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Safety Tolerability and Efficacy of Intravitreal LMG324 in the Treatment of Neovascular Age-Related Macular Degeneration

3. juni 2019 oppdatert av: Alcon Research

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

The purpose of this first-in-human study is to evaluate the safety and tolerability of single ascending doses of LMG324 to determine the maximum tolerated dose (MTD) in neovascular age-related macular degeneration (nvAMD) subjects. Enrollment will be expanded at a safe and tolerated dose in treatment naïve nvAMD subjects to compare a single intravitreal (IVT) dose of LMG324 to ranibizumab 0.5 mg administered every 4 weeks for change from baseline in best-corrected visual acuity (BCVA) at Week 12 (Day 85).

Studieoversikt

Detaljert beskrivelse

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.

Studietype

Intervensjonell

Registrering (Faktiske)

25

Fase

  • Fase 2
  • Fase 1

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiesteder

    • Texas
      • Fort Worth, Texas, Forente stater, 76134
        • Call Alcon Call Center for Trial Locations

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

50 år og eldre (Voksen, Eldre voksen)

Tar imot friske frivillige

Nei

Kjønn som er kvalifisert for studier

Alle

Beskrivelse

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.

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

  • Primært formål: Behandling
  • Tildeling: Randomisert
  • Intervensjonsmodell: Sekvensiell tildeling
  • Masking: Dobbelt

Våpen og intervensjoner

Deltakergruppe / Arm
Intervensjon / Behandling
Eksperimentell: LMG324
SAD: LMG324 administered as a single IVT injection in 1 eye (study eye) in 1 of 4 doses, with 15-day follow-up
IVT injection
Eksperimentell: 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
IVT injection
Fake injection used for masking purposes
Aktiv komparator: Lucentis + sham
Expansion: Ranibizumab 0.5 mg administered as monthly IVT injections in 1 eye (study eye) with interim sham injections, for 24 weeks
Fake injection used for masking purposes
IVT injection
Andre navn:
  • Lucentis®

Hva måler studien?

Primære resultatmål

Resultatmål
Tidsramme
Mean change from baseline in best corrected visual acuity (BCVA) at Day 85
Tidsramme: Baseline, Day 85
Baseline, Day 85

Sekundære resultatmål

Resultatmål
Tidsramme
Percentage of LMG324-treated subjects with no identified SoC treatment need up to and including Day 85
Tidsramme: Up to Day 85
Up to Day 85
Best Corrected Visual Acuity (BCVA)
Tidsramme: Up to Day 169
Up to Day 169
Central subfield thickness total (CSFTtot)
Tidsramme: Up to Day 169
Up to Day 169
Central subfield thickness neuro-retina (CFSTnr)
Tidsramme: Up to Day 169
Up to Day 169
Lesion thickness
Tidsramme: Up to Day 169
Up to Day 169
Subretinal fluid with foveal involvement (SRFfi) thickness
Tidsramme: Up to Day 169
Up to Day 169
Retinal pigment epithelial detachment with foveal involvement (PEDfi) thickness
Tidsramme: Up to Day 169
Up to Day 169
Area of lesion (associated with CNV)
Tidsramme: Up to Day 169
Up to Day 169
Area of CNV within a lesion
Tidsramme: Up to Day 169
Up to Day 169
Area under the plasma concentration-time curve from time zero to infinity (AUCinf)
Tidsramme: Up to Day 169
Up to Day 169
Area under the plasma concentration-time curve from time zero to the time of the last quantifiable concentration (AUClast)
Tidsramme: Up to Day 169
Up to Day 169
Area under the plasma concentration-time curve from time zero to time 't' where t is a defined time point after administration (AUC0-t)
Tidsramme: Up to Day 169
Up to Day 169
Maximum observed maximum plasma concentration (Cmax)
Tidsramme: Up to Day 169
Up to Day 169
Time to reach the maximum observed plasma concentration (Tmax)
Tidsramme: Up to Day 169
Up to Day 169
Observed maximum plasma concentration following drug administration, by dose (Cmax/D)
Tidsramme: Up to Day 169
Up to Day 169
Area under the plasma concentration-time curve divided by dose (AUC/D)
Tidsramme: Up to Day 169
Up to Day 169
Frequency of subjects with anti-LMG324 antibodies
Tidsramme: Up to Day 169
Up to Day 169

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Sponsor

Etterforskere

  • Studieleder: Clinical Scientist I, NIBR, Alcon Research

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart (Faktiske)

22. juli 2015

Primær fullføring (Faktiske)

29. februar 2016

Studiet fullført (Faktiske)

20. mai 2016

Datoer for studieregistrering

Først innsendt

20. mars 2015

Først innsendt som oppfylte QC-kriteriene

24. mars 2015

Først lagt ut (Anslag)

25. mars 2015

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

5. juni 2019

Siste oppdatering sendt inn som oppfylte QC-kriteriene

3. juni 2019

Sist bekreftet

1. juni 2019

Mer informasjon

Denne informasjonen ble hentet direkte fra nettstedet clinicaltrials.gov uten noen endringer. Hvis du har noen forespørsler om å endre, fjerne eller oppdatere studiedetaljene dine, vennligst kontakt register@clinicaltrials.gov. Så snart en endring er implementert på clinicaltrials.gov, vil denne også bli oppdatert automatisk på nettstedet vårt. .

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