Phase 1 Study of CM082 in Patients With wAMD
Primary Purpose
Age-Related Macular Degeneration
Status
Suspended
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
CM082 tablet
Sponsored by
About this trial
This is an interventional treatment trial for Age-Related Macular Degeneration
Eligibility Criteria
Inclusion Criteria:
- Active choroidal neovascularization (CNV) associated with AMD, as evidenced on fluorescein angiography (FA) and OCT.
- Patients with either no previous anti-VEGF therapy or prior anti-VEGF therapy with evidence of response to treatment and the need for additional treatment.
- Early Treatment Diabetic Retinopathy Study (ETDRS) BCVA 20/40 to 20/320 in the study eye(s).
- Adequate bone marrow, hepatic, and renal functions.
- Willing and able to provide written informed consent, comply with the investigational study protocol and return for all study visits.
Exclusion Criteria:
- Patients with Polypoidal Choroidal Vasculopathy (PCV) as evidenced on Indocyanine Green Angiography (ICG).
- Previous treatment with photodynamic therapy (PDT), external beam radiation, subfoveal focal laser photocoagulation, submacular surgery, or transpupillary thermotherapy.
- CNV due to causes other than AMD, including ocular histoplasmosis syndrome, angioid streaks, multifocal choroiditis, choroidal rupture, or pathologic myopia.
- Geographic atrophy involving the foveal center in the study eye.
- Any retinal vascular disease or retinal degeneration other than AMD in the study eye.
- Any significant disease in the study eye that could compromise best-corrected visual acuity.
- Cataract surgery in the study eye within three months of screening.
- Trabeculectomy or aqueous shunt or valve in the study eye.
- Use of any investigational agent or participation in any other clinical trial of an investigational agent or investigational therapy within thirty (30) days of baseline.
- Females of child bearing potential that are pregnant or not using medically acceptable contraception; males unwilling to take adequate contraceptive measures.
- Serious allergy to or prior significant adverse reaction to fluorescein.
- Undiagnosed acute illness first observed during screening or between screening and baseline, or severe concurrent medical conditions that, in the investigators judgment, represent a safety concern.
- Severe cardiac disease, symptomatic congestive heart failure, unstable angina, acute coronary syndrome, myocardial infarction or coronary artery revascularization, or arterial thrombosis within 12 months of start of study drug, inadequately controlled hypertension, or ventricular tachyarrhythmias requiring ongoing treatment.
- QTc ≥450 msec or subjects with a history of risk factors for Torsades de Pointes.
- Stroke or transient ischemic attack within 12 months of trial entry.
- Clinically significant impaired renal or hepatic function.
- Presence of active gastrointestinal (GI) disease or other condition that will interfere significantly with the absorption, distribution, metabolism, or excretion of CM082.
- Serious active infection, other serious medical condition or any other condition that would impair the ability of the subject to administer the investigational drug or to adhere to the study protocol requirements.
- Presence of any condition which, in the judgment of the investigator, would prevent the subject from completing the study.
- Need to take any medicine that is a strong inhibitor or inducer of CYP3A4.
Sites / Locations
- Peking University People's Hospital
- Beijing Hospital
- Beijing Tongren Hospital,Capital Medical University
- The First People's Hospital of Shanghai
- West China Hospital
- The Eye Hospital of Wenzhou Medical University
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
CM082 tablet
Arm Description
Escalating dose of CM082 tablet starting at 25mg once a day
Outcomes
Primary Outcome Measures
Number of Participants with Adverse Events as a Measure of Safety and Tolerability
Incidence of the adverse event after treatment
Secondary Outcome Measures
Area under the plasma concentration versus time curve (AUC) of CM082
Single/multiple dose pharmacokinetics in Chinese wAMD patients
Change in best corrected visual acuity (BCVA) (in number of letters)
Change from baseline in mean BCVA (ETDRS)
Change in Central Retinal Thickness
Change from baseline in mean central retinal thickness (OCT)
Full Information
NCT ID
NCT02452385
First Posted
March 10, 2015
Last Updated
January 8, 2020
Sponsor
AnewPharma
Collaborators
West China Hospital
1. Study Identification
Unique Protocol Identification Number
NCT02452385
Brief Title
Phase 1 Study of CM082 in Patients With wAMD
Official Title
Phase 1 Study of CM082 in Patients With wAMD: Safety, Tolerability, Pharmacokinetics, and Preliminary Efficacy
Study Type
Interventional
2. Study Status
Record Verification Date
January 2020
Overall Recruitment Status
Suspended
Why Stopped
Sponsor requirements
Study Start Date
March 2015 (undefined)
Primary Completion Date
June 2020 (Anticipated)
Study Completion Date
June 2020 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
AnewPharma
Collaborators
West China Hospital
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
This is a Phase I Dose-Escalation Study to Evaluate the Safety, Tolerability, and Pharmacokinetics of CM082 tablets in Chinese Patients With wAMD.
Detailed Description
This is a Phase I Dose-Escalation Study to Evaluate the Safety, Tolerability, and Pharmacokinetics of CM082 tablets in Chinese Patients With wAMD. Patients will receive one of four doses for up to four weeks. Single/multiple dose pharmacokinetics in these patients will be studied. At the end of four weeks, investigator will evaluate safety and tolerability and decide whether to continue treatment for a total of six months to further evaluate safety and preliminary efficacy.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
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
N/A
Enrollment
56 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
CM082 tablet
Arm Type
Experimental
Arm Description
Escalating dose of CM082 tablet starting at 25mg once a day
Intervention Type
Drug
Intervention Name(s)
CM082 tablet
Other Intervention Name(s)
X-82
Intervention Description
CM082 tablets taken orally
Primary Outcome Measure Information:
Title
Number of Participants with Adverse Events as a Measure of Safety and Tolerability
Description
Incidence of the adverse event after treatment
Time Frame
six months
Secondary Outcome Measure Information:
Title
Area under the plasma concentration versus time curve (AUC) of CM082
Description
Single/multiple dose pharmacokinetics in Chinese wAMD patients
Time Frame
four weeks
Title
Change in best corrected visual acuity (BCVA) (in number of letters)
Description
Change from baseline in mean BCVA (ETDRS)
Time Frame
six months
Title
Change in Central Retinal Thickness
Description
Change from baseline in mean central retinal thickness (OCT)
Time Frame
six months
10. Eligibility
Sex
All
Minimum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Active choroidal neovascularization (CNV) associated with AMD, as evidenced on fluorescein angiography (FA) and OCT.
Patients with either no previous anti-VEGF therapy or prior anti-VEGF therapy with evidence of response to treatment and the need for additional treatment.
Early Treatment Diabetic Retinopathy Study (ETDRS) BCVA 20/40 to 20/320 in the study eye(s).
Adequate bone marrow, hepatic, and renal functions.
Willing and able to provide written informed consent, comply with the investigational study protocol and return for all study visits.
Exclusion Criteria:
Patients with Polypoidal Choroidal Vasculopathy (PCV) as evidenced on Indocyanine Green Angiography (ICG).
Previous treatment with photodynamic therapy (PDT), external beam radiation, subfoveal focal laser photocoagulation, submacular surgery, or transpupillary thermotherapy.
CNV due to causes other than AMD, including ocular histoplasmosis syndrome, angioid streaks, multifocal choroiditis, choroidal rupture, or pathologic myopia.
Geographic atrophy involving the foveal center in the study eye.
Any retinal vascular disease or retinal degeneration other than AMD in the study eye.
Any significant disease in the study eye that could compromise best-corrected visual acuity.
Cataract surgery in the study eye within three months of screening.
Trabeculectomy or aqueous shunt or valve in the study eye.
Use of any investigational agent or participation in any other clinical trial of an investigational agent or investigational therapy within thirty (30) days of baseline.
Females of child bearing potential that are pregnant or not using medically acceptable contraception; males unwilling to take adequate contraceptive measures.
Serious allergy to or prior significant adverse reaction to fluorescein.
Undiagnosed acute illness first observed during screening or between screening and baseline, or severe concurrent medical conditions that, in the investigators judgment, represent a safety concern.
Severe cardiac disease, symptomatic congestive heart failure, unstable angina, acute coronary syndrome, myocardial infarction or coronary artery revascularization, or arterial thrombosis within 12 months of start of study drug, inadequately controlled hypertension, or ventricular tachyarrhythmias requiring ongoing treatment.
QTc ≥450 msec or subjects with a history of risk factors for Torsades de Pointes.
Stroke or transient ischemic attack within 12 months of trial entry.
Clinically significant impaired renal or hepatic function.
Presence of active gastrointestinal (GI) disease or other condition that will interfere significantly with the absorption, distribution, metabolism, or excretion of CM082.
Serious active infection, other serious medical condition or any other condition that would impair the ability of the subject to administer the investigational drug or to adhere to the study protocol requirements.
Presence of any condition which, in the judgment of the investigator, would prevent the subject from completing the study.
Need to take any medicine that is a strong inhibitor or inducer of CYP3A4.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Ming Zhang, MD
Organizational Affiliation
West China Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Peking University People's Hospital
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100044
Country
China
Facility Name
Beijing Hospital
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100730
Country
China
Facility Name
Beijing Tongren Hospital,Capital Medical University
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100730
Country
China
Facility Name
The First People's Hospital of Shanghai
City
Shanghai
State/Province
Shanghai
ZIP/Postal Code
200080
Country
China
Facility Name
West China Hospital
City
Chendu
State/Province
Sichuan
ZIP/Postal Code
610041
Country
China
Facility Name
The Eye Hospital of Wenzhou Medical University
City
Wenzhou
State/Province
Zhejiang
ZIP/Postal Code
325027
Country
China
12. IPD Sharing Statement
Learn more about this trial
Phase 1 Study of CM082 in Patients With wAMD
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