Evidence map›Paper›PMID 35189943›Full record

Trial reportArthritis research & therapy2022

TLC599 in patients with osteoarthritis of the knee: a phase IIa, randomized, placebo-controlled, dose-finding study.

David J Hunter, Chi-Ching Chang, James Cheng-Chung Wei, Hsiao-Yi Lin, Carl Brown, Tien-Tzu Tai, Chih-Feng Wu, Wing Chia-Ming Chuang, Sheue-Fang Shih

Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in Arthritis research & therapy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03005873 (A Phase IIa, Randomized, Double Blinded, Placebo Controlled, Dose Finding Study for Single Dose Administration of TLC599 in Patients With Osteoarthritis), which is not on this map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
5.3field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03005873 phase2completednot on this map

A Phase IIa, Randomized, Double Blinded, Placebo Controlled, Dose Finding Study for Single Dose Administration of TLC599 in Patients With Osteoarthritis (OA) of Knee

TypeinterventionalSponsorTaiwan Liposome CompanyRan2017 to 2018Enrolled76ConditionsOsteoarthritis of the KneeArmsTLC599 LD group, Normal Saline, TLC599 HD group
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Emerging therapies for knee osteoarthritis.Nature reviews. Rheumatology · 2026
    Review
  3. Review
  4. Review
  5. Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. Liposome-Based Interventions in Knee Osteoarthritis.Small (Weinheim an der Bergstrasse, Germany) · 2025
    Review
  13. Review
  14. Review
  15. The Challenges of Local Intra-Articular Therapy.Medicina (Kaunas, Lithuania) · 2024
    Review
  16. Review
  17. Review
  18. Article
  19. Knee osteoarthritis: disease burden, available treatments, and emerging options.Therapeutic advances in musculoskeletal disease · 2024
    Review
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 2 countries.

David J HunterInstitute of Bone and Joint Research, Kolling Institute, University of Sydney, Sydney, Australia.
Chi-Ching ChangDivision of Allergy, Immunology and Rheumatology, Department of Internal Medicine, School of Medicine, College of Medicine, Taipei Medical University, Taipei City, Taiwan.
James Cheng-Chung WeiInstitute of Medicine, Chung Shan Medical University, Taichung City, Taiwan.
Hsiao-Yi LinDepartment of Medicine, Cheng Hsin General Hospital, Taipei City, Taiwan.
Carl BrownTaiwan Liposome Company, Ltd., 2F, No. 3 Yuanqu St., Nangang Dist., Taipei City, 115, Taiwan.
Tien-Tzu TaiTaiwan Liposome Company, Ltd., 2F, No. 3 Yuanqu St., Nangang Dist., Taipei City, 115, Taiwan.
Chih-Feng WuTaiwan Liposome Company, Ltd., 2F, No. 3 Yuanqu St., Nangang Dist., Taipei City, 115, Taiwan.
Wing Chia-Ming ChuangTaiwan Liposome Company, Ltd., 2F, No. 3 Yuanqu St., Nangang Dist., Taipei City, 115, Taiwan.
Sheue-Fang ShihTaiwan Liposome Company, Ltd., 2F, No. 3 Yuanqu St., Nangang Dist., Taipei City, 115, Taiwan. yvonne@tlcbio.com.
Cheng Hsin General Hospital · TWChung Shan Medical University · TWTaipei Medical University · TWUniversity of Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCorticosteroid injection for knee osteoarthritis is limited by its modest duration of treatment effect. The liposome formulation of dexamethasone sodium phosphate (TLC599) was developed for the sustained relief of osteoarthritis pain. This clinical study was conducted to evaluate the efficacy and safety of TLC599 at two dose levels in patients with knee osteoarthritis.

methodsA randomized, double-blinded, placebo-controlled study was conducted in 75 patients with osteoarthritis of the knee from 13 study centers. Patients were randomized and administered a single intra-articular injection of TLC599 or placebo and assessed for efficacy and safety for 24 weeks. Patient-reported outcomes included the Western Ontario and McMaster Universities Arthritis (WOMAC) Index for pain and function and visual analog scale for pain.

resultsTLC599 at 12 mg demonstrated significantly greater reduction in WOMAC pain through 12 weeks (least squares (LS) mean difference = - 0.37, p = 0.0027) and through 24 weeks (LS mean difference = - 0.35, p = 0.0037) when compared to placebo. TLC599 12 mg also exhibited significantly greater improvement in function when compared to placebo at 24 weeks (LS mean difference = - 0.26, p = 0.0457). TLC599 18 mg did not significantly improve pain or function in comparison with placebo. The use of acetaminophen during the study was less in both TLC599 groups in comparison with placebo. No major or unexpected safety issues were reported.

conclusionsIn participants with symptomatic knee osteoarthritis, TLC599 is a well-tolerated treatment that reduces pain and improves function for up to 24 weeks, a longer duration than that reported for existing IA treatments.

trial registrationClinicalTrials.gov , NCT03005873 . Registered on 29 December 2016.

Indexed as

Osteoarthritis, KneeDouble-Blind MethodHumansHyaluronic AcidInjections, Intra-ArticularKnee JointTreatment OutcomeHyaluronic AcidGlucocorticoidKnee osteoarthritisPainVASWOMAC

Identifiers

PMID35189943
PMCPMC8862584
OpenAlexW4212838987

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.