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Phase I Study Assessing the Ocular and Systemic Safety and Tolerability of OC-10X

Primary Purpose

Proliferative Diabetic Retinopathy (PDR)

Status
Completed
Phase
Phase 1
Locations
Bangladesh
Study Type
Interventional
Intervention
OC-10X
Sponsored by
OcuCure Therapeutics, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Proliferative Diabetic Retinopathy (PDR) focused on measuring Proliferative, Diabetic, Retinopathy

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria

  1. Ability to provide approved written informed consent and comply with study-related procedures/assessments for the duration of the study, age > 18 years
  2. Corrected visual acuity >20/25 in both eyes
  3. IOP <21 mm Hg, with a difference between eyes of < 4 mm Hg
  4. Ability to tolerate and self-administer vehicle eye drops.
  5. Tolerance of a commercially available non-preserved, artificial tear solution
  6. Normal slit lamp exam and dilated fundoscopic exam within one week previous to dosing
  7. Normal clinical laboratory profiles for complete blood count, serum chemistry and electrolytes, and urinalysis with no clinically significant values
  8. Be neither overweight nor underweight for his/her height as per BMI scale (18.5-24.9)
  9. Female of childbearing potential:

    • Is practicing an acceptable method of birth control for the duration of the study, such as condoms, foams, jellies, diaphragm, IUD, or abstinence; or
    • Is postmenopausal for at least 1 year; or
    • Is surgically sterile (bilateral tubal ligation, bilateral oophorectomy, or hysterectomy)

Exclusion Criteria

  1. Evidence of organ dysfunction or any clinically significant deviation from the normal, in physical or clinical determinations
  2. History of serious gastrointestinal, hepatic, renal, cardiovascular, pulmonary, neurological, hematological disease, diabetes, glaucoma, head-injury or coma
  3. History of significant recurrent bacterial, viral or fungal infections
  4. History of any psychiatric illness, which may impair the ability to provide written informed consent
  5. Presence of disease markers of HIV 1 or 2, Hepatitis B or C viruses or syphilis infection
  6. Presence of values which are significantly different from normal reference ranges and/or judged clinically significant for haemoglobin, total white blood cells count, differential white blood cell count or platelet count
  7. Positive urinary screen testing of drugs of abuse (opiates, cannabinoids, amphetamines, barbiturates, benzodiazepines, cocaine)
  8. Presence of values, which are significantly different from normal reference ranges and/or judged clinically significant for serum creatinine, blood urea nitrogen, serum aspartate aminotransferase, serum alanine aminotransferase, serum alkaline phosphatase, serum bilirubin, plasma glucose, serum cholesterol, serum electrolytes (sodium, potassium, chloride, calcium and phosphorus),serum proteins (albumin and globulin) and serum creatinine phosphokinase
  9. Clinically abnormal chemical and microscopic examination of urine defined as presence of red blood cells, white blood cells (>4/High Power Field [HPF]), glucose (positive) or protein (positive)
  10. Clinically abnormal electrocardiogram
  11. Regular smokers, who smoke more than 10 cigarettes daily, or have difficulty abstaining from smoking
  12. History of drug dependence or excessive alcohol intake on a habitual basis of more than 2 units of alcoholic beverages per day (1 unit equivalent to half pint of beer or 1 glass of wine or 1 measure of spirit) or have difficulty in abstaining from drinking
  13. Subjects who, through completion of this study, would have donated and/or lost more than 400 mL of blood in past 2 months
  14. History of ocular surgery, trauma, or chronic ocular disease
  15. Current use of contact lenses or discontinuation of contact lens use within 2 weeks of the first dosing day
  16. Any ocular abnormalities or ocular symptoms
  17. Use of ocular agents (including eye drops) within the past 2 months or anticipated use of ocular agents during the study period
  18. Systemic corticosteroid use within the past 6 months
  19. History or evidence of ocular infection, inflammation, blepharitis, or conjunctivitis with 2 months; history of herpes simplex keratitis
  20. Presence of a non-healing wound, ulcer, fracture, or any medical condition associated with bleeding.
  21. Use of antimitotic or antimetabolite therapy within 2 months of enrollment.
  22. Women who are pregnant or breastfeeding, or nonsterile or premenopausal women who refuse to use any form of contraception during and for at least 2 weeks following the final dose of study drug.
  23. Enrollment in another investigational drug or device study within 2 months of study entry.
  24. Known intolerance or hypersensitivity to any components/excipients in the study drug formulation.
  25. Planned use during the study of any ocular or systemic medication, with the exception of oral contraceptives and short-term use of over-the-counter analgesics.

Sites / Locations

  • Bangladesh Eye Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

1% OC-10X

2% OC-10X

Arm Description

Subjects selected to Cohort I will receive active 1% OC-10X in OD (Oculus Dexter - right eye) and placebo (vehicle) in OS (Oculus Sinister - left eye) in the Period 1 dosing. On Study Day 1 the subjects will have a drop instilled in each eye by personnel at study hours 0, 3, 6 and 9, and be evaluated frequently throughout the day. Subjects will be examined on Study Day 2 (24 hours after first dose). On Study Day 3 (48 hours after the first dose), these subjects will commence Period 2 dosing, with the active (OD) or placebo (OS). Dosing will continue q.i.d. for an additional 13 days.

Subjects selected to Cohort II will receive active 2% OC-10X in OD (Oculus Dexter - right eye) and placebo (vehicle) in OS (Oculus Sinister - left eye) in the Period 1 dosing. On Study Day 1 the subjects will have a drop instilled in each eye by personnel at study hours 0, 3, 6 and 9, and be evaluated frequently throughout the day. Subjects will be examined on Study Day 2 (24 hours after first dose). On Study Day 3 (48 hours after the first dose), these subjects will commence Period 2 dosing, with the active (OD) or placebo (OS). Dosing will continue q.i.d. for an additional 13 days.

Outcomes

Primary Outcome Measures

Ocular Safety and Tolerability
Ocular safety and tolerability will be assessed by subject query, biomicroscopy of anterior segment, ophthalmoscopy, measuring intraocular pressure (IOP) and checking visual acuity by modified Early Treatment Diabetic Retinopathy Study (ETDRS).

Secondary Outcome Measures

Systemic Safety and Tolerability
Systemic safety and tolerability will be examined by checking vital signs including heart rate, blood pressure, body temperature and respiratory rate, by electrocardiography (ECG) and performing a physical exam. Normal systemic function will be examined by routine blood draw for clinical chemistry, complete blood chemistry (CBC) and measure of plasma concentration of OC-10X.

Full Information

First Posted
May 28, 2013
Last Updated
January 20, 2016
Sponsor
OcuCure Therapeutics, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT01869933
Brief Title
Phase I Study Assessing the Ocular and Systemic Safety and Tolerability of OC-10X
Official Title
An Open Label Phase I Placebo Controlled, Dose Escalation Study Assessing the Ocular and Systemic Safety and Tolerability of OC-10X
Study Type
Interventional

2. Study Status

Record Verification Date
January 2016
Overall Recruitment Status
Completed
Study Start Date
April 2013 (undefined)
Primary Completion Date
June 2013 (Actual)
Study Completion Date
June 2013 (Actual)

3. Sponsor/Collaborators

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

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The present study is intended to evaluate the safety and tolerability of topical OC-10X Ophthalmic Suspension in healthy human subjects. OcuCure Therapeutics, Inc. (Roanoke, VA) has developed a lead compound, known as OC-10X, which is a selective tubulin inhibitor under development for the treatment of Proliferative Diabetic Retinopathy (PDR) and Age-related Macular Degeneration (AMD). When administered as a topical eye drop, OC-10X has demonstrated both anti-angiogenic (inhibition) and angiolytic (regression) properties in animal models of AMD. Unlike other therapies, OC-10X provides the efficacy of a vascular targeting agent without the traditional toxicity and works downstream independently of growth factors. As demonstrated by OcuCure's preclinical data, tubulin inhibition using OC-10X has promise as a new therapeutic approach. PDR is a major cause of blindness in adults and is also caused by the growth of abnormal blood vessels. These new blood vessels are fragile and may hemorrhage into the vitreous. PDR affects up to 80% of all diabetics who have had diabetes for 15 years or more. If administration of OC-10X is well tolerated as a topical eye drop and is well tolerated systemically, then OC-10X will have the potential to provide benefits to patients with ocular diseases associated with angiogenesis.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Proliferative Diabetic Retinopathy (PDR)
Keywords
Proliferative, Diabetic, Retinopathy

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
1% OC-10X
Arm Type
Experimental
Arm Description
Subjects selected to Cohort I will receive active 1% OC-10X in OD (Oculus Dexter - right eye) and placebo (vehicle) in OS (Oculus Sinister - left eye) in the Period 1 dosing. On Study Day 1 the subjects will have a drop instilled in each eye by personnel at study hours 0, 3, 6 and 9, and be evaluated frequently throughout the day. Subjects will be examined on Study Day 2 (24 hours after first dose). On Study Day 3 (48 hours after the first dose), these subjects will commence Period 2 dosing, with the active (OD) or placebo (OS). Dosing will continue q.i.d. for an additional 13 days.
Arm Title
2% OC-10X
Arm Type
Experimental
Arm Description
Subjects selected to Cohort II will receive active 2% OC-10X in OD (Oculus Dexter - right eye) and placebo (vehicle) in OS (Oculus Sinister - left eye) in the Period 1 dosing. On Study Day 1 the subjects will have a drop instilled in each eye by personnel at study hours 0, 3, 6 and 9, and be evaluated frequently throughout the day. Subjects will be examined on Study Day 2 (24 hours after first dose). On Study Day 3 (48 hours after the first dose), these subjects will commence Period 2 dosing, with the active (OD) or placebo (OS). Dosing will continue q.i.d. for an additional 13 days.
Intervention Type
Drug
Intervention Name(s)
OC-10X
Primary Outcome Measure Information:
Title
Ocular Safety and Tolerability
Description
Ocular safety and tolerability will be assessed by subject query, biomicroscopy of anterior segment, ophthalmoscopy, measuring intraocular pressure (IOP) and checking visual acuity by modified Early Treatment Diabetic Retinopathy Study (ETDRS).
Time Frame
17 Days
Secondary Outcome Measure Information:
Title
Systemic Safety and Tolerability
Description
Systemic safety and tolerability will be examined by checking vital signs including heart rate, blood pressure, body temperature and respiratory rate, by electrocardiography (ECG) and performing a physical exam. Normal systemic function will be examined by routine blood draw for clinical chemistry, complete blood chemistry (CBC) and measure of plasma concentration of OC-10X.
Time Frame
17 Days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria Ability to provide approved written informed consent and comply with study-related procedures/assessments for the duration of the study, age > 18 years Corrected visual acuity >20/25 in both eyes IOP <21 mm Hg, with a difference between eyes of < 4 mm Hg Ability to tolerate and self-administer vehicle eye drops. Tolerance of a commercially available non-preserved, artificial tear solution Normal slit lamp exam and dilated fundoscopic exam within one week previous to dosing Normal clinical laboratory profiles for complete blood count, serum chemistry and electrolytes, and urinalysis with no clinically significant values Be neither overweight nor underweight for his/her height as per BMI scale (18.5-24.9) Female of childbearing potential: Is practicing an acceptable method of birth control for the duration of the study, such as condoms, foams, jellies, diaphragm, IUD, or abstinence; or Is postmenopausal for at least 1 year; or Is surgically sterile (bilateral tubal ligation, bilateral oophorectomy, or hysterectomy) Exclusion Criteria Evidence of organ dysfunction or any clinically significant deviation from the normal, in physical or clinical determinations History of serious gastrointestinal, hepatic, renal, cardiovascular, pulmonary, neurological, hematological disease, diabetes, glaucoma, head-injury or coma History of significant recurrent bacterial, viral or fungal infections History of any psychiatric illness, which may impair the ability to provide written informed consent Presence of disease markers of HIV 1 or 2, Hepatitis B or C viruses or syphilis infection Presence of values which are significantly different from normal reference ranges and/or judged clinically significant for haemoglobin, total white blood cells count, differential white blood cell count or platelet count Positive urinary screen testing of drugs of abuse (opiates, cannabinoids, amphetamines, barbiturates, benzodiazepines, cocaine) Presence of values, which are significantly different from normal reference ranges and/or judged clinically significant for serum creatinine, blood urea nitrogen, serum aspartate aminotransferase, serum alanine aminotransferase, serum alkaline phosphatase, serum bilirubin, plasma glucose, serum cholesterol, serum electrolytes (sodium, potassium, chloride, calcium and phosphorus),serum proteins (albumin and globulin) and serum creatinine phosphokinase Clinically abnormal chemical and microscopic examination of urine defined as presence of red blood cells, white blood cells (>4/High Power Field [HPF]), glucose (positive) or protein (positive) Clinically abnormal electrocardiogram Regular smokers, who smoke more than 10 cigarettes daily, or have difficulty abstaining from smoking History of drug dependence or excessive alcohol intake on a habitual basis of more than 2 units of alcoholic beverages per day (1 unit equivalent to half pint of beer or 1 glass of wine or 1 measure of spirit) or have difficulty in abstaining from drinking Subjects who, through completion of this study, would have donated and/or lost more than 400 mL of blood in past 2 months History of ocular surgery, trauma, or chronic ocular disease Current use of contact lenses or discontinuation of contact lens use within 2 weeks of the first dosing day Any ocular abnormalities or ocular symptoms Use of ocular agents (including eye drops) within the past 2 months or anticipated use of ocular agents during the study period Systemic corticosteroid use within the past 6 months History or evidence of ocular infection, inflammation, blepharitis, or conjunctivitis with 2 months; history of herpes simplex keratitis Presence of a non-healing wound, ulcer, fracture, or any medical condition associated with bleeding. Use of antimitotic or antimetabolite therapy within 2 months of enrollment. Women who are pregnant or breastfeeding, or nonsterile or premenopausal women who refuse to use any form of contraception during and for at least 2 weeks following the final dose of study drug. Enrollment in another investigational drug or device study within 2 months of study entry. Known intolerance or hypersensitivity to any components/excipients in the study drug formulation. Planned use during the study of any ocular or systemic medication, with the exception of oral contraceptives and short-term use of over-the-counter analgesics.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Dr Niaz Abdur-Rahman, MBBS,DO,MPH
Organizational Affiliation
Bangladesh Eye Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Bangladesh Eye Hospital
City
Dhaka
ZIP/Postal Code
1205
Country
Bangladesh

12. IPD Sharing Statement

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Phase I Study Assessing the Ocular and Systemic Safety and Tolerability of OC-10X

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