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SAR 1118 in Human Subjects Undergoing Pars Plana Vitrectomy

Primary Purpose

Diabetic Macular Edema (DME), Pars Plana Vitrectomy

Status
Terminated
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
SAR 1118 0.1%
SAR 1118 1.0%
SAR 1118 5.0%
Sponsored by
Johns Hopkins University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Diabetic Macular Edema (DME) focused on measuring Diabetic Macular Edema, DME, Pars Plana Vitrectomy, Ocular Inflammation

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Human subjects meeting the following criteria will be enrolled:

    • Age ≥18 years
    • BCVA ≤20/40 in the study eye (BCVA measured at 4M ETDRS)
    • Male or female
    • Current non-smoker (last date of smoking should be at least 60 days before study enrollment)
    • Surgically eligible to undergo elective PPV including, but not limited to, epiretinal membrane, vitreomacular traction, macular holes, or retinal detachment. The elective surgery must be able to be scheduled at least 21 days in advance to allow time for screening and for initiation of study drugs.
    • Females must be non-pregnant, non-lactating, surgically sterile for at least 3 months, post-menopausal for at least 1 years with follicle stimulating hormone (FSH) greater than or equal to 40 mIU/mL, or willing to use an approved method of contraception from 35 days prior to first study drug administration. Approved methods of contraception include: a non-hormonal intrauterine device (IUD) with spermicide, a female condom with spermicide, a diaphragm with spermicide, a cervical cap with spermicide, use of a condom with spermicide by sexual partner or sterile sexual partner.
    • Willing and able to provide written informed consent after the nature of the study has been explained, and prior to any research-related procedures.
    • Willing and able to comply with all study procedures including follow-up instructions

Exclusion Criteria:

  • Individuals not eligible to participate in this study include those who meet any of the following criteria:

    • Vitreous hemorrhage
    • Active retinal detachment
    • Autoimmune disease of the anterior segment or posterior chamber including chronic keratoconjunctivitis sicca, uveitis, iritis/scleritis, blepharitis of either eye
    • Glaucoma requiring topical medications, infectious conjunctivitis, keratitis, or endophthalmitis of either eye
    • Prior vitrectomy or intraocular lens placement, within 90 days of Day 0
    • Previous intravitreal drug delivery administered in the study eye within the following time period of Day 0:

      • Intravitreal steroid given ≤3 months
      • Intravitreal vascular endothelial growth factor inhibitors given ≤2 months
    • Previous participation in any studies of investigational drugs within 1 month preceding Day 0
    • Any concurrent ophthalmic over-the-counter or topical ocular pharmaceutical within 30 days of Day 0 with the exception of saline tear lubricant.
    • History of malignancy, renal insufficiency, or hepatic insufficiency
    • Positive serum pregnancy test
    • Use of any oral, implantable, or injectable contraceptive within 30 days or 5 half-lives of the contraceptive (whichever is longer) prior to first study drug administration; patients must refrain from these types of contraceptives during the treatment period and may resume the use of such contraceptives following the 1-week observation period.
    • Any history of excessive alcohol (as judged by the Investigator) or illicit drug use/abuse
    • Consumption of any alcohol or any illicit drugs within one week of first study drug administration
    • Use of any tobacco or nicotine-containing products within 2 months prior to first study drug administration
    • Any laboratory abnormality considered clinically significant by the Investigators
    • Subjects with a hemoglobin < 12.0 g/dL
    • Any clinically significant acute or chronic medical condition that would preclude participation in a clinical study
    • Any history of autoimmune disease, immunodeficiency disorder, positive HIV, acute hepatitis A (IgM positive), or hepatitis B, or C, or organ or bone marrow transplant
    • Participation in an ongoing investigational drug or medical device study

Sites / Locations

  • Johns Hopkins University

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Experimental

Arm Label

Dose 1

Dose 2

Dose 3

Arm Description

SAR 1118 dose 0.1%

SAR 1118 dose 1.0%

SAR 1118 dose 5.0%

Outcomes

Primary Outcome Measures

Primary outcome variable: frequency of ocular and non-ocular adverse events judged related to administration of SAR 1118 Ophthalmic Solution, or of inability to tolerate the medication.

Secondary Outcome Measures

Secondary outcome variable: concentrations of SAR 1118 in aqueous and vitreous on the day of vitrectomy.

Full Information

First Posted
July 9, 2009
Last Updated
May 9, 2017
Sponsor
Johns Hopkins University
Collaborators
SARcode Bioscience
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1. Study Identification

Unique Protocol Identification Number
NCT00936520
Brief Title
SAR 1118 in Human Subjects Undergoing Pars Plana Vitrectomy
Official Title
A Phase 1b, Randomized, Uncontrolled, Single-masked, Safety, Tolerability, and Pharmacokinetic Study of Multiple Doses of Three Different Concentrations (0.1%, 1.0%, 5.0%) of SAR 1118 Ophthalmic Solution in Human Subjects Undergoing Elective Pars Plana Vitrectomy (PPV)
Study Type
Interventional

2. Study Status

Record Verification Date
May 2017
Overall Recruitment Status
Terminated
Why Stopped
Preliminary analysis showed little or no bioactivity.
Study Start Date
August 2009 (undefined)
Primary Completion Date
May 2010 (Actual)
Study Completion Date
May 2010 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Johns Hopkins University
Collaborators
SARcode Bioscience

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to determine the safety, tolerability, and pharmacokinetics of SAR 1118 within the anterior and posterior chamber of the eye and plasma in subjects undergoing elective vitrectomy when treated with escalating concentrations of the study drug for approximately 1 week.
Detailed Description
SAR 1118 is a potent and selective small molecule lymphocyte function antigen-1 (LFA-1) antagonist and may be therapeutically useful as a novel topical anti-inflammatory agent in a wide variety of ocular inflammatory conditions including diabetic retinopathy and diabetic macular edema. Recent evidence has demonstrated that topically delivered SAR 1118 ophthalmic solution can be detected in the aqueous, vitreous, and retina 4 to 12 hours after dosing at potentially therapeutic levels in animal models. However, the ability for the current sterile ophthalmic formulation of SAR 1118 to penetrate in sufficiently high therapeutic concentrations into the anterior and posterior chamber in humans is unknown.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Diabetic Macular Edema (DME), Pars Plana Vitrectomy
Keywords
Diabetic Macular Edema, DME, Pars Plana Vitrectomy, Ocular Inflammation

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
Participant
Allocation
Randomized
Enrollment
30 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Dose 1
Arm Type
Experimental
Arm Description
SAR 1118 dose 0.1%
Arm Title
Dose 2
Arm Type
Experimental
Arm Description
SAR 1118 dose 1.0%
Arm Title
Dose 3
Arm Type
Experimental
Arm Description
SAR 1118 dose 5.0%
Intervention Type
Drug
Intervention Name(s)
SAR 1118 0.1%
Intervention Description
Daily eye drops (twice daily, ~50 microliter [uL] each drop) approximately 10 to 12 hours apart; morning and in the evening just prior to bedtime) to the study eye only for 8 consecutive days
Intervention Type
Drug
Intervention Name(s)
SAR 1118 1.0%
Intervention Description
Daily eye drops (twice daily, ~50 uL each drop) approximately 10 to 12 hours apart; morning and in the evening just prior to bedtime) to the study eye only for 8 consecutive days
Intervention Type
Drug
Intervention Name(s)
SAR 1118 5.0%
Intervention Description
Daily eye drops (twice daily, ~50 uL each drop) approximately 10 to 12 hours apart; morning and in the evening just prior to bedtime) to the study eye only for 8 consecutive days
Primary Outcome Measure Information:
Title
Primary outcome variable: frequency of ocular and non-ocular adverse events judged related to administration of SAR 1118 Ophthalmic Solution, or of inability to tolerate the medication.
Time Frame
35 days
Secondary Outcome Measure Information:
Title
Secondary outcome variable: concentrations of SAR 1118 in aqueous and vitreous on the day of vitrectomy.
Time Frame
day 9

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Human subjects meeting the following criteria will be enrolled: Age ≥18 years BCVA ≤20/40 in the study eye (BCVA measured at 4M ETDRS) Male or female Current non-smoker (last date of smoking should be at least 60 days before study enrollment) Surgically eligible to undergo elective PPV including, but not limited to, epiretinal membrane, vitreomacular traction, macular holes, or retinal detachment. The elective surgery must be able to be scheduled at least 21 days in advance to allow time for screening and for initiation of study drugs. Females must be non-pregnant, non-lactating, surgically sterile for at least 3 months, post-menopausal for at least 1 years with follicle stimulating hormone (FSH) greater than or equal to 40 mIU/mL, or willing to use an approved method of contraception from 35 days prior to first study drug administration. Approved methods of contraception include: a non-hormonal intrauterine device (IUD) with spermicide, a female condom with spermicide, a diaphragm with spermicide, a cervical cap with spermicide, use of a condom with spermicide by sexual partner or sterile sexual partner. Willing and able to provide written informed consent after the nature of the study has been explained, and prior to any research-related procedures. Willing and able to comply with all study procedures including follow-up instructions Exclusion Criteria: Individuals not eligible to participate in this study include those who meet any of the following criteria: Vitreous hemorrhage Active retinal detachment Autoimmune disease of the anterior segment or posterior chamber including chronic keratoconjunctivitis sicca, uveitis, iritis/scleritis, blepharitis of either eye Glaucoma requiring topical medications, infectious conjunctivitis, keratitis, or endophthalmitis of either eye Prior vitrectomy or intraocular lens placement, within 90 days of Day 0 Previous intravitreal drug delivery administered in the study eye within the following time period of Day 0: Intravitreal steroid given ≤3 months Intravitreal vascular endothelial growth factor inhibitors given ≤2 months Previous participation in any studies of investigational drugs within 1 month preceding Day 0 Any concurrent ophthalmic over-the-counter or topical ocular pharmaceutical within 30 days of Day 0 with the exception of saline tear lubricant. History of malignancy, renal insufficiency, or hepatic insufficiency Positive serum pregnancy test Use of any oral, implantable, or injectable contraceptive within 30 days or 5 half-lives of the contraceptive (whichever is longer) prior to first study drug administration; patients must refrain from these types of contraceptives during the treatment period and may resume the use of such contraceptives following the 1-week observation period. Any history of excessive alcohol (as judged by the Investigator) or illicit drug use/abuse Consumption of any alcohol or any illicit drugs within one week of first study drug administration Use of any tobacco or nicotine-containing products within 2 months prior to first study drug administration Any laboratory abnormality considered clinically significant by the Investigators Subjects with a hemoglobin < 12.0 g/dL Any clinically significant acute or chronic medical condition that would preclude participation in a clinical study Any history of autoimmune disease, immunodeficiency disorder, positive HIV, acute hepatitis A (IgM positive), or hepatitis B, or C, or organ or bone marrow transplant Participation in an ongoing investigational drug or medical device study
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Diana V Do, MD
Organizational Affiliation
Johns Hopkins University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Johns Hopkins University
City
Baltimore
State/Province
Maryland
ZIP/Postal Code
21287
Country
United States

12. IPD Sharing Statement

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SAR 1118 in Human Subjects Undergoing Pars Plana Vitrectomy

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