Clinical trial NCT03021785: A Study of Multiple Intravitreal Injection TK001 in Patients With Neovascular Age-related Macular Degeneration
Official title: A Multi-center, Open-label Phase I Study to Evaluate the Safety, Pharmacokinetics and Preliminary Efficacy of Multiple Intravitreal Injection TK001 in Patients With Neovascular Age-Related Macular Degeneration
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: PHASE1
Conditions: Neovascular Age-Related Macular Degeneration
Keywords: Neovascular Age-Related Macular Degeneration
Anti-VEGF
CNV
TK001
Lead sponsor: Jiangsu T-Mab Biopharma Co.,Ltd
Sponsor class: INDUSTRY
First posted: 2017-01-16
Enrollment: 36
Sex: ALL
Minimum age (years): 45
Maximum age (years): 80
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NON_RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: This is a multicenter, open-label study to evaluate the safety, pharmacokinetics, immunogenicity, and preliminary efficacy of multiple intravitreal injection TK001 in patients with AMD. It consists of core study (12 weeks) and extension study (40 weeks).

Detailed description: This is a multicenter, open-label study to evaluate the safety, pharmacokinetics, immunogenicity, and preliminary efficacy of multiple intravitreal injection TK001 in patients with AMD. It consists of core study (12 weeks) and extension study (40 weeks). In the core study, patients will receive their assigned dose in a 50-μL solution administered as an intravitreal injection every 4 weeks. In the extension study, they will be evaluated every 4 weeks and administrated PRN (pro re nata) with their assigned dose. The safety, pharmacokinetics, immunogenicity, and preliminary efficacy of TK001 will be evaluated in the core study, and will also be assessed in the extension study except pharmacokinetics.

Eligibility criteria: Inclusion Criteria:

* Signed written informed consent
* Aged 45 - 80 years, male or female
* Diagnosed with neovascular AMD and with active lesions
* Best corrected VA for the studied eye≤20/40
* With stable blood pressure, SBP\<140 mmHg and DBP\<90 mmHg

Exclusion Criteria:

Limitation of eye diseases

* With vitreous hemorrhage in studied eyes within two months preceding screening
* With geographic atrophy, epiretinal membrane or intensive subfoveal hard exudates which involved the foveal in studied eyes
* With opacity of refractive media(e.g. apparent cataract) or contraction of pupils which significantly interfered the visual test or assessment of anterior segment and fundus in studied eyes
* With pseudoexfoliation syndrome, intraocular hemorrhage resulting in decreased vision, rhegmatogenous retinal detachment, macular hole or choroidal neovascularization (CNV) for any reason except for AMD (such as fundus angioid streaks, ocular histoplasmosis, pathologic myopia, trauma) in studied eyes
* With apparent afferent pupillary defect(APD) in studied eyes
* With Polypoidal Choroidal Vasculopathy (PCV) or Retinal Angiomatous Proliferation (PAP) in studied eyes
* With intraocular pressure higher than 25mmHg despite treatment
* With VA for the fellow eyes\<20/200
* With active inflammation in any eye, such as conjunctivitis, keratitis, scleritis, blepharitis, endophthalmitis and uveitis The treatment of the eye
* The studied eye received topical or grid photocoagulation more than twice or within 3 months preceding screening
* The studied eye received the following intraocular surgery or laser treatment in macular (such as macular translocation surgery, glaucoma filtering surgery, transpupillary thermotherapy, macular photocoagulation, vitreous cutting surgery, optic nerve dissection, optic nerve sheath membrane dissection). But patients who received verteporfin photodynamic therapy, cataract surgery or YAG posterior capsular dissection more than 3 months before screening will not be excluded.
* Any eye received antiangiogenic drugs within 2 months preceding screening or patients received systemic antiangiogenic drugs within 3 months preceding screening (such as pegaptanib, aflibercept, ranibizumab, bevacizumab or conbercept)
* Any eye received intraocular injection of corticosteroid drugs (such as triamcinolone acetonide) within 3 months preceding screening, or periocular injection of corticosteroid drugs within 1 month before screening Systemic diseases, treatment and other conditions
* With a history of allergy to sodium fluorescein and indocyanine green
* PLT≤100×109/L, BUN or Cr\>1.5×ULN(Upper Limit of Normal), TT(thrombin time) or PT(prothrombin time) \>1.0×ULN(Upper Limit of Normal), take anti-platelet aggregation drugs or anticoagulants within 1 month before screening
* With surgery within 1 month before screening, or with unhealed wound, ulcer, fracture at present
* Diabetic patients without the control of glucose or accompanied by diabetic retinopathy
* With a history of myocardial infarction within 6 months before screening
* With activity disseminated intravascular coagulation and a tendency of significant bleeding before screening
* Systemic autoimmune disease
* Any uncontrolled diseases (such as severe systemic diseases of mental, neurological, cardiovascular, respiratory and malignancies)
* Pregnant and lactating women or patients who cannot take contraceptive measures
* Poor compliance
* Patients who participated other clinical trials within 30 days before screening or was taking other clinical trials at present
* Patients who is considered unsuitable for enrollment by investigator

Primary outcomes:
measure: Frequency of ocular and systemic AEs (adverse events) and SAEs (serious adverse events) which are related to TK001 in the first 12 weeks
timeFrame: 12 weeks
measure: Frequency of ocular and systemic AEs (adverse events) and SAEs (serious adverse events) which are related to TK001 in the following 40 weeks
timeFrame: 40 weeks
Secondary outcomes:
measure: Area under the plasma concentration-time curve (AUC)
timeFrame: 12 weeks
measure: Maximum plasma concentration (Cmax)
timeFrame: 12 weeks
measure: Time to reach maximum concentration (Tmax)
timeFrame: 12 weeks
measure: Elimination half-Life (T½)
timeFrame: 12 weeks
measure: Change from baseline in the Best Corrected Visual Acuity at 12 weeks
timeFrame: 12 weeks
measure: Change from baseline in the mean central retinal thickness at 12 weeks
timeFrame: 12 weeks
measure: Change from baseline in the thickness of choroidal neovascularization at 12 weeks
timeFrame: 12 weeks
measure: Change from baseline in the retinal thickness in the site of lesion which was the thickest at 12 weeks
timeFrame: 12 weeks
measure: Change from baseline in macular volume at 12 weeks
timeFrame: 12 weeks
measure: Change from baseline in the area of choroidal neovascularization at 12 weeks
timeFrame: 12 weeks
measure: Change from baseline in the area of leakage at 12 weeks
timeFrame: 12 weeks
measure: Change from baseline in the total lesion size at 12 weeks
timeFrame: 12 weeks
measure: Percentage of Participants Positive for anti-TK001 antibody at 12 weeks
timeFrame: 12 weeks
measure: Change from baseline in the Best Corrected Visual Acuity at 52 weeks
timeFrame: 40 weeks
measure: Change from baseline in the mean central retinal thickness at 52 weeks
timeFrame: 40 weeks
measure: Change from baseline in the thickness of choroidal neovascularization at 52 weeks
timeFrame: 40 weeks
measure: Change from baseline in the retinal thickness in the site of lesion which was the thickest at 52 weeks
timeFrame: 40 weeks
measure: Change from baseline in macular volume at 52 weeks
timeFrame: 40 weeks
measure: Change from baseline in the area of choroidal neovascularization at 52 weeks
timeFrame: 40 weeks
measure: Change from baseline in the area of leakage at 52 weeks
timeFrame: 40 weeks
measure: Change from baseline in the total lesion size at 52 weeks
timeFrame: 40 weeks
measure: Percentage of Participants Positive for anti-TK001 antibody at 52 weeks
timeFrame: 40 weeks
Other outcomes:
Locations:
city: Beijing
country: China
facility: Chinese Academy of Medicine Sciences，Peking Union Medical College Hospital
state: Beijing
city: Zhengzhou
country: China
facility: Henan Province People's Hospital
state: Henan
city: Shanghai
country: China
facility: ShangHai General Hospital
state: Shanghai
city: Chengdu
country: China
facility: West China Hospital, Sichuan University
state: Sichuan
city: Wenzhou
country: China
facility: The Eye Hospital of WMU(Zhejiang eye hospital)
state: Zhejiang
Study officials:
affiliation: West China Hospital
name: Ming Zhang
role: PRINCIPAL_INVESTIGATOR
References: