Clinical Trials

Multiple clinical trials, sponsored primarily by Biosplice Therapeutics, Inc., evaluate adavivint (SM04690) across Phase 1 to Phase 3 development for musculoskeletal disorders, including knee osteoarthritis, moderate to severe osteoarthritis, and degenerative disc disease. These studies assess safety, tolerability, pharmacokinetics, and endpoints related to bone health and joint structure. While several protocols have reached completion, select trials were terminated during evaluation.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT04385303 COMPLETED
Knee Osteoarthritis
Biosplice Therapeutics, Inc.
2020-05-26 PHASE3
NCT03928184 COMPLETED
Knee Osteoarthritis
Biosplice Therapeutics, Inc.
2019-05-17 PHASE3
NCT03727022 COMPLETED
Knee Osteoarthritis
Biosplice Therapeutics, Inc.
2018-11-28 PHASE2
NCT03706521 TERMINATED
Knee Osteoarthritis
Biosplice Therapeutics, Inc.
2019-03-11 PHASE2
NCT03246399 TERMINATED
Degenerative Disc Disease
Biosplice Therapeutics, Inc.
2017-07-26 PHASE1
NCT03727022 Completed
Knee Osteoarthritis
Biosplice Therapeutics Inc.
2018-11-28 Phase 2
NCT03122860 COMPLETED
Knee Osteoarthritis
Biosplice Therapeutics, Inc.
2017-04-24 PHASE2
NCT03246399 Terminated
Degenerative Disc Disease
Biosplice Therapeutics Inc.
2017-07-26 Phase 1
NCT02536833 COMPLETED
Osteoarthritis
Biosplice Therapeutics, Inc.
2015-09-09 PHASE2
NCT02095548 COMPLETED
Moderate to Severe Osteoarthritis
Biosplice Therapeutics, Inc.
2014-03 PHASE1

(data from https://clinicaltrials.gov, updated on 2026-02-04)

Check the Adavivint (SM04690) product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Adavivint (SM04690) is a potent inhibitor of canonical Wnt signaling that inhibits TCF/LEF reporter activity with an EC50 of 19.5 nM, thereby suppressing downstream β-catenin-mediated gene transcription and cellular activation. By modulating Wnt-driven cellular differentiation and matrix turnover, this targeted inhibition promotes cartilage preservation and anti-inflammatory activity relevant to degenerative joint disorders such as osteoarthritis and degenerative disc disease.

Appendix RUO and cGMP Quality Standards

Quality Dimension RUO (Research Use Only) cGMP (Current Good Manufacturing Practice)
Clinical Applicability Prohibited in human clinical trials or medical diagnostics. Mandatory for human clinical trials (Phase I–III) and therapies.
Regulatory Status Non-regulated grade; exempt from drug manufacturing laws. Legally enforced by health authorities (e.g., FDA, EMA, NMPA).
Facility Environment Unclassified analytical or research laboratories. Validated Cleanrooms (ISO Class 5–8) with continuous monitoring.
Quality Control Basic purity and activity testing. Rigorous safety release testing (Sterility, Endotoxin, Mycoplasma).
Process Validation Basic equipment calibration; no process validation required. Full qualification (IQ/OQ/PQ) and complete batch records.
Quality Assurance Vendor self-declared without required formal QMS. Mandatory QA/QC unit, Change Control, CAPA, and vendor audits.
Regulatory Impact High risk of IND rejection if used as a critical raw material. Required for IND/NDA filings, supported by Drug Master Files (DMF).

Footnotes

Regulatory Note: Governed by FDA (21 CFR Parts 210/211/312), EMA (EudraLex Vol 4), ICH Guidelines (E6/Q7/Q9/Q10), and compendial standards (USP <71>/<85>/<1043>).

Note: Technical data last updated: Sep 1, 2026.