Safety Study of iSONEP (Sonepcizumab/LT1009) to Treat Neovascular Age-related Macular Degeneration
2012年4月13日 更新者:Lpath, Inc.
A Phase 1, Dose-Escalating, Multi-Center, Study of iSONEP (Sonepcizumab [LT1009]) Administered as an Intravitreal Injection to Subjects With Choroidal Neovascularization Secondary to Age-Related Macular Degeneration
Age-related macular degeneration (AMD) is a disease that, in time, destroys the macula, which is the central part of the retina that gives sharp central vision.
The primary purpose of this study is to assess the safety of iSONEP which is a humanized monoclonal antibody against a bioactive lipid, sphingosine 1-phosphate (S1P).
研究概览
详细说明
S1P modulates the AMD-associated processes of angiogenesis, inflammation and fibrosis.
A potential strategy for treating choroidal neovascularization associated with AMD is to reduce the biologically available extracellular levels of S1P.
iSONEP is highly selective for S1P and binds with picomolar affinity.
Lpath proposes that iSONEP would deprive many cell types (fibroblasts, pericytes, vascular endothelial cells and inflammatory) of important growth and survival factors thus targeting the multiple maladaptive processes of exudative AMD that ultimately result in the loss of photoreceptors, their supporting cells, and visual acuity.
Targeting simultaneously multiple components of the choroidal neovascular response is a novel approach and has the potential to be more potent than "single-targeted" therapeutics such as anti-VEGF therapies.
研究类型
介入性
注册 (实际的)
15
阶段
- 阶段1
联系人和位置
本节提供了进行研究的人员的详细联系信息,以及有关进行该研究的地点的信息。
学习地点
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Arizona
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Phoenix、Arizona、美国、85014
- Retinal Consultants of Arizona, LTD
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Florida
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Winter Haven、Florida、美国、33880
- Center for Retina and Macular Disease
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Indiana
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Indianapolis、Indiana、美国、46280
- Midwest Eye Institute
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Michigan
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Grand Rapids、Michigan、美国、49525
- Vitreo-Retinal Consultants
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Pennsylvania
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Philadelphia、Pennsylvania、美国、19107
- Wills Eye Institute
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参与标准
研究人员寻找符合特定描述的人,称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。
资格标准
适合学习的年龄
50年 及以上 (成人、年长者)
接受健康志愿者
不
有资格学习的性别
全部
描述
Inclusion Criteria:
- 50 years and older
- BCVA ETDRS letter score in study eye between 20-57 letters using ETDRS refraction (Snellen of 20/70-20/400)
- Any CNV secondary to AMD in study eye, classic, minimally classic or occult with leakage on fluorescein angiography and intraretinal or subretinal fluid on OCT
- Visual acuity in fellow eye must be 20/800 or better at 4 meters
- Able to read, understand and sign the consent form before entering into study
Exclusion Criteria:
- Ocular disease other than CNV that could compromise vision in study eye
- Systemic immunosuppressive medication/therapy (e.g., chemotherapy, steroids)
- Uncontrolled hypertension and/or arrhythmias
- QT/QTc interval measurement >450 msec
- Cancer within the last 2 years except superficial basal or squamous cell skin cancer or cervical carcinoma in situ
- Have angioid streaks, presumed ocular histoplasmosis syndrome, myopia (>8 diopters) or CNV secondary to other causes than AMD
- Any additional ocular diseases which have irreversibly compromised visual acuity of the study eye including amblyopia, anterior ischemic optic neuropathy, clinically significant diabetic macular edema and severe non-proliferative diabetic retinopathy
- Any intraocular or general surgery, including cataract surgery, within 2 months of Day 1
- History of uveitis in either eye
- Any ocular or periocular infection within 4 weeks prior to Day 1
- Active ocular inflammation grade trace and above
- Cup to disc ratio >0.8, IOP >21 mmHg in glaucoma subjects treated with more than 2 ocular hypotensive agents
- Previous pars plana vitrectomy or trabeculectomy in study eye
- History of anterior vitrectomy
- Inability to obtain photographs, FA or OCT to document CNV, e.g. due to media opacity, allergy to fluorescein dye or lack of venous access
- Aphakia
- Previous intravitreal Macugen, Avastin or Lucentis (injection or drug device implantation) in study eye within 6 weeks or triamcinolone within 6 months
- Receiving or requiring chronic concomitant therapy with systemic anti-angiogenic treatments p.o., parenteral (excluding inhaled steroids) (>5 mg) or topical corticosteroids in the study eye
- PDT within 12 weeks prior to Day 1
- Subjects taking systemic anticoagulants such as warfarin
- Investigational agents or devices within 6 weeks prior to Day 1
- Females who are pregnant or nursing and women of child bearing potential who are not using adequate contraceptive precautions
学习计划
本节提供研究计划的详细信息,包括研究的设计方式和研究的衡量标准。
研究是如何设计的?
设计细节
- 主要用途:治疗
- 分配:不适用
- 介入模型:单组作业
- 屏蔽:无(打开标签)
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
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实验性的:1
iSONEP
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single intravitreal injection of 0.2, 0.6, 1.0, 1.4 or 1.8 mg/eye
其他名称:
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研究衡量的是什么?
主要结果指标
结果测量 |
大体时间 |
|---|---|
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To determine safety, tolerability, maximum tolerated dose and dose-limiting toxicity of iSONEP following a single intravitreal injection to subjects with choroidal neovascularization secondary to AMD
大体时间:Active phase: 30 days post-injection; Follow-up phase: 12 months post-injection
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Active phase: 30 days post-injection; Follow-up phase: 12 months post-injection
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次要结果测量
结果测量 |
大体时间 |
|---|---|
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To characterize systemic pharmacokinetics, evaluate the immunogenicity, and investigate preliminary efficacy on retinal lesion thickness determined by OCT; size and extent of CNV and lesion area; and visual acuity
大体时间:Active phase: 30 days post-injection; Follow-up phase: 12 months post-injection
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Active phase: 30 days post-injection; Follow-up phase: 12 months post-injection
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合作者和调查者
在这里您可以找到参与这项研究的人员和组织。
赞助
调查人员
- 研究主任:Glenn Stoller, MD、Lpath, Inc.
出版物和有用的链接
负责输入研究信息的人员自愿提供这些出版物。这些可能与研究有关。
一般刊物
- Visentin B, Vekich JA, Sibbald BJ, Cavalli AL, Moreno KM, Matteo RG, Garland WA, Lu Y, Yu S, Hall HS, Kundra V, Mills GB, Sabbadini RA. Validation of an anti-sphingosine-1-phosphate antibody as a potential therapeutic in reducing growth, invasion, and angiogenesis in multiple tumor lineages. Cancer Cell. 2006 Mar;9(3):225-38. doi: 10.1016/j.ccr.2006.02.023.
- Caballero S, Swaney J, Moreno K, Afzal A, Kielczewski J, Stoller G, Cavalli A, Garland W, Hansen G, Sabbadini R, Grant MB. Anti-sphingosine-1-phosphate monoclonal antibodies inhibit angiogenesis and sub-retinal fibrosis in a murine model of laser-induced choroidal neovascularization. Exp Eye Res. 2009 Mar;88(3):367-77. doi: 10.1016/j.exer.2008.07.012. Epub 2008 Aug 6.
研究记录日期
这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查,以确保它们在发布到公共网站之前符合特定的质量控制标准。
研究主要日期
学习开始
2008年10月1日
初级完成 (实际的)
2010年7月1日
研究完成 (预期的)
2012年8月1日
研究注册日期
首次提交
2008年10月2日
首先提交符合 QC 标准的
2008年10月6日
首次发布 (估计)
2008年10月7日
研究记录更新
最后更新发布 (估计)
2012年4月16日
上次提交的符合 QC 标准的更新
2012年4月13日
最后验证
2012年4月1日
更多信息
此信息直接从 clinicaltrials.gov 网站检索,没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求,请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改,我们的网站上也会自动更新.