Efficacy and Safety of H.P. ACTHAR GEL in Adults With Retinal Vasculitis

Study Overview
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Brief Summary
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The purpose of this study is to evaluate the short- and long-term efficacy and safety of Acthar for the treatment of adults with non-infectious retinal vasculitis.

Official Title
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Open-label, Single-center, Prospective Study on the Efficacy and Safety of Repository Corticotropin Injection (H.P. ACTHAR GEL) in the Treatment of Adults With Non-infectious Retinal Vasculitis

Conditions
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Uveitis, Posterior, Vasculitis Retinal

Intervention / Treatment
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* Drug: H.P. ACTHAR GEL


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Any adult patient with active retinal vasculitis (involving arteries or veins) as a manifestation of non-infectious ocular inflammatory disease; fundus must be viewable with wide-field FA in the study eye If both eyes are involved, both are eligible for inclusion in the study Patients already on non-steroidal immunosuppressive therapy may continue on this during the study, but the dose must not be increased or decreased within 6 weeks of initiating the trial Willing and able to sign the informed consent form Exclusion Criteria: Patients under age 18 Patients who are pregnant (must be ruled out in women of child-bearing age) Active infectious ocular or systemic disease Patients with active infectious ocular or extraocular disease Patients with history of malignancy, except for dermatologic entities of basal or squamous cell carcinoma which have been completely excised or removed previously Patients with systemic illness involving abnormalities of the hypothalamic-pituitary-adrenal axis; patients with primary adrenocortical insufficiency or adrenocortical hyperfunction Patients with known hypersensitivity to Acthar Patients on other non-steroidal systemic immunomodulatory medications with dose adjusted sooner than 6 weeks prior to study drug administration Patients currently on or recently treated with (within 6 weeks) systemic corticosteroid Patients with periocular or intraocular injections of medications administered to help control inflammation sooner than 6 weeks prior to study drug administration Patients with severe disease that warrants critical attention, deemed unsafe for the study by the investigator, or contraindicated, including but not limited to, patients with scleroderma, osteoporosis, systemic fungal infections, ocular herpes simplex, recent surgery, history of or the presence of a peptic ulcer, congestive heart failure, uncontrolled hypertension, or sensitivity to proteins of porcine origin. Administration of live or live attenuated vaccines is contraindicated in patients during the entire duration of the study and for one month prior

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: H.P. ACTHAR GEL<br> | Drug: H.P. ACTHAR GEL<br>* H.P. Acthar Gel is an adrenocorticotropic hormone (ACTH) analogue indicated for ophthalmic diseases.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Percentage of responders to Acthar at the end of treatment. | A responder will be defined by the binominal presence or absence of active retinal vasculitis as evaluated at Week 24. Active retinal vasculitis is defined as angiographic leakage from retinal arterioles, venules, or capillaries as determined by investigator, seen on wide-field angiography. Complete resolution or absence of active retinal vasculitis at Week 24 is considered success or remission. | 24 Weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Presence or absence of active retinal vasculitis at all other time points. |  | 1 Day to 24 Weeks | 
| Safety assessments, including drug tolerability and adverse events; other ocular and/or systemic complications. |  | 1 Day to 24 Weeks | 
| Percentage of patients requiring rescue therapy. |  | 1 Day to 24 Weeks |