Open-Label Extension: Tolerability and Effects of ALK-001 on Stargardt Disease (TEASE)
A Phase 2 Multicenter, Double-Masked, Randomized, Placebo-Controlled Study to Investigate the Long Term Safety, Tolerability, Pharmacokinetics and Effects of ALK-001 on the Progression of Stargardt Disease
The purpose of this open-label, multicenter study is to determine the long-term safety, pharmacokinetics and effects of ALK-001 (C20-D3-retinyl acetate) on the progression of Stargardt disease. This study is an extension of NCT02402660 and enrolls participants who are at least 8 years old. Enrollment is by invitation only.
Funding Source - FDA OOPD
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Locations
-
-
Arizona
-
Phoenix, Arizona, United States, 85020
- Alkeus Site
-
-
California
-
Los Angeles, California, United States, 90095
- Alkeus Site
-
-
Colorado
-
Aurora, Colorado, United States, 80045
- Alkeus Site
-
-
Florida
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Gainesville, Florida, United States, 32601
- Alkeus Site
-
-
Indiana
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Indianapolis, Indiana, United States, 46202
- Alkeus Site
-
-
Michigan
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Grand Rapids, Michigan, United States, 49456
- Alkeus Site
-
-
New York
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Westbury, New York, United States, 11590
- Alkeus Site
-
-
Washington
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Silverdale, Washington, United States, 98383
- Alkeus Site
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Simplified Inclusion Criteria:
- Clinical diagnosis of Stargardt disease (STGD1)
- Has at least two ABCA4 disease-causing mutations, unless authorized by sponsor
- Has a best-corrected visual acuity (BCVA) greater than approximately 20/160 in at least one eye
- Healthy as judged by investigator
- Able and willing to comply with study requirements, restrictions and instructions and is likely to complete the 24-month study
- Has been invited to participate in this extension, and has signed and dated the informed consent forms (or assent where appropriate) to participate
- Female of childbearing potential has signed the attestation on contraception requirements
Simplified Exclusion Criteria:
- Is lactating or pregnant
- Has a medical condition likely to prevent compliance with the protocol and/or interfere with absorption of ALK-001 or performance of study procedures
- Has abnormal laboratory result(s) at screening
- Has an ocular disorder that may confound ocular assessments
- Has a history of ocular intervention within 90 days of screening
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: ALK-001
|
Oral administration of a pill for up to 24 months
Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Safety and tolerability of ALK-001 assessed by incidence and/or clinically-significant changes of a combination of ocular and non-ocular adverse events
Time Frame: From baseline to 24 months
|
From baseline to 24 months
|
|
Pharmacokinetic profile of ALK-001 derived from the concentrations of ALK-001 and metabolites in plasma
Time Frame: Up to 24 months
|
Up to 24 months
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Leonide Saad, PhD, Alkeus Pharmaceuticals, Inc.
Publications and helpful links
General Publications
- Ma L, Kaufman Y, Zhang J, Washington I. C20-D3-vitamin A slows lipofuscin accumulation and electrophysiological retinal degeneration in a mouse model of Stargardt disease. J Biol Chem. 2011 Mar 11;286(10):7966-7974. doi: 10.1074/jbc.M110.178657. Epub 2010 Dec 14.
- Kaufman Y, Ma L, Washington I. Deuterium enrichment of vitamin A at the C20 position slows the formation of detrimental vitamin A dimers in wild-type rodents. J Biol Chem. 2011 Mar 11;286(10):7958-7965. doi: 10.1074/jbc.M110.178640. Epub 2010 Nov 12.
- Mihai DM, Jiang H, Blaner WS, Romanov A, Washington I. The retina rapidly incorporates ingested C20-D(3)-vitamin A in a swine model. Mol Vis. 2013 Jul 25;19:1677-83. Print 2013.
- Charbel Issa P, Barnard AR, Herrmann P, Washington I, MacLaren RE. Rescue of the Stargardt phenotype in Abca4 knockout mice through inhibition of vitamin A dimerization. Proc Natl Acad Sci U S A. 2015 Jul 7;112(27):8415-20. doi: 10.1073/pnas.1506960112. Epub 2015 Jun 23.
- Saad L, Washington I. Can Vitamin A be Improved to Prevent Blindness due to Age-Related Macular Degeneration, Stargardt Disease and Other Retinal Dystrophies? Adv Exp Med Biol. 2016;854:355-61. doi: 10.1007/978-3-319-17121-0_47.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Genetic Diseases, Inborn
- Eye Diseases
- Eye Diseases, Hereditary
- Retinal Diseases
- Retinal Degeneration
- Stargardt Disease
- Macular Degeneration
- Antineoplastic Agents
- Immunologic Factors
- Physiological Effects of Drugs
- Micronutrients
- Protective Agents
- Vitamins
- Adjuvants, Immunologic
- Anticarcinogenic Agents
- Vitamin A
- Retinol acetate
Other Study ID Numbers
Other Study ID Numbers
- ALK001-P1002-EXT
- R01FD004098 (U.S. FDA Grant/Contract)
- R01FD006016 (Other Grant/Funding Number: FDA OOPD)
- R01FD006316 (U.S. FDA Grant/Contract)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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