Sun Pharma (Reuters: SUN.BO, Bloomberg: SUNP IN, NSE: SUNPHARMA, BSE: 524715, Sun Pharmaceutical Industries Limited, and includes its subsidiaries or associate companies) and Israel-based Moebius Medical Limited recently announced the topline results of their Phase 2b, randomized, double-blind, placebo-controlled, singleadministration, multiple-dose study evaluating the efficacy and safety of MM-II for the treatment of knee pain in participants with symptomatic knee osteoarthritis (NCT04506463).
Designed to guide the Phase 3 US FDA program, this study examined multiple doses of MM-II vs placebo, measuring changes in pain using standard pain measurement instruments, including the weekly average of daily knee pain and the Western Ontario and McMaster Universities Arthritis Index (WOMAC). The primary outcome measure was the change from baseline in WOMAC A pain score at Week 12. The study was conducted across 25 sites in the U.S., Europe, and Asia and enrolled 397 participants.
While the study did not achieve statistical significance on the primary outcome measure, it did show meaningful and sustained improvement across several clinical measures. In the target 3 mL dose, the reduction in the WOMAC A pain score from baseline to 12 weeks (primary endpoint) was larger for MM-II 3 mL vs placebo 3 mL (nominal P = 0.047; adjusted for multiplicity, P = 0.085). MM-II also showed a nominally significant and durable reduction in the weekly average of daily knee pain vs placebo starting at week 6 and enduring through week 26 (nominal P = 0.008 at week 12, P = 0.007 at week 26) for the 3 mL dose. Results of the WOMAC pain and function subscales, patient global assessment scores, use of rescue medication, and responder criteria all showed durable improvements for participants receiving MM-II 3 mL. MM-II was well tolerated with treatmentemergent adverse events reported in 2.6% of MM-II and 2.9% of placebo participants. Injection site reactions were similar in the treatment and control groups, 1.9% and 2.9%, respectively.
The results of the study were presented this past weekend at the 2023 Osteoarthritis Research Society International (OARSI) World Congress on Osteoarthritis held in Denver, CO, US. Thomas J. Schnitzer, MD, PhD, a rheumatologist and professor of Medicine at Northwestern University, who presented the study results, said that "the dearth of options for treating osteoarthritis, coupled with challenges we face from the reliance on opioids, puts MM-II in a unique position to offer a possible alternative to hyaluronic acid and steroid treatments. The data from this study show that MM-II has the potential to provide durable pain relief for our patients."
"These encouraging data support MM-II's potential as a novel therapy for treating patients with osteoarthritis," said Dilip Shanghvi, Managing Director of Sun Pharma. "Pain related to osteoarthritis is a significant unmet need and urgently requires new agents which can improve patient outcomes. We believe MM-II has the potential to improve upon currently existing therapies in this space."
Moshe Weinstein, CEO of Moebius Medical, added: "With the durability of pain relief seen in this trial and the overall clean safety profile, MM-II has the potential to be a new option for patients with knee osteoarthritis and an alternative to steroid and hyaluronic acid injections. We look forward to working with our partner Sun Pharma to continue the development and commercialization of this promising product."
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