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28-Day Repeated Topical Study to Evaluate the Safety and Activity of 5 Escalating Dose Levels of SAR366234 and One Dose of Latanoprost in Patients With Open Angle Glaucoma or Ocular Hypertension

Primary Purpose

Open Angle Glaucoma -Ocular Hypertension

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Latanoprost
SAR366234
Sponsored by
Sanofi
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Open Angle Glaucoma -Ocular Hypertension

Eligibility Criteria

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

Inclusion criteria:

  • Male or female patients ≥18 years of age.
  • Patients diagnosed with OAG (including pseudoexfoliation and pigment dispersion syndromes and patients with a history of narrow angle closure with a patent peripheral iridotomy) or OHT.
  • Documented intraocular pressure (IOP) fulfilling the eligibility criteria (below) at both the screening and baseline visits:
  • At the screening visit
  • an IOP ≤21 mmHg in both eyes if currently treated with an IOP-lowering medication or
  • an IOP ≥22 mmHg and <36 mmHg if treatment-naïve or not on IOP lowering medication for at least 5 weeks.
  • At the baseline visit following washout
  • an IOP ≥22 mmHg and <36 mmHg at about 8:00 am,
  • an IOP >20 mmHg and <36 mmHg at about 12:00 noon, and
  • an IOP >18 mmHg and <36 mmHg at about 4:00 pm.
  • Baseline laboratory parameters within the defined screening threshold for the Investigator site, unless the Investigator considers and documents an abnormality to be clinically irrelevant.
  • Having given written informed consent prior to undertaking any study-related procedure, including stopping their current glaucoma treatment, if any, and engaging into the corresponding washout procedures.
  • Patients should agree to discontinue any concomitant topical ocular medication(s) and current IOP-reducing agents.
  • Best corrected Early Treatment Diabetic Retinopathy Study (ETDRS) visual acuity score of +1.0 logMAR (Snellen equivalent 20/200) or better in both eyes at the screening and baseline visits.
  • Patients on systemic β blockers must be on a stable dose for at least 2 weeks before screening and should expect to continue the treatment during the study with no anticipated alteration in the medication dose.
  • Patients should agree to discontinue contact lenses during treatment with the study medication.

Exclusion criteria:

  • Any clinically significant disease or concomitant medication that would interfere with the study evaluation.
  • Patients with advanced glaucoma at risk of progression during the study in the opinion of the Investigator.
  • Presence or history of hypersensitivity to latanoprost or known history of non-response to any prostaglandin analog given for the reduction of IOP.
  • History of hypersensitivity or allergy to any component of the investigational medicinal product or any of the diagnostic medications or materials used in the conduct of the study.
  • Use or expected need for ocular (topical, periocular, or intravitreal), local (inhaled or nasal), or systemic glucocorticoid medications within 4 weeks prior to the baseline visit and for the duration of the study.
  • Any vaccination within the last 28 days from randomization or during screening whichever is longer.
  • Any patient in the exclusion period of a previous study according to applicable regulations.
  • Any patient who cannot be contacted in case of emergency.
  • Any patient who is the Investigator or any subinvestigator, research assistant, pharmacist, study coordinator, or other staff thereof, directly involved in conducting the study.
  • Positive result on any of the following tests: hepatitis B surface (HBs Ag) antigen, anti-hepatitis C virus (anti-HCV) antibodies, anti-human immunodeficiency virus 1 and 2 antibodies (anti-HIV1 and anti HIV2 Ab).
  • Positive result on urine drug screen (amphetamines/methamphetamines, barbiturates, benzodiazepines, cannabinoids, cocaine, opiates) unless the result of a medical prescription.
  • An IOP ≥36 mmHg at any time during the screening, baseline, or randomization visits (Day 1 predose).
  • History of ocular surgery (including laser) or trauma in either eye within 6 months of the screening visit.
  • History of glaucoma filtering surgery or aqueous shunt procedures (traditional valves and/or microinvasive glaucoma surgery [MIGs]).
  • History of ocular infection within the past 3 months or ongoing or recurrent ocular inflammation (ie, moderate to severe blepharitis, allergic conjunctivitis, herpetic keratitis, peripheral ulcerative keratitis, scleritis, or uveitis) in either eye. Any ocular abnormalities or symptoms indicative of ongoing ophthalmic disease (except if related to glaucoma or OHT).
  • Central corneal thickness <500 µm or >620 µm at the baseline visit.
  • Any evidence of cornea guttata or corneal endothelial dysfunction from medical history or at the baseline visit.
  • Uncontrolled disease that would interfere with the study conduct, the interpretation of the study results, or the ability of the patient to meet the requirements of the study schedule.
  • Any corneal abnormalities preventing reliable applanation tonometry.
  • Closed/barely open anterior chamber angle or a history of acute angle closure in either eye not adequately treated with a peripheral iridectomy.
  • Diagnosis of a clinically significant or progressive retinal disease (eg, diabetic retinopathy, advanced age-related macular degeneration, inherited retinal dystrophies) in either eye.
  • Advanced optic nerve abnormality or history of visual field loss in either eye based on the assessment of the Investigator which could put the patient at risk of glaucoma progression by participating in the study.
  • History of aphakia, pseudophakia with a torn posterior lens capsule, macular edema, or known risk factors for macular edema in either eye.

The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

Sites / Locations

  • Investigational Site Number 840001
  • Investigational Site Number 840003
  • Investigational Site Number 840005
  • Investigational Site Number 840004
  • Investigational Site Number 840002

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Active Comparator

Arm Label

SAR366234 (Dose 1)

SAR366234 (Dose 2)

SAR366234 (Dose 3)

SAR366234 (Dose 4)

SAR366234 (Dose 5)

Latanoprost

Arm Description

A low dose of SAR366234 will be administered 2 drops per eye per day for 28 days

A medium dose of SAR366234 will be administered 1 drop per eye per day for 28 days

A medium dose of SAR366234 will be administered 2 drops per eye per day for 28 days

A high dose of SAR366234 will be administered 1 drop per eye per day for 28 days

A high dose of SAR366234 will be administered 2 drops per eye per day for 28 days

A dose of Latanoprost will be administered 1 drop per eye per day for 28 days

Outcomes

Primary Outcome Measures

Number of adverse events (including local tolerance and ophthalmological examinations)

Secondary Outcome Measures

Assessment of IOP using Goldman applanation tonometry

Full Information

First Posted
August 20, 2015
Last Updated
April 26, 2016
Sponsor
Sanofi
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1. Study Identification

Unique Protocol Identification Number
NCT02531152
Brief Title
28-Day Repeated Topical Study to Evaluate the Safety and Activity of 5 Escalating Dose Levels of SAR366234 and One Dose of Latanoprost in Patients With Open Angle Glaucoma or Ocular Hypertension
Official Title
A Randomized, Observer-masked Study of the Safety, Tolerability and Pharmacodynamics of Sequential Ascending 28-Day Repeated Topical Doses of SAR366234 Versus Latanoprost in Patients With Open Angle Glaucoma or Ocular Hypertension
Study Type
Interventional

2. Study Status

Record Verification Date
April 2016
Overall Recruitment Status
Completed
Study Start Date
September 2015 (undefined)
Primary Completion Date
April 2016 (Actual)
Study Completion Date
April 2016 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Sanofi

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Primary Objective: To assess the local and systemic safety and tolerability of ascending repeated topical doses of SAR366234 monotherapy in patients with open angle glaucoma (OAG) or ocular hypertension (OHT) as compared to latanoprost. Secondary Objective: To assess the pharmacodynamic activity of ascending repeated topical doses of SAR366234 in patients with OAG or OHT as compared to latanoprost.
Detailed Description
The total study duration for one patient is up to 11 weeks, including a screening period of up to 6 weeks run-in (depending on washout requirements), a 4-week treatment period, and a 1-week follow-up period. The study design is also a parallel cohort study to assess the safety, tolerability, and pharmacodynamic activity of SAR366234.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
Outcomes Assessor
Allocation
Randomized
Enrollment
54 (Actual)

8. Arms, Groups, and Interventions

Arm Title
SAR366234 (Dose 1)
Arm Type
Experimental
Arm Description
A low dose of SAR366234 will be administered 2 drops per eye per day for 28 days
Arm Title
SAR366234 (Dose 2)
Arm Type
Experimental
Arm Description
A medium dose of SAR366234 will be administered 1 drop per eye per day for 28 days
Arm Title
SAR366234 (Dose 3)
Arm Type
Experimental
Arm Description
A medium dose of SAR366234 will be administered 2 drops per eye per day for 28 days
Arm Title
SAR366234 (Dose 4)
Arm Type
Experimental
Arm Description
A high dose of SAR366234 will be administered 1 drop per eye per day for 28 days
Arm Title
SAR366234 (Dose 5)
Arm Type
Experimental
Arm Description
A high dose of SAR366234 will be administered 2 drops per eye per day for 28 days
Arm Title
Latanoprost
Arm Type
Active Comparator
Arm Description
A dose of Latanoprost will be administered 1 drop per eye per day for 28 days
Intervention Type
Drug
Intervention Name(s)
Latanoprost
Other Intervention Name(s)
Xalatan
Intervention Type
Drug
Intervention Name(s)
SAR366234
Primary Outcome Measure Information:
Title
Number of adverse events (including local tolerance and ophthalmological examinations)
Time Frame
From screening (Day -42) up to approximately Day 39
Secondary Outcome Measure Information:
Title
Assessment of IOP using Goldman applanation tonometry
Time Frame
From screening (Day -42) up to approximately Day 39

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion criteria: Male or female patients ≥18 years of age. Patients diagnosed with OAG (including pseudoexfoliation and pigment dispersion syndromes and patients with a history of narrow angle closure with a patent peripheral iridotomy) or OHT. Documented intraocular pressure (IOP) fulfilling the eligibility criteria (below) at both the screening and baseline visits: At the screening visit an IOP ≤21 mmHg in both eyes if currently treated with an IOP-lowering medication or an IOP ≥22 mmHg and <36 mmHg if treatment-naïve or not on IOP lowering medication for at least 5 weeks. At the baseline visit following washout an IOP ≥22 mmHg and <36 mmHg at about 8:00 am, an IOP >20 mmHg and <36 mmHg at about 12:00 noon, and an IOP >18 mmHg and <36 mmHg at about 4:00 pm. Baseline laboratory parameters within the defined screening threshold for the Investigator site, unless the Investigator considers and documents an abnormality to be clinically irrelevant. Having given written informed consent prior to undertaking any study-related procedure, including stopping their current glaucoma treatment, if any, and engaging into the corresponding washout procedures. Patients should agree to discontinue any concomitant topical ocular medication(s) and current IOP-reducing agents. Best corrected Early Treatment Diabetic Retinopathy Study (ETDRS) visual acuity score of +1.0 logMAR (Snellen equivalent 20/200) or better in both eyes at the screening and baseline visits. Patients on systemic β blockers must be on a stable dose for at least 2 weeks before screening and should expect to continue the treatment during the study with no anticipated alteration in the medication dose. Patients should agree to discontinue contact lenses during treatment with the study medication. Exclusion criteria: Any clinically significant disease or concomitant medication that would interfere with the study evaluation. Patients with advanced glaucoma at risk of progression during the study in the opinion of the Investigator. Presence or history of hypersensitivity to latanoprost or known history of non-response to any prostaglandin analog given for the reduction of IOP. History of hypersensitivity or allergy to any component of the investigational medicinal product or any of the diagnostic medications or materials used in the conduct of the study. Use or expected need for ocular (topical, periocular, or intravitreal), local (inhaled or nasal), or systemic glucocorticoid medications within 4 weeks prior to the baseline visit and for the duration of the study. Any vaccination within the last 28 days from randomization or during screening whichever is longer. Any patient in the exclusion period of a previous study according to applicable regulations. Any patient who cannot be contacted in case of emergency. Any patient who is the Investigator or any subinvestigator, research assistant, pharmacist, study coordinator, or other staff thereof, directly involved in conducting the study. Positive result on any of the following tests: hepatitis B surface (HBs Ag) antigen, anti-hepatitis C virus (anti-HCV) antibodies, anti-human immunodeficiency virus 1 and 2 antibodies (anti-HIV1 and anti HIV2 Ab). Positive result on urine drug screen (amphetamines/methamphetamines, barbiturates, benzodiazepines, cannabinoids, cocaine, opiates) unless the result of a medical prescription. An IOP ≥36 mmHg at any time during the screening, baseline, or randomization visits (Day 1 predose). History of ocular surgery (including laser) or trauma in either eye within 6 months of the screening visit. History of glaucoma filtering surgery or aqueous shunt procedures (traditional valves and/or microinvasive glaucoma surgery [MIGs]). History of ocular infection within the past 3 months or ongoing or recurrent ocular inflammation (ie, moderate to severe blepharitis, allergic conjunctivitis, herpetic keratitis, peripheral ulcerative keratitis, scleritis, or uveitis) in either eye. Any ocular abnormalities or symptoms indicative of ongoing ophthalmic disease (except if related to glaucoma or OHT). Central corneal thickness <500 µm or >620 µm at the baseline visit. Any evidence of cornea guttata or corneal endothelial dysfunction from medical history or at the baseline visit. Uncontrolled disease that would interfere with the study conduct, the interpretation of the study results, or the ability of the patient to meet the requirements of the study schedule. Any corneal abnormalities preventing reliable applanation tonometry. Closed/barely open anterior chamber angle or a history of acute angle closure in either eye not adequately treated with a peripheral iridectomy. Diagnosis of a clinically significant or progressive retinal disease (eg, diabetic retinopathy, advanced age-related macular degeneration, inherited retinal dystrophies) in either eye. Advanced optic nerve abnormality or history of visual field loss in either eye based on the assessment of the Investigator which could put the patient at risk of glaucoma progression by participating in the study. History of aphakia, pseudophakia with a torn posterior lens capsule, macular edema, or known risk factors for macular edema in either eye. The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Clinical Sciences & Operations
Organizational Affiliation
Sanofi
Official's Role
Study Director
Facility Information:
Facility Name
Investigational Site Number 840001
City
Inglewood
State/Province
California
ZIP/Postal Code
90301
Country
United States
Facility Name
Investigational Site Number 840003
City
Cape Coral
State/Province
Florida
ZIP/Postal Code
33904
Country
United States
Facility Name
Investigational Site Number 840005
City
Roswell
State/Province
Georgia
ZIP/Postal Code
30076
Country
United States
Facility Name
Investigational Site Number 840004
City
St Joseph
State/Province
Michigan
ZIP/Postal Code
49085
Country
United States
Facility Name
Investigational Site Number 840002
City
Memphis
State/Province
Tennessee
ZIP/Postal Code
38119
Country
United States

12. IPD Sharing Statement

Learn more about this trial

28-Day Repeated Topical Study to Evaluate the Safety and Activity of 5 Escalating Dose Levels of SAR366234 and One Dose of Latanoprost in Patients With Open Angle Glaucoma or Ocular Hypertension

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