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Safety Study of Intravitreal EBI-031 Given as a Single or Repeat Injection to Subjects With Diabetic Macular Edema

Primary Purpose

Diabetic Macular Edema

Status
Withdrawn
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
EBI-031
Sponsored by
Eleven Biotherapeutics
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Diabetic Macular Edema

Eligibility Criteria

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

Inclusion Criteria:

  • Give written voluntary informed consent and any authorizations required by local law
  • Have a diagnosis of Type 1 or 2 diabetes mellitus
  • Have decreased vision determined primarily to be the result of DME in the study eye
  • Mean central foveal thickness on Spectral Domain Ocular Coherence Tomography (SD-OCT)> 325 in the study eye within 2 weeks of dosing
  • Have best corrected Early Treatment of Diabetic Retinopathy Study (ETDRS) letter score of <73 (~20/40) and >19 (~20/400) in the study eye within 2 weeks of dosing.

Exclusion Criteria:

  • Female that is pregnant and lactating
  • Any prior history of anti-interleukin 6 (anti-IL-6) treatment, for example: tocilizumab, sirukumab, sarilumab, olokizumab
  • Any concurrent biologics for immune disease such as anti-tumor necrosis factor (TNF): Enbrel (etanercept), Humira (adalimumab), Remicade (infliximab); an anti-interleukin 12 (anti-IL-12): Stelara (ustekinumab); or an anti-interleukin 1 (anti-IL-1): Kineret (anakinra), Ilaris (canakinumab), Arcalyst (rilonacept).
  • Unstable, uncontrolled diabetes defined as hemoglobin A1C (HbA1C)≥10.5% within 3 months prior to dosing of EBI-031
  • Received intravitreal anti-vascular endothelial growth factor (anti-VEGF) such as Eylea (aflibercept) within 8 weeks, Lucentis (ranibizumab) and Avastin (bevacizumab) within 4 months prior to EBI-031
  • Significant renal disease, liver disease, or acute congestive heart failure
  • History of myocardial infarction (MI), stroke, or transient ischemic attack (TIA)

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Experimental

    Arm Label

    Single dose arm

    Repeat dose arm

    Arm Description

    Subjects will receive a single intravitreal dose of EBI-031

    Subjects will receive an intravitreal dose of EBI-031 monthly for 3 months

    Outcomes

    Primary Outcome Measures

    Safety, tolerability, and immunogenicity as measured by adverse events and anti-drug antibody development of single and repeat doses of EBI-031
    Number of Participants With Abnormal Laboratory Values, Adverse Events, and/or antibodies to EBI-031

    Secondary Outcome Measures

    Full Information

    First Posted
    July 19, 2016
    Last Updated
    September 13, 2016
    Sponsor
    Eleven Biotherapeutics
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    1. Study Identification

    Unique Protocol Identification Number
    NCT02842541
    Brief Title
    Safety Study of Intravitreal EBI-031 Given as a Single or Repeat Injection to Subjects With Diabetic Macular Edema
    Official Title
    An Open Label, Multi-Center, Safety Study of Intravitreal EBI-031, an Interleukin-6 (IL-6) Inhibitor, Administered as Single and Repeat Injections in Subjects With Diabetic Macular Edema (DME)
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    September 2016
    Overall Recruitment Status
    Withdrawn
    Why Stopped
    New study planned.
    Study Start Date
    September 2016 (undefined)
    Primary Completion Date
    October 2017 (Anticipated)
    Study Completion Date
    February 2018 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Eleven Biotherapeutics

    4. Oversight

    5. Study Description

    Brief Summary
    The purpose of the study is to evaluate the safety, tolerability, immunogenicity, and pharmacokinetics of up to 3 dose levels of EBI-031 given as an intravitreal injection in subjects with diabetic macular edema. There are two arms to the study, a single dose arm (1 dose) and a repeat dose arm (1 dose each month for 3 months). Eligible subjects will initially enroll in the single dose arm and 3 to 6 subjects will be dosed at each of the 3 dose levels. Safety will be assessed over the 28 days after the single dose prior to moving to the next higher dose level. Once all subjects in the single dose arm have been dosed with EBI-031 and the safety has been assessed eligible subjects will begin enrolling in the repeat dose arm. Subjects in the repeat dose arm will receive one dose each month for 3 months and will be assessed for safety. Escalation to the next higher dose will occur once it is determined safe to proceed to the next dose level. Six subjects will be dosed at each of the 3 dose levels.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Diabetic Macular Edema

    7. Study Design

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

    8. Arms, Groups, and Interventions

    Arm Title
    Single dose arm
    Arm Type
    Experimental
    Arm Description
    Subjects will receive a single intravitreal dose of EBI-031
    Arm Title
    Repeat dose arm
    Arm Type
    Experimental
    Arm Description
    Subjects will receive an intravitreal dose of EBI-031 monthly for 3 months
    Intervention Type
    Drug
    Intervention Name(s)
    EBI-031
    Primary Outcome Measure Information:
    Title
    Safety, tolerability, and immunogenicity as measured by adverse events and anti-drug antibody development of single and repeat doses of EBI-031
    Description
    Number of Participants With Abnormal Laboratory Values, Adverse Events, and/or antibodies to EBI-031
    Time Frame
    Measure over the 84 days

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Give written voluntary informed consent and any authorizations required by local law Have a diagnosis of Type 1 or 2 diabetes mellitus Have decreased vision determined primarily to be the result of DME in the study eye Mean central foveal thickness on Spectral Domain Ocular Coherence Tomography (SD-OCT)> 325 in the study eye within 2 weeks of dosing Have best corrected Early Treatment of Diabetic Retinopathy Study (ETDRS) letter score of <73 (~20/40) and >19 (~20/400) in the study eye within 2 weeks of dosing. Exclusion Criteria: Female that is pregnant and lactating Any prior history of anti-interleukin 6 (anti-IL-6) treatment, for example: tocilizumab, sirukumab, sarilumab, olokizumab Any concurrent biologics for immune disease such as anti-tumor necrosis factor (TNF): Enbrel (etanercept), Humira (adalimumab), Remicade (infliximab); an anti-interleukin 12 (anti-IL-12): Stelara (ustekinumab); or an anti-interleukin 1 (anti-IL-1): Kineret (anakinra), Ilaris (canakinumab), Arcalyst (rilonacept). Unstable, uncontrolled diabetes defined as hemoglobin A1C (HbA1C)≥10.5% within 3 months prior to dosing of EBI-031 Received intravitreal anti-vascular endothelial growth factor (anti-VEGF) such as Eylea (aflibercept) within 8 weeks, Lucentis (ranibizumab) and Avastin (bevacizumab) within 4 months prior to EBI-031 Significant renal disease, liver disease, or acute congestive heart failure History of myocardial infarction (MI), stroke, or transient ischemic attack (TIA)
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Karen Tubridy
    Organizational Affiliation
    Eleven Biotherapeutics
    Official's Role
    Study Director

    12. IPD Sharing Statement

    Learn more about this trial

    Safety Study of Intravitreal EBI-031 Given as a Single or Repeat Injection to Subjects With Diabetic Macular Edema

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