- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06550011
Clinical Study to Evaluate the Safety, Tolerability, and Preliminary Efficacy of Intravitreal (IVT) Injection of ABI-110 (AAV2.N54-VEGF Trap) in Subjects With Neovascular (Wet) Age-Related Macular Degeneration (wAMD), Including Symptomatic Macular Polypoidal Choroidal Vasculopathy (PCV)
A Phase 1/2a, Open-Label, Multiple-Cohort, Dose-Escalation Study to Evaluate the Safety, Tolerability, and Preliminary Efficacy of Intravitreal (IVT) Injection of ABI-110 (AAV2.N54- VEGF Trap) in Subjects With Neovascular (Wet) Age-Related Macular Degeneration (wAMD), Including Symptomatic Macular Polypoidal Choroidal Vasculopathy (PCV)
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
This is a Phase 1/2a, open-label, multiple-cohort, dose-escalation study to evaluate the safety, tolerability, and preliminary efficacy of IVT ABI-110 (AAV2.N54-VEGF-Trap) injection in subjects with wAMD), including symptomatic macular PCV.
This trial will include a screening period, confirmation of response to EYLEA (aflibercept), single administration of ABI-110, and follow-up period of 104 weeks after IVT ABI-110 injection.
Study Type
Enrollment (Estimated)
Phase
- Phase 2
- Phase 1
Contacts and Locations
Study Locations
-
-
California
-
Bakersfield, California, United States, 93309
- California Retina Consultants
-
Walnut Creek, California, United States, 94598
- Bay Area Retina Associates
-
-
Texas
-
San Antonio, Texas, United States, 78240
- Retina Consultants of Texas - San Antonio
-
The Woodlands, Texas, United States, 77384
- Retina Consultants of Texas
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Key Inclusion Criteria:
General:
- Must be willing and able to provide written, signed informed consent.
Age: Subjects ≥ 50 and ≤ 89 years of age at the time of signing the informed consent
Study eye:
- Diagnosis of wAMD, including symptomatic macular PCV, confirmed by the Central Reading Center
- The macular neovascularization lesion must be confirmed as determined by the Central Reading Center based on SD-OCT imaging at screening.
- BCVA ≤ 20/25 and ≥ 20/250 (≤ 80L and ≥ 30L ETDRS letters)
- History of ≥ 2 anti-VEGF injections prior to trial entry with meaningful response to anti-VEGF and continued need for anti-VEGF treatment
- Response to anti-VEGF at trial entry
Key Exclusion Criteria:
Study or Fellow Eye:
- Prior gene therapy, either eye
- Any active ocular/intraocular infection or inflammation (e.g., blepharitis, infectious conjunctivitis, keratitis, scleritis, uveitis) or history of idiopathic or autoimmune-associated uveitis, either eye
- History of retinal disease other than wAMD or PCV, study eye
- Any condition preventing visual acuity improvement (e.g., fibrosis, atrophy, or retinal epithelial tear in the center of the fovea), study eye.
- History of (or active) retinal detachment, study eye
- Uncontrolled glaucoma (defined as IOP > 25 mmHg despite treatment), study eye, or history of steroid-response ocular hypertension/glaucoma in either eye
- History of intravitreal therapy, (other than anti-VEGF therapy) such as intravitreal steroid injection or investigational product, in the 6 months prior to screening, study eye
- Any prior treatment with photodynamic therapy or laser photocoagulation, study eye
- History of glaucoma filtration, vitrectomy, or other procedure that could affect drug distribution or clearance, study eye.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Sequential Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Experimental: Dose level 1
Low Dose
|
Low dose.
lower than the safety factor of 10 as recommended by the FDA
|
|
Experimental: Dose level 2
Medium Dose
|
Medium dose
|
|
Experimental: Dose level 3
High Dose
|
High Dose
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Safety and Tolerability
Time Frame: 52 weeks
|
Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability]
|
52 weeks
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Preliminary Efficacy
Time Frame: 52 weeks
|
Change from baseline to Week 52 after ABI-110 treatment in BCVA as assessed by ETDRS chart at a starting distance of 4M
|
52 weeks
|
|
Immunogenicity
Time Frame: 52 weeks
|
Changes in Anti-AAV2 antibodies (ADA) and anti-VEGF-Trap antibodies in serum
|
52 weeks
|
|
Optimal Dose
Time Frame: 52 weeks
|
To determine the optimal dose of IVT ABI-110 injection for later phases of study
|
52 weeks
|
|
Pharmacokinetics and Pharmacodynamics
Time Frame: 52 weeks
|
Changes in PK and PD by ABI-110 dose level
|
52 weeks
|
Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- Avirmax ABI-110
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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