Effect of AIV007 by Periocular Administration in Subjects With Macular Edema Secondary to nAMD and DME
A Phase 1 Study of the Safety, Pharmacokinetics, and Exploratory Efficacy of Periocular Administration of AIV007 in Subjects With Macular Edema Secondary to Neovascular Age-Related Macular Degeneration (nAMD) or Diabetic Macular Edema (DME)
To determine safety, pharmacokinetics, and duration of effect of periocularly administered AIV007 gel suspension in subjects with neovascular age-related macular degeneration (nAMD) or diabetic macular edema (DME).
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Detaljeret beskrivelse
AIV007 is a multiple kinase inhibitor of vascular endothelial growth factor receptors (VEGFR 1, -2 & -3); fibroblast growth factor receptors (FGFR-1, -2, -3 & -4); and platelet-derived growth factor receptors (PDGFR-α & β)1. Lenvatinib is the active pharmaceutical ingredient in AIV007 formulation that is FDA-approved for oral administration for patients with advanced renal cell carcinoma (RCC), differentiated thyroid cancer (DTC), unresectable hepatocellular carcinoma (HCC), and advanced endometrial carcinoma.
. AiViva BioPharma, Inc. (AiViva) has developed a novel, thermoresponsive gel suspension of AIV007 for periocular administration to form a durable depot. This monotherapy is in development for the treatment of retinal and choroidal vascular disease (i.e., neovascular age-related macular degeneration (nAMD) & diabetic macular edema (DME)). For preclinical and clinical (AIV007-E02) studies using periocular administration, AIV007 is injected outside the eyeball and the depot forms a soft mass, referred to as posterior juxtascleral depot (PJD) placement.
Undersøgelsestype
Undersøgelsestype
Tilmelding (Faktiske)
Tilmelding
Fase
Fase
- Fase 1
Kontakter og lokationer
Studiesteder
-
-
California
-
Beverly Hills, California, Forenede Stater, 90211
- Retina-Vitreous Associates
-
Santa Ana, California, Forenede Stater, 92705
- Orange County Retina
-
-
Oregon
-
Eugene, Oregon, Forenede Stater, 97401
- Verum Research
-
-
Texas
-
McAllen, Texas, Forenede Stater, 78503
- Valley Retina Institute
-
Plano, Texas, Forenede Stater, 75075
- Texas Retina Associates
-
San Antonio, Texas, Forenede Stater, 78240
- Medical Center Ophthalmology
-
-
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
General inclusion Criteria:
- Male or female subjects aged 21-90 years (inclusive) at screening
- BCVA in the study eye at screening and baseline/Day 1: ETDRS letter score ≤ 75 and ≥ 24 (20/32 to 20/330 Snellen equivalent)
- Subject must have received treatment within the 24 months before screening with intravitreal (IVT) injections of an anti-VEGF agent with the last anti-VEGF injection in the study eye being at least 6 weeks (42 days) before baseline/Day 1.
- Subject has documentation of anti-VEGF responsiveness
- Subject must provide written informed consent before any study-related procedures are performed
- Clear ocular media and adequate pupil dilation in both eyes to permit good-quality photographic imaging
nAMD subject
- The active choroidal neovascularization (CNV) is confirmed by fluorescein angiography (FA; evidence of leakage)
- Residual intraretinal or subretinal fluid based on SD-OCT
- CST ≥ 300 µm as assessed by SD-OCT
- Total lesion size < 10 disc areas (25.4 mm2)
- Absence of geographic atrophy within 200 µm of the fovea
- If subretinal hemorrhage is present, it must be < 50% of the total CNV lesion and/or not involve the fovea
- If fibrosis is present, it must be <50% of the total lesion area
DME subject
- Diagnosis of diabetes mellitus (Type 1 or Type 2)
- Subject has clinically significant DME with central involvement (CST≥300 μm by OCT)
- The decrease in vision in the study eye was determined by the investigator to be primarily the result of DME
Exclusion Criteria:
- Previous treatment for nAMD or DME in the study eye other than standard-of-care anti-VEGF IVT injection, e.g., cell therapy, brachytherapy, gene therapy
- Uncontrolled intraocular pressure (IOP), defined as an IOP > 25 mmHg
- Poorly controlled diabetes mellitus defined as hemoglobin A1c (HbA1c) >10% at screening visit
- The spherical equivalent for refractive error in the study eye of worse than 8.0 diopters of myopia (before cataract or refractive surgery) per the current prescription
- Any history of active bacterial, viral, fungal, or parasitic ocular or periocular infection, or intraocular inflammation in either eye within the 30 days before the screening Visit
- History of vitreous hemorrhage within 3 months before screening in the study eye
- Uncontrolled systemic disease or any other condition or therapy that would make the participant unsuitable for the study
- Participation in any investigational study within 60 days before the screening visit, or planned use of an investigational product or device during the study; any exposure to a prior investigational drug product must be fully washed out (at least 5 half-lives)
- History of allergy or hypersensitivity to constituents of the study treatment formulation, topical iodine, ocular antimicrobial solutions, or clinically relevant hypersensitivity to fluorescein
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Ikke-randomiseret
- Interventionel model: Sekventiel tildeling
- Maskning: Ingen (Åben etiket)
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Eksperimentel: AIV007 low dose
Periocular injection, low dose |
Periocular injection |
|
Eksperimentel: AIV007 intermediate dose 1
Periocular injection, intermediate dose 1 |
Periocular injection |
|
Eksperimentel: AIV007 intermediate dose 2
Periocular injection, intermediate dose 2 |
Periocular injection |
|
Eksperimentel: AIV007 intermediate dose 3
Periocular injection, intermediate dose 3 |
Periocular injection |
|
Eksperimentel: AIV007 intermediate dose 4
Periocular injection, intermediate dose 4 |
Periocular injection |
|
Eksperimentel: AIV007 High dose
Periocular injection, high dose |
Periocular injection |
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Adverse Events
Tidsramme: Approximately 168 days
|
Incidence of adverse events and serious adverse events |
Approximately 168 days
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Mean change from baseline in best-corrected visual acuity (BCVA)
Tidsramme: Approximately 168 days
|
Number of Early Treatment Diabetic Retinopathy Study (ETDRS) letters |
Approximately 168 days
|
|
Mean change from baseline in central subfield thickness as measured by spectral domain optical coherence tomography (SD-OCT)
Tidsramme: Approximately 168 days
|
SD-OCT read by a central reading center |
Approximately 168 days
|
|
Mean time to rescue medication
Tidsramme: Approximately 168 days
|
number of days to receive rescue medication |
Approximately 168 days
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Studiestart
Primær færdiggørelse (Faktiske)
Primær færdiggørelse
Studieafslutning (Faktiske)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- AIV007-E02
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
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