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TAB014(Drug Code) in Wet( Neovascular)Age-related Macular Degeneration(AMD) Subjects

Primary Purpose

AMD

Status
Unknown status
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
TAB014
Sponsored by
Lee's Pharmaceutical Limited
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for AMD

Eligibility Criteria

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

Inclusion Criteria:

  1. Male or female subjects, 50 years of age or older.
  2. Have secondary actively Age-related macular degeneration(wAMD) or recurrent CNV including subfoveal type and extrafoveal type in the only study eye.
  3. If have occult CNV or partial classic CNV lesions will be enrolled into the study.
  4. The total CNV area(both classic and occult lesion) including lesion area are more than or equal to 50% total lesion areas.
  5. The total lesion area is less than or equal to 12 disk area (DA).
  6. Volunteer to participate in the study and able to read and understand informed consent and provide written informed consent.

Exclusion Criteria:

1. Prior and concomitant therapy

  1. Prior use of verteporfin, external beam radiation therapy or transpupillary thermotherapy(TTT) in 6 months period of the screening.
  2. Subjects that have received angiogenesis inhibitors therapy, such as Pegaptanib Sodium, Lucentis, Bevacizumab, Bevacizumab (RETAANE) or protein kinase C inhibitor in either eye are participating in any other research study within the last 6 months before the screening.
  3. Subjects that have received other intravitreal injection therapy(Corticosteroids or device implants) in the study eye within the last 6 months before the screening.
  4. Subjects that have treated with focal argon laser photocoagulation for macular edema in study eye within the last 6 months before the screening.
  5. Subjects that have undergone previous photocoagulation of the retina(extrafoveal areas) in the study eye within the last 3 months before the screening.
  6. Subjects with a history of vitreoretinal surgery in the study eye.
  7. Subjects that have undergone previous AMD surgery or other surgical interventions.
  8. Subjects that have participated in other study of treatment with study drug(except for vitamins and minerals) within the last 3 months before the screening.

2. lesion features:

  1. Area of bleeding under the retina 50% total lesion areas or 4 disk area.
  2. Subfoveal fibrosis.
  3. CNV that be caused by the oter reasons in either eye,such as ocular histoplasmosis syndrome, craniocerebral trauma or pathological myopia.
  4. retinal pigment epithelium (RPE) tears. 3. concomitant eye disease:

1) Subjects with ongoing any concomitant eye disease(i.e cataracts or diabetic retinopathy) by the investigator's judgment:

  1. Vision loss caused by these diseases to cause interference with medical or operation intervention during 3 months study.
  2. Best corrected visual acuity (BCVA) loss at least of 2 lines Snellen equivalents (ETDRS 10 letters) at 3 months, if don't treat the disease.

    2) Subjects who are active endophthalmitis(with micro level or above). 3) Subjects with ongoing internal vitreous hemorrhage. 4) Subjects with Rhegmatogenous retinal detachment or history of macular holes stage 3/4.

    5) Subjects with history of idiopathic uveitis or autoimmune uveitis in either eye 6) Subjects with ongoing infectious conjunctivitis, infectious keratitis, infectious scleral or endophthalmitis in either eye.

    7) Subjects that have undergone previous intraocular surgery (including cataract surgery ) within the last 3 months before the screening.

    8) Subjects who are uncontrolled glaucoma(defined as intraocular pressure [IOP] 30 mmHg, even when treated with anti-glaucoma drugs).

    9) Subjects with history of glaucoma filtration surgery. 4. concomitant system disease:

    1. Subjects of child bearing ages will undergo pregnancy testing.
    2. Subjects with ongoing severe hepatic and renal disease or abnormal liver and kidney function(ALT, Angiotensin sensitivity test (AST) ≥1.5 ULN, Cr, UREA>ULN) at Baseline.
    3. Patients with other disease history,such as uncontrolled diabetics or hypertension, periinfarction within the last 6 months,as well as not suitable for this study per the investigator's judgment.
    4. Subjects with ongoing systemic infection therapy. 5.other:
    1. Subjects with history of fluoresceins allergy.
    2. Not get enough quality of fundus photography and fluorescein angiography used by reading and analysing from the reading center.
    3. Unwilling and not be able to return for all study visits

Sites / Locations

  • Peking Union Medical College Hospital of Chinese Academy of Medical SciencesRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

1.25mg(0.05ml) single-dose

2.00mg(0.08ml) single-dose

2.50mg(0.10ml) single-dose

1.25mg(0.05ml) multiple-dose

2.00mg(0.08ml) multiple-dose

2.50mg(0.10ml) multiple-dose

Arm Description

Eight subjects will be treated with TAB014 1.25mg(0.05ml) single-dose

Eight subjects will be treated with TAB014 2.00mg(0.08ml) single-dose

Eight subjects will be treated with TAB014 2.50mg(0.10ml) single-dose

Eight subjects will be treated with TAB014 1.25mg(0.05ml) multiple-dose after 1.25mg(0.05ml) single-dose

Eight subjects will be treated with TAB014 2.00mg(0.08ml) multiple-dose after 2.00mg(0.08ml) single-dose

Eight subjects will be treated with TAB014 2.50mg(0.10ml) multiple-dose after 2.50mg(0.10ml) single-dose

Outcomes

Primary Outcome Measures

Toxicity associated with TAB014 treatment (possibly, probably, or definitively) occurs within 28 days after a single dose of TAB014.
Describe the impairment of vision by examination.

Secondary Outcome Measures

Dose-limiting toxicity and adverse reaction
To Assess the dose-limiting toxicity and adverse reaction of TAB014 Monoclonal Antibody Injection.

Full Information

First Posted
September 5, 2018
Last Updated
September 24, 2018
Sponsor
Lee's Pharmaceutical Limited
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1. Study Identification

Unique Protocol Identification Number
NCT03675880
Brief Title
TAB014(Drug Code) in Wet( Neovascular)Age-related Macular Degeneration(AMD) Subjects
Official Title
A Phase Ⅰ Clinical Study of TAB014 in Wet( Neovascular)Age-related Macular Degeneration(AMD) Subjects
Study Type
Interventional

2. Study Status

Record Verification Date
September 2018
Overall Recruitment Status
Unknown status
Study Start Date
June 15, 2018 (Actual)
Primary Completion Date
February 15, 2019 (Anticipated)
Study Completion Date
April 30, 2019 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Lee's Pharmaceutical Limited

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Subjects with secondary wet age-related macular degeneration(AMD) or recurrent subfoveal choroidal neovascularization (CNV) in only one study eye will be enrolled into the study.
Detailed Description
The screening period was 28 days. The classification of CNV will be determined by Fundus Fluorescein Angiography ( FFA ) at the study centers. Subjects will receive intravitreal injections of TAB014 Monoclonal Antibody Injection in one eye ( the study eye ). Subjects will only receive single intravitreal dose.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
AMD

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
24 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
1.25mg(0.05ml) single-dose
Arm Type
Experimental
Arm Description
Eight subjects will be treated with TAB014 1.25mg(0.05ml) single-dose
Arm Title
2.00mg(0.08ml) single-dose
Arm Type
Experimental
Arm Description
Eight subjects will be treated with TAB014 2.00mg(0.08ml) single-dose
Arm Title
2.50mg(0.10ml) single-dose
Arm Type
Experimental
Arm Description
Eight subjects will be treated with TAB014 2.50mg(0.10ml) single-dose
Arm Title
1.25mg(0.05ml) multiple-dose
Arm Type
Experimental
Arm Description
Eight subjects will be treated with TAB014 1.25mg(0.05ml) multiple-dose after 1.25mg(0.05ml) single-dose
Arm Title
2.00mg(0.08ml) multiple-dose
Arm Type
Experimental
Arm Description
Eight subjects will be treated with TAB014 2.00mg(0.08ml) multiple-dose after 2.00mg(0.08ml) single-dose
Arm Title
2.50mg(0.10ml) multiple-dose
Arm Type
Experimental
Arm Description
Eight subjects will be treated with TAB014 2.50mg(0.10ml) multiple-dose after 2.50mg(0.10ml) single-dose
Intervention Type
Drug
Intervention Name(s)
TAB014
Other Intervention Name(s)
TAB014 monoclonal antibody injection
Intervention Description
TAB014 of 1.25mg(0.05ml)、2.00mg(0.08ml)、2.50mg(0.10ml)
Primary Outcome Measure Information:
Title
Toxicity associated with TAB014 treatment (possibly, probably, or definitively) occurs within 28 days after a single dose of TAB014.
Description
Describe the impairment of vision by examination.
Time Frame
Within 12 weeks after administration
Secondary Outcome Measure Information:
Title
Dose-limiting toxicity and adverse reaction
Description
To Assess the dose-limiting toxicity and adverse reaction of TAB014 Monoclonal Antibody Injection.
Time Frame
Within 12 weeks after administration

10. Eligibility

Sex
All
Minimum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male or female subjects, 50 years of age or older. Have secondary actively Age-related macular degeneration(wAMD) or recurrent CNV including subfoveal type and extrafoveal type in the only study eye. If have occult CNV or partial classic CNV lesions will be enrolled into the study. The total CNV area(both classic and occult lesion) including lesion area are more than or equal to 50% total lesion areas. The total lesion area is less than or equal to 12 disk area (DA). Volunteer to participate in the study and able to read and understand informed consent and provide written informed consent. Exclusion Criteria: 1. Prior and concomitant therapy Prior use of verteporfin, external beam radiation therapy or transpupillary thermotherapy(TTT) in 6 months period of the screening. Subjects that have received angiogenesis inhibitors therapy, such as Pegaptanib Sodium, Lucentis, Bevacizumab, Bevacizumab (RETAANE) or protein kinase C inhibitor in either eye are participating in any other research study within the last 6 months before the screening. Subjects that have received other intravitreal injection therapy(Corticosteroids or device implants) in the study eye within the last 6 months before the screening. Subjects that have treated with focal argon laser photocoagulation for macular edema in study eye within the last 6 months before the screening. Subjects that have undergone previous photocoagulation of the retina(extrafoveal areas) in the study eye within the last 3 months before the screening. Subjects with a history of vitreoretinal surgery in the study eye. Subjects that have undergone previous AMD surgery or other surgical interventions. Subjects that have participated in other study of treatment with study drug(except for vitamins and minerals) within the last 3 months before the screening. 2. lesion features: Area of bleeding under the retina 50% total lesion areas or 4 disk area. Subfoveal fibrosis. CNV that be caused by the oter reasons in either eye,such as ocular histoplasmosis syndrome, craniocerebral trauma or pathological myopia. retinal pigment epithelium (RPE) tears. 3. concomitant eye disease: 1) Subjects with ongoing any concomitant eye disease(i.e cataracts or diabetic retinopathy) by the investigator's judgment: Vision loss caused by these diseases to cause interference with medical or operation intervention during 3 months study. Best corrected visual acuity (BCVA) loss at least of 2 lines Snellen equivalents (ETDRS 10 letters) at 3 months, if don't treat the disease. 2) Subjects who are active endophthalmitis(with micro level or above). 3) Subjects with ongoing internal vitreous hemorrhage. 4) Subjects with Rhegmatogenous retinal detachment or history of macular holes stage 3/4. 5) Subjects with history of idiopathic uveitis or autoimmune uveitis in either eye 6) Subjects with ongoing infectious conjunctivitis, infectious keratitis, infectious scleral or endophthalmitis in either eye. 7) Subjects that have undergone previous intraocular surgery (including cataract surgery ) within the last 3 months before the screening. 8) Subjects who are uncontrolled glaucoma(defined as intraocular pressure [IOP] 30 mmHg, even when treated with anti-glaucoma drugs). 9) Subjects with history of glaucoma filtration surgery. 4. concomitant system disease: Subjects of child bearing ages will undergo pregnancy testing. Subjects with ongoing severe hepatic and renal disease or abnormal liver and kidney function(ALT, Angiotensin sensitivity test (AST) ≥1.5 ULN, Cr, UREA>ULN) at Baseline. Patients with other disease history,such as uncontrolled diabetics or hypertension, periinfarction within the last 6 months,as well as not suitable for this study per the investigator's judgment. Subjects with ongoing systemic infection therapy. 5.other: Subjects with history of fluoresceins allergy. Not get enough quality of fundus photography and fluorescein angiography used by reading and analysing from the reading center. Unwilling and not be able to return for all study visits
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
youxin chen, PHD
Phone
010-69156699
Email
chenyouxinpumch@163.com
First Name & Middle Initial & Last Name or Official Title & Degree
yan sun, master
Phone
010-69158355
Email
xieheyaoli@163.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
youxin chen, PHD
Organizational Affiliation
Peking Union Medical College Hospital of Chinese Academy of Medical Sciences
Official's Role
Study Director
Facility Information:
Facility Name
Peking Union Medical College Hospital of Chinese Academy of Medical Sciences
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100032
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
youxin chen, PHD
Phone
010-69156699
Email
chenyouxinpumch@163.com
First Name & Middle Initial & Last Name & Degree
yan sun, master
Phone
010-69158355
Email
xieheyaoli@163.com

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
18843500
Citation
Schouten JS, La Heij EC, Webers CA, Lundqvist IJ, Hendrikse F. A systematic review on the effect of bevacizumab in exudative age-related macular degeneration. Graefes Arch Clin Exp Ophthalmol. 2009 Jan;247(1):1-11. doi: 10.1007/s00417-008-0952-y. Epub 2008 Oct 9.
Results Reference
result
PubMed Identifier
19680279
Citation
Jyothi S, Chowdhury H, Elagouz M, Sivaprasad S. Intravitreal bevacizumab (Avastin) for age-related macular degeneration: a critical analysis of literature. Eye (Lond). 2010 May;24(5):816-24. doi: 10.1038/eye.2009.219. Epub 2009 Aug 14.
Results Reference
result
PubMed Identifier
21623685
Citation
Mitchell P. A systematic review of the efficacy and safety outcomes of anti-VEGF agents used for treating neovascular age-related macular degeneration: comparison of ranibizumab and bevacizumab. Curr Med Res Opin. 2011 Jul;27(7):1465-75. doi: 10.1185/03007995.2011.585394. Epub 2011 May 31.
Results Reference
result
PubMed Identifier
23638418
Citation
Li J, Zhang H, Sun P, Gu F, Liu ZL. Bevacizumab vs ranibizumab for neovascular age-related macular degeneration in Chinese patients. Int J Ophthalmol. 2013 Apr 18;6(2):169-73. doi: 10.3980/j.issn.2222-3959.2013.02.12. Print 2013.
Results Reference
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PubMed Identifier
25142373
Citation
Kodjikian L, Decullier E, Souied EH, Girmens JF, Durand EE, Chapuis FR, Huot L. Bevacizumab and ranibizumab for neovascular age-related macular degeneration: an updated meta-analysis of randomised clinical trials. Graefes Arch Clin Exp Ophthalmol. 2014 Oct;252(10):1529-37. doi: 10.1007/s00417-014-2764-6. Epub 2014 Aug 22.
Results Reference
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PubMed Identifier
16508423
Citation
Manzano RP, Peyman GA, Khan P, Kivilcim M. Testing intravitreal toxicity of bevacizumab (Avastin). Retina. 2006 Mar;26(3):257-61. doi: 10.1097/00006982-200603000-00001.
Results Reference
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PubMed Identifier
17031287
Citation
Feiner L, Barr EE, Shui YB, Holekamp NM, Brantley MA Jr. Safety of intravitreal injection of bevacizumab in rabbit eyes. Retina. 2006 Oct;26(8):882-8. doi: 10.1097/01.iae.0000230717.85319.f5.
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PubMed Identifier
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Citation
Shahar J, Avery RL, Heilweil G, Barak A, Zemel E, Lewis GP, Johnson PT, Fisher SK, Perlman I, Loewenstein A. Electrophysiologic and retinal penetration studies following intravitreal injection of bevacizumab (Avastin). Retina. 2006 Mar;26(3):262-9. doi: 10.1097/00006982-200603000-00002.
Results Reference
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Citation
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Results Reference
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Learn more about this trial

TAB014(Drug Code) in Wet( Neovascular)Age-related Macular Degeneration(AMD) Subjects

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