I've been reviewing the EMA's guidelines document that PAR mention in reference to a TGA provisional application.
Something they seem big on is JSN, Joint space narrowing, specifically as measured by X-Ray.
PAR mention as the only segment they review by x-ray.
They don't however directly attribute any of the results to Joint space width or narrowing, there's mention of MRI a lot but not of X-Ray results.
I'm assuming where they're talking about improvements in cartilage loss, this is perhaps analogous to JSN?
https://www.ema.europa.eu/en/documents/scientific-guideline/guideline-clinical-investigation-medicinal-products-used-treatment-osteoarthritis_en.pdf
Ann: iPPS Demonstrates Multiple DMOAD Signals in Phase 2 Study, page-162
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