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A game changer for the treatment of osteoarthritis: a cost effective combined advanced therapy to treat knee osteoarthritis

Project description

Innovative combined therapy for osteoarthritis management

Osteoarthritis (OA) is a degenerative disease affecting any joint across the body and afflicting millions of people. Current interventions include analgesic, anti-inflammatory drugs and intra-articular injections of steroids and hyaluronic acid (IA-HA), with moderate efficacy. The EU-funded SINPAIN project aims to understand OA to develop a pipeline of therapies based on small interfering RNA (siRNA) for the management of knee OA and an AI tool to help clinicians in diagnostic and treatment choice. As part of it, a nanoformulation of functional IA-HA loaded with siRNA vectors targeting inflammation and pain pathways will be developed. To validate the efficacy of the identified targets, 3D culture human cell models will be developed for testing in bioreactors mimicking the joint’s environment and biomechanics.

Objective

According to the WHO Osteoarthritis (OA) is one major course of years lived with disability in the elderly and considered a high burden disease, which makes it a research priority in Europe. There is no cure for OA and SoA treatments need to be reconsidered. Current pharmacological interventions consist of analgesic, anti-inflammatory drugs as well as intraarticular steroids and hyaluronic acid (IA-HA) with moderate efficacy and associated long-term side effects. New medications are thus needed both to alleviate pain and slow down disease progression. Taking advantage of the explosion of RNA technologies in the last years, SINPAIN aims to develop a pipeline of siRNA-based therapy built on the combination of current technologies (dyanmic IA-HA and nanocarriers) that will be designed step-by-step in order to reach a successful management of inflammation and innervation therapy for the treatment of early (grade 0-1) and later stages (grade 3-4) of knee osteoarthritis (OA). To do so, a nanoformulation composed of functional IA-HA that can be loaded with vectors, for the delivery of siRNA targeting IL1? and NGF, and nanocarriers will be developed. In parallel, large effort will focus on understanding the pathological mechanisms of OA. To validate efficacy in relevant potency assays, 3D coculture models will be developed with human cells and tested in unique bioreactors mimicking joint environment and biomechanics. With the identified cell targets, IA-HA will be modified with immunomodulator peptide which will activate the adaptive immune response, responsible for OA regeneration. The 4 pipeline products of SINPAIN will be validated in vivo in a relevant OA model with SoA techniques that will demonstrate the reduced inflammation and pain, as well as the cartilage regeneration for the last product. Taking advantage of all the data obtained during the project, a decision-making tool based on machine learning will be validated to offer patients a personalized therapy.

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Keywords

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Programme(s)

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Topic(s)

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Funding Scheme

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HORIZON-RIA - HORIZON Research and Innovation Actions

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Call for proposal

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(opens in new window) HORIZON-HLTH-2021-TOOL-06

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Coordinator

FUNDACION CIDETEC
Net EU contribution

Net EU financial contribution. The sum of money that the participant receives, deducted by the EU contribution to its linked third party. It considers the distribution of the EU financial contribution between direct beneficiaries of the project and other types of participants, like third-party participants.

€ 801 076,00
Address
PASEO MIRAMON 196 PARQUE TECNOLOGICO DE MIRAMON
20014 SAN SEBASTIAN
Spain

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Region
Noreste País Vasco Gipuzkoa
Activity type
Research Organisations
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Total cost

The total costs incurred by this organisation to participate in the project, including direct and indirect costs. This amount is a subset of the overall project budget.

€ 1 286 250,00

Participants (10)

Partners (2)

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