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Study of MP0112 Intravitreal Injection in Patients With Wet Age Related Macular Degeneration

Primary Purpose

Wet Age-Related Macular Degeneration

Status
Terminated
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
MP0112
Sponsored by
Allergan
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Wet Age-Related Macular Degeneration

Eligibility Criteria

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

Inclusion Criteria:

  • Clinical signs and angiographic evidence of active primary progressive subfoveal choroidal neovascularisation (CNV), including juxtafoveal lesions that affect the fovea on FA in the study eye that is at least 50% of the total lesion area
  • ETDRS best-corrected visual acuity of: 20/40 to 20/320 in the study eye at 4 meters
  • Male or female age > 50 years
  • Written informed consent prior to any study procedures
  • Willing, committed, and able to return for ALL clinic visits and complete all study-related procedures.

Exclusion Criteria:

  • Prior treatment with anti-VEGF therapy in the study eye, including bevacizumab, ranibizumab, or pegaptanib, as well as photodynamic therapy with verteporfin
  • Any prior or concomitant therapy with another investigational agent to treat neovascular AMD in the study eye, except dietary supplements or vitamins
  • Subfoveal thermal laser therapy, external-beam radiation therapy, or transpupillary thermotherapy in the study eye
  • Extrafoveal laser coagulation treatment within 12 weeks prior to Baseline in the study eye
  • Total lesion size > 20mm2 (including blood, scars and neovascularization) as assessed by FA in the study eye
  • Subretinal hemorrhage that is either 50% or more of the total lesion area, or if the blood is under the fovea and is 2.54mm2 or more in size in the study eye
  • Scar or fibrosis, making up > 50% of total lesion in the study eye
  • Scar, fibrosis, or atrophy involving the center of the fovea
  • Presence of retinal pigment epithelial tears or rips
  • History of any vitreous hemorrhage within 4 weeks prior to Visit 1 or current hemorrhage in the study eye
  • Presence of other causes of CNV, including pathologic myopia (spherical equivalent of -8 diopters or more negative, or axial length of 25 mm or more), ocular histoplasmosis syndrome, angioid streaks, choroidal rupture, or multifocal choroiditis in the study eye
  • History or clinical evidence of diabetic retinopathy, diabetic macular oedema or any other vascular disease affecting the retina, other than AMD, in either eye
  • Prior vitrectomy in the study eye
  • History of retinal detachment or treatment or surgery for retinal detachment in the study eye
  • Ocular surgery (including cataract removal) in the study eye within 3 months of enrolment
  • Active intraocular inflammation (grade trace or above) in the study eye
  • History of allergy to any components of the study drug or diagnostic devices, such as fluorescein
  • Advanced glaucoma or intraocular pressure above 22 mmHg in the study eye despite treatment
  • Inability to obtain fundus photographs or fluorescein angiogram of sufficient quality to be analyzed and graded by the central reading center
  • History of idiopathic or autoimmune-associated uveitis in either eye
  • Infectious conjunctivitis, keratitis, scleritis, or endophthalmitis in either eye
  • Aphakia or absence of the posterior capsule in the study eye
  • Presence of a non-healing wound, ulcer, fracture or any other medical condition associated with bleeding
  • Use of antimitotic or antimetabolite therapy within 30 days or 5 elimination half-lives of enrolment
  • Premenopausal women
  • Any disorder or condition that contraindicates the use of an investigational drug
  • Participation in another investigational drug study within 3 months of enrolment
  • Uncontrolled hypertension
  • Previous stroke within 12 months of study entry
  • Systemic treatment with any anti-VEGF drug
  • Current treatment for active systemic infection

Sites / Locations

  • Fakultni Nemocnice Brno
  • Fakultni Nemocnice Olomouc
  • Ustrendi Vojenska Nemocnice
  • Hopital Intercommunual de Creteil
  • Centre Rabelais
  • Centre Paradis-Monticelli
  • Hopitaux Universitaires
  • Inselspital

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

MP0112 (0.04 mg)

MP0112 (0.15 mg)

MP0112 (0.4 mg)

MP0112 (1.0 mg)

MP0112 (2.0 mg)

MP0112 (3.6 mg)

Arm Description

Single 0.04 mg intravitreal injection of MP0112 in the study eye.

Single 0.15 mg intravitreal injection of MP0112 in the study eye.

Single 0.4 mg intravitreal injection of MP0112 in the study eye.

Single 1.0 mg intravitreal injection of MP0112 in the study eye.

Single 2.0 mg intravitreal injection of MP0112 in the study eye.

Single 3.6 mg intravitreal injection of MP0112 in the study eye.

Outcomes

Primary Outcome Measures

Maximal Tolerated Dose (MTD) Following a Single Injection
MTD was defined as one dose level below the lower of the dose level in which a severe (sight-threatening) drug-related Adverse Event occurred or the dose level at which more than 2 patients experienced a moderate ocular (eye) drug-related toxicity.

Secondary Outcome Measures

Percentage of Participants With Stable or Improved Best Corrected Visual Acuity (BCVA)
BCVA was measured using an eye chart and was reported as the number of letters read correctly (ranging from 0 to 100 letters) in the study eye at Baseline and Week 4. The lower the number of letters read correctly on the eye chart, the worse the vision (or visual acuity). The higher the letters read correctly on the eye chart the better the vision. Stable or Improved BCVA was defined as a loss of <15 letters read correctly compared to Baseline.
Change From Baseline in Central Area Retinal Thickness
Optical Coherence Tomography (OCT), a laser based non-invasive diagnostic system providing high-resolution imaging sections of the retina, was performed in the study eye after pupil dilation at Baseline and Week 4. A negative change from Baseline indicated improvement (less retinal thickness). A positive change from Baseline indicated worsening (definite retinal thickening).
Area of Leakage as Measured by Fluorescein Angiography
Fluorescein angiography (FA) is a technique for examining the circulation of the retina (and detecting any leakage) using a dye-tracing method. Photographs are taken with a specialized low-power microscope with an attached camera designed to photograph the interior of the eye, including the retina and optic disc. FA was performed on the dilated study eye 10 minutes after fluorescein application at Baseline and Week 4. A lower number indicated a smaller area of leakage.
Area of Lesion as Measured by Fluorescein Angiography
Fluorescein angiography (FA) is a technique for examining the circulation of the retina (and detecting any leakage) using a dye-tracing method. Photographs are taken with a specialized low-power microscope with an attached camera designed to photograph the interior of the eye, including the retina and optic disc. FA was performed on the dilated study eye after fluorescein application at Baseline and Week 4. A lower number indicated a smaller lesion area.
Maximum Serum Concentration (Cmax) of MP0112 at Day 3
Blood samples were collected for MP0112 levels on Day 3. The serum samples (liquid portion of the blood after cells and clotting factors were removed) were sent to a laboratory and were analyzed for MP0112 levels using an enzyme-linked immunosorbent assay. Maximum concentration at Day 3 was calculated.
Number of Participants With Positive Binding Anti-MP0112 Antibodies
Blood samples were collected Pre-treatment (Baseline) and Weeks 4, 8 and 12. Samples were analyzed for Anti-MP0112 antibodies using an enzyme-linked immunosorbent assay.

Full Information

First Posted
March 9, 2010
Last Updated
April 14, 2014
Sponsor
Allergan
Collaborators
Molecular Partners AG
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1. Study Identification

Unique Protocol Identification Number
NCT01086761
Brief Title
Study of MP0112 Intravitreal Injection in Patients With Wet Age Related Macular Degeneration
Official Title
A Phase I/II, Open-label, Non-controlled, Escalating Dose, Multicentre Clinical Trial Evaluating the Safety, Preliminary Efficacy, and Pharmacokinetics of MP0112 Injected Intravitreally in Patients With Wet Age Related Macular Degeneration (AMD)
Study Type
Interventional

2. Study Status

Record Verification Date
April 2014
Overall Recruitment Status
Terminated
Why Stopped
The study was terminated due to a company decision following completion of Part A.
Study Start Date
March 2010 (undefined)
Primary Completion Date
November 2010 (Actual)
Study Completion Date
November 2010 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Allergan
Collaborators
Molecular Partners AG

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to assess the safety and tolerability of MP0112 (a novel, potentially long acting VEGF inhibitor) in patients with wet Age Related Macular Degeneration.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Wet Age-Related Macular Degeneration

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
32 (Actual)

8. Arms, Groups, and Interventions

Arm Title
MP0112 (0.04 mg)
Arm Type
Experimental
Arm Description
Single 0.04 mg intravitreal injection of MP0112 in the study eye.
Arm Title
MP0112 (0.15 mg)
Arm Type
Experimental
Arm Description
Single 0.15 mg intravitreal injection of MP0112 in the study eye.
Arm Title
MP0112 (0.4 mg)
Arm Type
Experimental
Arm Description
Single 0.4 mg intravitreal injection of MP0112 in the study eye.
Arm Title
MP0112 (1.0 mg)
Arm Type
Experimental
Arm Description
Single 1.0 mg intravitreal injection of MP0112 in the study eye.
Arm Title
MP0112 (2.0 mg)
Arm Type
Experimental
Arm Description
Single 2.0 mg intravitreal injection of MP0112 in the study eye.
Arm Title
MP0112 (3.6 mg)
Arm Type
Experimental
Arm Description
Single 3.6 mg intravitreal injection of MP0112 in the study eye.
Intervention Type
Biological
Intervention Name(s)
MP0112
Intervention Description
Single intravitreal injection of MP0112 in the study eye.
Primary Outcome Measure Information:
Title
Maximal Tolerated Dose (MTD) Following a Single Injection
Description
MTD was defined as one dose level below the lower of the dose level in which a severe (sight-threatening) drug-related Adverse Event occurred or the dose level at which more than 2 patients experienced a moderate ocular (eye) drug-related toxicity.
Time Frame
16 weeks
Secondary Outcome Measure Information:
Title
Percentage of Participants With Stable or Improved Best Corrected Visual Acuity (BCVA)
Description
BCVA was measured using an eye chart and was reported as the number of letters read correctly (ranging from 0 to 100 letters) in the study eye at Baseline and Week 4. The lower the number of letters read correctly on the eye chart, the worse the vision (or visual acuity). The higher the letters read correctly on the eye chart the better the vision. Stable or Improved BCVA was defined as a loss of <15 letters read correctly compared to Baseline.
Time Frame
Baseline, Week 4
Title
Change From Baseline in Central Area Retinal Thickness
Description
Optical Coherence Tomography (OCT), a laser based non-invasive diagnostic system providing high-resolution imaging sections of the retina, was performed in the study eye after pupil dilation at Baseline and Week 4. A negative change from Baseline indicated improvement (less retinal thickness). A positive change from Baseline indicated worsening (definite retinal thickening).
Time Frame
Baseline, Week 4
Title
Area of Leakage as Measured by Fluorescein Angiography
Description
Fluorescein angiography (FA) is a technique for examining the circulation of the retina (and detecting any leakage) using a dye-tracing method. Photographs are taken with a specialized low-power microscope with an attached camera designed to photograph the interior of the eye, including the retina and optic disc. FA was performed on the dilated study eye 10 minutes after fluorescein application at Baseline and Week 4. A lower number indicated a smaller area of leakage.
Time Frame
Baseline, Week 4
Title
Area of Lesion as Measured by Fluorescein Angiography
Description
Fluorescein angiography (FA) is a technique for examining the circulation of the retina (and detecting any leakage) using a dye-tracing method. Photographs are taken with a specialized low-power microscope with an attached camera designed to photograph the interior of the eye, including the retina and optic disc. FA was performed on the dilated study eye after fluorescein application at Baseline and Week 4. A lower number indicated a smaller lesion area.
Time Frame
Baseline, Week 4
Title
Maximum Serum Concentration (Cmax) of MP0112 at Day 3
Description
Blood samples were collected for MP0112 levels on Day 3. The serum samples (liquid portion of the blood after cells and clotting factors were removed) were sent to a laboratory and were analyzed for MP0112 levels using an enzyme-linked immunosorbent assay. Maximum concentration at Day 3 was calculated.
Time Frame
Day 3
Title
Number of Participants With Positive Binding Anti-MP0112 Antibodies
Description
Blood samples were collected Pre-treatment (Baseline) and Weeks 4, 8 and 12. Samples were analyzed for Anti-MP0112 antibodies using an enzyme-linked immunosorbent assay.
Time Frame
12 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Clinical signs and angiographic evidence of active primary progressive subfoveal choroidal neovascularisation (CNV), including juxtafoveal lesions that affect the fovea on FA in the study eye that is at least 50% of the total lesion area ETDRS best-corrected visual acuity of: 20/40 to 20/320 in the study eye at 4 meters Male or female age > 50 years Written informed consent prior to any study procedures Willing, committed, and able to return for ALL clinic visits and complete all study-related procedures. Exclusion Criteria: Prior treatment with anti-VEGF therapy in the study eye, including bevacizumab, ranibizumab, or pegaptanib, as well as photodynamic therapy with verteporfin Any prior or concomitant therapy with another investigational agent to treat neovascular AMD in the study eye, except dietary supplements or vitamins Subfoveal thermal laser therapy, external-beam radiation therapy, or transpupillary thermotherapy in the study eye Extrafoveal laser coagulation treatment within 12 weeks prior to Baseline in the study eye Total lesion size > 20mm2 (including blood, scars and neovascularization) as assessed by FA in the study eye Subretinal hemorrhage that is either 50% or more of the total lesion area, or if the blood is under the fovea and is 2.54mm2 or more in size in the study eye Scar or fibrosis, making up > 50% of total lesion in the study eye Scar, fibrosis, or atrophy involving the center of the fovea Presence of retinal pigment epithelial tears or rips History of any vitreous hemorrhage within 4 weeks prior to Visit 1 or current hemorrhage in the study eye Presence of other causes of CNV, including pathologic myopia (spherical equivalent of -8 diopters or more negative, or axial length of 25 mm or more), ocular histoplasmosis syndrome, angioid streaks, choroidal rupture, or multifocal choroiditis in the study eye History or clinical evidence of diabetic retinopathy, diabetic macular oedema or any other vascular disease affecting the retina, other than AMD, in either eye Prior vitrectomy in the study eye History of retinal detachment or treatment or surgery for retinal detachment in the study eye Ocular surgery (including cataract removal) in the study eye within 3 months of enrolment Active intraocular inflammation (grade trace or above) in the study eye History of allergy to any components of the study drug or diagnostic devices, such as fluorescein Advanced glaucoma or intraocular pressure above 22 mmHg in the study eye despite treatment Inability to obtain fundus photographs or fluorescein angiogram of sufficient quality to be analyzed and graded by the central reading center History of idiopathic or autoimmune-associated uveitis in either eye Infectious conjunctivitis, keratitis, scleritis, or endophthalmitis in either eye Aphakia or absence of the posterior capsule in the study eye Presence of a non-healing wound, ulcer, fracture or any other medical condition associated with bleeding Use of antimitotic or antimetabolite therapy within 30 days or 5 elimination half-lives of enrolment Premenopausal women Any disorder or condition that contraindicates the use of an investigational drug Participation in another investigational drug study within 3 months of enrolment Uncontrolled hypertension Previous stroke within 12 months of study entry Systemic treatment with any anti-VEGF drug Current treatment for active systemic infection
Facility Information:
Facility Name
Fakultni Nemocnice Brno
City
Brno
State/Province
Czech
ZIP/Postal Code
62500
Country
Czech Republic
Facility Name
Fakultni Nemocnice Olomouc
City
Olomouc
State/Province
Czech
ZIP/Postal Code
77520
Country
Czech Republic
Facility Name
Ustrendi Vojenska Nemocnice
City
Praha
State/Province
Czech
ZIP/Postal Code
16902
Country
Czech Republic
Facility Name
Hopital Intercommunual de Creteil
City
Creteil
ZIP/Postal Code
94010
Country
France
Facility Name
Centre Rabelais
City
Lyon
ZIP/Postal Code
69003
Country
France
Facility Name
Centre Paradis-Monticelli
City
Marseille
ZIP/Postal Code
13008
Country
France
Facility Name
Hopitaux Universitaires
City
Strasbourg
ZIP/Postal Code
67091
Country
France
Facility Name
Inselspital
City
Bern
ZIP/Postal Code
CH-3010
Country
Switzerland

12. IPD Sharing Statement

Citations:
PubMed Identifier
24907435
Citation
Souied EH, Devin F, Mauget-Faysse M, Kolar P, Wolf-Schnurrbusch U, Framme C, Gaucher D, Querques G, Stumpp MT, Wolf S; MP0112 Study Group. Treatment of exudative age-related macular degeneration with a designed ankyrin repeat protein that binds vascular endothelial growth factor: a phase I/II study. Am J Ophthalmol. 2014 Oct;158(4):724-732.e2. doi: 10.1016/j.ajo.2014.05.037. Epub 2014 Jun 5.
Results Reference
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Study of MP0112 Intravitreal Injection in Patients With Wet Age Related Macular Degeneration

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