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Study of the Safety and Efficacy of ATS907 in Subjects With Primary Open Angle Glaucoma (POAG) and Ocular Hypertension

Primary Purpose

Primary Open Angle Glaucoma, Ocular Hypertension

Status
Unknown status
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Stage 1 - ATS907 - Dose 1
Stage 1 - ATS907 - Dose 2
Stage 1 - ATS907 - Dose 3
Stage 1 - ATS907 - Dose 4
Stage 1 - Vehicle
Stage 2 - ATS907 - Dose A - to be selected based on Stage 1
Stage 2 - ATS907 - Dose B - to be selected based on Stage 1
Timoptic
Sponsored by
Altheos, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Primary Open Angle Glaucoma

Eligibility Criteria

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

Inclusion Criteria:

  • 18 years of age or greater
  • Diagnosis of open angle glaucoma (OAG) or ocular hypertension (OHT) in both eyes
  • Unmedicated (post-washout) IOP ≥ 23 mm Hg at 2 eligibility visits: 07:00-09:00 hr on Days O and 1 and IOP > 18 mm Hg at 15:00-17:00 on Day 0 (Stage 1)
  • Unmedicated (post-washout) IOP criteria after wash out < 32 mm Hg OU at all times points (Stage 1)
  • Unmedicated (post-washout) IOP ≥ 24 mm Hg at 2 eligibility visits: 07:00-09:00 hr on Days O and 1 and IOP > 21 mm Hg at 9:00-17:00 on Day 0 (Stage 2)
  • Unmedicated (post-washout) IOP criteria after wash out < 36 mm Hg OU at all times points (Stage 2)
  • Corrected visual acuity in each eye +1.0 logMAR or better by ETDRS in each eye (equivalent to 20/200)
  • Must be willing to discontinue the use of all ocular hypotensive medications in both eyes prior to and during the entire course of the study

Exclusion Criteria:

  • Ophthalmic (in either eye)

    1. Glaucoma: pseudoexfoliation, steroid induced, pigment dispersion glaucoma, and or history of angle closure. Previous glaucoma intraocular surgery or glaucoma laser procedures in study eye(s). Prior laser glaucoma surgery is permitted in the non study eye
    2. Refractive surgery in study eye (e.g., radial keratotomy, PRK, LASIK, etc.)
    3. Cataract surgery and or other intraocular surgery within three months prior to Screening in either eye.
    4. History within 3 months prior to Screening of clinically significant moderate or severe chronic or active ocular infection, inflammation, blepharitis, dermatitis, uveitis or conjunctivitis.
    5. Clinically significant corneal dystrophy, epithelial and or endothelial disease, corneal irregularities and or scarring such that reliable applanation tonometry would prevented.
    6. Contact lens wear during the duration of the study.
    7. Clinically significant ocular disease (e.g. diabetic retinopathy, macular degeneration, or uveitis) which might interfere or progress during the study.
    8. Central corneal thickness < 480 or > 600 μm in the study eye
  • Systemic

    1. Clinically significant abnormalities in laboratory tests at screening.
    2. Clinically significant systemic disease (e.g., uncontrolled diabetes, uncontrolled hyper or hypotension, hepatic, renal, endocrine or cardiovascular disorders). Participation in any investigational study within the past 30 days.
    3. Changes of systemic medication that could have a substantial effect on IOP and or systemic blood pressure within 7 days prior to Baseline (Day 0).
    4. Women of childbearing potential who are pregnant, nursing, planning a pregnancy, or not using a medically acceptable form of birth control. An adult woman is considered to be of childbearing potential unless she is one year post-menopausal or three months post-surgical sterilization. All females of childbearing potential must have a negative urine pregnancy test result at the Screening visit and a negative urine and serum pregnancy at Baseline (Day 0) and must not intend to become pregnant during the study

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm 8

Arm Type

Experimental

Experimental

Experimental

Experimental

Placebo Comparator

Experimental

Experimental

Active Comparator

Arm Label

Stage 1 - Arm 1 - Dose 1

Stage 1 - Arm 2 - Dose 2

Stage 1 - Arm 3 - Dose 3

Stage 1 - Arm 4 - Dose 4

Stage 1 - Arm 5 - Vehicle

Stage 2 - Arm 1 - Dose A - to be selected based on Stage 1

Stage 2 - Arm 2 - Dose B - to be selected based on Stage 1

Stage 2 - Arm 3 -Timoptic 0.5% BID

Arm Description

Outcomes

Primary Outcome Measures

Mean Change in Intraocular Pressure from Baseline

Secondary Outcome Measures

Observed Intraocular Pressure and % change from Baseline IOP
Mean observed, mean change from Baseline and mean % change from Baseline for the mean diurnal IOP

Full Information

First Posted
January 25, 2012
Last Updated
October 30, 2012
Sponsor
Altheos, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT01520116
Brief Title
Study of the Safety and Efficacy of ATS907 in Subjects With Primary Open Angle Glaucoma (POAG) and Ocular Hypertension
Official Title
A Phase 1/2a Randomized, Investigator-masked, Placebo- and Active-controlled, Dose-ranging Study of the Safety and Efficacy of ATS907 in Subjects With Primary Open Angle Glaucoma (POAG) and Ocular Hypertension
Study Type
Interventional

2. Study Status

Record Verification Date
October 2012
Overall Recruitment Status
Unknown status
Study Start Date
January 2012 (undefined)
Primary Completion Date
December 2012 (Anticipated)
Study Completion Date
undefined (undefined)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Altheos, Inc.

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This randomized dose-ranging study will evaluate the safety, tolerability, and preliminary efficacy (reduction in intraocular pressure) of multiple dose levels of ATS907, vehicle, or latanoprost in subjects with primary open angle glaucoma or ocular hypertension. In the first portion, approximately 75 subjects will be randomized to receive either ATS907 or vehicle eye drops for up to 28 days, administered both once and twice daily. In the second portion, up to 180 subjects will be randomized to receive either ATS907 or latanoprost for up to 28 days. Plasma pharmacokinetics will also be evaluated during the first portion of the study.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Primary Open Angle Glaucoma, Ocular Hypertension

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Masking
Investigator
Allocation
Randomized
Enrollment
180 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Stage 1 - Arm 1 - Dose 1
Arm Type
Experimental
Arm Title
Stage 1 - Arm 2 - Dose 2
Arm Type
Experimental
Arm Title
Stage 1 - Arm 3 - Dose 3
Arm Type
Experimental
Arm Title
Stage 1 - Arm 4 - Dose 4
Arm Type
Experimental
Arm Title
Stage 1 - Arm 5 - Vehicle
Arm Type
Placebo Comparator
Arm Title
Stage 2 - Arm 1 - Dose A - to be selected based on Stage 1
Arm Type
Experimental
Arm Title
Stage 2 - Arm 2 - Dose B - to be selected based on Stage 1
Arm Type
Experimental
Arm Title
Stage 2 - Arm 3 -Timoptic 0.5% BID
Arm Type
Active Comparator
Intervention Type
Drug
Intervention Name(s)
Stage 1 - ATS907 - Dose 1
Intervention Description
QD and/or BID dosing for 28 days
Intervention Type
Drug
Intervention Name(s)
Stage 1 - ATS907 - Dose 2
Intervention Description
QD and/or BID dosing for 28 days
Intervention Type
Drug
Intervention Name(s)
Stage 1 - ATS907 - Dose 3
Intervention Description
QD and/or BID dosing for 28 days
Intervention Type
Drug
Intervention Name(s)
Stage 1 - ATS907 - Dose 4
Intervention Description
QD and/or BID dosing for 28 days
Intervention Type
Drug
Intervention Name(s)
Stage 1 - Vehicle
Intervention Description
QD and/or BID dosing for 28 days
Intervention Type
Drug
Intervention Name(s)
Stage 2 - ATS907 - Dose A - to be selected based on Stage 1
Intervention Description
QD and/or BID dosing for 4 days
Intervention Type
Drug
Intervention Name(s)
Stage 2 - ATS907 - Dose B - to be selected based on Stage 1
Intervention Description
QD and/or BID dosing for 4 days
Intervention Type
Drug
Intervention Name(s)
Timoptic
Intervention Description
0.5%
Primary Outcome Measure Information:
Title
Mean Change in Intraocular Pressure from Baseline
Time Frame
Stage 1: Days 14, 21 and 28; Stage 2: Day 4
Secondary Outcome Measure Information:
Title
Observed Intraocular Pressure and % change from Baseline IOP
Time Frame
Stage 1: Days 0, 1, 4, 14, 21, 28; Stage 2: Days 0, 4
Title
Mean observed, mean change from Baseline and mean % change from Baseline for the mean diurnal IOP
Time Frame
Stage 1: Days 0, 1, 4, 14, 21, 28; Stage 2: Days 0, 4

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: 18 years of age or greater Diagnosis of open angle glaucoma (OAG) or ocular hypertension (OHT) in both eyes Unmedicated (post-washout) IOP ≥ 23 mm Hg at 2 eligibility visits: 07:00-09:00 hr on Days O and 1 and IOP > 18 mm Hg at 15:00-17:00 on Day 0 (Stage 1) Unmedicated (post-washout) IOP criteria after wash out < 32 mm Hg OU at all times points (Stage 1) Unmedicated (post-washout) IOP ≥ 24 mm Hg at 2 eligibility visits: 07:00-09:00 hr on Days O and 1 and IOP > 21 mm Hg at 9:00-17:00 on Day 0 (Stage 2) Unmedicated (post-washout) IOP criteria after wash out < 36 mm Hg OU at all times points (Stage 2) Corrected visual acuity in each eye +1.0 logMAR or better by ETDRS in each eye (equivalent to 20/200) Must be willing to discontinue the use of all ocular hypotensive medications in both eyes prior to and during the entire course of the study Exclusion Criteria: Ophthalmic (in either eye) Glaucoma: pseudoexfoliation, steroid induced, pigment dispersion glaucoma, and or history of angle closure. Previous glaucoma intraocular surgery or glaucoma laser procedures in study eye(s). Prior laser glaucoma surgery is permitted in the non study eye Refractive surgery in study eye (e.g., radial keratotomy, PRK, LASIK, etc.) Cataract surgery and or other intraocular surgery within three months prior to Screening in either eye. History within 3 months prior to Screening of clinically significant moderate or severe chronic or active ocular infection, inflammation, blepharitis, dermatitis, uveitis or conjunctivitis. Clinically significant corneal dystrophy, epithelial and or endothelial disease, corneal irregularities and or scarring such that reliable applanation tonometry would prevented. Contact lens wear during the duration of the study. Clinically significant ocular disease (e.g. diabetic retinopathy, macular degeneration, or uveitis) which might interfere or progress during the study. Central corneal thickness < 480 or > 600 μm in the study eye Systemic Clinically significant abnormalities in laboratory tests at screening. Clinically significant systemic disease (e.g., uncontrolled diabetes, uncontrolled hyper or hypotension, hepatic, renal, endocrine or cardiovascular disorders). Participation in any investigational study within the past 30 days. Changes of systemic medication that could have a substantial effect on IOP and or systemic blood pressure within 7 days prior to Baseline (Day 0). Women of childbearing potential who are pregnant, nursing, planning a pregnancy, or not using a medically acceptable form of birth control. An adult woman is considered to be of childbearing potential unless she is one year post-menopausal or three months post-surgical sterilization. All females of childbearing potential must have a negative urine pregnancy test result at the Screening visit and a negative urine and serum pregnancy at Baseline (Day 0) and must not intend to become pregnant during the study
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Barbara Wirostko, MD
Organizational Affiliation
Altheos, Inc.
Official's Role
Study Chair
Facility Information:
City
Artesia
State/Province
California
Country
United States
City
Glendale
State/Province
California
Country
United States
City
St. Joseph
State/Province
Michigan
Country
United States
City
Cleveland
State/Province
Ohio
Country
United States
City
San Antonio
State/Province
Texas
Country
United States

12. IPD Sharing Statement

Learn more about this trial

Study of the Safety and Efficacy of ATS907 in Subjects With Primary Open Angle Glaucoma (POAG) and Ocular Hypertension

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