A Study of ASKG712 in Patients With Neovascular Age-Related Macular Degeneration
A Multi-Center, Open-label, Single Ascending-Dose and Multiple Ascending-Dose Phase 1 Study to Investigate the Safety, Tolerability, Pharmacokinetics, and Efficacy of ASKG712 Following Intravitreal Administration in Patients With Neovascular Age-related Macular Degeneration
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Part 1 of the study is a multicenter, open-label, sequential, single ascending-dose study to evaluate the safety, tolerability, pharmacokinetics, and efficacy of ASKG712 in subjects with nAMD.
Part 2 of the study is a multicenter, open-label, sequential, multiple ascending-dose (3 loading doses) study to evaluate the safety, tolerability, pharmacokinetics, and efficacy of ASKG712 in subjects with nAMD.
Part 3 of the study is a Phase 2a, multicenter, open-label, randomized, multiple ascending-dose (3 loading doses) expansion study to evaluate the safety, tolerability, pharmacokinetics, and efficacy of the 3.0 mg and 6.0 mg doses of ASKG712 in subjects with nAMD.
For Parts 1 and 2, subjects will be sequentially enrolled into different dose-level cohorts following the "3+3" design to determine the maximum tolerated dose (MTD) or the maximum administered dose has been reached. For Part 3 subjects will be randomized 2:1 to the 6.0mg and 3.0mg dose arms.
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
- Phase 1
Contacts and Locations
Study Contact
Study Contact
- Name: Jing Chen, MD
- Phone Number: 086-15895835292
- Email: chenjing@ask-pharm.com
Study Contact Backup
- Name: Luwei Han, PhD
- Phone Number: 086- 15195873396
- Email: hanluwei@ask-pharm.com
Study Locations
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Shanghai Municipality
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Shanghai, Shanghai Municipality, China
- Shanghai General Hospital
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- 1. Signed the informed consent form;
- 2. Male or female subjects with 50~80 years of age;
- 3. Active sub-foveal or juxta-foveal choroidal neovascularization (CNV) lesions secondary to neovascular age-related macular degeneration (nAMD);
- 4. Total lesion area ≤ 12 disc area (DA);
- 5. BCVA letter score measured at screening of 19~78 letters.
Exclusion Criteria:
- 1. History of uveitis in either eye;
- 2. Current active inflammation or infection in the study eye;
- 3. Central foveal scar, fibrosis or atrophy of macular in the study eye;
- 4. Subretinal hemorrhage area in the study eye ≥ 50% of total lesion size;
- 5. Scar or fibrosis area in study eyes ≥ 50% of total lesion size;
- 6. History or any concurrent ocular condition which, in the opinion of the investigator, could either confound interpretation of efficacy and safety of ASKG712 or require medical or surgical intervention.
- 7. Presence of retinal pigment epithelial tear;
- 8. Previous intraocular operations in the study eye;
- 9. Uncontrolled previous or current glaucoma in either eye, or previous glaucoma filtering operation in the study eye;
- 10. Previous anti-VEGF drug treatment within 60 days prior to screening;
- 11. Diseases that affect intravenous injection and venous blood sampling;
- 12. Systemic autoimmune diseases;
- 13. Any uncontrolled clinical disorders;
- 14. History of allergy or current allergic response to ASKG712 or fluorescein;
- 15. Pregnant or nursing women;
- 16. Subjects should be excluded in the opinion of investigators.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Sequential Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: ASKG712
Single or multiple ascending dose of ASKG712 by intravitreal injection
|
ASKG712 is a recombinant anti-VEGF humanized monoclonal antibody and Ang-2 antagonist peptide fusion protein, which has high specificity for the binding of VEGF-A and Ang-2.
Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Incidence of non-ocular adverse events (AEs)
Time Frame: Part 1: 6 weeks; Part 2: 20 weeks; Part 3: up to 36 weeks
|
Any changes of clinical safety observations assessed by vital signs, electrocardiograph (ECG), clinical laboratory tests and physical examination
|
Part 1: 6 weeks; Part 2: 20 weeks; Part 3: up to 36 weeks
|
|
Incidence of ocular adverse events (AEs) of the study eyes
Time Frame: Part 1: 6 weeks; Part 2: 20 weeks; Part 3: up to 36 weeks
|
Any relevant ocular observations assessed by best corrected visual acuity (BCVA), slit lamp examination, ophthalmoscopy, intraocular pressure, fundus photography, optical coherence tomography (OCT) and angiography
|
Part 1: 6 weeks; Part 2: 20 weeks; Part 3: up to 36 weeks
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Area under the concentration time curve (AUC)
Time Frame: Part 1: 6 weeks; Part 2: 20 weeks; Part 3: 20 weeks
|
To evaluate the systemic pharmacokinetics of ASKG712 in subjects with neovascular age-related macular degeneration (nAMD)
|
Part 1: 6 weeks; Part 2: 20 weeks; Part 3: 20 weeks
|
|
Maximum plasma concentration (Cmax)
Time Frame: Part 1: 6 weeks; Part 2: 20 weeks; Part 3: 20 weeks
|
To evaluate the systemic pharmacokinetics of ASKG712 in subjects with neovascular age-related macular degeneration (nAMD)
|
Part 1: 6 weeks; Part 2: 20 weeks; Part 3: 20 weeks
|
|
Anti-Drug Antibody
Time Frame: Part 1: 6 weeks; Part 2: 20 weeks; Part 3: 20 weeks
|
To evaluate the immunogenicity of ASKG712 in subjects with neovascular age-related macular degeneration (nAMD)
|
Part 1: 6 weeks; Part 2: 20 weeks; Part 3: 20 weeks
|
|
Mean change from baseline in best corrected visual acuity (BCVA) as measured by Early Treatment of Diabetic Retinopathy Study (ETDRS) letter score
Time Frame: Part 1: 6 weeks; Part 2: 20 weeks; Part 3: up to 36 weeks
|
To evaluate the efficacy of ASKG712 in subjects with neovascular age-related macular degeneration (nAMD)
|
Part 1: 6 weeks; Part 2: 20 weeks; Part 3: up to 36 weeks
|
|
Mean change from baseline in central subfield thickness (CST) of macula measured by optical coherence tomography (OCT)
Time Frame: Part 1: 6 weeks; Part 2: 20 weeks; Part 3: up to 36 weeks
|
To evaluate the efficacy of ASKG712 in subjects with neovascular age-related macular degeneration (nAMD)
|
Part 1: 6 weeks; Part 2: 20 weeks; Part 3: up to 36 weeks
|
|
Mean change from baseline in choroidal neovascularization area measured by fundus angiography
Time Frame: Part 1: 6 weeks; Part 2: 20 weeks; Part 3: 20 weeks
|
To evaluate the efficacy of ASKG712 in subjects with neovascular age-related macular degeneration (nAMD)
|
Part 1: 6 weeks; Part 2: 20 weeks; Part 3: 20 weeks
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Kun Liu, MD, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
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
Other Study ID Numbers
Other Study ID Numbers
- ASKG712-CT-I-1
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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