assay sensitivity of clinical trials. This post hoc analysis of a Phase 2b (NCT03122860) placebo (PBO)-controlled trial of lorecivivint (LOR) (0.07 mg dose) assessed the proportion of participants who were defined as responders using pain tolerability-based cut-offs (i.e., NRS 4-7) and frequently used definitions of 30%, 50%, and 70% improvement in pain.
- |||||||||| lorecivivint (SM04690) / Biosplice Therap, Samil Pharma
Trial primary completion date: A Long-Term Safety and Efficacy Study of Lorecivivint in Subjects With Osteoarthritis of the Knee (clinicaltrials.gov) - Mar 3, 2022 P3, N=276, Active, not recruiting, Taken together, our work demonstrates that SM04690 treatment might be able to promote FCSCs chondrogenesis and repair TMJ cartilage, highlighting the therapeutic potential of intra-articular injection of SM04690 in TMJOA. Trial primary completion date: Sep 2024 --> Jun 2022
- |||||||||| lorecivivint (SM04690) / Biosplice Therap, Samil Pharma
Enrollment change, Trial completion date, Trial termination, Trial primary completion date, Real-world evidence, Real-world: STRIDES-EXTRA: 3-year, Open-Label Study Evaluating Safety, Tolerability, and Efficacy of Lorecivivint in Subjects With Osteoarthritis of the Knee (clinicaltrials.gov) - Jan 9, 2022 P3, N=73, Terminated, Trial primary completion date: Sep 2024 --> Jun 2022 N=300 --> 73 | Trial completion date: Jul 2026 --> Dec 2021 | Recruiting --> Terminated | Trial primary completion date: Jul 2026 --> Dec 2021; Study was terminated due to business reasons by Sponsor.
- |||||||||| lorecivivint (SM04690) / Biosplice Therap, Samil Pharma
Enrollment closed, Enrollment change: A Long-Term Safety and Efficacy Study of Lorecivivint in Subjects With Osteoarthritis of the Knee (clinicaltrials.gov) - Jan 6, 2022 P3, N=276, Active, not recruiting, N=300 --> 73 | Trial completion date: Jul 2026 --> Dec 2021 | Recruiting --> Terminated | Trial primary completion date: Jul 2026 --> Dec 2021; Study was terminated due to business reasons by Sponsor. Recruiting --> Active, not recruiting | N=500 --> 276
- |||||||||| lorecivivint (SM04690) / Biosplice Therap, Samil Pharma
Journal: Development of Cdc2-like Kinase 2 Inhibitors: Achievements and Future Directions. (Pubmed Central) - Dec 16, 2021 However, highly selective CLK2 inhibitors are rarely reported. This Perspective summarizes the biological roles and therapeutic potential of CLK2 along with progress on the development of CLK2 inhibitors and discusses the achievements and future prospects of CLK2 inhibitors for therapeutic applications.
- |||||||||| Review, Journal: Recent updates on Wnt signaling modulators: a patent review (2014-2020). (Pubmed Central) - Nov 5, 2021
Antibody based Wnt modulator, OTSA101-DTPA-90Y is currently under Phase I for the treatment of relapsed or refractory synovial sarcoma while OMP-18R5 is under Phase I for metastatic breast cancer. Ongoing preclinical and clinical trials will define the role of the Wnt pathway in different therapeutic areas and have opened new opportunities.
- |||||||||| lorecivivint (SM04690) / Biosplice Therap, Samil Pharma
Journal: WNT Signalling in Osteoarthritis and Its Pharmacological Targeting. (Pubmed Central) - Nov 4, 2021 Pathway components whose targeting showed therapeutic potential will be highlighted and described. A specific section will be dedicated to Lorecivivint, the first inhibitor of the β-catenin-dependent pathway currently in phase III clinical trial as OA-modifying agent.
- |||||||||| PRI-724 / PRISM Pharma, Ohara Pharma, XAV-939 / Novartis, lorecivivint (SM04690) / Biosplice Therap, Samil Pharma
Journal: Inhibiting Wnt/beta-catenin in CTNNB1-mutated endometrial cancer. (Pubmed Central) - Sep 29, 2021 Targeting the Wnt/β-catenin pathway in CTNNB1-mutant EC effectively inhibited proliferation and β-catenin/TCF transcriptional activity and blunted tumor progression in in vivo models. These studies suggest β-catenin transcriptional inhibitors are effective in EC and particularly in CTNNB1-mutant EC, highlighting a potential therapeutic vulnerability for treatment of CTNNB1-mutant EC.
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