- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03790852
Exploratory Study to Investigate the Bioactivity, Ocular and Systemic Safety, Tolerability, and Pharmacokinetics Following Single and Multiple Intravitreal Administrations of KSI-301 in Subjects With wAMD, DME and RVO
March 18, 2024 updated by: Kodiak Sciences Inc
A Phase 1/1b Open Label, Multi-center Exploratory Study to Investigate the Bioactivity, Ocular and Systemic Safety, Tolerability, and Pharmacokinetics Following Single and Multiple Intravitreal Administrations of KSI-301 in Subjects With Wet Age-Related Macular Degeneration (wAMD), Diabetic Macular Edema (DME) and Retinal Vein Occlusion (RVO)
This is a Phase 1b open-label study to assess the bioactivity, ocular and systemic safety, tolerability, and pharmacokinetics of repeated injections of KSI-301 at two dose levels: 2.5 mg and 5 mg
Study Overview
Status
Terminated
Intervention / Treatment
Study Type
Interventional
Enrollment (Actual)
121
Phase
- Phase 1
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
Arizona
-
Phoenix, Arizona, United States, 85053
- Retinal Research Institute, LLC
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-
California
-
Beverly Hills, California, United States, 90211
- Retina Vitreous Associates Medical Group
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Mountain View, California, United States, 94040
- Northern California Retina Vitreous Associates
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Palo Alto, California, United States, 94303
- Byers Eye Institute at Stanford
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Florida
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Saint Petersburg, Florida, United States, 33711
- Retina Vitreous Associates of Florida
-
-
Nevada
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Reno, Nevada, United States, 89502
- Sierra Eye Associates
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Pennsylvania
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Philadelphia, Pennsylvania, United States, 19107
- Mid Atlantic Retina
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Texas
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Abilene, Texas, United States, 79606
- Retina Research Institute of Texas
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Austin, Texas, United States, 78750
- Austin Clinical Research
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Bellaire, Texas, United States, 77401
- Retina Consultants of Texas
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The Woodlands, Texas, United States, 77384
- Retina Consultants of Texas Woodlands
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-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
21 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Description
Inclusion Criteria:
Wet AMD Cohort
- Treatment naïve wet age-related macular degeneration involving the fovea.
- A lesion area <30 mm2 (12 disc areas) of any lesion type.
- BCVA ETDRS letter score ≤ 78 and ≥ 23 (-20/25 to -20/320 Snellen equivalent) in the study eye.
- Decrease in vision in the study eye determined by the investigator to be primarily the result of wAMD.
DME Cohort
- Treatment naïve diabetic macular edema.
- BCVA ETDRS letter score ≤ 78 and ≥ 23 (-20/25 to -20/320 Snellen equivalent) in the study eye.
- Central subfield thickness (CST) of ≥ 300 microns on SD-OCT (Heidelberg Spectralis or equivalent).
- Decrease in vision in the study eye determined by the investigator to be primarily the result of DME.
RVO Cohort
- Treatment naïve retinal vein occlusion with macular edema and secondary visual impairment.
- BCVA ETDRS letter score ≤ 78 and ≥ 23 (-20/25 to -20/320 Snellen equivalent) in the study eye.
- Central subfield thickness (CST) of ≥ 300 microns on SD-OCT (Heidelberg Spectralis or equivalent).
- Branch retinal vein occlusion (BRVO) and central retinal vein occlusion (CRVO) are both eligible.
- Decrease in vision in the study eye determined by the investigator to be primarily the result of macular edema secondary to RVO.
General Inclusion Criteria
- Adults ≥ 21 years.
Exclusion Criteria:
Wet AMD Cohort:
- Choroidal neovascularization due to causes other than age-related macular degeneration in the study eye.
- Geographic atrophy and/or subretinal fibrosis involving the fovea of the study eye.
- Prior intravitreal anti-VEGF therapy in the study eye.
DME Cohort:
- Initial diagnosis of DME of more than 6 months from screening in the study eye.
- Hard exudates in the fovea.
- Prior intravitreal anti-VEGF therapy or steroid injection, or steroid implant (dexamethasone or triamcinolone) in the study eye.
- Moderate or dense vitreous hemorrhage preventing clear. visualization of the macula or optic disc in the study eye.
- Fibrovascular proliferation or tractional retinal detachment in the posterior pole in the study eye. If traction is present outside the posterior pole, it should be considered not at risk of increasing and threatening the macula with the use of anti-VEGF injections, in the investigator's judgement.
RVO Cohort:
- Initial diagnosis of RVO of more than 4 months from screening in the study eye.
- Active retinal or iris neovascularization in the study eye.
- Prior intravitreal anti-VEGF therapy or steroid injection, or steroid implant (dexamethasone or triamcinolone) in the study eye.
For all phase 1b subjects:
- Uncontrolled glaucoma (defined as intraocular pressure ≥ 25 mmHg despite treatment with antiglaucoma medication) in the study eye.
- History of retinal detachment or treatment or surgery for retinal detachment in the study eye.
- Any history of uveitis in either eye.
- Significant media opacities, including visually significant cataract, in the study eye that might interfere with visual acuity assessments, optical coherence tomography, fundus photography, or with examination of the eye for assessment of safety.
- Prior vitrectomy surgery in the study eye.
- Active retinal disease other than the conditions under investigation.
- Active ocular or periocular infection or inflammation in either eye.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: KSI-301 2.5 mg
KSI-301 2.5 mg, 3 monthly initiating doses, with subsequent doses per protocol-specified retreatment criteria
|
Intravitreal injection
|
Experimental: KSI-301 5 mg
KSI-301 5 mg, 3 monthly initiating doses, with subsequent doses per protocol-specified retreatment criteria
|
Intravitreal injection
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Incidence of ocular (study eye) and systemic adverse events
Time Frame: Week 72
|
Week 72
|
Other Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Mean change in central retinal thickness on optical coherence tomography
Time Frame: Baseline, Week 72
|
Baseline, Week 72
|
Mean change in best corrected visual acuity
Time Frame: Baseline, Week 72
|
Baseline, Week 72
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Study Director: Pablo Velazquez-Martin, MD, Kodiak Sciences Inc
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
December 26, 2018
Primary Completion (Actual)
June 2, 2021
Study Completion (Actual)
June 9, 2022
Study Registration Dates
First Submitted
December 27, 2018
First Submitted That Met QC Criteria
December 31, 2018
First Posted (Actual)
January 2, 2019
Study Record Updates
Last Update Posted (Actual)
March 20, 2024
Last Update Submitted That Met QC Criteria
March 18, 2024
Last Verified
November 1, 2022
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- KSI-CL-101
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Yes
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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