- ICH GCP
- 미국 임상 시험 레지스트리
- 임상시험 NCT02398500
Safety Tolerability and Efficacy of Intravitreal LMG324 in the Treatment of Neovascular Age-Related Macular Degeneration
An Open-label Single Ascending Dose and Randomized Double-Masked, Ranibizumab Controlled, Safety, Tolerability, and Efficacy Study of Intravitreal LMG324 in Subjects With Neovascular Age-Related Macular Degeneration
연구 개요
상세 설명
The study will start with a single dose ascending (SAD) phase. LMG324 will be administered on Day 1 with no further treatment until implementation of standard of care (SoC) therapy. SoC therapy is ranibizumab 0.5 mg administered per label. Dose groups will be implemented sequentially to allow for safety review between the current and subsequent dose group. All treatments will be open-label, including ranibizumab used as SoC therapy.
In the enrollment expansion phase, subjects randomized to LMG324 arm will receive a single LMG324 IVT injection on Day 1 followed by sham (fake) IVT injections until implementation of SoC therapy. After implementation, SoC therapy will be applied monthly with sham injections applied at the interim planned visits. The enrollment expansion phase may start at a selected dose level whilst the dose escalation phase is still ongoing.
연구 유형
등록 (실제)
단계
- 2 단계
- 1단계
연락처 및 위치
연구 장소
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Texas
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Fort Worth, Texas, 미국, 76134
- Call Alcon Call Center for Trial Locations
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참여기준
자격 기준
공부할 수 있는 나이
건강한 자원 봉사자를 받아들입니다
연구 대상 성별
설명
Inclusion Criteria:
- Must give written informed consent, be able to make the required study visits and follow instructions.
- Best corrected visual acuity (BCVA) of 34 letters (approximately 20/200 Snellen or better) in the non-study eye.
SAD population only:
- Subject's study eye must have a choroidal neovascularization (CNV) lesion due to age-related macular degeneration (AMD), either treatment naïve or previously treated, that can be expected to benefit, in the opinion of the investigator, from anti-vascular endothelial growth factor (anti-VEGF) therapy.
- Previously treated eyes must have a history of least 3 administrations of any intravitreal (IVT) anti-VEGF therapeutic for the treatment of CNV with the last injection administered ≥ 1 month prior to the planned administration of the study drug.
Enrollment expansion population only
- Subject's study eye must have untreated and active CNV lesion due to AMD.
- BCVA, between 73 - 23 letters, inclusive (approximate Snellen equivalent 20/40 - 20/320) in the study eye.
Exclusion Criteria:
SAD and enrollment expansion population
- Both eyes: any active ocular or periocular infection or active intraocular inflammation (eg, infectious blepharitis, infectious conjunctivitis, keratitis, scleritis, endophthalmitis).
- Study eye: current vitreous hemorrhage or a history of rhegmatogenous retinal detachment.
- Study eye: uncontrolled glaucoma (intraocular pressure [IOP] >25 mmHg on medication or according to Investigator's judgment).
SAD population only
- Presence of any contraindications, in the Investigator's opinion, to IVT anti-VEGF therapeutic administration.
Enrollment expansion population only
- Study eye: subject has received any approved or investigational treatment for exudative (wet) AMD other than vitamin supplements.
- Study eye: any current or history of macular or retinal disease other than exudative AMD
- Study eye: serous pigment epithelial detachment (PED) under the foveal center or retinal pigment epithelium (RPE) tear/rip.
- Study eye: any concurrent intraocular condition (eg, cataract, diabetic retinopathy) that, in the opinion of the Investigator, could either require medical or surgical intervention during the course of the study.
- Study eye: other ocular diseases that, in the opinion of the Investigator, can compromise the visual acuity
- Study eye: Surgery, as specified in the protocol.
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 치료
- 할당: 무작위
- 중재 모델: 순차적 할당
- 마스킹: 더블
무기와 개입
참가자 그룹 / 팔 |
개입 / 치료 |
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실험적: LMG324
SAD: LMG324 administered as a single IVT injection in 1 eye (study eye) in 1 of 4 doses, with 15-day follow-up
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IVT injection
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실험적: LMG324 + sham
Expansion: LMG324 administered as a single IVT injection in 1 eye (study eye), followed by sham injections, until implementation of SoC therapy as specified in the protocol, for 24 weeks
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IVT injection
Fake injection used for masking purposes
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활성 비교기: Lucentis + sham
Expansion: Ranibizumab 0.5 mg administered as monthly IVT injections in 1 eye (study eye) with interim sham injections, for 24 weeks
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Fake injection used for masking purposes
IVT injection
다른 이름들:
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연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
기간 |
|---|---|
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Mean change from baseline in best corrected visual acuity (BCVA) at Day 85
기간: Baseline, Day 85
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Baseline, Day 85
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2차 결과 측정
결과 측정 |
기간 |
|---|---|
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Percentage of LMG324-treated subjects with no identified SoC treatment need up to and including Day 85
기간: Up to Day 85
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Up to Day 85
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Best Corrected Visual Acuity (BCVA)
기간: Up to Day 169
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Up to Day 169
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Central subfield thickness total (CSFTtot)
기간: Up to Day 169
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Up to Day 169
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Central subfield thickness neuro-retina (CFSTnr)
기간: Up to Day 169
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Up to Day 169
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Lesion thickness
기간: Up to Day 169
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Up to Day 169
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Subretinal fluid with foveal involvement (SRFfi) thickness
기간: Up to Day 169
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Up to Day 169
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Retinal pigment epithelial detachment with foveal involvement (PEDfi) thickness
기간: Up to Day 169
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Up to Day 169
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Area of lesion (associated with CNV)
기간: Up to Day 169
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Up to Day 169
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Area of CNV within a lesion
기간: Up to Day 169
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Up to Day 169
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Area under the plasma concentration-time curve from time zero to infinity (AUCinf)
기간: Up to Day 169
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Up to Day 169
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Area under the plasma concentration-time curve from time zero to the time of the last quantifiable concentration (AUClast)
기간: Up to Day 169
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Up to Day 169
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Area under the plasma concentration-time curve from time zero to time 't' where t is a defined time point after administration (AUC0-t)
기간: Up to Day 169
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Up to Day 169
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Maximum observed maximum plasma concentration (Cmax)
기간: Up to Day 169
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Up to Day 169
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Time to reach the maximum observed plasma concentration (Tmax)
기간: Up to Day 169
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Up to Day 169
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Observed maximum plasma concentration following drug administration, by dose (Cmax/D)
기간: Up to Day 169
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Up to Day 169
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Area under the plasma concentration-time curve divided by dose (AUC/D)
기간: Up to Day 169
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Up to Day 169
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Frequency of subjects with anti-LMG324 antibodies
기간: Up to Day 169
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Up to Day 169
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공동 작업자 및 조사자
스폰서
수사관
- 연구 책임자: Clinical Scientist I, NIBR, Alcon Research
연구 기록 날짜
연구 주요 날짜
연구 시작 (실제)
기본 완료 (실제)
연구 완료 (실제)
연구 등록 날짜
최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (추정)
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
추가 정보
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